Associate, Wage and Hour - Disputes, Claims & Investigations
Stout 4.2
Claims adjuster job in Grand Rapids, MI
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.
Associate - DCI (Disputes, Claims & Investigations), Wage & Hour
Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses.
Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses.
Impact You'll Make
This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams.
Execute and support complex data analyses related to wage and hour disputes and investigations.
Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions.
Help ensure projects are completed on time, within scope, and with a high standard of quality.
Build strong working relationships across project teams to drive collaboration and efficiency.
Support client-facing deliverables that clearly communicate findings and insights.
What You'll Do
These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives.
Review, organize, and analyze large and complex datasets to support litigation and consulting engagements.
Support multiple concurrent projects, anticipating scope, timing, and budget considerations.
Assist in developing work plans, methodologies, and resource needs to optimize project outcomes.
Collaborate closely with team members to meet deadlines and manage competing client expectations.
Support written analyses, reports, and presentations prepared for clients and other stakeholders.
Apply creative problem-solving techniques to manage risks and address analytical challenges.
What You Bring
This section outlines the qualifications and technical skills needed to succeed in the role.
Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field.
2-5 years of experience in wage and hour consulting or a closely related field.
Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms.
Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access.
Strong written and verbal communication skills with the ability to present complex information clearly.
Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams.
How You'll Thrive
These competencies and behaviors will help you excel and grow within Stout's collaborative culture.
Maintain flexibility and adaptability in response to changing project requirements and timelines.
Demonstrate strong organizational skills and rigorous attention to detail.
Exhibit intellectual curiosity, self-motivation, and a commitment to quality control.
Collaborate effectively with colleagues while managing competing priorities.
Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork.
Why Stout?
At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
Learn more about our benefits and commitment to your success.
en/careers/benefits
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.
Stout is an Equal Employment Opportunity.
All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.
Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$31k-36k yearly est. 2d ago
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Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Grand Rapids, MI
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.
$48k-58k yearly est. Auto-Apply 42d ago
Adjuster, Property Insurance Claims
Elevate Claims Solutions
Claims adjuster job in Grand Rapids, MI
Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are you ready, willing, and able to Elevate?
Elevate Claims Solutions is seeking an Independent Adjuster in Western Michigan.
How will we Elevate you?
We want to know and understand your unique skillset and goals. We are committed to receiving your feedback on how we can best support your progression and advancement towards those goals.
Expand your career opportunities in a role where you can see that you are making a difference in people's lives.
Meaningful work in a culture of continuous improvement.
A diverse market of carriers
Clear communication of service and quality expectations; internal and external.
Guidelines that provide upfront understanding of each carrier's requirements.
Continuous feedback, including real -time Quality Assurance and formalized quarterly coaching sessions to identify areas of strength and opportunity. Training and development opportunities tailored to individual growth objectives.
A tenured foundation of industry experts with a wide knowledge base for you to consult.
How will you Elevate?
Prioritize policyholders during their time loss through demonstrated empathy and understanding.
Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
Outstanding work ethic. This is not a 9 -5 position and you will be called upon to maintain a flexible schedule to help meet the needs of insureds and carriers.
Clear, consistent, and timely communication. We, and our carriers, want and need strong lines of communication.
You must be open to receiving and providing feedback.
The ability to effectively and independently manage workload while exercising good judgement.
Strong written and verbal communication skills.
Strong technological skills with the ability to work within various claims management systems.
Minimum of three years of residential and commercial property adjusting experience.
Carrier experience is desired.
Liability experience is a plus.
Current, active Xactimate license and experience writing both residential and commercial damage estimates in Xactimate.
Ability to pass a background screen.
Current, active license where required.
Equipment and ability to access roofs.
If you are ready to Elevate claims with a firm that truly values and supports you, let us know - we may be a fit.
$47k-58k yearly est. 60d+ ago
Independent Insurance Claims Adjuster in Sparta, Michigan
Milehigh Adjusters Houston
Claims adjuster job in Sparta, MI
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? 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 ClaimsAdjuster, 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 ClaimsAdjuster 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 ClaimsAdjuster.
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 claimsadjusting.
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 claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting 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 ClaimsAdjuster. 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.
