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Claims adjuster jobs in West Allis, WI

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  • Claims Representative I - Workers Compensation Medical Only

    West Bend Mutual Insurance 4.8company rating

    Claims adjuster job in West Bend, WI

    Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities. Job Summary Are you ready to put your problem-solving skills to the test while learning the ropes of the claims world? As our Medical Claims Detective, you'll dive into low-complexity workers' compensation claims like a true investigator-examining details, determining what's covered, and figuring out how much is owed. Don't worry, you won't go it alone-you'll have the support of a fantastic manager and top-notch claims technology at your fingertips. Work Location This is not a remote position. Candidates who are located within 50 miles of a West Bend office location will work a hybrid schedule (at least 3 days/week) for collaboration days, team meetings or other in-person events. The position can be based in West Bend. External applications will be accepted on a rolling basis while the position remains open. Responsibilities & Qualifications Manage assigned Workers Compensation Medical Only/low complexity claims with supervision and guidance from the manager utilizing current Claims technology. Conduct thorough investigations in order to determine coverage and claim payment amounts owed. Responsibilities also include proactive file management, adequate reserving, and participating in training activities. Key Responsibilities * Consistently exhibit a high level of customer service. * Adhere to department audit guidelines. * Conduct thorough investigations to determine coverage and payment. * Maintain proactive file management and adequate reserving. * Participate in training activities. Preferred Experience and Skills * 0-2 years of experience in claims handling * Proficiency with computers and current technology * Interpersonal skills * Oral and written communication skills * Time management skills * Customer service skills * Problem-solving skills Preferred Education and Training * Bachelor's degree in Business, Insurance or related field Salary Statement The salary range for this position is $23.15 - $31.00. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate. Benefits West Bend offers a comprehensive benefit plan including but not limited to: * Medical & Prescription Insurance * Health Savings Account * Dental Insurance * Vision Insurance * Short and Long Term Disability * Flexible Spending Accounts * Life and Accidental Death & Disability * Accident and Critical Illness Insurance * Employee Assistance Program * 401(k) Plan with Company Match * Pet Insurance * Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates * Bonus eligible based on performance * West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. EEO West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.
    $23.2-31 hourly Auto-Apply 22d ago
  • Claims Adjuster Trainee

    Progressive 4.4company rating

    Claims adjuster job in Waukesha, WI

    Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. Duties & responsibilities (upon completion of training) * Determine coverage * Determine liability (who's at fault for the damages) * Interview customers, claimants, and witnesses * Partner with appraisers/estimators to manage vehicle repairs * Negotiate with customers and other insurance carriers and resolve claims Must-have qualifications * Three years of work experience OR * Bachelor's degree OR * Two years work experience and an associate degree Schedule: Monday - Friday, 8:30 am - 5:30 pm for the first four weeks during training, then 9:00 am - 6:00 pm. Location: 9000 W Chester St, Ste 215, Milwaukee, WI 53214 Compensation * Once you complete training and pass any necessary testing requirements, your salary will be $54,000-$57,500/year, however, during training, you'll be paid hourly based on your annual salary. * Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Equal Opportunity Employer For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** Share: Apply Now
    $54k-57.5k yearly 11d ago
  • Independent Insurance Claims Adjuster in Milwaukee, Wisconsin

    Milehigh Adjusters Houston

    Claims adjuster job in Milwaukee, WI

    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-54k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in Kenosha, WI

    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-54k yearly est. 60d+ ago
  • BU Adjuster in Training 2nd or 3rd

