Claims Supervisor (Bodily Injury)
Claims representative job in Richardson, TX
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Join a team where your expertise truly matters!Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage:
complex investigations
coverage determinations
liability assessments
bodily injury claim resolutions-through both settlement and litigation.
This role requires advanced knowledge of litigation processes and the ability to strategically support litigated and attorney-represented claims.
If you're passionate about developing talent, driving results, and making an impact in the automotive liability space, we'd love to hear from you.Success in this role is built on the foundation of GEICO's core leadership behaviors:
Ownership: You take responsibility for outcomes in all scenarios.
Adaptability: You navigate dynamic environments with creativity and resilience.
Leading People: You empower individuals and teams to achieve their best.
Collaboration: You build and strengthen partnerships across organizational lines.
Driving Value: You use data-driven insights to align actions with strategic goals.
What You'll Do:
Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust.
Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims.
Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority
Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations.
Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention.
Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service.
Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence.
Collaborate with leadership and cross-functional teams to identify and implement process improvements.
Serve as a resource for team members on insurance-related questions
providing mentorship and training to build their industry knowledge.
What We're Looking For:
Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases.
Active Adjuster license (required)
Expertise in Casualty claims, including knowledge of industry regulations and best practices
Strong ability to assess needs and guide associates in negotiating claim settlements as needed
Experienced in the use of various claims tools with ability to assist associates
Strong adherence to compliance and regulatory requirements
Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment
Strong results orientation, with a history of meeting or exceeding performance goals
Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations
Ability to analyze data and metrics to inform decision-making and improve customer outcomes
Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence
Why Join GEICO?
Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction.
Inclusive Culture: Join a company that values diversity, collaboration, and innovation.
Workplace Flexibility: This is a M-F, 8:00am - 4:30pm position offering a Hybrid work model based in Richardson, TX. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit.
Professional Growth: Access GEICO's industry-leading training programs and development opportunities:
Licensing and continuing education at no cost to you.
Leadership development programs and hundreds of eLearning courses to enhance your skills.
Increased Earnings Potential:
Pay Transparency: The starting salary for this position is between $97,735 annually and $151,700 annually.
Incentives and Recognition:
Corporate wide bonus programs are in place to reward top performers.
Beware of scams! As a recruiter, I will only contact you through a @geico.com email address and will never ask you for financial information during the hiring process. If you think you are being scammed or suspect suspicious activity during the hiring process, please contact us at ***********************.
keywords: litigation, auto liability, liability claims#geico300#LI-AL2
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
Auto-ApplyLegal Claims Analyst
Claims representative job in Plano, TX
ERISA Recovery are experts in collecting complex and aged claims through the Federal ERISA appeals process. We are a fast-growing organization located in Plano, TX. If you would like to join a friendly, passionate team with limitless potential, we'd love to meet you. This extraordinary opportunity to advance your career and make a difference is now.
We are searching for a Legal Hospital Claims Analyst - someone who works well in a fast-paced setting. In this position, you'll provide support in analyzing comprehensive claims and identifying key metrics. You will be a subject matter expert in legal claims. You must be able to work both independently and as part of a team. Key attributes for the ideal candidate include working with intensity, focus, and being detail oriented.
Essential responsibilities and duties
Conducts legal research and investigation of claims
Drafting legal documents
Keeping track of changes in legal framework and providing timely updates on these changes
Utilizes ERISA law enforcement
Utilizes knowledge of health care standards appropriate to specific claim
Ability to understand and apply medical reimbursement policies, procedures, and standards
Ensures eligibility for claims is reasonable and correct by analyzing claims and providing supporting documentation
Utilize a variety of EHR systems
Thrives in a fast-paced environment
Collaborates effectively with other team members
Ability to adapt to changing needs
Consistently applies knowledge relevant to claims
Work intensely at a fast-paced rate
Ability to communicate effectively with third party administrators
Determine the status of medical claims through research
Meet the standards of the department and quality standards
Strong organizational skills
Desired skills and Qualifications
Bachelor's degree
3+ years working in the legal field
2+ years working with healthcare insurance claims (preferred)
Strong Communication skills
Working knowledge utilizing Microsoft software (Word, Excel, Outlook)
Ability to work in a fast-paced environment
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance
Paid lunches
Bonus
ERISA Recovery is an Equal Opportunity Employer
Logistics Claims Representative
Claims representative job in Shreveport, LA
Purpose/Job Function:
The claims associate will support the filing, tracking, and management of claims for all modes supporting a MTS customer. This role will include working closely with the customer at both corporate offices as well as in the field. There will also be frequent communications with carriers to collect documentation as well as status updates. The data collection and analysis produced in this role will be critical in driving continuous improvements to the customer's service performance.
Essential Functions:
File and manage LTL and Parcel freight claims including freight, shortages, overages, and damages.
Deliver reliable service throughout the entire life cycle of each claim, including but not limited to: prompt contact and timely communication throughout the process until the claim is closed, explaining the process, setting expectations, follow-ups and meeting commitments to achieve optimal outcome on every file.
Assist with client and vendor damage claims.
Develop and grow effective relationships with clients, vendors, and internal business partners.
Update and maintain records
Recognize and request appropriate inspection type based on the details of the loss and coordinate the appraisal process.
Maintain oversight of the repair process and ensure appropriate expense handling, manage approvals per guidelines.
Manage and report weekly review of LTL carrier complaints.
Provide reports to support visibility to claims trends and opportunities to reduce issues.
Run reports and data analysis as needed.
Qualifications/Requirements:
Excellent verbal and written communication in order to respond effectively to sensitive inquiries and complaints
Strong data entry and record keeping skills (may include maintaining records in database/s)
Ability to apply principles of logical thinking to a wide range of practical problems
Strong organizational skills with accurate attention to detail
Aptitude to spot trends in shipment data and detail
Proficient in use of Microsoft Office Suite (use of Excel, Word, Outlook)
Education/Experience:
Highschool diploma or GED
Prior data entry experience preferred
Working Conditions/Physical Demands:
The Claims Associate will sit in front of a computer for long hours at a time responding to emails, communicating with clients, teammates and carriers, and entering financial data. Staring at the computer may cause eye irritation or even muscle strain.
The increased repetitive motions and awkward postures attributed to the use of computer keyboards may also result in cumulative trauma disorders (CTDs).
The job as Claims Associate does not require any strenuous or physical activity.
Customary Work Hours: 8:00 A.M. to 5:00 P.M., Monday through Friday
Auto-ApplyScope Only Adjusters
Claims representative job in Shreveport, LA
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:
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.
Field Claims Adjuster
Claims representative job in Shreveport, LA
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.
Auto-ApplyIndependent Insurance Claims Adjuster in Shreveport, Louisiana
Claims representative job in Shreveport, LA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyLoss Claims Specialists/ Project Manager
Claims representative job in Shreveport, LA
About the Role PuroClean of Shreveport is seeking a high-character individual to join our team as a Loss Claims Specialist. This is more than a job-it's a leadership role designed for someone who can take full ownership of a project from start to finish and align with our mission of providing empathetic, efficient, and professional restoration services to our community.
As a Loss Claims Specialist, you will serve in a project manager capacity, overseeing the execution of all services related to water damage, mold, biohazard, contents handling, and reconstruction. This role demands strong organizational skills, technical knowledge, and a commitment to both customer care and team collaboration.
Why Join Us
* Profit Sharing Position - your success is our success
* Annual Draw of $50,000 + laptop + software subscriptions
* Be part of a purpose-driven company that values integrity, excellence, and service
* Opportunities for growth and advancement in a fast-paced industry
What You'll Need
* A personal vehicle and reliable transportation
* A working phone
* A desire to learn and align with our SOPs and company goals
* Willingness to take ownership and be accountable for job outcomes
* Ability to manage multiple claims and ensure timely completion of each project
What You'll Do
* Manage restoration projects from intake through completion
* Coordinate and execute all mitigation and reconstruction services:
* Water Damage
* Mold Remediation
* Biohazard Cleanup
* Contents Pack-Out and Cleaning
* Reconstruction/Build-Back
* Estimate, invoice, and track jobs using software including:
* Xactimate
* Estimate
* Time and Materials platforms
* Learn and apply our internal SOPs with consistency and accuracy
* Meet or exceed quarterly performance goals
Preferred (but not required):
* Prior construction or restoration experience
* Familiarity with insurance claims processes or property loss mitigation
Who We're Looking For
We're looking for someone with more than just technical skills. We value character, accountability, and alignment with our company vision. If you take pride in your work, can lead by example, and are looking to grow in an environment that rewards dedication and results-you may be exactly who we're looking for.
Rec Marine Adjuster
Claims representative job in Shreveport, LA
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**
Total Loss Adjuster, Personal Lines
Claims representative job in Dallas, TX
The Total Loss Adjuster will handle first and third party total loss claims for all vehicle types including private passenger autos, trailers, RV's, motorcycles, boats, farm equipment, construction equipment, commercial vehicles and commercial trucking. The Total Loss Adjuster makes and maintains a connection with the customer by understanding and meeting their needs; exhibits empathy and proactively follows up with the customer. Researches and responds to a variety of customer communications, concerns, or issues ranging from simple to complex. Documents the claim file with notes, evaluations and decision making process. Evaluates, validates and negotiates simple to complex total losses.
Key Responsibilities:
Investigating, evaluating, and negotiating claims, in order to reach a fair and equitable settlement
Negotiates settlement of claims with insureds, claimants and attorneys while following established, authorized settlement authority.
Uses compassionate communication and persuasive negotiation to ensure a positive customer experience
Reviews claim details, coverage limits, the estimate and all associated charges to confirm Total Loss Evaluation
Handles all claims within the guidelines of the states' Fair Claims Practices Acts and other Regulations. Will act as specialist in knowledge of Salvage and Title laws of the various states to facilitate legal transfer of title and claim resolution
Communicates with Lien Holders, Body shops, tow facilities and other vendors to secure information needed to bring claim to a conclusion
Controls associated claims for Rental/Loss of Use and storage
Ensure timeliness and KPI's are being met
Work closely with the MD appraisers to ensure accurate and timely evaluations
Ensure claim files are properly documents and all documents are attached
Request documents needed to process titles and salvage of vehicles
Monitor Copart website for receipt of title documents
Maintains an up-to-date dairy
Identifies subrogation and SIU opportunities and follows Company procedures to notify the appropriate company personnel of same
Ensure compliance with Hallmark Best Practices
Adjusts reserves to accurately reflect the exposure
Issue payments to the appropriate parties
Other Responsibilities:
Attend and participate in team meetings
Attends and successfully completes all assigned training in a timely manner
Complete continuing education and maintain state licensing for states which require a license
Qualifications:
Decisive and purposeful
Strong moral character and work ethic
Independent and self starting
Strong verbal communication skills
Shows initiative, exhibits a “can do” attitude, and provide ideas while working within a team environment
Able to work in a high volume, collaborative, fast paced environment while managing multiple priorities
Highly organized
Detail oriented with strong analytical skills and sound judgement
Excellent time management skills to meet deadlines and prioritize
Problem solver
Adaptive and flexible
Strong negotiation skills
Education, Experience, Knowledge and Skills:
Excellent verbal and written communication skills.
Strong interpersonal skills
Demonstrated proficiency of technology including, Microsoft Suite Software (Word, Excel, Power Point, Outlook), Total Loss Manager, ACD, vendor databases and other required web-enabled applications
Ability to operate business technology
Superior telephone skills
Excellent math skills
Ability to draft business correspondence, using correct punctuation, spelling and grammar
Experience investigating, evaluating, negotiating and settling simple to complex Auto claims strongly preferred
Knowledgeable of laws and regulations as it applies to auto insurance industry
Bilingual preferred
Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Auto-ApplyRisk Claims Specialist
Claims representative job in Dallas, TX
Job Description
Key Responsibilities: Customer Claims: • Manage Customer Injury and Liability Claims: Oversee the investigation, documentation, and resolution of customer claims related to personal injury, property damage, or any other incidents occurring on organization premises.
• Coordinate with Insurance Providers: Liaise with insurance companies to ensure proper claims filing and coordinate the resolution of claims involving external parties.
• Customer Support: Handle escalated customer claims and provide appropriate resolutions while ensuring the store's best interests are maintained.
• Documentation & Compliance: Ensure that all claims are properly documented in compliance with company policies and legal requirements. Keep detailed records of each customer-related claim.
• Risk Prevention: Identify trends or recurring incidents that may contribute to customer claims and work with store management to implement safety measures or preventive actions.
Employee Claims:
• Workers' Compensation Claims: Oversee and manage all workers' compensation claims, ensuring compliance with state and federal regulations, and ensuring employees receive appropriate benefits.
• Workplace Injury Claims: Manage the investigation of employee injury claims, including gathering evidence, interviewing witnesses, and ensuring all necessary forms are completed and submitted on time.
• Fleet Claims Management: Manage the investigation of employee fleet claims, support employee's injuries if any, gather witness statements
• Support and Guidance: Provide support to injured employees, ensuring they are informed throughout the claims process and are aware of their rights and available benefits.
• Collaboration with HR and Legal: Work with HR and legal teams to ensure employee-related claims are handled correctly and in compliance with labor laws, insurance regulations, and company policies.
• Collaboration with Safety Team: Work with the Safety Team to consistently do store visits, conduct safety audits, checklists and investigations as needed.
Development:
• Process Improvement: Identify opportunities to improve the claims process, whether through more efficient systems, better documentation, or enhanced communication strategies.
Risk Management and Reporting:
• Claims Analysis and Reporting: Review and analyze the data on claims to identify trends, recurring issues, or areas for improvement. Prepare detailed reports for management regarding claim frequency, costs, and risk mitigation efforts.
• Collaboration with Risk and Safety Teams: Work closely with the Risk Management and Safety teams to address underlying causes of incidents that may lead to claims and develop preventive strategies.
• Compliance: Ensure that all claims are processed in line with company policies, industry standards, and legal requirements, including managing documentation for audits or regulatory reviews.
• Invoices: Reconcile and verify all invoices generated from claims.
• Safety Monitor Report: Complete Safety Monitor report and communicate all parties involved to resolve an issue related to an investigation.
Qualifications:
• Bachelor's degree in Business, Risk Management, Insurance, or a related field (or equivalent experience).
• 3-5 years of experience in claims management, risk management, or a specialist role, preferably
in a retail or supermarket environment.
• Strong understanding of risk management principles, insurance claims processes, and workers' compensation regulations.
• Strong problem-solving and analytical abilities to investigate and resolve complex claims efficiently.
• Excellent communication skills, both written and verbal, with the ability to manage sensitive issues with customers and employees.
• Attention to detail and ability to maintain accurate records and reports.
• Proficient in Microsoft Office and experience with claims management software or risk management tools.
Physical Requirements:
• Ability to stand for extended periods
• Ability to lift up to 50 lbs as needed
Work Environment:
• Fast-paced, high-volume environment
• Occasional evening, weekend, or holiday work may be required
• Occasional travel to different company locations
Physical Demands:
Some lifting, carrying, pushing, and/or pulling; some stooping, kneeling, crouching, and/or crawling; and significant fine finger dexterity. Generally, the job requires 70% sitting, 20% walking, and 10% standing.
This job is performed in a generally clean and healthy office environment.
Liability Adjuster II
Claims representative job in McAllen, TX
JOIN THE ASSURANCEAMERICA TEAM
Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact?
Join the AssuranceAmerica team.
For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds.
Liability Adjuster II
The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases.
About the ROLE
Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will:
Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/.
Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages.
Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure.
Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards.
Control expenses and adhere to company reserving philosophy by maintaining proper reserves
on all pending claims/potential exposures.
Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews.
Properly utilize underwriting and policy systems and understand its features and functionality, as needed.
Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities.
Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims.
About YOU
Excellent communication skills with demonstrative ease with both verbal and written formats.
Attention to detail and ability to multi-task.
A high degree of motivation and team orientation.
Direct, results driven, and dedicated to the success of the business and each other.
Required
Minimum three years of experience handling auto claims.
Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases.
Preferred
Bachelor's degree or equivalent.
Non-standard experience.
Adjuster's license in relevant state or the ability to obtain one quickly.
Bilingual (English-Spanish).
Physical Requirements
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift 15 pounds at times.
Must be able to navigate various departments of the organization's physical premises.
About US
We are direct, results-driven, and dedicated to the success of our business and each other.
We are a diverse group of thinkers and doers.
We offer many opportunities to grow in your professional skills and career.
We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy.
WHAT WE OFFER
AssuranceAmerica provides these benefits to Associates:
Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account.
Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate.
Additional Benefits:
401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan.
AssuranceAmerica will match 100% of the first 4% of an Associate's contributions.
Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations.
Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance.
Time Off:
Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.
Auto-ApplyLicensed Public Adjuster San Antonio,Texas
Claims representative job in San Antonio, TX
Job DescriptionSalary:
About Us
Rockwall National Public Adjusters is one of the most established public adjusting firms in the region. For more than 15 years, we have successfully advocated for property owners, supported by leadership with over 20 years of experience in the insurance claims industry.
We pride ourselves on our longevity, high retention, and reputation for excellence. Many of our adjusters and office staff have been with us for over 10 years, reflecting our supportive culture and commitment to long-term careers.
At Rockwall, our mission is simple: level the playing field, fight for our clients rights, and secure the settlements they deserve. By joining our team, you will become part of a well-respected firm with proven processes, unmatched administrative support, and a collaborative environment that fosters professional growth.
The Role
We are seeking a motivated and Licensed Public Adjuster in San Antonio, Texas to join our team in a hybrid, commission-based role.
As a Public Adjuster, you will represent policyholders throughout the insurance claims process, guiding them through stressful property damage losses and securing fair settlements. You will play a vital role in soliciting referral business, signing clients, evaluating damages, preparing and negotiating claims, and advocating for clients best interests.
This position is designed to support all levels of experience:
Newly licensed adjusters benefit from structured training, mentorship, and back-office support.
Experienced adjusters gain access to qualified leads, advanced systems, and a trusted brand with a long-standing reputation.
Key Responsibilities
Collaboratively solicit residential and commercial new claims and referral partners
Sign, inspect, evaluate, and document property damage for residential and commercial claims
Prepare, submit, and negotiate insurance claims on behalf of policyholders
Communicate with clients, insurance carriers, contractors, and stakeholders to advance claims efficiently
Advocate for clients best interests and ensure fair settlements are achieved
Maintain accurate records, reports, and claim documentation
Deliver exceptional customer service while educating clients on the claims process
Generate new business and efficiently close provided leads
Required Qualifications
Active Texas Public Adjuster license (or ability to obtain one)
Prior experience in insurance adjusting, construction, restoration, or a related field preferred, but not required
Strong negotiation and communication skills
Organized, detail-oriented, and able to manage multiple claims simultaneously
Professional demeanor with a client-focused mindset
Valid drivers license and reliable transportation for field inspections
Compensation & Benefits
Commission-based structure with unlimited earning potential
Training and ongoing professional development
Career growth opportunities within a supportive and collaborative team
Hybrid work flexibility (field + office)
Full administrative and office support (contracts, compliance, claims, invoicing, mortgage company payments)
The Rockwall Difference
At Rockwall, we provide unmatched support at every stage of the claims process, allowing our adjusters to focus on serving clients and building careers.
Key Advantages:
Comprehensive adjuster onboarding and mentorship programs
Professional ongoing sales training to close contracts faster and expand referral networks
Proprietary lead generation sources and affiliate networks
Automated client onboarding to reduce paperwork
Access to advanced claims management software for streamlined workflows
Hands-on field training for residential and commercial claims
Xactimate training and estimate reviews to ensure complete assessments
Seamless invoicing and fee collection support
Regular updates on case law, legislation, and industry trends
A collaborative team environment that promotes growth and shared knowledge
Why Join Rockwall NPA
20+ years of insurance industry expertise
15+ years as a trusted, established firm
Strong reputation and high staff retention
Proprietary lead generation sources and long-standing affiliate networks
Full support systems that empower adjusters to succeed
A company culture built on professionalism, advocacy, and results
Medical Only Adjuster II
Claims representative job in Austin, TX
Why Texas Association of School Boards (TASB)
TASB comes from humble beginnings - picture a one-person organization created in 1949 to advocate for excellence in public education on behalf of Texas school board members. Flash forward to today, and we have over 500 employees working together to provide 1,024 school districts with purposeful resources and services so they can focus on what matters most - excellent education for over 5 million Texas students.
Our employees work alongside talented team members who are passionate about supporting public education and enjoy learning from new and different perspectives. TASB believes the rich variety of expertise our employees collectively bring to the workplace makes our organization highly successful. And TASB's passion for education and learning doesn't end there. Our culture has always encouraged employees to grow and become their best selves, professionally and personally, through a variety of innovative and collaborative development opportunities. You're likely beginning to see why we'd been regularly named by the Austin Business Journal as one of the Top Ten Best Places to Work!
TASB offers competitive pay, rich benefits (including retirement matching of 2:1 up to 5% after one year, which means that if you contribute 5% to the plan, TASB will contribute 10%), family-friendly paid leave, onsite daycare, onsite gym, wellness program, tuition reimbursement, hybrid work options, and more.
Every role at TASB thoughtfully complements our mission and its impact on school districts across Texas. These roles include work in TASB's Risk Management Services division, which provides administrative services to the TASB Risk Management Fund - a multi-line self-insurance pool (or “risk pool”) of Texas schools. If you consider your work exceptional, have a passion for risk management or risk pools, and want to help drive our mission forward, keep reading!
About You
As the Medical Only Adjuster, you will bring strong analytical skills, attention to detail, and a commitment to delivering excellent service to our member districts and injured employees. You will investigate and manage workers' compensation claims, ensuring compliance with Texas statutes and internal best practices, while communicating effectively with stakeholders. Whether you are early in your claims career or have advanced experience, your expertise in claims handling, problem-solving, and customer service will add value to our collaborative team environment.
A Typical Day
Investigate and manage a caseload of workers' compensation medical-only claims, ensuring timely and accurate benefit payments in compliance with Texas statutes and internal guidelines.
Communicate with injured employees, member districts, and vendors to gather information, resolve issues, and provide updates throughout the claims process.
Collaborate with your team during meetings or case reviews to share insights, discuss complex claims, and contribute to continuous improvement initiatives.
If you're still reading, we'd love to meet you!
How You'll Make an Impact
Investigate, evaluate, and manage workers' compensation medical-only claims to ensure timely and accurate benefit delivery.
Maintain thorough documentation, proper reserves, and compliance with all regulatory and departmental requirements.
Communicate proactively with injured employees, member districts, and vendors to resolve questions and provide updates.
Apply knowledge of Texas workers' compensation statutes, best practices, and claims handling procedures to every case.
Contribute to a positive team environment by sharing insights and supporting continuous improvement efforts.
Skills for Success
High school diploma required. Bachelor's degree or some college preferred.
Experienced candidates should have a Type 03 or 08 Texas adjuster license.
Candidates without adjusting experience will be considered for an Adjuster 1 role and required to obtain a license within one year of hire.
Must demonstrate good organizational, analytical, and communication skills (oral and written).
The TASB Difference
Enjoy competitive pay and rich benefit offerings.
Be a part of a collaborative environment where every contribution impacts Texas public schools.
Thrive in a culture that promotes bringing your whole self to work every day and emphasizes healthy boundaries and work-life balance.
Learn and grow individually and together through frequent professional development, wellness seminars, and more.
Work alongside transparent leaders with an open and consistent feedback approach.
Celebrate as a team with meaningful (and fun) events throughout the year.
Posting Notices
The health and safety of our employees and members, is our top priority.
The Association is an equal opportunity employer and will not discriminate against an individual based on any of the following personal characteristics protected by law: race, color, national origin, religion, sex (including in relation to marital status, pregnancy, pay, sexual orientation or gender identity), age, disability, genetics or veteran status.
This position does not qualify for visa sponsorship.
Any job offer is contingent upon receipt of results of a satisfactory background check.
#LI-Hybrid
Auto-ApplySubrogation Adjuster
Claims representative job in Houston, TX
Job DescriptionBenefits:
Life Insurance
Dental insurance
Health insurance
Paid time off
Vision insurance
The Subrogation Adjuster will be responsible for identifying subrogation opportunities, investigating liability, and pursuing recoveries from at-fault parties or their insurers. The ideal candidate has hands-on experience with non-standard auto claims, understands complex liability scenarios, and is comfortable negotiating to maximize recoveries.
Key Responsibilities
Review claim files to identify subrogation potential and establish recovery strategies
Investigate liability by obtaining police reports, witness statements, and other relevant evidence
Communicate with policyholders, claimants, other insurers, and attorneys to pursue recoveries
Negotiate settlements with adverse carriers and uninsured parties
Document all activity accurately and in a timely manner within claim systems
Collaborate with litigation teams when legal action is required to support recovery efforts
Handle deductible reimbursements in accordance with company policy and state regulations
Maintain productivity and recovery goals in alignment with department metrics
Qualifications
2+ years of subrogation or claims adjusting experience, preferably within non-standard auto insurance
Solid understanding of auto liability, comparative negligence, and subrogation principles
Excellent negotiation, communication, and investigative skills
Strong organizational skills and attention to detail
Ability to manage a high-volume caseload efficiently
Familiarity with arbitration forums (e.g., AF) and relevant state regulations is a plus
Proficiency in claims management systems and Microsoft Office
Pay
Pay is negotiable based on experience
THIS IS AN IN PERSON POSITION
Claims Processing Specialist
Claims representative job in San Antonio, TX
SafeRide Health is looking for a hands-on Claims Specialist to scale SafeRide. We are looking for a leader with deep experience managing Medicare and Medicaid programs as we scale past $100M in annual revenue. The Billing Specialist is responsible for elevating SafeRide's billing function and continuously enhancing the effectiveness of the organization. Strong business and financial orientation as well as a passion for growth and development are critical for this role.
Responsibilities:
Facilitates data processing and processes claims for NEMT and GMR rides.
Performs reconciliation of billing data to encounter data. Works closely with the operations team to resolve issues.
Work with internal operations and project teams to solve claims-related problems, benefit plans research and provider contract interpretation and configurations.
Communicate and work with providers to get claims issues resolved and paid accurately and in accordance with healthcare/Medicare/Medicaid regulations, policies, and payment policies and guidelines.
Receive incoming calls from providers, customers, vendors, and internal groups, to successfully analyze the caller's needs, research information, answer questions, and resolved issues and/or disputes in a timely and accurate manner.
Identify issues negatively impacting the provider community including but not limited to system set up, required benefit modifications, EDI logic, provider education, claim examiner errors, and authorization rules.
Develops and implements policies, processes and procedures that incorporate industry best practices, and reinforces high quality standards within the Billing team.
Served as the Billing team's subject matter expert and primary contact for claims related projects and critical activities.
Mentors junior team members and provides internal claims team training, coaching, guidance, and assistance with complex issues.
Implement: Scalable and accurate billing operations systems leveraging best in class technology. This includes financial reporting for management, clients and designated state and federal agencies (e.g., HHSC in Texas).
Champion and reinforce SafeRide's culture.
Required Education/Experience:
Minimum 1 years of experience in billing/claims management
Must be bilingual Spanish Speaking
Preferred
NEMT/transportation background preferred
Knowledge of CMS/HHSC regulations preferred
Skills
Strong data skills in Excel/Sheets, including pivot tables, v-lookups, etc.
Self-starter, ability to work independently and in a team environment.
Strength in problem solving, applying hard data and qualitative insight to frame problems and develop novel solutions
Ability to adapt to unforeseen circumstances quickly
Keen attention to detail
Ability to work with a variety of stakeholders
What we offer you
An inclusive, encouraging and collaborative company culture
Strong support for career growth, including access to our investor communities
Competitive compensation with upside for growth (including stock options and performance grants)
Competitive benefits including health/vision/dental insurance, 401k match and 18 day's PTO
About SafeRide Health: SafeRide's mission is to restore access and dignity to care. SafeRide is transforming access to care for the nations sick, poor and underserved. We are a high growth, tech enabled services firm that's growing past 400 employees. SafeRide is backed by premier investors like NEA and clients like Fresenius. We operate nationally and now deliver over 5M rides per year. Learn more at ***********************
Indemnity Adjuster
Claims representative job in Dallas, TX
Insight Global is looking for a Senior Indemnity Adjuster to join our client's team. Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have extensive experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals.
- Manage suborgation
- Negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim
- Support the goals of the Claims Department
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ****************************************************
Skills and Requirements
- Current Adjuster License (Texas)
- 3-5+ years of Worker's Compensation Claims experience specifically within indemnity
- Experience in the following states are preferred: TX, AR, OK, LA, MS, AL (TX & AR most important)
Appearance Adjuster
Claims representative job in Dallas, TX
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
The Appearance Claims Adjuster is responsible for evaluating and processing insurance claims related to property damage and personal injury. This role involves conducting thorough investigations, assessing damages, and determining liability based on policy coverage. The adjuster will collaborate with policyholders, service providers, and legal teams to ensure timely and accurate claim resolution.
How You Will Contribute
• Handles claims from initial contact through to conclusion.
• Thoroughly investigates claims and verifies eligibility
• Responsible for maintaining positive customer relationships seeking to enhance organizational skills.
• Manages a high call volume with exception communication and customer service skills
• Successfully works independently and in a team atmosphere.
• Skillfully adapts and uses critical thinking and problem-solving issues.
Skills & Experience to Be Successful
· Excellent written and verbal communication skills
· Proficient with Microsoft Office Suite and industry standard web applications
· Ability to maintain a high level of confidentiality
Preferred
· Bilingual is a plus, not required
· Service Advisor, Warranty, or Service Drive experience a plus
· Basic mechanical knowledge of automotive systems.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
Health Benefits
: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
Financial Benefits
: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
Mental Health & Wellness
: Free Mental Health & Enhanced Advocacy Services;
Beyond Benefits
: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
Health Benefits
: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
Financial Benefits
: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
Mental Health & Wellness
: Free Mental Health & Enhanced Advocacy Services
Beyond Benefits
: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
Auto-ApplyMedical Only Adjuster
Claims representative job in Louisiana
About Us At Heartland, we are focused on results, not corporate politics. We foster a harmonious work environment where associates feel like family. We strive to be the employer of choice, and believe all of our associates should have fun at work! We are hardworking - but not at the expense of our families. At Heartland, you will find an entrepreneurial environment where we take the time to educate, coach and lead employees into further opportunities within our company. We want all of our associates to enjoy a good work-life balance and are welcomed in our environment. We strive to show our employees that they are more than just a number and viewed as an integral part of our organization. Heartland recognizes the importance of a quality benefits package, not only to our associates, but to their families. That's the Heartland way. Our generous benefit package includes (but is not limited to) Paid Time Off, Health Insurance, Life Insurance, Long Term Disability, Employee Assistance Program, and two retirement plans. At Heartland, we go out of our way to make our associates feel at home and celebrate their achievements and contributions to the company. Our environment consists of several appreciation events throughout the year and we encourage every employee, near & far, to join us with their families to enjoy good food, fun and comradery. Our benefits package, appreciation events, and fun work environment go above industry standard. We want our employees to feel like family - so we treat them like family. Medical Only Adjuster Primary Responsibility The Medical Only Adjuster will manage an assigned caseload of medical only Workers' Compensation claims from the first report of injury to resolution according to the applicable law. The Medical Only Adjuster is mentored and trained by a licensed adjuster and will interact with claimants, policyholders, and other third parties throughout the claims management process. Essential Functions & Responsibilities
Participate in training and introduction to workers' compensation claims.
Learn to read and interpret complex documents including regulations, statues, legal documents, investigative reports, medical records, medical bills, and claims notes.
Learn to use claims management software and other related software for claims handling and reporting.
Learn to make timely initial contacts and investigation of new claims.
Learn to determine compensability.
Learn to set reserves appropriately.
Learn to document files daily on every conversation and action taken.
Learn to request Peer Reviews as needed.
Learn to request jurisdictional forms timely and accurately.
Train in monitoring ongoing medical treatment.
Learn to work mail and diary on a daily basis.
Communicate with clients and medical providers.
Additional Functions & Responsibilities
Prepares reports and other analytical data as requested by the management team.
Assist others in the department with various duties or projects.
Required Qualifications
High school diploma.
At least one year experience in an office environment with an emphasis on customer service.
Meet the standards and requirements set forth by the state to secure an adjuster license within the designated time frame.
Preferred Qualifications
College degree in business or other related discipline.
Previous experience in insurance or medical office environment.
GAP Warranty Adjuster
Claims representative job in Fort Worth, TX
We're thrilled that you are interested in joining us here at the Amynta Group!
The WARRANTY CLAIMS ADJUSTER is responsible for interactions with customers, inspectors, repair facilities, and part vendors to support our auto warranty call center. The Warranty Claims Adjuster will be responsible for providing our innovative extended service plans and warranty programs to retailers, dealers, distributors and manufacturers in numerous consumer and automotive markets.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES*
Handle claims on a daily basis
Work in a call center environment focused on handling calls daily with expected performance metrics, handle times, and volume
Probe and troubleshoot mechanical breakdown claims to determine whether customer complaint, repair facility diagnosis, and failed parts meets the criteria for approval based on the terms and conditions of the extended service contract.
Review and verify repair costs using standard “national labor guides” (including labor rates and time) to ensure estimates are within approval guidelines. Use other resources such as, technical bulletins, recalls and system comments, and other requirements during the adjudication process.
Verify repair information to determine if coverage is within the guidelines of the service contract.
Determine if a field inspection is necessary based on cause of failure and cost estimates submitted by repair facility.
Document all interactions, research, verification and other claim-related information in the database system.
Interface with customers, agents, dealers, and other relevant parties to complete all investigations of claims.
Review claims using the adjudication process established by department.
Partner with other departments, claim adjusters, and management staff to identify options that support claims resolution and approval.
Maintain a continual working knowledge of our client's products, services and promotions.
Retrieve information from company systems and communicate information back to the customers, dealers, repair facilities, and vendors in a clear and concise manner.
BASIC
AND PREFERRED
QUALIFICATIONS (EDUCATION AND EXPERIENCE)
2+ year's minimum experience (Required)
High School Diploma or GED (Required)
Some college (Preferred)
Proficient knowledge of Microsoft Office (Required)
ASE Certification (Preferred)
MINIMUM QUALIFICATIONS, JOB SKILLS, ABILITIES
Mastery of the English language, both written and verbal.
Strong attention to detail, is dependable and follows through.
Ability to read and interpret information.
High level of maturity to handle sensitive and confidential situations.
Strong work ethic and excellent time management skills.
Strong interpersonal skills and ability to work well with people throughout the organization.
Willingness to maintain a professional appearance and provide a positive company image.
Willingness to work non-traditional shifts which meet the needs of the team and company.
Ability to think independently and make decisions.
Ability to assist peers.
The Amynta Group (the “Company”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any ground of discrimination protected by applicable human rights legislation. The information collected is solely used to determine suitability for employment, verify identity and maintain employment statistics on applicants.
Applicants with disabilities may be entitled to reasonable accommodation throughout the recruitment process in accordance with applicable human rights and accessibility legislation. A reasonable accommodation is an adjustment to processes, procedures, methods of conveying information and/or the physical environment, which may include the provision of additional support, in order to remove barriers a candidate may face during recruitment such that each candidate has an equal employment opportunity. The Company will accommodate a candidate to the point of undue hardship. Please inform the Company's personnel representative if you require any accommodation in the application process.
Auto-ApplyInsurance Claims Specialist
Claims representative job in Monroe, LA
Salary: $16.00 - $20.00
Insurance Claims Specialist
Peach Tree Dental - Monroe, West Monroe, Ruston, Jonesboro
Job Details:
Salary: Starting from $16.00-$20.00/hourly
Pay is based on experience, qualifications, and desired location.
**incentives after training vary and are based on performance
Job Type:Full-time
Qualifications For Insurance Claims Specialists:
High school or equivalent (Required)
Takes initiative.
Has excellent verbal and written skills.
Ability to manage all public dealings in a professional manner.
Ability to recognize problems and problem solve.
Ability to accept feedback and willingness to improve.
Ability to set goals, create plans, and convert plans into action.
Is a Brand ambassador, both in and outside of the facility.
Benefits Offered For Full-Time Insurance Claims Specialists:
Medical, Dental, Vision Benefits
Dependent Care & Healthcare Flexible Spending Account
Simple IRA With Employer Match
Basic Life, AD&D & Supplemental Life Insurance
Short-term & Long-term Disability
Perks & Rewards For Full-Time Insurance Claims Specialists:
Competitive pay + bonus
Paid Time Off & Sick time
6 paid Holidays a year
Full Job Description:
With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!
Please go to WWW.PEACHTREEDENTAL.COMto complete your online application and assessments or use the following URL:**********************************************