$47k-59k yearly est. Auto-Apply 60d+ ago
Field Claims Representative
Auto-Owners Insurance 4.3
Claims adjuster job in Grand Rapids, MI
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to:
Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability
Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims
Become familiar with insurance coverage by studying insurance policies, endorsements and forms
Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary
Ensure that claims payments are issued in a timely and accurate manner
Handle investigations by phone, mail and on-site investigations
Desired Skills & Experience
Bachelor's degree or direct equivalent experience handling property and casualty claims
A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims
Field claims handling experience is preferred but not required
Knowledge of Xactimate software is preferred but not required
Above average communication skills (written and verbal)
Ability to resolve complex issues
Organize and interpret data
Ability to handle multiple assignments
Ability to effectively deal with a diverse group individuals
Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-AT1 #LI-Hybrid
$43k-55k yearly est. Auto-Apply 16d ago
Outside Property Adjuster - Grand Rapids, MI
Hanover Insurance Group, Inc. 4.9
Claims adjuster job in Grand Rapids, MI
Our Claims department is currently seeking an Outside Property Adjuster for the Michigan territory of Grand Rapids. 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 adjustingclaims
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-85k yearly est. 60d+ ago
Automotive Claims Specialist
Loss Prevention Services, LLC 3.6
Claims adjuster job in Grandville, MI
Job DescriptionSalary:
The Claims Specialist is responsible for handling damage claims and property loss claims, to help resolve them efficiently and fairly. Successful Candidates MUST prior experience with automotive insurance claims or experience working with insurance in a body shop or similar vehicle repair facility to be considered for this position.
Job Type: Full Time On-Site or Hybrid at our office in Grandville, MI - This is not a fully remote position.
Duties and Responsibilities:
Investigating and analyzing details of damage claims and property loss claims to determine the level of liability.
Reviewing and evaluating damage claims and property loss claims for accuracy and completeness.
Interacting with service providers, clients, and claimants to gather more information about damage claims and property loss claims.
Documenting all claim related activities and maintaining claim files for review and auditing purposes.
Following all company policies and procedures and complying with all legal requirements
Maintaining a high level of customer service by answering questions and providing information to all parties involved in the claims process.
Requirements:
Experience in the Collateral Recovery industry required, preferably in a Claims related role.
Excellent written and verbal communications skills.
Excellent listening, negotiation and problem-solving skills.
Attention to detail and high level of accuracy.
Must be proficient in Microsoft Office or Google Suite.
Benefits:
Medical, Dental and Vision Insurance
Paid Time Off
Paid Holidays
$51k-89k yearly est. 8d ago
Field Adjuster (Residential or Commercial) - Grand Rapids, MI
CCMS & Associates 3.8
Claims adjuster job in Grand Rapids, MI
Job Description
CCMS & Associates is looking for a 1099 Field Adjuster in Michigan, specifically the Grand Rapids area. We are looking to add to our existing roster. The time is now to get on board with our team! We are seeking a residential or commercial field adjuster with at least 1 year of field experience.
Requirements:
Minimum 1 year first-party commercial and/or residential property adjusting experience
Maintain own current estimating software - Xactimate preferred (Symbility experience a plus)
Working computer - internet access and Microsoft Word required
Must demonstrate strong time management and customer service skills
Experience in preparing Statement of Loss, Proof of Loss, and denial letters
Must have a valid drivers license
Responsibilities:
Complete residential and commercial field property inspections utilizing Xactimate software
Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages
Recommend claim reserves based on investigation, through well-supported reserve report
Obtain and interpret official reports
Review applicable coverage forms and endorsements, provide a thorough analysis of coverage and any coverage issues in a well-documented initial captioned report to the client
Maintain acceptable product quality through compliance with established best practices
Knowledge and Skills:
In-depth knowledge of property and liability insurance coverage and industry standards
Ability to prepare full-captioned reports by collecting and summarizing required information
Strong verbal and written communications skills
Prompt, reliable, and friendly
Preferred but Not Required:
College degree
AIC, IICRC, HAAG or other professional designations
All candidates must pass a full background check (void in states where prohibited)
CCMS & Associates offers multi-line claimadjusting and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry. We create programs that drive a successful claim life cycle while strategically managing all aspects of the complicated issues carriers and policyholders are facing. Servicing excess and surplus/domestic carriers in the United States.
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$43k-57k yearly est. 9d ago
Executive General Adjuster - Midwest Region
Sedgwick 4.4
Claims adjuster job in Grand Rapids, MI
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
Executive General Adjuster - Midwest Region
**PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock).
+ Examines claim form and other records to determine insurance coverage.