    Western States Envelope Company 4.1company rating

    Claims adjuster job in Butler, WI

    Job Details Butler Corporate HQ - Butler, WI Full Time Equivalent Work Experience $24.00 Hourly None Any ManufacturingDESCRIPTION SIGN-ON BONUS OF $5,000 Are you a hands-on problem solver? Do you have the mechanical ability but no chance for advancement, and no one will invest the time to train you? If you love tinkering with machinery and turning ideas into reality, this is your chance to shine in our climate-controlled facility. Are you looking for a Career and not just a job? APPLY with Western States, we will invest the time to train candidates for this role and start you off at $24.00/hr. with GUARANTEED RAISES at 30 days, then EVERY 90 DAYS after that, we are talking a $1.20 increase within your first 90 days. We seek a skilled and detail-oriented Order Setup Operator (Adjuster) to join our production team at our Butler, WI facility, minutes from Milwaukee! This role ensures efficient and smooth operations by setting up and configuring machinery for production runs. This role is to operate ALL machines in the department, set up work orders to specifications, troubleshoot, and perform daily maintenance and minor repairs on envelope folding machines. We are seeking candidates with hands-on mechanical skills who have experience setting up orders on machines in a production/manufacturing environment, or candidates with experience in an automotive or fleet mechanic setting. SHIFTS AVAILABLE: 2nd shift 2:30 pm - 10:30 pm Mon-Fri + $0.75/hr shift premium 3rd shift 10:30 pm - 6:30 am Sun-Thur.+ $1.00/hr shift premium TRAINING: ALL training is completed on the 1st shift. Training will take at least 6 months to learn our machines and our industry, but most often up to 1 year on FIRST SHIFT before transitioning to your home shift on 2nd or 3rd. HERE'S WHAT MAKES WESTERN STATES A GREAT PLACE TO WORK: Competitive compensation: Regular pay raises and a comprehensive benefits package including 401k with company match. Work-life balance: 9 paid holidays, 80 hours of PTO, Sick Days starting your first year to help you recharge and enjoy time with loved ones. Flexibility: We have multiple shifts available to meet your scheduling needs. Growth potential: Join a company with a long history and a commitment to employee development. Stability: Family-owned company with over 117 years in operation. WHAT DOES MY WORKDAY LOOK LIKE IN THIS ROLE? As a key member of our Folding Department, you'll ensure the smooth and efficient operation of our machinery. Your responsibilities will include: Performing daily machine maintenance, changeovers, and set-ups. Inspecting products and making necessary mechanical adjustments to eliminate quality variations and address mechanical malfunctions. Troubleshooting minor operating difficulties using hand tools. Executing minor machine repairs. Operating all machines within the Folding Department. Examining work orders to determine production specifications. Inspecting product quality following established guidelines. Verifying order accuracy throughout production, including labeling, printing, and packaging. Performing machine wash-up and other general cleaning duties to maintain a tidy workspace. Accurately completing paperwork for labor, time, and quality tracking. Maintaining precise counts of envelopes for boxing, cartonizing, and palletizing. Neatly and uniformly packing envelopes into containers, keeping pace with machine speeds. Placing die-cut paper stacks into machine feeds and splicing paper rolls into web machine feeds. mechanic, automotive, fleet mechanic, farm mechanic QUALIFICATIONS: Demonstrated expertise a Set-Up Operator, Envelope Adjuster or Auto Mechanic experience. Industry on an RA and/or WD machines in a position of similar skill set and level of responsibility within the Envelope Industry preferred but not required. 5 years machine set-up and/or repair experience preferred. Proven ability to set up orders on production manufacturing equipment Capacity to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Capable to speak effectively with employees of the organization. Aptitude to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Proficiency in reading and interpreting ruler measurements. Ability to walk and stand frequently during an eight-hour shift. Ability to move up to 50 lbs. Willing to train for an extended period of time on First Shift before moving to home shift of 2nd or 3rd shift. ESSENTIAL FUNCTIONS Ability to stand for approximate duration of scheduled shift (minus paid breaks), lift up to 20 lbs. frequently and up to 50 lbs. occasionally, repetitive grasping, frequent, twisting, lifting above shoulder height, occasional bend, reach, crouch, or stoop. Sensory requirements are tactile/touch with hands and digits, near and far visual acuity, color vision, peripheral vision, depth perception and ability to adjust focus. Reasoning, mechanical aptitude and mathematical skills for appropriate operations of the equipment.
    $24 hourly 60d+ ago
  • General Liability Claim Representative

    Travelers Insurance Company 4.4company rating

    Claims adjuster job in Brookfield, WI

    **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** $67,000.00 - $110,600.00 **Target Openings** 3 **What Is the Opportunity?** Under general supervision, the position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims. Provide quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This job does not manage staff. **What Will You Do?** + Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Takes necessary statements. + Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. + Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. + Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity and expense reserves. + Utilizes evaluation documentation tools in accordance with department guidelines. + Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority. + Negotiates disposition of claims with insureds and claimants or their representatives. + Recognizes and implements alternate means of resolution. + May manage litigated claims. Develops litigation plan with staff or panel counsel, track and control legal expenses Assures appropriate resolution. + Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. + May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. + Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit. + Appropriately deals with information that is considered personal and confidential. + Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquiries from agents and brokers. + Represents the company as a technical resource, attends legal proceedings as needed, act within established professional guidelines as well as applicable state laws. + Provides quality customer service and ensures file quality. + Shares accountability with business partners to achieve and sustain quality results. + Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. + Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. + Resolve complex, severe exposure claims, using high service oriented file handling. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred. + 2 years bodily injury liability claim handling experience preferred. + Commercial Claim handling experience preferred + General knowledge and skill in claims handling and litigation preferred. + Basic working level knowledge and skill in various business line products preferred. + Demonstrated ownership attitude and customer centric response to all assigned tasks - Intermediate + Demonstrated good organizational skills with the ability to prioritize and work independently. - Intermediate + Demonstrated strong written, verbal and interpersonal communication skills including the ability to convey and receive information effectively. Intermediate + Attention to detail ensuring accuracy -Intermediate + Analytical Thinking- Intermediate + Judgment/Decision Making- Intermediate + Communication- Intermediate + Negotiation- Intermediate + Insurance Contract Knowledge- Intermediate + Principles of Investigation- Intermediate + Value Determination- Intermediate + Settlement Techniques- Intermediate + Medical Knowledge- Intermediate **What is a Must Have?** + High school diploma or GED required with a minimum of one year bodily injury liability claim handling experience or two years of general liability claim handling experience. **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 ******************************************************** .
    $67k-110.6k yearly 60d+ ago
  • Contents Adjuster

