Claims representative jobs in Bismarck, ND - 72 jobs
All
Claims Representative
Claims Adjuster
Adjuster
Claim Specialist
Senior Claims Specialist
Property Claims Adjuster
Claim Investigator
Field Adjuster
Senior Claims Analyst
Liability Claims Representative
Insurance Adjuster
Senior Stop Loss Claims Analyst - HNAS
Highmark Health 4.5
Claims representative job in Bismarck, ND
This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards.
HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve.
**ESSENTIAL RESPONSIBILITIES**
+ Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as needed; provides counseling to clients and assists with client service programs.
+ Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state regulatory guidelines, and industry standards.
+ Monitors, reviews and analyzes various complex potential claims with emphasis on controlling losses through effective managed care. This includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. Refers the claim to the cost containment and RxOps departments for review of high dollar charges if applicable.
+ Determines whether to pend or adjudicate claims following organizational policies and procedures; finalizes and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, brokers, or customers utilizing the appropriate application and/or template.
+ Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes and update documentation.
+ Assists leadership with performing client performance evaluations to assess the accuracy of client reports submitted to the organization, efficiency of claim operations, and adequacy of systems and procedures.
+ Approves claim payments on behalf of multiple clients and provides client counseling and support services. Assists in the client service programs including revising and establishing procedures, protocols and ensuring client satisfaction with the organization.
+ Maintains accurate claim records.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ High School Diploma/GED
**Substitutions**
+ None
**Preferred**
+ Bachelor's degree
**EXPERIENCE**
**Required**
+ 5 years of relevant, progressive experience in health insurance claims
+ 3 years of prior experience processing 1st dollar health insurance claims
+ 3 years of experience with medical terminology
**Preferred:**
+ 3 years of experience in a Stop Loss Claims Analyst role.
**SKILLS**
+ Ability to communicate concise accurate information effectively.
+ Organizational skills
+ Ability to manage time effectively.
+ Ability to work independently.
+ Problem Solving and analytical skills.
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$22.71
**Pay Range Maximum:**
$35.18
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273755
$22.7-35.2 hourly 36d ago
Looking for a job?
Let Zippia find it for you.
Senior Marine Claims Specialist-Hull
Zurich Na 4.8
Claims representative job in Bismarck, ND
130521 We are excited to share that Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience preferred) to join our team! We are open to remote work for the right candidate located within the U.S..
In this role you will be responsible for:
+ Ability to handle dedicated accounts.
+ Frequent interaction with Assureds, Brokers and Underwriters.
+ Some travel may be required but this is not very frequent.
Basic Qualifications:
+ Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Zurich Certified Insurance Apprentice, including an associate degree with 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.AND
+ Must obtain and maintain required adjuster license(s)
+ Microsoft Office experience
+ Knowledge of insurance regulations, markets, and products as well as maritime and admiralty practices.
Preferred Qualifications:
+ Extensive Marine Hull claims experience preferred.
+ Emphasis on Marine Liability, Hull, Blue water and brown water claims, Jones Act, General Average and Ocean Cargo Claims experience preferred.
+ Licensed in all states as needed required.
+ Effective verbal and written communication skills
+ Strong analytical, critical thinking and problem-solving skills
+ Strong multi-tasking and prioritization skills
+ Experience collaborating in a team environment and building cross functional working relationships
+ Proactively shares and promotes sharing of insights
+ Ability to gather unique perspectives from other teams/functions to optimize outcomes.
+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims
+ Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
+ Ability to determine the scope and exposure for complex claims
+ Ability to leverage trend and relationships to provide high-quality customer service
+ Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.
+ Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims
+ Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $75,800.00 - $124,100.00, with short-term incentive bonus eligibility set at 15%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .]
**Why Zurich?**
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 .
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code § 1033.
**Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Texas Virtual Office, AM - Remote Work (US)
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-JJ1 #LI-ASSOCIATE #LI-REMOTE
EOE Disability / Veterans
$75.8k-124.1k yearly 4d ago
PROPERTY CLAIMS ADJUSTER - INSPECTOR - FARGO, ND
Grinnell Mutual Reinsurance Company 4.0
Claims representative job in Fargo, ND
The primary location for this position is in Fargo, North Dakota, or within a 100-mile radius to the north along the I-29 Interstate.