+ Interviews, telephones, 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.
+ Prepares loss experience reports 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. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required.
**Experience**
Five (5) years of related experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Strong oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Strong customer service 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 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
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.
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 100,518.00 - 140,725.00. (Bonus or commission eligibility, if applicable). 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.
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**
$55k-75k yearly est. 60d+ ago
Content Claims Specialist - Field - Level I
Crawford & Company 4.7
Claims adjuster job in Grand Rapids, MI
Your Next Career Move Starts Here - Join Us! Content Claims Specialist - Field - Level I (Hybrid: Work from Home + Driving Role) What We're Looking For: Adjuster experience preferred, not required Open to candidates with restoration, roofing, customer service, or retail experience ️
Strong communication and problem-solving skills
Ability to work independently and travel for inspections
$55k-70k yearly est. Auto-Apply 8d ago
Loss Claims Specialist M-F 8am-5pm
Fifth Third Bank, N.A 4.6
Claims adjuster job in Grand Rapids, MI
Make banking a Fifth Third better We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION: Under moderate supervision, collects and documents accounts involved in total or repairable loss claims involving a primary insurance carrier and/or GAP company in accordance with departmental, investor, and legal guidelines. Coordinate with insurance carrier through phone/email contact to ensure claim proceeds are received and accurate. Conduct research through account/contract reviews, receive and process aftermarket product cancellation payments, and track results for accuracy.
Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and personally following policies and procedures as defined. Accountable for always doing the right thing for customers and colleagues and ensures that actions and behaviors drive a positive customer experience. While operating within the Bank's risk appetite, achieves results by consistently identifying, assessing, managing, monitoring, and reporting risks of all types.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
+ Coordinate with insurance companies and customers through inbound/outbound calls and emails to assist in the handling of total loss and/or repair claims
+ Review accounts and work with dealers and/or providers to cancel aftermarket products
+ Accurately and efficiently process refunds and update trackers to reflect payment information received
+ Follow up with dealers and/or providers regarding discrepancies in refunds
+ Procure and supply documentation necessary to garner claim proceeds
+ Conduct research including statements, customer files, and payment copies to verify accuracy of claim proceeds
+ Record all efforts via the department systems insuring that all accounts are called and noted accurately
+ Perform any other duties as assigned
SUPERVISORY RESPONSIBILITIES: None
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
+ High school diploma or equivalent required.
+ Minimum 2 years of collections, insurance claims, or equivalent work experience.
+ Excellent verbal and written communication skills.
+ Strong experience with Microsoft office products, such as Word, Excel, PowerPoint, and Outlook.
+ Proficient with computer systems and keyboarding / data entry skills with moderate speed and accuracy.
+ Ability to work in a team environment, presenting a professional image and commanding the respect of peers and leadership.
+ General knowledge of collection laws, regulations, principles of credit lending, and risk management.
+ Utilizes a fair degree of independence and problem solving.
+ Ability to multi-task and be flexible while managing change.
#LI-EG1
Loss Claims Specialist M-F 8am-5pm
At Fifth Third, we understand the importance of recognizing our employees for the role they play in improving the lives of our customers, communities and each other. Our Total Rewards include comprehensive benefits and differentiated compensation offerings to give each employee the opportunity to be their best every day.
The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Our extensive benefits programs are designed to support the individual needs of our employees and their families, encompassing physical, financial, emotional and social well-being. You can learn more about those programs on our 53.com Careers page at: *************************************************************** or by consulting with your talent acquisition partner.
LOCATION -- Grand Rapids, Michigan 49546
Attention search firms and staffing agencies: do not submit unsolicited resumes for this posting. Fifth Third does not accept resumes from any agency that does not have an active agreement with Fifth Third. Any unsolicited resumes - no matter how they are submitted - will be considered the property of Fifth Third and Fifth Third will not be responsible for any associated fee.
Fifth Third Bank, National Association is proud to have an engaged and inclusive culture and to promote and ensure equal employment opportunity in all employment decisions regardless of race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity, military status, veteran status or any other legally protected status.
$107k-128k yearly est. 6d ago
Pharmacy 340B Claims Specialist
Family Health Care 4.3
Claims adjuster job in White Cloud, MI
Family Health Care is currently seeking applications for the position of Pharmacy 340B Claims Specialist!