    Sedgwick 4.4company rating

    Claims adjuster job in Milwaukee, WI

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies and other records to determine insurance coverage. + Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. + Estimates cost of repair, replacement, or compensation. + Prepares report of findings and negotiates settlement with claimant. + Recommends litigation by legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required. **Experience** None. **Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Demonstrated commitment to timely reporting + Strong customer service skills + Strong interpersonal skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** : + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity. **Auditory/Visual** : Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($45,000 - $60,000 USD annually). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $45k-60k yearly 36d ago
  • Senior Analyst, Claims Research

    Molina Healthcare Inc. 4.4company rating

    Claims adjuster job in Racine, WI

    The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. Analyst, Claims Research serves as a senior-level subject matter expert in claims operations and research, leading the most complex and high-priority claims projects. This role involves advanced root cause analysis, regulatory interpretation, project management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership, develops remediation strategies, and ensures timely and accurate project execution, all while driving continuous improvement in claims performance and compliance. Additionally, the Sr. Analyst will represent the organization internally and externally in meetings, serving as a key liaison to communicate findings and resolution plans effectively. Job Duties * Uses advanced analytical skills to conduct research and analysis for issues, requests, and inquiries of high priority claims projects * Assists with reducing re-work by identifying and remediating claims processing issues * Locate and interpret regulatory and contractual requirements * Expertly tailors existing reports or available data to meet the needs of the claims project * Evaluates claims using standard principles and applicable state specific policies and regulations to identify claims processing error * Act as a senior claims subject matter expert, advising on complex claims issues and ensuring compliance with regulatory and contractual requirements. * Leads and manages major claims research projects of considerable complexity, initiated through provider inquiries, complaints, or internal audits. * Conducts advanced root cause analysis to identify and resolve systemic claims processing errors, collaborating with multiple departments to define and implement long-term solutions. * Interprets regulatory and contractual requirements to ensure compliance in claims adjudication and remediation processes. * Develops, tracks, and / or monitors remediation plans, ensuring claims reprocessing projects are completed accurately and on time. * Provides in-depth analysis and insights to leadership and operational teams, presenting findings, progress updates, and results in a clear and actionable format. * Takes the lead in provider meetings, when applicable, clearly communicating findings, proposed solutions, and status updates while maintaining a professional and collaborative approach. * Proactively identifies and recommends updates to policies, SOPs, and job aids to improve claims quality and efficiency. * Collaborates with external departments and leadership to define claims requirements and ensure alignment with organizational goals. * QNXT Job Qualifications REQUIRED QUALIFICATIONS: * 5+ years of experience in medical claims processing, research, or a related field. * Demonstrated expertise in regulatory and contractual claims requirements, root cause analysis, and project management. * Advanced knowledge of medical billing codes and claims adjudication processes. * Strong analytical, organizational, and problem-solving skills. * Proficiency in claims management systems and data analysis tools * Excellent communication skills, with the ability to tailor complex information for diverse audiences, including executive leadership and providers. * Proven ability to manage multiple projects, prioritize tasks, and meet tight deadlines in a fast-paced environment. * Microsoft office suite/applicable software program(s) proficiency PREFERRED QUALIFICATIONS: * Bachelor's Degree or equivalent combination of education and experience * Project management * Expert in Excel and PowerPoint * Familiarity with systems used to manage claims inquiries and adjustment requests To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $106,214 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $78k-106.2k yearly 10d ago
  • Field Property Claims Adjuster-Milwaukee, WI