The Property Claims Adjuster-Inspector adjusts property claims as part of Reinsurance Adjuster Program for assigned mutuals. Determines coverage by consulting policy in force and endorsements, evaluates loss by completing on-site investigations, and settles claims according to Grinnell Mutual Claims procedures.
This position is based out of your home with a company-provided vehicle for travel to the claim sites. Grinnell Mutual employees and their family members enjoy a comprehensive health benefits package that reduces premiums for commitment to a healthy lifestyle, along with a full suite of disability and life insurance and a 401(k) program with a company match. Property Claims Adjusters receive a one-time home office reimbursement up to $1,000 to set up their remote home office and monthly internet expenses paid by the company. Grinnell Mutual offers a flexible work environment and paid holidays where the office is closed. Please note that candidates must be eligible to work in the U.S. without Grinnell Mutual sponsorship.
Responsibilities
Investigates property claims for both farm and homeowners through on-site investigation and interviews with claimant, insured, and witnesses to determine the extent of damage.
Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates and equitably settles all assigned claims cases in accordance with company policies and procedures at values commensurate with damages sustained. Sets reserves based on estimated loss for claim.
Organizes and manages time effectively to ensure the prompt and successful resolution of all assigned cases, maintaining high standards of professionalism to deliver exceptional service.
Prepares and submits initial and follow-up reports of findings and action taken on each assigned claim in conformity with established procedures. Documents file with activity, contacts, offers, and demands related to claim. May be asked to assist or prepare file for subrogation, suit, or trial.
Works with law enforcement to verify items stolen and confirm payment/ownership if recovery is made following claim payment, file written request for restitution in all arrests including vandalism claims.
Cultivates and maintains strong relationship with Agents and Mutual Managers, serving as a liaison between the customer and Grinnell Mutual. Supports the evaluation of mutuals for future business opportunities and conveys feedback from the Mutual to the supervisor.
Conducts on-site field inspections determining building values, making recommendations of risk acceptability, identifying hazards, and recommending appropriate corresponding corrective action.
Recommends proper building insurance to value based on inspection. Works with underwriting to determine insurability and providing documentation on the condition of the property through photographs and diagrams.
Authorizes and/or approves all claims payments within the delegated authority or within the maximum limits as outlined in company policies and procedures. Setting and maintaining reserves through resolution of the claim.
Accountable for managing the settlement process of all assigned files from start to close.
Performs other duties as assigned.
Qualifications
High school diploma, general education degree (GED), or equivalent combination of education and applicable work experience. Minimum of two years' experience in property adjusting (home and farm owners), construction, estimating or insurance. Associates or Bachelors degree preferred.
AIC or CPCU designations preferred.
Prefer experience with Xactimate or similar computer based adjusting tool.
Possesses excellent interpersonal, active listening, and customer service skills to efficiently resolve claims. This includes being knowledgeable, patient, resilient under pressure, persistent, empathetic, and decisive.
Ability to professionally communicate claim information and respond to inquiries in both one-on-one and group settings, whether over the phone, in person, or through written correspondence.
Demonstrates strong written communication skills, using proper grammar and professionalism in business correspondence and reports directed to the file or the mutual.
Skilled in applying logical thinking and sound judgement, drawing on experience and factual information to make informed decsisions on claims. Follows established procedures to assess coverage, determine negligence, and evaluate damages.
Ability to organize work, determine priorities, and meet deadlines while incurring frequent interruptions.
Demonstrates the ability to collaborate effectively with colleagues and supervisors, while interacting with customers and the general public in a tactful and courteous manner.
Ability to maintain a valid driver's license and travel from the office located in the employee's home to Grinnell Mutual customer offices or claim sites. Daytime travel approximately 60 to 80% of the time. Occasional overnight travel is required approximately 10% of time depending on region size and/or number of claims incurred in concentrated area
Regular and predictable attendance is required to effectively meet the customers needs.
Must be able to maintain confidentiality of sensitive or proprietary information.
Demonstrated ability to adhere to all Grinnell Mutual policies.
Demonstrated ability to incorporate Grinnell Mutual core values in all areas work.
Compensation
The salary range for the position is $51,00.00 - $88,300.00. For a list of benefits, click here.