General Function: This position functions at the highest level (III) in the series of Pharmacy Technician roles within Family Health Care. The individual in this role is a “work-leader” serving as the expert on prescription claims reimbursement and performing self-auditing for the pharmacy department. This individual will ensure prescription claim integrity by having advanced knowledge of claim requirements for the various pharmacy benefit managers (PBM) and shall use that information to identify areas of improvement by performing targeted claim audits and will provide education to the pharmacy staff on billing requirements, when needed.
Responsibilities:
Acts as pharmacy claims auditor and will audit claims daily into order to track claims accuracy, trends, anomalies and other critical information to help BFHC ensuring appropriate reimbursement while mitigating organizational risk for claims remediations resulting from claim processing errors.
Acts as pharmacy 340B claims auditor and audits claims on a scheduled basis into order to track 340B claims accuracy, trends, anomalies, and other critical information to help BFHC maintain 340B claim integrity while ensuring adherence to 340B policies, procedures, rules and regulations.
Ensures timely and accurate billing/collections of all pharmacy charges and reimbursement activities through the use of reporting and reconciliation.
Ensures integrity if financial reports and provides necessary reports to the finance department upon request.
Assists the Chief Pharmacist and pharmacy staff in the research, development and implementation of new and existing pharmacy services.
Location(s): White Cloud, MI
Employment Type: Full Time
Exempt/Non-Exempt: Non-Exempt
Benefits: Competitive wage and excellent benefits package. FHC is an eligible organization for State and Federal Loan Repayment Programs.
Family Health Care is an Equal Opportunity Employer.
$52k-73k yearly est. 41d ago
Field Property Claim Adjuster - Western Michigan
Hastings Insurance 4.3
Claims adjuster job in Hastings, MI
Deliver fair, timely, and customer-focused property claim resolutions from first notice through settlement.
As a Field Property ClaimAdjuster, you'll manage a portfolio of first-party property claims including residential, farm, and commercial losses from start to finish. You'll interpret policy coverage, investigate facts, scope and estimate losses, and bring claims to resolution, ensuring each customer receives the attentive, high-quality service Hastings is known for.
Location & Schedule:
This is a field-based position that will travel (generally same day) throughout its assigned region to locations for submitted property claims. When not travelling, this role will work remotely from home.
Candidates will ideally reside in central or western Michigan (i.e. Battle Creek, Grand Rapids, Kalamazoo, or Lansing Metro areas)
Regardless of location, this role will generally work within our standard office hours of Monday - Friday, 8:00 AM - 4:30 PM.
What You'll Do:
Handle a personal caseload of property claims from minor to moderate complexity.
Investigate losses by gathering statements, reviewing documentation, and evaluating coverage and damages.
Negotiate settlements that are fair, equitable, and consistent with policy provisions and company standards.
Maintain proactive communication with insureds, agents, contractors, and vendors to move claims toward resolution.
Accurately document claim activity in the claims system and maintain adequate case reserves.
Identify subrogation and salvage opportunities to minimize loss costs.
Collaborate with internal teams such as Underwriting and Loss Control for information sharing and process improvement.
Stay current with state licensing and continuing education requirements.
Additional Role Highlights:
Company vehicle is provided to carry out the duties of this position.
May be called upon to assist with catastrophe-related claim volumes.
Works within established authority limits on commercial, farm, and personal lines property claims.
What You'll Bring:
Bachelor's degree preferred, or equivalent combination of education and experience.
At least two years of property claim handling or adjusting experience preferred.
Strong investigative, analytical, and negotiation skills.
Proficiency in Microsoft Office and claims management systems.
Exceptional written and verbal communication skills.
Customer-focused mindset with the ability to manage multiple priorities in a fast-paced environment.
Valid driver's license and ability to travel regularly within the territory.
Ability to obtain and maintain required state adjuster licenses.
About Us:
At Hastings Insurance, we're more than an insurance provider- we're a trusted partner to our agents, policyholders, and the communities we serve. For over 135 years, we've been helping individuals, families, and businesses protect what matters most and rebuild after loss. We're proud to be rated A (Excellent) by A.M. Best Company, recognizing our enduring financial strength and stability.