    Farmers Insurance Group 4.4company rating

    Claims adjuster job in Milwaukee, WI

    We are Farmers! We are… more than just your favorite commercials. At Farmers, we strive to deliver peace of mind to our customers by providing protection and comprehensive advice and delivering in the moments of truth. That means having people who can help us meet changing customer and business needs. Farmers high-performance culture is focused on results and the people who achieve them. We hold ourselves and others accountable for sustainably growing the business and each other. We seek solutions, own our actions, and grow through discomfort. We see setbacks as opportunities while continuously asking ourselves how we impact our customers. Farmers is an award winning, equal opportunity employer, committed to the strength of an inclusive workforce. We are dedicated to supporting the well-being of our people through our extensive suite of benefits, as well as the well-being of the communities we serve through employee volunteer programs and nonprofit partnerships. Helping others in their time of need isn't just our business - it's our culture! To learn more about our high-performance culture and open opportunities, check out ********************************* and be sure to follow us on Instagram, LinkedIn, and TikTok. Workplace: Remote ( #LI-Remote ) The candidate for this position must live in the Milwaukee, WI area. If you are looking for the following in your next career move: * Paid training through the award winning and industry leading University of Farmers. * Flexibility and independence to work outside the confines of a desk job. * Total Rewards benefits package, 401K, and a competitive starting salary. * Rapid growth potential and management opportunities for success-oriented people through education, mentorship programs, and inspirational leadership at a company you can be proud of. Our Field Property Claims Adjusters will: * Conduct field based investigations by visiting policyholders' homes to investigate property damage. * Use claims handling software, a company car and laptop to determine claims related damage and write estimates in a paperless environment * Represents the Company from a public relations standpoint and must conduct oneself as a member of Management at all times. * Use strong customer service skills to negotiate with policyholders to settle the claim. * Travel maybe required for mini CAT duty. If you have the following: * High School diploma or equivalent required. Bachelors Degree preferred. * Excellent customer service and communication skills. * Eagerness to learn about insurance policies and property damage from the inside out to identify how coverage applies to a particular loss. * Outgoing personality that would enjoy interacting with a wide variety of people including policyholders, claimants, agents, witnesses, and fraud investigators. * Valid driver's license. Final candidates will also be subject to a Motor Vehicle Record background check, because the position may include a company vehicle. * Able to adapt to ever changing technology. . Job Summary Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. Will also be required to maintain an active adjusters license in states where required. Essential Job Functions * Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned cases (has authority to make payment of assigned claims within prescribed limits). Adjusts all types of claims. Inspects damaged property and determines claims related damage. Estimates the cost of repair or replacement of damaged or stolen property . Determines and reports on subrogation potential. * Initiates the sale of salvage , personal property, and miscellaneous salvage items. Reports theft, fraud, and arson losses as required to state and industry agencies. * Performs most duties on an individual basis, and work has a direct bearing on Management results. Represents the Company from a public relations standpoint and must conduct oneself as a member of Management at all times. * Personal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims. * Employees assigned to the Catastrophe team will be required to travel away from their residence for a specified period of time, usually consisting of 23 days. Promotes safety at all times and complies with safety/ergonomic standards as outlined in relevant company published manuals. Performs other duties as assigned. Physical Actions Job is performed in-person at a Farmers office or virtually at an approved alternative work location. Job may include work performed at field locations. In office settings, the physical work environment is indoors and climate-controlled with adequate lighting and ventilation. Normal and customary distractions include background noise produced by office equipment and chatter among people, as well as interruptions. At field locations, the physical work environment varies. While field work may be performed indoors, it is often perfomed outdoors and includes exposure to weather elements. Other potential exposures include hazardous materials and unstable structures. Normal and customary distractions include noise produced by environmental factors and chatter among people, as well as interruptions. Frequently stands or moves about the workplace for prolonged periods of time, up to a full shift. Frequently navigates stairs, ramps, and level or uneven surfaces. Regularly climbs ladders or navigates elevated surfaces as determined by the duties being performed. Occasionally sits for limited periods of time, as determined by the duties being performed. Frequently moves, pushes, pulls, lifts, carries, and places objects or materials weighing up to 50 pounds without assistance. Frequently uses shoulders, arms, hands, and fingers to manipulate equipment, tools, and objects necessary to perform job duties. Occasionally performs fine motor tasks such as typing, mousing or writing. Frequently performs movements such as bending, stooping, crouching, kneeling, twisting, crawling, and reaching overhead or below the knees. Possesses clear vision, with or without correction, to visually read and verify information. Relies on depth perception and peripheral vision to navigate the work environment visually by identifying barriers, changes in terrain and locating objects. Possesses adequate hearing, with or without correction, to communicate with co-workers, resp ond promptly to auditory signals or alarms, and discern sounds essential for maintaining safety and productivity in the workplace. Jobs in this category may require regular travel between Farmers offices, alternative work locations, and/or field locations. Education Requirements High school diploma or equivalent required. Bachelor's degree preferred. Special Skill Requirement Communication Personal Computer Literate Valid driver's license Bondable Benefits * Farmers offers a competitive salary commensurate with experience, qualifications and location. * Bonus Opportunity (based on Company and Individual Performance) * 401(k) * Medical * Dental * Vision * Health Savings and Flexible Spending Accounts * Life Insurance * Paid Time Off * Paid Parental Leave * Tuition Assistance * For more information, review "What we offer" on https://*********************************/#offer Job Location(s): US - WI - Milwaukee Anticipated application deadline: At Farmers, the recruitment process is designed to ensure that we find the best talent to join our team. As part of this process, we typically close open positions within 8 to 21 days after posting. If you are interested in any of our open positions, we encourage you to submit your application promptly. Farmers will consider for employment all qualified applicants, including those with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance or other applicable law. Pursuant to 18 U.S.C. Section 1033, Farmers is prohibited from employing any individual who has been convicted of any criminal felony involving dishonesty or a breach of trust without prior written consent from the state Department of Insurance. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Farmers is an Equal Opportunity Employer and does not discriminate in any employer/employee relations based on race, color, religion, gender, sexual orientation, gender expression, genetic information, national origin, age, disability, marital status, military and veteran's status, or any other basis protected by applicable discrimination laws. Want to learn more about our culture & opportunities? Check out ********************************* and be sure to follow us on Instagram, LinkedIn, and TikTok. Spokane, WA only: Residents who prefer not to provide their address click here to submit your resume via email: *******************
    $51k-60k yearly est. Easy Apply 34d ago
  • Claims Manager