Working conditions and physical efforts
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The Property Claims Adjuster works with many types of people while representing Grinnell Mutual and its Mutuals. This can be stimulating yet fast paced especially during high claims volume periods and when working with individuals facing a personal loss.
The position is physically located in the employee's remote home office. The position requires an individual to drive on a frequent basis.
While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; talk or hear; and taste or smell.
The employee must be able to climb ladder, work on rooftops, and maneuver ladder as needed. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 35 pounds, and occasionally lift and/or move up to 50 pounds.
Specific visual abilities required by this job include distance vision, peripheral vision, depth perception, and ability to adjust focus.
This role often involves working in outdoor weather conditions, with occasional exposure to extreme cold and heat.
The incumbent occasionally works with all levels of employees in the home office including management, in-house counsel, property appraisers, special investigators, underwriters, finance, and support units.
The incumbent has frequent contact with external customers including mutual managers, insureds, claimants, agents, witnesses, body shops, counsel, medical professionals, and local authorities.
This job description is not intended to describe, in detail, the multitude of tasks that may be assigned, but rather to give the employee a general sense of the responsibilities and expectations of the position. As the nature of the business demands change, so too may the job duties and responsibilities.
Grinnell Mutual is an Equal Opportunity Employer in accordance with applicable state and federal laws.
$88.3k yearly Auto-Apply 60d+ ago
Independent Insurance Claims Adjuster in Bismarck, North Dakota
Milehigh Adjusters Houston
Claims representative job in Bismarck, ND
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$42k-50k yearly est. Auto-Apply 60d+ ago
Specialty Loss Adjuster
Sedgwick 4.4
Claims representative job in Bismarck, ND
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
Specialty Loss Adjuster
**Embark on an Exciting Career Journey with Sedgwick Specialty**
**Job Location** **: USA, Mexico, Brazil and strategic locations globally**
**Job Type** **: Permanent**
**Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.**
**We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations**
We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction.
Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry.
**As a member of the Specialty platform, you will have the opportunity to:**
+ Work with a wide range of clients across the globe, handling complex cases and claims
+ Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results
+ Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency
+ Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry
+ Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success
**The skills you will have when you apply:**
+ **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience
+ **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must
+ **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically
+ **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage
**What we'll give you for this role:**
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 annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. 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. Always Accepting Applications.
**This isn't just a position, it's a pivotal role in shaping our industry**
At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education.
Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry.
**Next steps for you:**
**Think we'd be a great match? Apply now -** ** we want to hear from you.**
As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.
After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person).
\#LI-HYBRID
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**
$44k-55k yearly est. 60d+ ago
Property Claim Representative
IMT Insurance
Claims representative job in Sioux Falls, SD
WHO WE ARE
IMT is proud of our heritage and will never forget where our roots are firmly planted. Locally run from its office in West Des Moines, Iowa, IMT has been a Midwest company since it was founded in Wadena, Iowa in 1884. That s over 140 years!
Today, IMT continues to offer a strong line of personal and commercial insurance products for which it has always been known, along with exceptional service for a competitive price. Our products are offered through Independent Agents throughout a six-state territory Iowa, Illinois, Minnesota, Nebraska, South Dakota and Wisconsin.
PROPERTY CLAIMREPRESENTATIVE
IMT Insurance is now taking applications for the position of a Property ClaimRepresentative in Sioux Falls, South Dakota area. This individual will conduct investigations and attempt settlement of claims submitted by policyholders for property losses. The ideal candidate will be an analytical, detailed worker, who can manage time and work on multiple projects while maintaining accuracy and service. IMT Property ClaimsRepresentatives investigate and evaluate claims involving personal and commercial property to determine proper policy coverages and apply best claims practices to ensure accurate settlements in accordance with company guidelines. If you're interested in joining our claims department, apply online today!
