Claims Representative
Claims adjuster job in Cincinnati, OH
Country USA State Ohio City Cincinnati Descriptions & requirements About the role: When you join TQL as a Claims Representative you will play a key role in protecting our business and customers. In this position, you will own an evolving portfolio of cargo claims from start to finish, resolving them through investigating issues and working with carriers, customers and insurance partners to resolve claims quickly and accurately.
The Claims team is a critical part of TQL's commitment to reliability, service excellence, and trust in the fast-paced logistics industry. When unexpected disruptions occur, this group ensures swift resolution, minimizing financial impact, and preserving long-standing customer relationships through efficient, transparent claims management.
Who we're looking for:
* You're highly detail-oriented with a strong focus on accuracy
* You communicate clearly and professionally
* You have solid problem-solving and investigation skills
* You make sound decisions independently while collaborating closely with your team
* You bring a customer-first mindset and build strong relationships
* You're comfortable working in a fast-paced environment with changing priorities
* You have some professional experience in an office environment, customer service, claims, or insurance
What you'll do:
* Investigate reported cargo claims and determine validity
* Manage documentation, submission, and communication for each claim in your portfolio
* Follow up with carriers, insurance partners, and internal and external customers to drive timely resolutions
* Gather all required documents and information to file, review, and resolve claims
* Serve as the point of contact for internal teams and external partners regarding claim status
* Contact carriers, insurance companies, salvage companies and internal/external customers regarding claims made by customers, receivers or shippers
* Work with Accounting and Collections teams to resolve carrier and customer accounting issues related to claims
What's in it for you:
* Compensation starting at $17.50 - $22 per hour, depending on experience
* Outstanding career growth potential with structured paths for advancement
* Comprehensive benefits package
* Health, dental and vision coverage
* 401(k) with company match
* Perks including employee discounts, financial wellness planning, tuition reimbursement and more
* Certified Great Place to Work with 800+ lifetime workplace award wins
Where you'll be: 4289 Ivy Pointe Blvd Cincinnati, OH
Employment visa sponsorship is unavailable for this position. Applicants requiring employment visa sponsorship now or in the future (e.g., F-1 STEM OPT, H-1B, TN, J1 etc.) will not be considered.
About Us
Total Quality Logistics (TQL) is one of the largest freight brokerage firms in the nation. TQL connects customers with truckload freight that needs to be moved with quality carriers who have the capacity to move it.
As a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs. At TQL, the opportunities are endless which means that there is room for career advancement and the ability to write your own paycheck.
What's your worth? Our open and transparent communication from management creates a successful work environment and custom career path for our employees. TQL is an industry-leader in the logistics industry with unlimited potential. Be a part of something big.
Total Quality Logistics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, genetic information, disability or protected veteran status.
If you are unable to apply online due to a disability, contact recruiting at ******************
*
Claim Adjuster I
Claims adjuster job in Florence, KY
The claim adjuster I will complete required training and education activities in preparation for a career as a claim professional; provide assistance in accordance with supervisor instructions; and provide prompt, courteous and fair claim service. To see the impact you could make in a Claims role at KFB, please watch our Claims Careers Video.
Responsibilities
Support the corporate strategy of our commitment to the member relationship.
Support the strategic mission of the Claims function as it relates to goals for the organization.
Learn about and exhibit the Guiding Principles in your daily work.
Develop and maintain relationships with the agency force and support the agencies through sound and effective claim management practices.
Handle all claims in accordance with the provisions of the Unfair Claims Settlement Practices Act and in an ethical and compliant manner.
Satisfactorily complete or be in progress to complete the KFB training plan.
Satisfactorily complete the required Kentucky Farm Bureau sponsored courses.
Review loss reports, and confirm coverages.
Conduct prompt and thorough investigations of losses
Maintain and thoroughly document electronic claim files to support actions taken.
Maintain adequate reserves and active diaries on all files.
Complete assignments.
Promptly evaluate and resolve claims through settlement or denial.
Visit agency offices on a regular basis.
Actively pursue salvage recovery.
Assist subrogation unit with subrogation recovery.
Assist the special investigative unit with suspicious claims.