    Radiant Info Systems

    Claims adjuster job in Milwaukee, WI

    Nature of Work: The professional position of Claims Manager requires an experienced, high energy, motivational leader who will effectively provide supervision, leadership, guidance and support for the Client's Claims and Provider Relations staffs with responsibility including but not limited to claims processing, provider relations, claims editing software and all other functionality that supports the client's Medicare and Medicaid product portfolio and administration. The manager must empower staff in meeting performance objectives and provide accurate and timely claims processing in accordance with State and Federal regulations. This position reports directly to the Director of Operations. Qualifications Essential Duties and Responsibilities: Duties listed below may vary in terms of importance and others may be added or eliminated as this position develops. 1. Provides oversight of an operations unit that includes varying levels of employees, both salaried and hourly. 2. Provides oversight of an operations unit that includes varied products and regulatory requirements. 3. Provides high degree of oversight as it relates to improving and maintaining working relationships with client provider Network. This involves developing proactive approaches to prevent claim related issues. 4. Oversees claims staff administration activities including but not limited to pended claims processing, provider reconsiderations and appeals, member bills, coordination of benefits, adjustment processing, provider relations activities/initiatives, claims editing software and pay cycle approval. 5. Supports Provider Network Development in handling provider contract issues, maintaining positive provider relations and answering/addressing all claims/enrollment related provider questions and concerns. 6. Hires, trains, coaches and evaluates performance of direct reports. 7. Establishes department policies and general procedures in addition to business rules and desk level procedures used by third party vendors. 8. Leads staff through change and bias for action, establishing and meeting high performance standards. 9. Audits to monitor efficiency and compliance with policies 10. Provides oversight of outside vendors to ensure compliance with contractual terms including service level agreements. 11. Develops strategies as they relate to computer systems, working with the IT Department, that ultimately assist team members to work toward achieving the goals of the project. 12. Participates in outside audits with various regulatory agencies. 13. Prepares specialized reports or special project work consistent with the role and dictated by the needs of business. 14. Works collaboratively with the Client Finance Department in identifying and researching issues that affect Company financials and reserves. 15. Compiles, maintains and submits accurate and timely internal and external reports reflecting various department metrics, monitors results, analyzes data and makes recommendations for improvements to service levels. 16. Works effectively with internal and external customers and business partners to support client's business strategies. 17. Operates the department within an established budget. 18. Fully participate in client's Compliance Program, including compliance with client's Code of Conduct, policies and procedures, and all applicable Privacy and Security laws. 19. Performs other duties as assigned. Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Requires previous management experience in the areas of health insurance, managed care programs, claims processing (preferably Medicaid and Medicare claims), and knowledge of billing codes (CPT, ICD-9, HCPCS, RUGS, CMS and DRG pricing). A combination of education, training and experience which provides the necessary knowledge, skills, and abilities as listed below will be considered. 2. Strong interpersonal skills and ability to work effectively with direct reports, peers, executive management, providers, clients, vendors, regulatory agencies and a wide variety of ethnic, cultural, and socio-economic backgrounds. 3. Ability to communicate effectively both verbally and in writing. 4. Knowledge of managed health care systems and general operational business practices. 5. Ability to effectively and satisfactorily analyze and resolve problems and issues. 6. Ability to work independently and to make independent decisions to creatively address Operations issues and assist in managing provider issues and concerns as they relate to claims processing. 7. Ability to use sound judgment in providing quality customer service to clients customers and providing accurate and timely responses to vendors. 8. Detailed knowledge of Medicaid and Medicare benefits. 9. Understand the overall impacts of claims processing to the company financials 10. Knowledge of compliance implications that may impact the organization. 11. Ability to maintain strict confidentiality. 12. Word processing and spreadsheet skills. (Word and Excel preferred). Additional Information All your information will be kept confidential according to EEO guidelines.
    $39k-71k yearly est. 19h ago
  • Auto PD Claims Manager

    Preferred Mutual Insurance Company 4.1company rating

    Claims adjuster job in New Berlin, WI

    Please note, employment offered to residents in the following states only: Connecticut, Delaware, Massachusetts, Maryland, Maine, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont. On-site expectation to our office located in New Berlin, New York, is once a month. At Preferred, we understand the importance of holistic health. To meet the diverse needs of our employees, we offer a comprehensive set of benefits: Financial * Short-term disability, long-term disability, and life insurance coverage are provided at no cost * Optional benefits include enhanced life insurance and critical illness plans * 401k plan with an employer contribution that you will receive regardless of your own contribution to the plan * A cash-balance pension plan * Student Loan Repayment Assistance * A short-term incentive plan for all employees Social * Generous paid time off, offering of 25 days at hire (prorated based on start date for the first year) * 7 days of paid sick leave * 10 paid company holidays * Personalized paid time off after 3 years! Emotional * Access to 26 sessions with a BetterHelp therapist each year for you and up to 5 dependents, as well as access to all of BetterHelps group and digital resources * Access to Family First, a team of care experts who can provide you and your loved ones 1:1 assistance with a variety of caregiving solutions, from elder care to legal and financial challenges, insurance and Medicare navigation, and more! Physical * Medical, dental, and vision coverage options begin on the first day of employment * Health Savings Accounts (with a generous employer contribution!) AS THE AUTO CLAIM MANAGER, YOUR PURPOSE AND FUNCTION IN OUR COMPANY WILL BE: * Supervise a team of Personal and Commercial Auto associates who handle minor, moderate and complex coverage and liability investigations to include small BI settlements. * Execute on Claims Department strategies to achieve Claims quality, customer service and operational objectives. * Be creative on ways to motivate the team to meet performance metrics. * Responsible for the growth and technical development of their team, particularly in regard to coverage analysis, investigation and expedited handling. * Create an environment to provide opportunities for all associates to reach their full potential. * Reviews, coaches, and provides authority for coverage and liability decisions. Oversees handling of lawsuits regarding coverage and liability. * Oversees all claims related functions and provides feedback and suggestions for Claims Leadership. * Develop a partnership with sales and underwriting to deliver customer service and foster agency relationships consistent with Preferred Mutuals mission, vision, and values. * Use data and analytics to identify trends and make sound decisions. * Ensures compliance with Department initiatives and Compliance related matters. * Participates in screening and hiring new associates. * Contribute to the organizational goals and objectives. KEY CAPABILITIES FOR SUCCESS: * A team player with a propensity for fun. * Great coaching skills. * A strong customer focus. * Candidate will possess sound technical skills related to the roll. * Ability to multitask and prioritize. * Extremely strong written and verbal communication. * Excellent organizational skills. * Technologically oriented. * Creative thinking. QUALIFICATIONS: * Bachelors degree or equivalent work experience; no management experience required but preferred * Insurance education: AIC, SCLA, CPCU or equivalent preferred but not required. * Familiar with state regulations and policy coverages. * Excellent oral and written communication, listening, team building, organization and negotiation skills. * Effectively interact with brokers/agents, exhibit excellent customer service, and exude a highly professional appearance. * Demonstrated ability to respond to claims trends by implementing programs that are beneficial to the company (i.e., alternative dispute resolution). * Team-skilled in the areas of cooperation, group decision-making, and problem solving. * Strong time and project management skills that support continued process improvement, as well as the achievement of goals and objectives. * Strong knowledge of litigation management and policy interpretation. ABOUT US: As a mutual company, we are independent by nature, so we think about insurance solutions a little differently. Through listening, problem solving, examining your challenges and collaborating on the right solutions for you, Preferred Mutual independent agents provide flexible solutions and adapt to your evolving needs. We do the same for our employees. We are process and domain experts, focused on the solutions that deliver results for our clients and our company. We offer a great work environment, professional development, challenging careers, and competitive compensation. With Preferred, there are no surprises. You can count on us to deliver on our promises and be there when you need us, as your insurance provider and your employer. Preferred Mutual is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. DISCLAIMER: This role (job) description indicates in general terms, the type and level of work performed as well as the typical responsibilities of employees in this classification. The duties described are not to be interpreted as being all-inclusive to any specific employee. Management reserves the rights to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job. Nothing in this position description changes the at-will employment relationship existing between Preferred Mutual Insurance Company and its employees. The salary range for the role is $90,000-$135,000 per year paid on a salaried basis. The rate offered to any candidate will be reflective of the candidates experience and any relevant education, certification, or qualifications related to their ability to perform the responsibilities of this position as permitted by law.
    $41k-51k yearly est. 36d ago
  • Sr Property Field Adjuster - Milwaukee, WI