While our heritage runs deep, we're always looking ahead. We embrace emerging technologies, cultivate strong partnerships with independent agents, and continuously evolve our products to meet the needs of today's customers. Our strategy is focused on responsible growth, expanding our reach while staying innovative, agile, and committed to personalized service.
Our people are the heart of everything we do. Our talented team members -many recognized as industry experts- are passionate about delivering exceptional service, driving progress, and making a real impact. At Hastings Insurance, we foster a culture of collaboration, continuous learning, and appreciation for the diverse skills and ideas our employees bring.
Our Commitment as an Employer:
We believe that diverse perspectives and inclusive teams drive innovation and strengthen our organization. We're committed to fostering a workplace where every employee feels valued, respected, and empowered to contribute their best.
We are proud to be an equal opportunity employer, and we make employment decisions based on business needs, role requirements, and individual qualifications-without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, appearance, disability, veteran status, family status, marital status, or any other legally protected characteristic.
We also understand the importance of providing a welcoming and accessible experience for all candidates. If you require accommodation during the application or interview process, please reach out to our Talent Acquisition Specialist or contact us at ************.
$46k-63k yearly est. 60d+ ago
WC Claims Specialist
Universal Forest Products, Inc. 4.5
Claims adjuster job in Grand Rapids, MI
The WC Claims Specialist is responsible for claims management and issues related to work comp. This position works under general supervision; exercises discretion and relies on experience and judgment to plan and accomplish goals; and requires a certain degree of creativity and autonomy to perform the job.
Principal Duties and Responsibilities
Serves as primary contact for the field operations on WC related claim procedures and claims management issues
May serve as a back-up for FMLA, ADA, and disability related claim procedures and claims management issues
Assists with updating documentation and communication associated with related leaves of absences
Trains new plant HR/safety personnel, including acquisitions, on related leave of absence procedures
Produces quarterly trend reports and other related reports as requested
Assists with monitoring federal and state leave regulations and with working with vendors and plants to implement any necessary updates to existing procedures
Monitors claim activity to ensure timely and accurate delivery of benefits
Provides assistance to the field regarding medical management and return to work
Reviews claim data to ensure that claims are managed, paid, and resolved according to service criteria
Ensures that all claims are reviewed for appropriateness of acceptance or denial
Advises the field in identifying and maintaining quality medical providers
Assists in the identification of legal counsel with assistance from the claim managers/TPA
Assists in developing legal strategy for each litigated case
Advises the field in transitional and long-term return-to-work strategies
Ensures that the claim managers/TPA pay medical bills and other related invoices promptly
Provides guidance and related training to plant personnel with work comp responsibilities
Helps maintain documentation, legal evidence, and other related file administration
Maintains updated knowledge of state comp laws or other legal changes impacting areas of responsibility
Advises the field and claim managers/TPA in investigating aspects of serious or questionable claims
Acts as a liaison between injured worker and TPA/carrier
Prepares and participates in strategic claim resolution meetings
Assists with providing information to TPA/legal counsel in response to subpoena requests
May assist with training for other related areas of responsibility
May assist with policy updates for related areas of responsibility
May serve as backup for Substance Abuse policy administration
May serve as backup for other various safety related program administration
Performs other duties as required.
Job Specifications
Knowledge
Bachelor's degree or equivalent experience in a related field
Formal, working knowledge of claims management protocol and related employment law
Some knowledge and understanding of medical terminology
Skills and abilities
Ability to solve problems and apply knowledge and education in complex situations
Ability to maintain and safeguard confidential information
Verbal and written skills with the ability to communicate at all levels within the organization
Interpersonal and problem-solving skills
Demonstrated ability to use computers and related business software and experience with advanced excel or other report writing programs
Ability to understand, analyze, and communicate financial information as a management tool
Ability to coordinate and prioritize case load
Ability to travel as required
Conduct
Team player and goal oriented
Leads by example
The Company is an Equal Opportunity Employer.
$43k-49k yearly est. Auto-Apply 60d+ ago
Independent Insurance Claims Adjuster in Kalamazoo, Michigan
Milehigh Adjusters Houston
Claims adjuster job in Kalamazoo, MI
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? 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 ClaimsAdjuster, 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 ClaimsAdjuster 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 ClaimsAdjuster.
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 claimsadjusting.
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 claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting 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 ClaimsAdjuster. 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.