Report claims in accordance with reporting guidelines or as requested by supervisory personnel.
Assign, direct and actively monitor out-of-state claims.
Develop and maintain knowledge of policy contracts, court decisions, and industry trends.
Handle claims in compliance with statutes, regulations, and case law.
Complete assignments.
Maintain ability to function as an adjuster trainee.
Serve as a catastrophe team member or assist in other claim offices or locations as
requested.
Regular, predictable attendance.
This list of essential functions is non-exhaustive and may be supplemented as necessary.
Other Responsibilities
Promptly report complaints and respond, as directed.
Report immediately receipt of all summonses.
Report incorrectly rated policies or poor risks to PARM (Underwriting) with the assistance of your supervisor.
Submit timely and accurate expense reports and mileage reports.
Attend and participate in company claim meetings, seminars, and continuing education activities.
Maintain and properly use company facilities, equipment, supplies, and vehicles.
Follow company guidelines related to personal use of company vehicles.
Job Specifications
Physical demands: Normal vision/hearing (with or without correction); Sitting; Standing; Speaking; Mobility; Driving an automobile; climbing ladders.
Mental demands: Analytic reasoning; Prolonged concentration.
Environmental factors: Standard office lighting, temperatures and noise; Outdoor conditions, lighting, temperatures and noise; On site field inspections of damaged property, such as accident scenes or roofs of buildings.
Equipment: Automobile; Camera; Computer; Phone; Ladder.
Qualifications
Combination of formal education, training, and experience to acquire knowledge and skills generally equivalent to those possessed by a four-year college graduate. Bachelor's degree preferred.
Ability to interpret policy contracts and legal documents.
Strong written and verbal communication skills.
Ability to make timely decisions.
Good negotiation and public relations skills.
Obtain Kentucky Staff Adjuster License within six months of employment.
Valid driver's license and good driving record.
Auto-ApplyDaily Claims Adjuster Cincinnati OH Region
Claims adjuster job in Cincinnati, OH
Daily Property Claims Adjuster - Cincinnati, OH
CENCO Claims is seeking a reliable and experienced Daily Property Adjuster to handle residential and commercial property claims throughout Cincinnati and Southwest Ohio. This field-based role offers steady assignments, flexible scheduling, and the support of a knowledgeable claims team.
Key Responsibilities:
Conduct on-site inspections to assess property damage from wind, hail, water, and other covered perils.
Prepare accurate estimates using Xactimate or similar estimating software.
Capture high-quality photos and provide detailed inspection reports.
Maintain professional communication with policyholders, contractors, and carrier representatives.
Complete and submit claim files accurately and within required timelines.
Requirements:
Proficiency in Xactimate (Symbility experience is a plus).
Strong understanding of property damage evaluation and repair processes.
Excellent written and verbal communication skills.
Valid driver's license and reliable transportation.
Active Ohio (or designated home state) adjuster license.
Preferred:
2+ years of field adjusting experience.
What We Offer:
Consistent daily claim volume in the Cincinnati metro area.
Competitive per-claim pay with prompt payments.
Flexibility and independence in the field.
Support from a dedicated, experienced claims team.
Opportunities for ongoing assignments and professional growth.
If you're an experienced adjuster looking for steady work and a dependable partner in the claims industry, apply today to join CENCO Claims in Cincinnati!
Independent Insurance Claims Adjuster in Covington, Kentucky
Claims adjuster job in Covington, KY
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.
Auto-ApplyField Claims Adjuster
Claims adjuster job in Cincinnati, OH
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Claims Representative
Claims adjuster job in Cincinnati, OH
As the Claims Representative, you will be responsible for the evaluation, investigation and resolution of individual death claims within established guidelines. You will be providing a superior customer experience to our clients.
Providing superior customer service to our customers
Processing and approving claim payments
Providing prompt and accurate correspondence to internal and external customers
Maintaining accurate and complete financial records
Evaluating, analyzing and investigating claims
What's in it for you
Competitive pay: Fair compensation for your hard work.
Healthcare coverage: Comprehensive medical, dental, and vision from day one.
Life insurance: Company-paid coverage for you and your loved ones.
401(k) plan: Matching contributions to help secure your financial future.
Family support: Paid parental leave and reimbursement for adoption and surrogacy expenses.
Work-life balance: Flexible time-off policy to recharge and pursue passions.
Dress for your day: Express your style comfortably at work.
Inclusion and Culture: A respectful environment that values unique contributions.
Flexible work options: Remote, hybrid, and onsite opportunities at various locations across the U.S. for better work-life integration.
Well-being focus: Programs to support a healthy balance between work and home life.
Community connections: Build strong relationships through virtual and in-person interactions, with resources for your growth.
Claims Pocesor
Claims adjuster job in Mason, OH
Claims Processor needs 1+ years experience,
Claims Processor requires:
Onsite
Medium-Advance level of expertise with Microsoft Excel
Proficient with Outlook
Familiar with Cloud-based applications (i.e. OneDrive)
Ability to multi-task and perform duties using multiple sources or systems
Data Entry experience preferred
Claims Processor duties:
Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data
Communicate when updates are needed for successful membership enrollment and/or submission for processing.
Field Claims Representative
Claims adjuster job in Dayton, OH
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to:
* Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability
* Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims
* Become familiar with insurance coverage by studying insurance policies, endorsements and forms
* Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary
* Ensure that claims payments are issued in a timely and accurate manner
* Handle investigations by phone, mail and on-site investigations
Desired Skills & Experience
* Bachelor's degree or direct equivalent experience handling property and casualty claims
* A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims
* Field claims handling experience is preferred but not required
* Knowledge of Xactimate software is preferred but not required
* Above average communication skills (written and verbal)
* Ability to resolve complex issues
* Organize and interpret data
* Ability to handle multiple assignments
* Ability to effectively deal with a diverse group individuals
* Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
* Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
* Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-DNI
#IN-DNI
Auto-ApplyClaims Representative I (Health & Dental)
Claims adjuster job in Mason, OH
Title: Claims Representative I (Health & Dental) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Claims Representative I responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.
How you will make an impact:
* Learning the activities/tasks associated with his/her role.
* Works under direct supervision.
* Relies on others for instruction, guidance, and direction.
* Work is reviewed for technical accuracy and soundness.
* Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
* Researches and analyzes claims issues.
Minimum Requirements
* HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
* Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyCommercial Lines Claims Specialist
Claims adjuster job in Cincinnati, OH
Top 100 Agency for 2025
Best Agencies to Work for in 2024 by the Insurance Journal
Big “I” Best Practices Agency in 2023
Annual bonus eligibility
No weekends required - great work/life balance
3+ weeks of Paid Time Off
8 Paid Company Holidays
We are looking for someone who will
Manage the claims reporting process for agency clients.
Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information.
Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed.
Prepare reports by collecting and summarizing information as requested by management.
Why Join AAA Club Alliance and the Energy Insurance team?
A base rate of $20.00 to $25.00/hour, depending on experience and geographic location.
Annual bonus potential
Do you have what it takes?
Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc.
Strong communication skills (both verbal and written) and attention to detail
Strong time management skills
Ability to obtain property and casualty license within 60 days of hire
Full time Associates are offered a comprehensive benefits package that includes:
Medical, Dental, and Vision plan options
Up to 2 weeks Paid parental leave
401k plan with company match up to 7%
2+ weeks of PTO within your first year
Paid company holidays
Company provided volunteer opportunities + 1 volunteer day per year
Free AAA Membership
Continual learning reimbursement up to $5,250 per year
And MORE! Check out our Benefits Page for more information
ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance.
Job Category:
Insurance
Auto-ApplyCommercial Lines Claims Specialist
Claims adjuster job in Cincinnati, OH
* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays
We are looking for someone who will
* Manage the claims reporting process for agency clients.
* Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
* Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information.
* Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed.
* Prepare reports by collecting and summarizing information as requested by management.
Why Join AAA Club Alliance and the Energy Insurance team?
* A base rate of $20.00 to $25.00/hour, depending on experience and geographic location.
* Annual bonus potential
Do you have what it takes?
* Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc.
* Strong communication skills (both verbal and written) and attention to detail
* Strong time management skills
* Ability to obtain property and casualty license within 60 days of hire
Full time Associates are offered a comprehensive benefits package that includes:
* Medical, Dental, and Vision plan options
* Up to 2 weeks Paid parental leave
* 401k plan with company match up to 7%
* 2+ weeks of PTO within your first year
* Paid company holidays
* Company provided volunteer opportunities + 1 volunteer day per year
* Free AAA Membership
* Continual learning reimbursement up to $5,250 per year
* And MORE! Check out our Benefits Page for more information
ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance.
Job Category:
Insurance
Auto-ApplyField Property Adjuster
Claims adjuster job in Cincinnati, OH
Chubb is looking for an experienced Field Property Claims Adjuster. This position will be responsible for handling field property claims in Cleveland, OH as well as surround areas.
The ideal candidate will be located in the Cleveland, OH area. This is a field adjuster role that requires conducting physical site inspections of residential and commercial properties to assess damages and determine coverages. The position involves traveling to various locations for on-site evaluations and is not a desk-based role.
Responsibilities
Ensure onsite inspection are completed of properties to include investigating facts, evaluating damages, and writing estimates.
Investigate and adjust both personal and commercial property claims with exposures up to and over $500,000.
Effectively evaluate contract language and identify coverage issues.
Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis.
Maintain an active file diary to move file toward resolution.
Recognize and pursue recovery.
Adhere to all statutory and regulatory fair claims practices.
Recognize and identify potential fraudulent claims.
Effectively control the use, work product, and expenses of outside vendors such as IA's, engineers or others involved with the claim.
Recognize, engage, and oversee additional investigate actions where needed utilizing engineers, accountants, and other expert vendors.
Effectively evaluate claim facts and negotiate claim settlements.
Develop and maintain strong business relationships with internal and external customers.
Successfully contribute to the development and delivery of the team's goals, objectives and results.
Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs.
Establish and maintain rapport with business partners including insureds, agents, and underwriters.
Provide excellent customer service skills to a diverse client base that results in more than satisfied clients.
Conduct site inspections while effectively maintaining ownership of the claim experience including ownership of primary contact with insured and agent, validating coverage, owning the coverage investigation and coverage communication while working with vendors in a remote environment handling claims in the western territory.
Strong knowledge of first party, personal and commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations a plus. Experience in commercial claims handling would be preferred.
Must have a minimum of 3 years handling structure, field property claims in a remote environment, conducting site inspections, developing scope, addressing coverage, and writing estimates.
A 4-year college degree or approximately 5 year equivalent structure, field property claims handling experience required.
Demonstrated experience successfully working in a fully remote environment.
Mobile Claims/Estimate/Symbility/CoreLogic or similar estimating platform experience preferred.
An aptitude for evaluating, analyzing, and interpreting information.
Excellent verbal and written communication skills.
Innovative thinker with ability to multi-task.
Strong customer service skills.
Working knowledge in Microsoft Office.
Prior experience handling complex claims with large exposures.
Ability to work both independently and in a team supportive environment.
Empowerment to make decisions within your authority and execute company mission
Must have the ability to secure the Property and Casualty Adjusters license within 6 months of employment.
Auto-ApplyClaims Review Specialist
Claims adjuster job in Blue Ash, OH
Job Summary: The Claim Review Specialist is responsible for entering, reviewing, and proactively managing workers' compensation claims, including gathering medical and claim information, communicating with employers, providers, injured workers, and the BWC, and supporting early return-to-work efforts. This role requires strong attention to detail, confidentiality, customer service skills, and the ability to manage high call volumes while meeting quality and productivity standards.
Principal Duties & Responsibilities:
Reports directly to the Claim Review Specialist Team Leader.
Enter and process initial claims in UniSource, complete initial and/or follow-up calls to employer, provider, IW, and BWC as appropriate while documenting the results of gathered information. Additionally, responsible for complete follow-up on claims, resulting in transition to the Return to Work Specialist or case closure as appropriate, including gathering any additional information on RTW, missing claims master fields, continued treatment, etc.
Gather complete information on all mandatory UniSource system field requirements to ensure accurate transmission to the BWC.
Gather all initial and subsequent medical documentation necessary to process potential claim updates.
Assist in identifying RAW and Onsite Therapy candidates where appropriate.
Proactive claims management, early RTW intervention, and transfer of claims to Return to Work Specialist for continued RTW management when appropriate.
Assists other Claim Review Specialists on the team.
Answering incoming and making outgoing phone calls.
Provide excellent customer service to all internal and external customers.
Required to meet team quality and productivity standards.
Maintain and develop teamwork within all departments of UniComp.
Other duties as assigned by Management.
Maintain and exhibit Sheakley Core Values.
Qualifications:
Knowledge and skills at a level normally acquired through the completion of High School education or equivalent.
Typing 50-60 WPM
Ability to handle sensitive information and maintain a high level of confidentiality.
Proficiency in Microsoft Office products including Word, Excel, Outlook, etc.
Medical Terminology or equivalent experience.
Previous customer service experience preferred.
Requirements:
Attention to detail, flexibility, and strong ability to multi-task.
Problem solving ability.
Physical and Mental Demands:
Ability to sit for prolonged period of time.
Ability to answer high call volume while maintaining accurate system notes.
This job description is not intended to be all inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.
EQUAL OPPORTUNITY POLICY: It is our policy to seek and employ the best qualified personnel and to provide equal opportunity for the advancement of employees, including upgrading, promoting and training and to administer these activities in a manner which will not discriminate against any person because of race, color, religion, age, sex, marital status, national origin, disability or any other basis prohibited by law.
Water Restoration Claims Coordinator
Claims adjuster job in Cincinnati, OH
Water Claims Coordinator/Accounts Receiveable
We are currently searching for a full-time Water Claims Coordinator related to water mitigation insurance claims for our Southeast Region. The pay range for this position will be $19.00-$21.00, depending on experience. This on-site position will be located in downtown Cincinnati, OH. You will also receive company-paid parking at a nearby garage. The primary role of the Water Claims Coordinator is to bill, collect payments, and maintain accounts for the Water Restoration Department. The Water Claims Coordinator will keep precise records of all insurance/homeowner payments.
Founded in 1935, Roto-Rooter is North America's largest plumbing, drain cleaning, and water cleanup services provider. Roto-Rooter operates businesses in over 100 company-owned branches, independent contractor territories, and approximately 400 independent franchise operations, serving approximately 90% of the U.S. population and parts of Canada.
The ideal candidate will have 1-3 years of experience in the collection industry. In addition, the ideal candidate should possess strong communication skills, both with customers and within the insurance industry, and have a good working knowledge and/or experience in water restoration collections.
Responsibilities
Working knowledge of restoration billing and collections procedures
1-3 years of collections experience, preferably in the water restoration industry
Administrative experience in the restoration (preferred) or service industry
Highly motivated, detail-oriented, and able to work independently
Outstanding organizational, time management, and follow-up skills
Self-starter who thrives in a fast-paced environment
Able to handle multiple projects at once
Strong communication skills and ability to work professionally with customers and the insurance industry
Bilingual a plus
Requirements
Highschool diploma or equivlant is required.
1-2 years of collections experience, preferably in the water restoration industry.
Must be able to speak and write in English
Basic computer skills, including Microsoft Office
AS400 experience is preferred
Benefits
At Roto-Rooter we believe our greatest investment is in our employees. We prioritize the health and well-being of our team and their families. That's why we offer an extensive employee benefit package including:
Medical insurance with a Prescription Drug Card
Accident and Critical Illness Insurance
Dental Insurance
Vision Insurance
Paid Vacation
Paid Training
Life Insurance
Matching 401K Retirement Savings Plan
Tuition Reimbursement
Profit Sharing
Roto-Rooter offers excellent career paths for military veterans and personnel transitioning to civilian professions. Throughout our 86 years in business, we've found that military training and structure are a great fit at our company.
EEO Statement
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, religion, color, sex, gender, age, national origin, veteran status, military status, disability, gender identity, sexual orientation, genetic information, or any other characteristic protected by law.
Auto-ApplyClaims Healthcare Specialist
Claims adjuster job in Mason, OH
Claims Healthcare Specialist needs 1 year claims system experience, in the Healthcare industry
.
Claims Healthcare Specialist requires:
1 year claims system experience, preferably in the Healthcare industry
Basic analytical and problem solving skills
Good communication and interpersonal skills
Ability to work independently and with others
Ability to manage more than one assigned tasks at the same time.
Claims Healthcare Specialist duties:
Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines
Recommend process and system enhancements for the Plan Setup team to drive improvements to performance
Support the management team with misc. projects and resolving assigned Plan setup issues
Independent Insurance Claims Adjuster in Lawrenceburg, Indiana
Claims adjuster job in Lawrenceburg, IN
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.
Auto-ApplyField Claims Adjuster
Claims adjuster job in Dayton, OH
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Bodily Injury Claims Specialist
Claims adjuster job in Dayton, OH
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to:
* Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.
* Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage.
* Follow claims handling procedures and participate in claim negotiations and settlements.
* Deliver a high level of customer service to our agents, insureds, and others.
* Devise alternative approaches to provide appropriate service, dependent upon the circumstances.
* Meet with people involved with claims, sometimes outside of our office environment.
* Handle investigations by telephone, email, mail, and on-site investigations.
* Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute.
* Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials.
* Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule.
* Assist in the evaluation and selection of outside counsel.
* Maintain punctual attendance according to an assigned work schedule at a Company approved work location.
Desired Skills & Experience
* A minimum of three years of insurance claims related experience.
* The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision.
* The ability to effectively understand, interpret and communicate policy language.
* The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues.
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
* Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-DNI
Auto-ApplyClaims Specialist
Claims adjuster job in Mason, OH
Claims Specialist needs 1 year claims system experience, preferably in the Healthcare industry
Claims Specialist requires:
College degree or equivalent experience required Minimum of 1 year claims system experience, preferably in the Healthcare industry
Basic analytical and problem solving skills
Good communication and interpersonal skills
Ability to work independently and with others
Ability to manage more than one assigned tasks at the same time
Claims Specialist duties:
Responsible for setting up new Managed Care groups in the claims system
Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)
Responsible for creating standard products in the system (using the Product Key Sheet method)
Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) when fulfilling setup and maintenance requests
Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
Claims Administrator
Claims adjuster job in Blue Ash, OH
Job Summary: The main responsibility of this position is to assist the Workers' Compensation Account Management Team with their administrative needs.
We offer employees a range of perks including but not limited to:
Competitive Pay
Health, dental, vision, and life insurance
Additional insurance options: Critical Illness, Long Term, Short Term Disability, Accidental Death and Dismemberment, Employee Assistance Program, Legal Shield
401(k) savings plan with match after 1 year
Continuous professional training and development
8 Paid Holidays
Paid time off for Birthday and Work Anniversary
Paid Vacation and PTO
Employee focused culture with appreciation events all year
Principal Duties & Responsibilities:
Non-At-Fault Claim Administrator
Phone calls/Emails to parties to obtain necessary information
Customer Service
Entry of claim information into Sheakley's systems / Data Entry
Assistance with Hearing Continuances
Backup for Hearing Coordinator
Customer Service
Qualifications:
Education and Experience
Knowledge and skills at a level normally acquired through the completion of a High School education or equivalent experience.
Requirements
Prior Administrative/Workers' Compensation experience a plus!
Skills, Specialized Knowledge and Abilities
Ability to handle sensitive information and maintain a high level of confidentiality
Ability to type 40 WPM with accuracy
Proficient with 10 key
Data Entry skills, both accurate and efficient
Excellent customer service and telephone skills
Proficient with Microsoft Office products - Word, Excel, PowerPoint
Organization, attention to detail, flexibility and strong ability to multi-task
Ability to work in a fast paced environment without direct supervision and able to demonstrate considerable initiative
Effectively work with others to build consensus and rapport
Ability to lift, file, reach and carry up to 25 pounds
This job description is not intended to be all-inclusive and the employee will perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.