    Hanover Insurance Group, Inc. 4.9company rating

    Claims adjuster job in Milwaukee, WI

    Our Claims department is currently seeking Senior Outside Property Adjusters for the Wisconsin territory of Milwaukee. This is a remote full-time/exempt role with field investigations. Outside property adjusters handle property claims requiring field investigations and/or inspections. They must establish rapport with our insureds and maintain relationships with our agents, underwriters, contractors, restoration vendors, and experts. They are expected to know their territory, including the geography; regulations and the law as pertains to property claims; state and local public safety and regulatory agencies and officials; the insurance and legal climate; and public adjusters. Outside property adjusters may use a company claims office location as their base of operations, or they may work out of their homes. IN THIS ROLE, YOU WILL: Handle personal property claims requiring outside field investigations and/or inspections May use a company claims office location as their base operations, or they may work out of their homes Handle business interruption (BI) features in conjunction with BI specialists Work within specific limits and authority on assignments of moderate technical complexity Possess functional knowledge and skills reflective of fully competent practitioner Identify possibly suspicious claims Investigate, analyze, evaluate and negotiate personal claims of minimal to moderate complexity May handle low complexity commercial claims May be responsible for all aspects of each claim, including informal hearings, arbitrations, and claims litigation and maintaining a high level of productivity, confidentiality and customer service Implement and coordinate the most effective management techniques to mitigate loss and expense payments Settlement and reserving authority levels are moderate Required to have and maintain sufficient home-based internet connection WHAT YOU NEED TO APPLY: 2+ years of experience adjusting claims Preferred experience with Xactimate estimating software Must have or secure and maintain appropriate states adjuster license(s) and continuing education credits Must have valid driver's license Dedicated to meeting the expectations and requirements of internal and external customers Makes decisions in an informed, confident and timely manner Maintains constructive working relationships despite differing perspectives Strong organizational and time management skills Ability to negotiate skillfully in difficult situations with both internal and external groups Demonstrates ability to win concessions without damaging relationships Demonstrates strong written and verbal communication skills Promotes and facilitates free and open communication Understanding of applicable statutes, regulations and case law Think critically and anticipate, recognize, identify and develop solutions to problems in a timely manner Easily adapt to new or different changing situations, requirements or priorities Cultivate an environment of teamwork and collaboration Operate with latitude for un-reviewed action or decision Computer experience (MS Office, excel, word, etc) Proficient using Claims systems (i.e. CSS, PMS, etc.) Ability to use a personal computer and other standard office equipment Ability to travel as necessary Ability to sit and/or stand for extended periods Ability to operate a motor vehicle 4-5 hours per day and to get in and out of the vehicle numerous times during the day Ability to load and unload equipment and supplies weighing up to 30 pounds from a motor vehicle as needed to perform field work Ability to bend, walk, and climb for several consecutive hours while inspecting damaged buildings, often with utilities turned off or inoperable Ability to use a ladder safely to get onto and off of roofs, and maintain balance while inspecting roofs Ability to perform field work in adverse weather This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.
    $56k-81k yearly est. 18d ago
  • Sr. Claims Examiner, Equine & Personal Lines Bodily Injury

    Markel Corporation 4.8company rating

    Claims adjuster job in Milwaukee, WI

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders. The position will have increased responsibility for decision making within their authority and work with minimal oversight and will provide training and be a technical referral point for other team members. Job Responsibilities * Confirms coverage of claims by reviewing policies and documents submitted in support of claims. * Analyzes coverage and communicates coverage positions. * Prepares coverage position letters on matters (without assistance of outside coverage counsel) and refers suspicious losses to SIU and assists in the investigation and settling of claim. * Conducts, coordinates, and directs investigation into loss facts and extent of damages. * Directs and monitors assignments to experts and outside counsel. * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure. * Sets reserves within authority or makes claim recommendations concerning reserve changes to manager. * Negotiates and settles claims typically in litigation within authority. * Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial. * Participates in special projects having an impact on the business. May be assigned project lead for larger projects. * Represents Markel at mediations, trials, and conferences. * Pulls and analyses loss information for business stakeholders and presents information during meetings with underwriters and/or insureds. * Serves as a technical resource to underwriting and assists with drafting policy wording. * Assists in training of new hires and provides assistance, guidance, and coaching to others within claims department. * Provides input into maintenance of claims guidelines and best practice procedures. Qualifications * Bachelor's degree or equivalent work experience. * JD preferred. * Must have or be eligible to receive claims adjuster license. * Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.). * Minimum of 5 years of commercial and/or personal lines bodily injury claims handling experience or equivalent combination of education and experience. Skill Sets * Excellent written and oral communication skills. * Strong analytical and problem solving skills. * Strong organization and time management skills. * Ability to work autonomously in a fast paced environment. * Experience in negotiation, mediations and monitoring trials. * Ability to influence claims stakeholders and to effectively direct claims strategy. * Strong litigation management skills are required including the ability to provide direction and guidance to defense attorneys and other experts while controlling expenses. * Ability to deliver outstanding customer service. * Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word). * Knowledge of tort and contract law. * Strong desire for continuous improvement. * Markel offers hybrid working schedules of 3 days in the office and 2 days remote. #LI-Hybrid #LI-SY US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $63k-88k yearly est. Auto-Apply 51d ago
  • Claims Adjuster Trainee

    Progressive 4.4company rating

    Claims adjuster job in Milwaukee, WI

    Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. Duties & responsibilities (upon completion of training) * Determine coverage * Determine liability (who's at fault for the damages) * Interview customers, claimants, and witnesses * Partner with appraisers/estimators to manage vehicle repairs * Negotiate with customers and other insurance carriers and resolve claims Must-have qualifications * Three years of work experience OR * Bachelor's degree OR * Two years work experience and an associate degree Schedule: Monday - Friday, 8:30 am - 5:30 pm for the first four weeks during training, then 9:00 am - 6:00 pm. Location: 9000 W Chester St, Ste 215, Milwaukee, WI 53214 Compensation * Once you complete training and pass any necessary testing requirements, your salary will be $54,000-$57,500/year, however, during training, you'll be paid hourly based on your annual salary. * Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Equal Opportunity Employer For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** Share: Apply Now
    $54k-57.5k yearly 11d ago
  • Independent Insurance Claims Adjuster in Waukegan, Illinois

    Milehigh Adjusters Houston

    Claims adjuster job in Waukegan, IL

    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-54k yearly est. Auto-Apply 60d+ ago
  • Workers Compensation Claim Representative

    Travelers Insurance Company 4.4company rating

    Claims adjuster job in Brookfield, WI

    **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** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery The injured worker is working modified duty and receiving ongoing medical treatment. The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and there has been a change in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered. **What Will You Do?** + Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability + Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions. + Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources where appropriate. + Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation). Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. + Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. Prepare necessary letters and state filings within statutory limits. + Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment. + Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. + Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + 2 years Workers Compensation claim handling experience. + Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. + Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. + Ability to effectively present file resolution to internal and/or external stakeholders. + Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. + General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. + Principles of Investigation: Intermediate investigative skills including the ability to take statements. + Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. + Value Determination: Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. + Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. + Legal Knowledge: General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed. + WC Technical: + Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. + Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. + Intermediate knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. + Customer Service: + Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes. + Teamwork: + Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result. + Planning & Organizing: + Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals. + Maintain Continuing Education requirements as required or as mandated by state regulations. **What is a Must Have?** + High School Diploma or GED. + 1 year Workers Compensation claim handling experience or successful completion of the WC trainee 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 ******************************************************** .
    $31k-42k yearly est. 25d ago
  • General Liability Adjuster

    Sedgwick 4.4company rating

    Claims adjuster job in Milwaukee, WI

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance General Liability Adjuster **PRIMARY PURPOSE** **:** To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. + Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance. + Prepares report of findings and negotiates settlement with claimant. + Recommends litigation by legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organizations quality program(s). **QUALIFICATIONS** **Education & Licensing** High School diploma or GED required. **Experience** Six (6) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. **Skills & Knowledge** + Knowledge of professional liability claims + Ability to review information and ensure accuracy and applicable policy placement + Oral and written communication skills + PC literate, including Microsoft Office products + Attention to detail and accuracy + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $54k-74k yearly est. 57d ago
  • Claims Adjuster Trainee

    Progressive 4.4company rating

    Claims adjuster job in Racine, WI

    Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. Duties & responsibilities (upon completion of training) * Determine coverage * Determine liability (who's at fault for the damages) * Interview customers, claimants, and witnesses * Partner with appraisers/estimators to manage vehicle repairs * Negotiate with customers and other insurance carriers and resolve claims Must-have qualifications * Three years of work experience OR * Bachelor's degree OR * Two years work experience and an associate degree Schedule: Monday - Friday, 8:30 am - 5:30 pm for the first four weeks during training, then 9:00 am - 6:00 pm. Location: 9000 W Chester St, Ste 215, Milwaukee, WI 53214 Compensation * Once you complete training and pass any necessary testing requirements, your salary will be $54,000-$57,500/year, however, during training, you'll be paid hourly based on your annual salary. * Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Equal Opportunity Employer For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** Share: Apply Now
    $54k-57.5k yearly 11d ago
  • Independent Insurance Claims Adjuster in Burlington, Wisconsin

    Milehigh Adjusters Houston

    Claims adjuster job in Burlington, WI

    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-54k yearly est. Auto-Apply 60d+ ago
  • Workers Compensation Claim Representative

    The Travelers Companies 4.4company rating

    Claims adjuster job in Brookfield, WI

    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 $67,000.00 - $110,600.00 Target Openings 1 What Is the Opportunity? Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery The injured worker is working modified duty and receiving ongoing medical treatment. The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and there has been a change in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered. What Will You Do? * Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability * Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions. * Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources where appropriate. * Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation). Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. * Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. Prepare necessary letters and state filings within statutory limits. * Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment. * Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. * Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * 2 years Workers Compensation claim handling experience. * Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. * Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. * Ability to effectively present file resolution to internal and/or external stakeholders. * Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. * General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. * Principles of Investigation: Intermediate investigative skills including the ability to take statements. * Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. * Value Determination: Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. * Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. * Legal Knowledge: General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. * Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed. * WC Technical: * Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. * Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. * Intermediate knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. * Customer Service: * Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes. * Teamwork: * Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result. * Planning & Organizing: * Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals. * Maintain Continuing Education requirements as required or as mandated by state regulations. What is a Must Have? * High School Diploma or GED. * 1 year Workers Compensation claim handling experience or successful completion of the WC trainee 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 *********************************************************
    $31k-42k yearly est. 26d ago

Learn more about claims adjuster jobs

How much does a claims adjuster earn in West Allis, WI?

The average claims adjuster in West Allis, WI earns between $40,000 and $60,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.

Average claims adjuster salary in West Allis, WI

$49,000

What are the biggest employers of Claims Adjusters in West Allis, WI?

The biggest employers of Claims Adjusters in West Allis, WI are:
  1. Progressive
  2. Mercor
  3. Milehigh Adjusters Houston
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