$47k-58k yearly est. Auto-Apply 60d+ ago
Auto Claims Representative
Auto-Owners Insurance 4.3
Claims adjuster job in Portage, MI
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to:
Investigate, evaluate, and settle entry-level insurance claims
Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
Learn and comply with Company claim handling procedures
Develop entry-level claim negotiation and settlement skills
Build skills to effectively serve the needs of agents, insureds, and others
Meet and communicate with claimants, legal counsel, and third-parties
Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements
Desired Skills & Experience
Bachelor's degree or direct equivalent experience with property/casualty claims handling
Ability to organize data, multi-task and make decisions independently
Above average communication skills (written and verbal)
Ability to write reports and compose correspondence
Ability to resolve complex issues
Ability to maintain confidentially and data security
Ability to effectively deal with a diverse group individuals
Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage
Continually develop product knowledge through participation in approved educational programs
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-DNI
#IN-DNI
$42k-54k yearly est. Auto-Apply 44d ago
Automotive Claims Specialist
Loss Prevention Services, LLC 3.6
Claims adjuster job in Grandville, MI
The Claims Specialist is responsible for handling damage claims and property loss claims, to help resolve them efficiently and fairly. Successful Candidates MUST prior experience with automotive insurance claims or experience working with insurance in a body shop or similar vehicle repair facility to be considered for this position.
Job Type: Full Time On-Site or Hybrid at our office in Grandville, MI - This is not a fully remote position.
Duties and Responsibilities:
Investigating and analyzing details of damage claims and property loss claims to determine the level of liability.
Reviewing and evaluating damage claims and property loss claims for accuracy and completeness.
Interacting with service providers, clients, and claimants to gather more information about damage claims and property loss claims.
Documenting all claim related activities and maintaining claim files for review and auditing purposes.
Following all company policies and procedures and complying with all legal requirements
Maintaining a high level of customer service by answering questions and providing information to all parties involved in the claims process.
Requirements:
Experience in the Collateral Recovery industry required, preferably in a Claims related role.
Excellent written and verbal communications skills.
Excellent listening, negotiation and problem-solving skills.
Attention to detail and high level of accuracy.
Must be proficient in Microsoft Office or Google Suite.
Benefits:
· Medical, Dental and Vision Insurance
· Paid Time Off
· Paid Holidays
$51k-89k yearly est. 60d+ ago
Field Adjuster (Residential or Commercial) - Grand Rapids, MI
CCMS & Associates 3.8
Claims adjuster job in Grand Rapids, MI
CCMS & Associates is looking for a 1099 Field Adjuster in Michigan, specifically the Grand Rapids area. We are looking to add to our existing roster. The time is now to get on board with our team! We are seeking a residential or commercial field adjuster with at least 1 year of field experience.
Requirements:
Minimum 1 year first-party commercial and/or residential property adjusting experience
Maintain own current estimating software - Xactimate preferred (Symbility experience a plus)
Working computer - internet access and Microsoft Word required
Must demonstrate strong time management and customer service skills
Experience in preparing Statement of Loss, Proof of Loss, and denial letters
Must have a valid drivers license
Responsibilities:
Complete residential and commercial field property inspections utilizing Xactimate software
Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages
Recommend claim reserves based on investigation, through well-supported reserve report
Obtain and interpret official reports
Review applicable coverage forms and endorsements, provide a thorough analysis of coverage and any coverage issues in a well-documented initial captioned report to the client
Maintain acceptable product quality through compliance with established best practices
Knowledge and Skills:
In-depth knowledge of property and liability insurance coverage and industry standards
Ability to prepare full-captioned reports by collecting and summarizing required information
Strong verbal and written communications skills
Prompt, reliable, and friendly
Preferred but Not Required:
College degree
AIC, IICRC, HAAG or other professional designations
All candidates must pass a full background check (void in states where prohibited)
CCMS & Associates offers multi-line claimadjusting and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry. We create programs that drive a successful claim life cycle while strategically managing all aspects of the complicated issues carriers and policyholders are facing. Servicing excess and surplus/domestic carriers in the United States.
$43k-57k yearly est. Auto-Apply 60d+ ago
National General Adjuster - Midwest Region
Sedgwick 4.4
Claims adjuster job in Grand Rapids, MI
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
National General Adjuster - Midwest Region
**PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Examines insurance policies, claims, and other records to determine insurance coverage.
+ Administers and reconciles complex catastrophic claims for property.
+ Interviews, telephones, or corresponds with claimant(s) 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 probably costs.
+ Prepares loss experience reports to help determine profitability and calculates adequate future rates.
+ Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation.
**Experience**
Five (5) years of related experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Strong oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Strong customer service 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:
+ Ability to stand and/or walk for long periods of time.
+ Ability to kneel, squat or bend.
+ Ability to work outdoors in hot and/or cold weather conditions.
+ Ability to climb, crawl, stoop, kneel, reaching/working overhead.
+ Ability to lift/carry up to 50 pounds.
+ Ability to push/pull up to 100 pounds.
+ Ability to drive up to 4 hours per day.
+ Must have continual use of manual dexterity.
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.
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 77,321.00 - 108,250.00. (Bonus or commission eligibility, if applicable). 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.
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**
$55k-75k yearly est. 60d+ ago
Loss Claims Specialist M-F 8am-5pm
Fifth Third Bank 4.6
Claims adjuster job in Grand Rapids, MI
Make banking a Fifth Third better We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank.
GENERAL FUNCTION: Under moderate supervision, collects and documents accounts involved in total or repairable loss claims involving a primary insurance carrier and/or GAP company in accordance with departmental, investor, and legal guidelines. Coordinate with insurance carrier through phone/email contact to ensure claim proceeds are received and accurate. Conduct research through account/contract reviews, receive and process aftermarket product cancellation payments, and track results for accuracy.
Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and personally following policies and procedures as defined. Accountable for always doing the right thing for customers and colleagues and ensures that actions and behaviors drive a positive customer experience. While operating within the Bank's risk appetite, achieves results by consistently identifying, assessing, managing, monitoring, and reporting risks of all types.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Coordinate with insurance companies and customers through inbound/outbound calls and emails to assist in the handling of total loss and/or repair claims
Review accounts and work with dealers and/or providers to cancel aftermarket products
Accurately and efficiently process refunds and update trackers to reflect payment information received
Follow up with dealers and/or providers regarding discrepancies in refunds
Procure and supply documentation necessary to garner claim proceeds
Conduct research including statements, customer files, and payment copies to verify accuracy of claim proceeds
Record all efforts via the department systems insuring that all accounts are called and noted accurately
Perform any other duties as assigned
SUPERVISORY RESPONSIBILITIES: None
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
High school diploma or equivalent required.
Minimum 2 years of collections, insurance claims, or equivalent work experience.
Excellent verbal and written communication skills.
Strong experience with Microsoft office products, such as Word, Excel, PowerPoint, and Outlook.
Proficient with computer systems and keyboarding / data entry skills with moderate speed and accuracy.
Ability to work in a team environment, presenting a professional image and commanding the respect of peers and leadership.
General knowledge of collection laws, regulations, principles of credit lending, and risk management.
Utilizes a fair degree of independence and problem solving.
Ability to multi-task and be flexible while managing change.
#LI-EG1
Loss Claims Specialist M-F 8am-5pm
At Fifth Third, we understand the importance of recognizing our employees for the role they play in improving the lives of our customers, communities and each other. Our Total Rewards include comprehensive benefits and differentiated compensation offerings to give each employee the opportunity to be their best every day.
The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Our extensive benefits programs are designed to support the individual needs of our employees and their families, encompassing physical, financial, emotional and social well-being. You can learn more about those programs on our 53.com Careers page at: *************************************************************** or by consulting with your talent acquisition partner.
LOCATION -- Grand Rapids, Michigan 49546
Attention search firms and staffing agencies: do not submit unsolicited resumes for this posting. Fifth Third does not accept resumes from any agency that does not have an active agreement with Fifth Third. Any unsolicited resumes - no matter how they are submitted - will be considered the property of Fifth Third and Fifth Third will not be responsible for any associated fee.
Fifth Third Bank, National Association is proud to have an engaged and inclusive culture and to promote and ensure equal employment opportunity in all employment decisions regardless of race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity, military status, veteran status or any other legally protected status.
How much does a claims adjuster earn in Wyoming, MI?
The average claims adjuster in Wyoming, MI earns between $43,000 and $64,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Wyoming, MI
$52,000
What are the biggest employers of Claims Adjusters in Wyoming, MI?
The biggest employers of Claims Adjusters in Wyoming, MI are: