Claims Representative Jobs in Beech Grove, IN

Job Description The Desk Adjuster will investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with client guidelines. The adjuster will provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production. Must have property claim handling experience. Key Responsibilities: Conducts thorough investigations, as outlined in the claim handling guidelines and best practices Denies, settles, or authorizes payments to property claims based on coverage, field reports, and verifiable damage Interviews, telephones, or corresponds with insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys, etc. to gather important information to support the claims; including proofs of loss Sets proper reserves Takes recorded statements as needed Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame Interpret policy language and evaluate coverage issues of multiple different policies and endorsements Addresses diaries, emails and voicemails Prepares technical claim documents and correspondence Prepares report of findings of an investigation Contributes to department efforts with an emphasis on team collaboration Other Duties as assigned Qualifications: 2-5 years of homeowner claims experience Guidewire experience strongly preferred Must hold a valid claims adjusting license Proficient in working all loss perils Carrier experience strongly preferred Proficient in Xactimate and Xactanalysis Proficient in reconciling supplements Experience in negotiating settlements Strong writing skills related to policy interpretation is a must Decision making skills and the ability to work independently Familiar with a variety of field concepts, practices and procedures Good organization and time management skills Analytical and proactive claim handling skills Excellent customer service skills Proficient oral and written communication is a must Proficient computer & typing skills - working knowledge of MS Office: Word, Excel and Outlook Ability to speak Spanish a plus

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives! Job Summary Responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards. The LTC Claims Associate is responsible for reviewing and processing a caseload of Long-Term Care Claims, as well as clearing up eligibility issues, making adjustments, meeting training requirements, and managing claim issues with minimal leadership consultation. Primary duties may include, but are not limited to: Customer Experience and support 40% Effectively, accurately, and timely communicate/collaborate with internal and external customers in accordance customer service protocols. Independently investigate, collect, examine information to determine claim direction to make accurate, impartial claim determinations based on facts, policies, regulations, and Following department procedures, for claims including those of a complex nature. Appropriately and independently use problem solving measures and discretion to investigate claims by utilizing appropriate investigative tools. Correctly calculates claim benefit payments due within authority level. Prepares quality communication to agents, policy owners, insureds, beneficiaries, policyholders, medical providers, or other customer and business relationship parties. Identify, understand, and appropriately refer matters to legal counsel or escalates claim issues with minimal leadership consultation. Performance and Service expectations: 50% Maintains or exceeds departmental deadlines, requirements, service, accuracy, timeliness, and performance standards. Process Improvement 10% Demonstrate EWA and support of the OneAmerica Ways. Job Requirements Required Education and/or Certifications High School Diploma or GED. Bachelor's Degree preferred in Business Management, Operations Management, Statistics, or Insurance. Prior experience within a claim operation is preferred. Knowledge of insurance administration terms and processes are a plus. Desired minimum of 2-4 years’ work experience. Recommended Education and/or Certifications LOMA Required Work Experience Customer Service, and experience working with Microsoft applications Or any combination of education and experience which would provide an equivalent background #LI-SC1 Salary Band: 03B This selected candidate will be expected to work hybrid in Indianapolis, IN, although we may consider remote candidates who are not local to Indianapolis, IN. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration. If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York. Disclaimer: OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual’s race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law. For all positions: Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered. To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.

Job Description Eastgate Chrysler Jeep Dodge Ram currently searching for experienced Customer Service / Business Development Representative. Apply today! Benefits Competitive pay based on experience. Medical, dental and vision insurance. 401(k) investment plan. Paid vacation and holidays. Responsibilities Handle incoming phone calls Handle leads and appointment setting Conduct internal CSI calls and emails Work directly with managers on deals that involve internet customers Set appointments for prospective and current customers to meet with a member of the sales team Manage high volume of customer inquiries through phone, email, text/chat per sales Update client information in our CRM Report daily Follow-up with existing customers Follow-up with prospective customers Follow-up with missed/canceled customers Ensure Customer Satisfaction Product knowledge/function is key with all the different vehicles daily Maintaining daily contact target/appointment target Must be able to contribute to positive team environment Qualifications Successful Customer Care Representatives must have excellent telephone skills Self- Motivated and Energetic You as the Representative must have the ability to instantly build rapport with the customer A friendly/professional demeanor with excellent written and oral communication skills You must enjoy the phone and have the willingness to help customers overcome objections in order to set the appointment Strong organizational skills with the ability to multitask and meet daily goals Follow up with customers effectively Cold calling/Call center skills We are an equal opportunity employer and prohibit discrimination/harassment 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.

Job DescriptionArchitectural Specification Representative The Architectural Specification Representative, proficient in the architectural domain—particularly in industrial buildings, roofing, serves as a key educational resource and demand generator for Kattsafe systems. This role is essential in ensuring precision and accuracy by overseeing projects from inception to completion. At Kattsafe, we design and deliver world-leading height access and fall protection systems that offer maximum safety with minimum fuss. Because simpler systems are safter systems. Our customers trust us with a serious part of their business, we don’t take that for granted. We design the highest quality products in the industry and provide all the specifications needed for safe installation. We’re obsessed with making height safety and access systems as simple and safe as possible. Job Requirements: Work with architectural firms to get Kattsafe products specified as the basis of design on enterprise account opportunities. Having existing relationships with architectural firms is needed to be successful in this position Regularly meet with leading architects to share benefits and features Kattsafe products provide Introduce new Kattsafe products using samples to demonstrate product functionality and benefits Manage a pipeline of projects where Kattsafe is designated as the provider. Communicate updates and milestones with the sales team for efficient collaboration Attend trade shows that host the audiences who can specify our product Host webinars for our CEU courses Grow partnerships with prominent architectural/specification associations Work with internal marketing and technical teams to ensure Kattsafe resource library is up to date, growing, and meeting the needs of the architectural audience Report to management on market trends, emerging markets, new products, specification feedback, etc. Other duties as assigned Qualifications: Bachelor’s degree in business, architecture, engineering or a related field preferred. Minimum 3-year similar work experience Excellent verbal & written communication skills Proficiency using CRM software, sales tools, Salesforce, as well as Microsoft Office Suite required Strong organizational skills with ability to manage multiple projects & prioritize effectively Self-motivated, goal-oriented, & comfortable working in a fast-paced, target-driven environment Compensation & Benefits: Generous base salary along with quarterly bonus potential 401K company contribution Excellent healthcare options provided including packages at no cost to the employee ‘OUTBOUND’ the game – weekly activity incentive program Working Conditions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, talk, hear, use hands to finger, and handle controls. Standing, stooping, and walking could be requirements of the position. Specific vision abilities required by this job include close vision and the ability to adjust focus. Kattsafe is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, or genetic information.

Full-time Description Indiana Farmers Insurance is currently looking for an experienced Field Property Claims Professional to join our Claims Team. This position is focused on all types of structures, including farm and commercial risks. The ideal candidate will service counties in Central and South Central Indiana and will be local to that area. The right candidate will investigate, assess damages, write structural property estimates, make coverage decisions, and ultimately resolve personal, commercial and farm property claims. As a Field Property Claims Representative II with Indiana Farmers Insurance, you will support our vision by driving prompt and fair claims resolutions. Benefits for the Field Property Claims Representative II: Free Health insurance Free Dental insurance Free Vision insurance Free Life insurance Free Short-Term & Long-Term Disability insurance 2% 401k Company Match 11% 401k Company Contribution Excellent Paid Time Off Day of Service Charity Match Program We promote from within our diverse workforce regularly and offer regular opportunities to learn and grow Matching funds of up to $100 annually are available from the company for your favorite charitable organization Associate recognition awards, fun gatherings, and opportunities to make friends are part of our culture An on-site fitness center, as well as free and convenient parking right next to our building make life easier Requirements Qualifications and Responsibilities for the Field Property Claims Representative II include: Experience and understanding of farm policies, farm structures and equipment, required Experience and expertise in writing structural property estimates Must be able to climb, access roofs, basements, crawlspaces, etc. Minimum of three years field property claims experience, with an insurance carrier, required College degree, preferred Professional designation (CPCU, CSLA, AIC, etc.), strongly preferred Identifying, investigating, and referring potentially fraudulent claims Ability to read and interpret policies and endorsements Working knowledge of Xactimate an added benefit Strong analytical and problem-solving skills Possess effective and positive interpersonal communication skills and demonstrating a professional, yet friendly demeanor Ability to set customer expectations and meet and/or exceed them Fairly and accurately assessing claims, in a timely good-faith manner, according to policies, procedures, and guidelines Ability to work independently, be self-motivated, and detail-oriented Ability to effectively cope with difficult individuals and situations Valid driver's license with acceptable motor vehicle record Why work for Indiana Farmers Insurance? Imagine working for an employer like this: 95% retention of its associates over the last 5 years Financially stable as shown by our A (Excellent) rating by AM Best Truly customer focused A strong legacy of excellent performance throughout our 147 years in business! For more information about Indiana Farmers, please go to ********************************************** Indiana Farmers Insurance is an equal opportunity employer!

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Indianapolis, IN office, located at 9785 Crosspoint Blvd. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary: $60,100-$73,500 (Starting salary will be determined based on skills and experience.) What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy. We can recommend jobs specifically for you! Click here to get started.

**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 160 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** $65,300.00 - $107,600.00 **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 preferred. + 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 required. + Minimum of 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program required. **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 believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results. 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 ******************************************************** .

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.

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claim Representative **** Collision and Comprehensive Experience, Licensing is required **** **PRIMARY PURPOSE** **:** To analyze reports claims, determine benefits due and make timely payments and adjustments; to make timely payments and adjustments for specified program claims including high value and complex claims; to coordinate investigative efforts; to thoroughly review contested claims; to negotiate settlement of claims up to the designated authority level; and to provide superior customer services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages first party property, casualty and/or medical reimbursement claims based on multiple/additional coverage and/or programs as defined by client-specific program. + Makes coverage determinations based on investigation/evaluation and communicates claim actions with claimant and client. + Adjudicates proper settlement up to designated authority level. + Works directly with underwriter/client on high value and complex cases. + Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from and accredited college or university preferred. Professional certification as applicable to line of business preferred. **Experience** Three (3) years of claims management experience or equivalent combination of experience and education required. **Skills & Knowledge** + In-depth knowledge of first party property and casualty claim adjudication as applicable to line of business + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Excellent analytical and interpretive skills + Excellent organizational skills + Excellent interpersonal skills + 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 **NOTE** **:** Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. 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.** **Taking care of people is at the heart of everything we do. Caring counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claim's management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. This is a hybrid position, however, those within 50 miles of our offices in Boston, MA, Bala Cynwyd, PA, Plano, TX, Suwanee, GA, Indianapolis, IN, Tampa, FL and Hoffman Estates, IL; must report to the office twice a month. Please note that this policy is subject to change. Responsibilities: * Manages an inventory of claims to evaluate compensability/liability. * Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. * Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. * Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. * Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. * Independently investigates, evaluates and negotiates 3rd party liability settlements with Attorney involvement * Performs other duties as assigned. Qualifications * BS/BA degree or equivalent work experience. * Minimum of 2 years experience in claims adjustment, general insurance or formal claims training. * Required to obtain and maintain all applicable licenses. * Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU). * Knowledge of claims investigation techniques, medical terminology and legal aspects of claims. About Us This position may have in-office requirements depending on candidate location. At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. That's why we provide an environment focused on openness, inclusion, trust and respect. Here, you'll discover our expansive range of roles, and a workplace where we aim to help turn your passion into a rewarding profession. Liberty Mutual has proudly been recognized as a "Great Place to Work" by Great Place to Work US for the past several years. We were also selected as one of the "100 Best Places to Work in IT" on IDG's Insider Pro and Computerworld's 2020 list. For many years running, we have been named by Forbes as one of America's Best Employers for Women and one of America's Best Employers for New Graduates as well as one of America's Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit: ******************************************************* We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * San Francisco * Los Angeles * Philadelphia

Are you Interested in becoming an Independent Claims Adjuster? The storm season is in at an all-time HIGH this past year and it is predicted that the next 5 years to be as Active as this year was, that means TONS of work as ADJUSTERS, and Adjusters are needed “Everywhere” to help with the winter storm season. As a top firm that trains, licenses and staff's adjusters for the upcoming storm season. Insurance companies send Jet Adjusters claims and our Adjusters write estimates so the carrier can pay the claim. Adjusters make either 37.50 to 62.25/per hour or from $500 to $1000 per claim (Average). The average Adjuster can process 2-5 claims a day during storm season. Travel to the storm area, cash in and go home. A sixfigure income potential/year and up. Start working right away and make what you are worth this year while helping others put their lives back together! Visit -******************************* - or call Charles or Mike for details. ************. Must be 18 years and older, valid driver's license, and a good working vehicle, energetic with a positive attitude a must. Basic computer skills and strong customer service skills.

About Us At Elevate Claims Solutions, we are dedicated to supporting the unique skill sets and career goals of our Independent Adjusters. Our commitment to continuous improvement and meaningful work ensures that you can make a real difference in the lives of those you serve. What We Offer: Career Development: We prioritize your growth by seeking your feedback on how we can support your professional journey. Diverse Opportunities: Work with a variety of carriers, allowing you to expand your skills and network. Clear Expectations: Benefit from guidelines that clearly outline carrier requirements, ensuring you know what to expect. Continuous Feedback: Engage in real-time Quality Assurance and formal quarterly coaching sessions to refine your skills and highlight strengths. Expert Guidance: Collaborate with a team of seasoned industry professionals who provide valuable insights and support. Job Description Responsibilities: Evaluate exterior and minor interior property damage. Draft detailed damage descriptions, including measurements and materials used. Fill in basic scope sheets. Utilize Xactanalysis software effectively. Requirements: Minimum of 1 year of experience in residential property adjusting. Current, active Xactimate license with experience writing estimates for both residential and commercial damages. Flexibility to maintain a non-traditional work schedule to accommodate the needs of insureds and carriers. Strong written and verbal communication skills, with an emphasis on clear and timely communication. Proficient in various claims management systems and strong technological skills. Ability to manage workload independently and exercise good judgment. Openness to receiving and providing constructive feedback. Background screening eligibility and current active licenses as required. Join Us If you're ready to elevate your career in a supportive and dynamic environment, we want to hear from you! Let's work together to make a meaningful impact.

* / * / * / * Claims Specialist Resume Sample **Claims Specialist Resume Example** Here is a free Claims Specialist Resume example to use in 2024. You can use this as base to create a resume for your job application. You can customize this resume with our free resume builder. You can also download the PDF version. Modify our Claims Specialist Resume sample to suit your own needs. Free Resume Builder No upsells or other gimmicks. Our resume builder is 100% FREE. Try it today and give us your feedback on how we can make it even better. **CONTACT INFORMATION** * Mr Zachary Torres * 794, Albert Road, * Indianapolis, Indiana, 94301, * United States * ************** * example+****************************** **WORKING EXPERIENCE** * **Unibuntu** * Indianapolis, Indiana * December 2020 - December 2024 * Claims Manager + Investigated, evaluated and settled claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. + Entered claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. + Paid and processed claims within designated authority level. + Reported overpayments, underpayments, and other irregularities. + Conducted detailed bill reviews to implement sound litigation management and expense control. **KEY SKILLS** * Bringing others together and trying to reconcile differences. * Communicating effectively in writing as appropriate for the needs of the audience. * Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. * Persuading others to change their minds or behavior. * Being aware of others' reactions and understanding why they react as they do. **QUALIFICATIONS** * Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. * Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. * Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming. * Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions. * Knowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data. Financial news subscriptions

Essential Functions of Job: Processing and evaluating medical and dental claims Obtaining information by telephone as well as by hard copy and entering into the computer systems Prioritization of individual work flow associated with the case assignments Establishing and maintaining professional rapport with clients and providers (physicians and hospitals) Maintaining and assuring accuracy of documentation Discuss with members, clients and providers the issues relating to claim administration Ability to report to the office Qualifications: High school diploma or equivalent Effective organizational and prioritization skills Excellent oral and written communication skills Basic knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) Ability to work in a fast paced multi-tasking environment Strong interpersonal skills with ability to function as a positive team member Superior skills in benefits interpretation Strong mathematical background 2-3 years experience in processing medical, dental and/or vision claims preferred The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.

Job Description At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives! Job Summary The Claims Administrator is responsible for contributing to the overall success of OneAmerica Financial objectives by helping our customers maintain a sense of security and their well-being by effectively providing timely and accurate administrative support to the OneAmerica Financial Claims teams. Primary duties may include, but are not limited to: Contribute toward business objectives and performance standards by accurately and timely requesting, verifying, and collecting claim requirements via phone and/or in writing. Consistently adhere to the documented workflow guidelines and established procedures and demonstrate high quality work by meeting or exceeding quality standards. Accurate claim data entry for group and individual lines of business. This may include, but is not limited to annuity, disability, life insurance, and life waiver of premium utilizing multiple administrative and claim systems. Deliver differentiated levels of service, including consistency, ownership, responsiveness, and empathy, consistently across all businesses and customer groups. Document claim files, systems, and all communication in an approved format in a clear, prompt, consistent and professional manner to ensure claims are processed in compliance with legal and statutory requirements as well as customer agreements. Depending on the line of business, may require correspondence with agents, beneficiaries, brokers, claimants, physicians, policyholders and third-party administrators verbally and in writing. Correspondence must adhere to required levels of confidentiality. Maintain a level of participation and commitment to individual, team and results by retaining responsibility for optional outcomes and assisting management in activities/projects that support team objectives. Demonstrates Empowerment with Accountability (EWA) and support of the OneAmerica Ways by adapting to changes in workflow and systems and identifying opportunities for efficiency and innovation in process. Takes appropriate actions to achieve objectives and independently adjust and assist fellow associates in response to shifting priorities and rapid change. Job Requirements Required Education and/or Certifications H.S Diploma or equivalent or any combination of education and experience which would provide an equivalent background. Recommended Education and/or Certifications. Bachelors Degree and/or 1 year working in a fast-paced office environment preferred. Required Work Experience Working knowledge of Microsoft Word and Outlook. Desired minimum of 1 year work experience preferred. Knowledge of insurance administration terms and processes is a plus. Or any combination of education and experience which would provide an equivalent background #LI-SC1 Salary Band: 01B This selected candidate will be expected to work hybrid in Indianapolis, IN or Portland, ME. The candidate will also be expected to physically return to the office in IN or ME as business needs dictate or for team-building and collaboration. If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York. Disclaimer: OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual’s race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law. For all positions: Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered. To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.

Job Description Field Adjuster- Commercial will investigate and evaluate daily property claims for clients pursuant to client and company direction. Provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production. Essential Functions: Handles all assigned claims promptly and effectively, with minimal need for direction and oversight. Inspect damaged property and determine claim related damage. Makes decisions within delegated authority as outlined in company policies and procedures. Understands insurance coverage and applies appropriate claims practices to resolve claims in alignment with company guidelines. Sets and relays adequate reserves according to carrier guidelines. Maintains current knowledge of insurance policies and carrier guidelines. Maintains current knowledge of local industry repair procedures and local market pricing. Submits severe incident reports, insured to value (ITV) reports and other information to claims management as needed. Delivers outstanding customer service experience to all internal, external, current, and prospective customers nationwide. Adheres to high standards of professional conduct while providing delivery of outstanding claim's service. Perform other duties as assigned. Job Requirements: 2-3 years of experience with commercial property claims required Bachelors preferred; High School required. Must have a valid adjuster license for state residing/covering. Must have a valid driver’s license to travel to insured’s locations. Minimum $250,000 E&O policy required. Experience preparing estimates with Xactimate required (Symbility is a plus). Knowledge of insurance policies, theories, and practices. General understanding of construction concepts and principles strongly preferred. Must have the ability to climb ladders, get in attics/crawlspaces, get on roofs, kneel, bend, etc. Must complete continuing education credits where required to maintain licensing. Strong investigative, analytical, and problem-solving skills Capability to plan, organize and manage time efficiently. Ability to work within specific client guidelines concerning both service timelines and preparation of estimates.

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Do you have 1-5 years' experience handling workers' compensation claims and are looking to make a change to work for a company that values work/life balance? Federated Insurance has a career opportunity for you in this office-based Workers' Compensation Representative position. No specific state experience is required. This is an in-office position that will work out of our Indianapolis, IN office, located at 9785 Crosspoint Blvd. A work from home option is not available. Responsibilities Complete thorough investigation of the alleged work injury and document claims facts. Determine the value of injury and establish appropriate case reserves. Complete claim determination to identify if injury was work related. Accurately pay medical and wage loss benefits. Initiate return to work discussions with the employer. Negotiate settlements with the injured employee or attorney. Communicate with employer, employee, physician, attorney and others to ensure claims are resolved in a prompt, fair, and courteous way. Minimum Qualifications Current pursuing, or have obtained a four-year degree 1-5 years' experience in handling workers' compensation claims. Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Management and leadership experience a plus Salary: $60,100-$80,900 (Starting salary will be determined based on skills and experience.) What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy. We can recommend jobs specifically for you! Click here to get started.

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.

Essential Functions of Job: Processing and evaluating medical and dental claims Obtaining information by telephone as well as by hard copy and entering into the computer systems Prioritization of individual work flow associated with the case assignments Establishing and maintaining professional rapport with clients and providers (physicians and hospitals) Maintaining and assuring accuracy of documentation Discuss with members, clients and providers the issues relating to claim administration Ability to report to the office Qualifications: High school diploma or equivalent Effective organizational and prioritization skills Excellent oral and written communication skills Basic knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) Ability to work in a fast paced multi-tasking environment Strong interpersonal skills with ability to function as a positive team member Superior skills in benefits interpretation Strong mathematical background 2-3 years experience in processing medical, dental and/or vision claims preferred The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.