A DAY IN THE LIFE
Conduct interviews with insureds, claimants and other interested parties
Conduct thorough investigations and examine insurance policies to determine coverage
Inspect damages and prepare written estimates of repair or replacement
Correspond with insureds, claimants and other interested parties
Prepare and report findings and negotiate settlements
DESIRED QUALIFICATIONS
0 - 3 years Property claims experience preferred
Bachelor's Degree
Excellent verbal and written communication skills
Excellent problem-solving and negotiation skills
Good keyboard/PC skills
Excellent organizational and prioritization skills
Ability to climb ladder to assess roof damage
Ability to lift minimum 30 lbs
Must maintain valid driver s license
Able to travel/stay overnight for storm claim duty
BENEFITS & PERKS
IMT Insurance is committed to our employees and their families. When you work for IMT, you earn far more than just a paycheck. The IMT office was new in 2018 and offers a fitness room, game room and a variety of collaboration areas. This position includes learning and development opportunities and more! Below is a list of what IMT offers our employees:
Medical, dental, and vision insurance, Life & A D & D insurance, 401K retirement savings accounts, spending accounts, long and short-term disability, profit share, paid vacation & sick time, employee assistant program and additional voluntary benefits.
The salary range for this position is $53,000.00 - $99,000.00
Starting salary and level of position will depend on level of experience
This position is not eligible for tips or commission but may be eligible for additional bonuses
WHAT DEFINES US
Our vision is to provide peace of mind in the moments that matter.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.
Our agents and customers come from all walks of life and so do we. Our goal is to hire great people from a wide variety of backgrounds, because it makes our team stronger. If you share our values and our passion for creating a Worry Free life for others, we want to talk to you!
$32k-43k yearly est. 60d+ ago
General Liability Claim Representative
The Travelers Companies 4.4
Claims representative job in Geddes, SD
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$67,000.00 - $110,600.00
Target Openings
1
What Is the Opportunity?
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner.
In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process.
As of the date of this posting, Travelers anticipates that this posting will remain open until 4/1/2026.
What Will You Do?
Provide quality claim handling of General Liability claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations.
Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates.
Determine claim eligibility, coverage, liability, and settlement amounts.
Ensure accurate and complete documentation of claim files and transactions.
Identify and escalate potential fraud or complex claims for further investigation.
Coordinate with internal teams such as investigators, legal, and customer service, as needed.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* Three years of experience in insurance claims, preferably General Liability claims.
* Experience with claims management and software systems.
* Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
* Strong analytical and problem-solving skills.
* Proven ability to handle complex claims and negotiate settlements.
* Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
What is a Must Have?
* One-year bodily injury liability claim handling experience, or one year of liability claim experience, or successful completion of Travelers ClaimRepresentative training program.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
$67k-110.6k yearly 11d ago
Property Claims Representative
Nodak Insurance Company 3.7
Claims representative job in Fargo, ND
Summary: Investigate, negotiate, and settle claims of a more serious nature within personal settlement authority under general supervision. Render prompt claim service and establish the best possible relationship with all persons involved.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
May be responsible for the set-up of claims, including taking loss reports, establishing a claim file either through automated or manual systems, and obtaining policy information through the use of computer or direct contact with agents or company personnel.
Performs a thorough investigation of the loss, including securing recorded or signed statements, medical records and reports, proof of loss, police reports, diagrams, photographs, or testimony from technical experts.
Investigation may be tedious and involve exploring less accessible sources.
Secure assistance of specialists or outside vendors where personal judgment dictates the cost effectiveness and need for these services.
Interprets coverage and liability issues on the majority of cases, seeking advice on only the most involved cases or those with dollar values exceeding personal authorization. This includes reviewing policy language and endorsements as well as using reference materials to determine legal precedent. On claims where investigation warrants denial, prepares denial materials including documentation, and communicates the decision to the affected parties.
Evaluates and appraises losses and applies deductibles, betterment, and depreciation principles in arriving at a settlement amount. This may include writing estimates and acquiring agreed-upon prices for property damage as well as assessing bodily injury and related awards for personal injury cases.
Reviews all bills and estimates prior to making a settlement or seeking a settlement authority to determine applicability for payment under policy provisions.
Prepares drafts, negotiates settlements, and performs all tasks required to close a case and effect efficient and fair settlement of claims. This may include the proper handling of subrogation and disposal of salvage or property owned by the Company to reduce paid loss amounts.
Prepares all worksheets, forms, documentation, and reporting duties to create a file that is capable of being used by others to monitor progress or continue efficient handling of a claim.
Responsible for providing an acceptable work space to work out of their home and comply with the Company's Telecommuting Agreement.
Qualifications
Education and/or Experience: Bachelor's Degree or equivalent. Experience at the claimrepresentative level with the ability to handle more complex cases with only general supervision. Generally acquired at about 3 years of experience.
Promotional potential and organizational progressions: Sr. ClaimRepresentative
Certificates, Licenses, Registrations: AIC, Agents Property and Casualty License (by state).
Required Knowledge and Skills:
Must be able to readily interpret policy language, liability, and negligence law on more involved cases and perform research when required. Work is varied and complex in nature.
Must have knowledge of claim values and establish the value of the majority of assigned cases. Must have knowledge of claim procedures and legal requirements for proper claim handling. Access and enter information accurately into the CRT.
Prepare written worksheets, forms, and other documentation to enable efficient claim handling.
Record numerous reports, letters, and file documentation for transcription by appropriate staff.
Maintain acceptable attendance as defined in the company personnel policy.
Special Relationships to other people, internally and externally, cost control, etc.): Has broader personal settlement authority subject to normal supervisory review. Generally can work independently with normal supervision and accountability for the results. Has considerable contact by telephone or in person with claimants, insureds, agents, attorneys, Company personnel, and the general public. Must continually be aware of being a Company representative and projecting a favorable image.
Physical Requirements: While performing the duties of this job, the employee is occasionally required to stand, walk, sit, use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
The noise level in the work environment is usually moderate.
FOR OUTSIDE CLAIMREPRESENTATIVES ONLY
Visually and physically inspect accident and/or loss scenes. Conduct in-person meetings with claimants, insureds, agents, and the public in a variety of locations away from the home office. Visually and physically inspect the damages claimed. Work outdoors in all types of weather for a limited time period while inspecting damages or a loss scene. Photographically record damages, accidents, and/or loss scenes. While performing the duties of this job, the employee is occasionally required to stand; walk considerable distances in all types of weather, terrain and conditions; sit; use hands to finger, handle, measure, or feel; reach with hands and arms; transport, setup and climb ladders to inspect roofs including dwellings, barns, bins, grain systems, and other structures, or balance; stoop, kneel, crouch, or crawl in or under structures and equipment. The employee must regularly lift and/or move items weighing at least 50 pounds.
Nodak Insurance Company complies fully with all federal, state, and local employment laws and shall provide equal employment and advancement opportunities for all persons regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, the presence of any mental or physical disability, status with regard to public assistance or marriage, or any other category protected by local, state or federal law.
$29k-34k yearly est. 17d ago
1099 Daily Experienced Licensed Field Adjuster - North Dakota
Struction Solutions
Claims representative job in Bismarck, ND
Struction Solutions, a leading source for commercial and residential claims servicing clients. all over the U.S.
We are trying to build our roster in various locations through out the United States for future assignments.
The Field Adjuster will be assigned daily claims.
Skill Set:
Xactimate experience is required.
Prefer 3+ years experience handling property field claims.
Preferred Commercial Experience.
Must have valid state Adjuster Licenses.
Excellent customer service, written and verbal communications skills to effectively manage and prepare reports.
Be a part of the Solution!
View all jobs at this company
$44k-55k yearly est. 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Grand Forks, ND
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.
Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers' Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred.
Essential Responsibilities:
Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
Investigates, evaluates, and resolves Workers' Compensation claims.
Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues.
Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
Generates checks for indemnity and medical payments daily.
Develops and monitors consistency in procedural matters of the claims handling process with CRS.
Compiles and interprets Workers' compensation reports on designated accounts, as requested.
Ability to adjudicate lost time claims.
Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
Performs special projects and other duties as requested.
Qualifications:
Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed.
Experience: 2-4 years claims experience with strong background in Workers' Compensation coverage.
Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.
Here's a little bit about us:
At Creative Risk Solutions, you'll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
The salary range for this role is $45,800- $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers' Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred.
Essential Responsibilities:
Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
Investigates, evaluates, and resolves Workers' Compensation claims.
Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues.
Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
Generates checks for indemnity and medical payments daily.
Develops and monitors consistency in procedural matters of the claims handling process with CRS.
Compiles and interprets Workers' compensation reports on designated accounts, as requested.
Ability to adjudicate lost time claims.
Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
Performs special projects and other duties as requested.
Qualifications:
Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed.
Experience: 2-4 years claims experience with strong background in Workers' Compensation coverage.
Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.
Here's a little bit about us:
At Creative Risk Solutions, you'll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
The salary range for this role is $45,800- $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
$45.8k-78.8k yearly Auto-Apply 28d ago
Daily Property Claims Adjuster - Sioux Falls, SD
Cenco Claims 3.8
Claims representative job in Sioux Falls, SD
CENCO Claims is seeking a dependable Daily Property Claims Adjuster to service residential property claims in and around Sioux Falls, South Dakota. This field-based role offers steady daily claim volume, flexible scheduling, and consistent support from our internal claims team.
Primary Responsibilities:
Perform on-site inspections to assess residential property damage
Prepare accurate and detailed estimates using Xactimate
Document losses with clear photos and written reports
Communicate professionally with policyholders and carriers
Submit timely, well-organized claim files
Requirements:
Proficiency with Xactimate estimating software
Working knowledge of residential construction and property damage
Strong time management and communication skills
Reliable transportation and a valid driver's license
Active South Dakota adjuster license or designated home state license
What We Offer:
Competitive per-claim compensation
Consistent daily assignments in the Sioux Falls market
Flexible schedule with autonomy in the field
Support from experienced claims professionals
Opportunity for long-term, ongoing work
Apply Today
If you're looking for steady daily claims in a growing Midwest market, we'd like to hear from you.
$46k-59k yearly est. Auto-Apply 38d ago
Crop Insurance Adjuster - Southwest North Dakota
Farmers Mutual Hail 4.3
Claims representative job in North Dakota
Crop Insurance Adjuster
At Farmers Mutual Hail (FMH), our mission is simple: protect the livelihoods and legacies of America's farmers through the complete farm insurance solutions we offer. As America's Crop Insurance Companyâ„¢, we are headquartered in the U.S. and have been owned by the farmers we insure for over 125 years.
As a full-time Crop Insurance Adjuster at FMH, you'll complete field inspections, read maps and aerial photos, measure fields, climb storage bins, and discuss findings of crop losses with producers to enable America's farmers to clothe, feed, and fuel the world. Due to the required travel, the potential candidate will need to be located in Southwest North Dakota to be successful in this role.
BENEFITS:
Our employees appreciate our family-oriented culture, and we make sure their benefits reflect that. In addition to a competitive salary and bonuses, medical/dental/vision plan, 401(k) plan with a generous company match, you will be eligible for benefits such as:
Paid Parental leave and Caregiver leave
This position will receive a vehicle, cell phone, and paid expenses for travel
Employee appreciation events
Employee Assistance Program (EAP) for support when you and your family need it
REQUIREMENTS:
To be considered for this role, you will need the following:
Experience: A minimum of 1 to 5 years of crop insurance adjusting experience or an agriculture background is preferred.
Education: High school diploma or general education degree (GED) required; Associates and/or Bachelor's degree in business or an ag-related field preferred.
Skills: Must possess basic computer skills: Ability to use a computer, printer, scanner, Internet and Microsoft Office Products.
Additional Requirements: Must be available to attend all Company-mandated training events and conferences and be able to travel for work-related reasons for periods of time exceeding twenty-four (24) hours. Must be able to physically climb heights in excess or ten (10) feet, walk distances over ¼ mile over uneven terrain, and stand without rest for periods of time greater than one hour. Must maintain a valid driver's license, clean MVR, and own a vehicle.
RESPONSIBILITIES:
Understands and is able to work claims for all major crops, policy/plan types, in all stages of growth.
Effectively and clearly communicates regulations and interpretations to producers, agents, and Company staff regarding claims processes.
Stays current with RMA-requirements and maintains CAPP certification if working multi-peril crop insurance (MPCI) claims.
Maintains a State Adjuster License where required.
Does this sound like a good fit for you? Apply today through our website!
This position is not eligible for sponsorship for work authorization by Farmers Mutual Hail Insurance Company of Iowa. Therefore, if you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time.
Farmers Mutual Hail Insurance Company does not discriminate in employment (EOE). All qualified applicants are encouraged to apply. #LIDNP
$43k-55k yearly est. Auto-Apply 18d ago
Surveillance / Claims Investigator - Part-Time
Security Director In San Diego, California
Claims representative job in Fargo, ND
Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.
Job Description
Allied Universal is hiring a Surveillance / Claims Investigator. Surveillance / Claims Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation.
No office to go to - travel daily to cases in the field!
Must possess a valid driver's license with at least one year of driving experience
Will require Claims and Surveillance investigations as needed to ensure a full schedule
RESPONSIBILITIES:
Investigate insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability
Gather information independently and in collaboration with clients and case managers through various methods such as data collection, interviews, research, and scene investigations
Follow guidance from the handling insurance adjuster to perform field tasks essential to the investigation
Develop and document information on any investigation in a professional and expert manner by writing clear, concise, and grammatically correct reports, memos, and letters
Run appropriate database indices if necessary and verify the accuracy of results found
QUALIFICATIONS (MUST HAVE):
Must possess one or more of the following:
Bachelor's degree in Criminal Justice
Associate's degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
High school diploma with a minimum of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
Ability to be properly licensed as a Private Investigator as required by the states in which you work
Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
Minimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims
Working knowledge and understanding of anti-fraud laws, insurance regulations, and compliance rules and standards in their home state and within their designated region of the country
Special Investigative Unit (SIU) Compliance knowledge
Ability to type 40+ words per minute with minimum error
Flexibility to work varied and irregular hours and days including weekends and holidays
Proficient in utilizing laptop computers and cell phones
PREFERRED QUALIFICATIONS (NICE TO HAVE):
Military experience
Law enforcement
Insurance administration experience
One or more of the following professional industry certifications
Certified Fraud Investigator (CFE)
Certified Insurance Fraud Investigator (CIFI)
Fraud Claim Law Associate (FCLA)
Fraud Claim Law Specialist (FCLS)
Certified Protection Professional (CPP)
Associate in Claims (AIC)
Chartered Property Casualty Underwriter (CPCU)
BENEFITS:
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company's 401(k)plan, subject to eligibility requirements
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law.
Closing
Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: ***********
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices.
Requisition ID 2026-1515412
$41k-50k yearly est. Auto-Apply 6d ago
Surveillance / Claims Investigator - Part-Time
Allied Universal Compliance and Investigations
Claims representative job in Fargo, ND
Overview
Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.
Job Description
Allied Universal is hiring a Surveillance / Claims Investigator. Surveillance / Claims Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation.
No office to go to - travel daily to cases in the field!
Must possess a valid driver's license with at least one year of driving experience
Will require Claims and Surveillance investigations as needed to ensure a full schedule
RESPONSIBILITIES:
Investigate insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability
Gather information independently and in collaboration with clients and case managers through various methods such as data collection, interviews, research, and scene investigations
Follow guidance from the handling insurance adjuster to perform field tasks essential to the investigation
Develop and document information on any investigation in a professional and expert manner by writing clear, concise, and grammatically correct reports, memos, and letters
Run appropriate database indices if necessary and verify the accuracy of results found
QUALIFICATIONS (MUST HAVE):
Must possess one or more of the following:
Bachelor's degree in Criminal Justice
Associate's degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
High school diploma with a minimum of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
Ability to be properly licensed as a Private Investigator as required by the states in which you work
Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
Minimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims
Working knowledge and understanding of anti-fraud laws, insurance regulations, and compliance rules and standards in their home state and within their designated region of the country
Special Investigative Unit (SIU) Compliance knowledge
Ability to type 40+ words per minute with minimum error
Flexibility to work varied and irregular hours and days including weekends and holidays
Proficient in utilizing laptop computers and cell phones
PREFERRED QUALIFICATIONS (NICE TO HAVE):
Military experience
Law enforcement
Insurance administration experience
One or more of the following professional industry certifications
Certified Fraud Investigator (CFE)
Certified Insurance Fraud Investigator (CIFI)
Fraud Claim Law Associate (FCLA)
Fraud Claim Law Specialist (FCLS)
Certified Protection Professional (CPP)
Associate in Claims (AIC)
Chartered Property Casualty Underwriter (CPCU)
BENEFITS:
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company's 401(k)plan, subject to eligibility requirements
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law.
Closing
Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: ***********
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices.
Requisition ID
2026-1515412
$41k-50k yearly est. 6d ago
Rec Marine Adjuster
Sedgwick 4.4
Claims representative job in Bismarck, ND
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
Rec Marine Adjuster
**PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement.
+ Receives and reviews new claims and maintains data integrity in the claims system.
+ Reviews survey reports and insurance policies to determine insurance coverage.
+ Prepares settlement documents and requests payment for the claim and expenses.
+ Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required.
**Experience**
3 years or more of Marine Adjusting preferred.
**Skills & Knowledge**
+ Strong oral and written communication skills
+ PC literate, including Microsoft Office products
+ Good customer service skills
+ Good organizational skills
+ Demonstrated commitment to timely reporting
+ Ability to work independently and 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** **:**
+ 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.
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**
$50k yearly 49d ago
Inside PIP/Med Pay Claims Representative
Nodak Insurance Company 3.7
Claims representative job in Fargo, ND
Summary: We are seeking a detail-oriented Inside PIP/Med Pay ClaimsRepresentative to investigate, evaluate, and settle first-party injury claims, including medical expenses, lost wages, and essential services, in compliance with state-specific statutes and contractual policy language. This role serves as the primary contact for policyholders, medical providers, and attorneys, providing exceptional customer service while managing claims from inception to resolution.
Essential Duties and Responsibilities:
Claim Intake & Investigation: Receive new injury claims, gather initial details, contact parties (insured, medical providers, attorneys) to understand the incident and injuries.
Policy Interpretation: Review the specific insurance policy to determine coverage, limits, and exclusions for medical payments and lost wages.
Damage & Injury Assessment: Evaluate medical records, bills, treatment plans, and documentation to assess the validity and cost of injuries.
Coverage Decisions: Make formal coverage decisions and establish claim reserves (estimated payout).
Documentation & Compliance: Accurately document all claim activities, communications, and findings, ensuring compliance with regulations and company procedures.
Negotiation & Settlement: Negotiate settlements with claimants, attorneys, and medical providers within authorized limits.
Communication: Provide clear, timely updates to policyholders, medical staff, attorneys, and other relevant parties.
Authority: Operate within established company policies and claim-handling procedures, exercising sound judgment, initiative, and independence in decision-making.
Qualifications
Education & Experience: Bachelor's Degree or equivalent work experience required. Prior insurance claims handling experience is strongly preferred.
Promotional potential and organizational progressions: Senior ClaimsRepresentative.
Required Knowledge and Skills:
Communication: Excellent verbal and written communication skills; able to explain complex information clearly and handle sensitive interactions with professionalism and empathy.
Technical: Proficient in computer systems, data entry, and claims software; strong organizational, time management, and multitasking abilities.
Analytical: Ability to interpret policy language, legal principles, and medical documentation accurately.
Decision-Making: Strong problem-solving and judgment skills; comfortable interpreting contracts and applying company policy.
Mathematical: Competent in basic math concepts for accurate claim calculations.
Reliability: Consistent attendance, punctuality, and accountability
Special Relationships (to other people, internally and externally, cost control, etc.): Has broader personal settlement authority subject to normal supervisory review. Generally, can work independently with normal supervision and accountability for results. Has considerable contact by telephone or in person with claimants, insureds, agents, attorneys, Company personnel, and the general public. Must continually be aware of being a Company representative and projecting a favorable image. Must have the ability to communicate effectively with upset, angry individuals to resolve disputes and disagreements.
Physical Requirements: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to stand, walk, sit, use hands to finger, handle, or feel, reach with hands and arms, climb or balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee must may occasionally lift and/or move up to 25 pounds. The noise level in the work environment is usually moderate.
Nodak Insurance Company complies fully with all federal, state, and local employment laws and shall provide equal employment and advancement opportunities for all persons regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, the presence of any mental or physical disability, status with regard to public assistance or marriage, or any other category protected by local, state or federal law.
$29k-34k yearly est. 3d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Fargo, ND
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.
$43k-51k yearly est. Auto-Apply 6d ago
Independent Insurance Claims Adjuster in Fargo, North Dakota
Milehigh Adjusters Houston
Claims representative job in Fargo, ND
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
How much does a claims representative earn in Bismarck, ND?
The average claims representative in Bismarck, ND earns between $23,000 and $40,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.
Average claims representative salary in Bismarck, ND
$31,000
What are the biggest employers of Claims Representatives in Bismarck, ND?
The biggest employers of Claims Representatives in Bismarck, ND are: