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Claims Specialist - Hybrid (3 days in the office)
Swiss Re 4.8
Claims representative job in Fort Wayne, IN
Are you a claims professional with at least 3 years of Mortality Claims experience and an interest in career development? If so, this role may be for you! We are looking for a strategic thinker with leadership skills who has a desire to further hone this skillset and continue to grow their Claims career.
About the Role
This Claims Specialist position has responsibility for handling Mortality, while also supporting internal and external customers. You will manage a caseload of claims from receipt to final resolution of mortality, group life, accidental death, disability income, and wavier of premium claims
Additional key responsibilities include:
* Investigate, evaluate and settle claims, applying technical knowledge and people skills to effect fair and prompt claim resolution.
* Complete detailed reviews of claim related issues, document the claim file appropriately.
* Set and maintain appropriate and timely claim reviews and consultations for clients
* Maintain strong client focus by aggressively and proactively researching issues, providing support and assuring client satisfaction in a timely fashion.
* Support Underwriting team needs for Claim information and consultation on coverages.
* Provide quality claims input to the business as required e.g. changes to philosophy and best practice standards
* Support developing technical expertise e.g. participation in claim seminars, training and audits
* Contribute required claims information for business reporting purposes
* Contribute to business projects and initiatives ensuring relevant claims issues are considered in broader based company activities
* Support development on processes/systems where required
* Adhere to risk management guidelines and practices
About the Team
The Life and Health team includes colleagues from multiple Swiss Re offices throughout the US. We are a diverse and inclusive team that works well in a collaborative environment while fostering and developing independent thought.
About You
You are focused, self-motivated and a confident decision maker who is proactive, well-organized and can work well both independently and as part of a team. You bring superior interpersonal, written & verbal communication skills enabling your past and future success in building and maintaining relationships. And you are comfortable interacting directly with insureds, brokers, attorneys, and key stakeholders at any level.
* 3 years' experience handling mortality claims, with some of this experience in a paperless environment.
* Experience with complex mortality claims a plus
* Excellent customer service skills and experience collaborating with underwriters, clients, brokers and internal and external business partners.
* Strong data analytic skills to include recognizing trends or patterns within claims.
* Interest in developing leadership and management skills
* Bachelor's degree or equivalent industry experience
Our company has a hybrid work model where the expectation is that you will be in the office three days per week. This role is not eligible for either relocation assistance or visa sponsorship.
The estimated base salary range for this position is $84,000 to $140,000. The specific salary offered for this, or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation.
About Swiss Re
Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.
Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.
If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.
Swiss Re is an equal opportunity employer. It is our practice to recruit, hire and promote without regard to race, religion, color, national origin, sex, disability, age, pregnancy, sexual orientations, marital status, military status, or any other characteristic protected by law. Decisions on employment are solely based on an individual's qualifications for the position being filled.
During the recruitment process, reasonable accommodations for disabilities are available upon request. If contacted for an interview, please inform the Recruiter/HR Professional of the accommodation needed.
Keywords:
Reference Code: 136445
Nearest Major Market: Fort Wayne
Job Segment: Underwriter, Claims, Risk Management, HR, Insurance, Finance, Human Resources
$84k-140k yearly 22d ago
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Field Property Claims Representative II - Northern/Northeastern Indiana
Indiana Farmers Insurance 3.6
Claims representative job in South Bend, IN
Full-time Description
Indiana Farmers Insurance is currently looking for an experienced Field Property Claims Professional to join our Claims Team. This position is focused on all types of structures, including farm and commercial risks. The ideal candidate will service counties in the Northern/Northeastern portion of the state of Indiana.
The right candidate will investigate, assess damages, write structural property estimates, make coverage decisions, and ultimately resolve personal, commercial and farm property claims. As a Field Property ClaimsRepresentative II with Indiana Farmers Insurance, you will support our vision by driving prompt and fair claims resolutions.
Benefits for the Field Property ClaimsRepresentative II:
Free Health insurance
Free Dental insurance
Free Vision insurance
Free Life insurance
Free Short-Term & Long-Term Disability insurance
2% 401k Company Match
11% 401k Company Contribution
Excellent Paid Time Off
Generous paid time off Parental Leave
Day of Service
We promote from within our diverse workforce regularly and offer regular opportunities to learn and grow
Several committees to explore, to connect with coworkers and build relationships
Two robust Employee Assistance Programs for you and your family
Matching funds of up to $100 annually are available from the company for your favorite charitable organization
Associate recognition awards, fun gatherings, and opportunities to make friends are part of our culture
An on-site fitness center, as well as free and convenient parking right next to our building make life easier
Requirements
Qualifications and Responsibilities for the Field Property ClaimsRepresentative II include:
Experience and understanding of farm policies, farm structures and equipment, required
Experience and expertise in writing structural property estimates
Must be able to climb, access roofs, basements, crawlspaces, etc.
Minimum of three years field property claims experience, with an insurance carrier, required
College degree, preferred
Professional designation (CPCU, CSLA, AIC, etc.), strongly preferred
Identifying, investigating, and referring potentially fraudulent claims
Ability to read and interpret policies and endorsements
Working knowledge of Xactimate an added benefit
Strong analytical and problem-solving skills
Possess effective and positive interpersonal communication skills and demonstrating a professional, yet friendly demeanor
Ability to set customer expectations and meet and/or exceed them
Fairly and accurately assessing claims, in a timely good-faith manner, according to policies, procedures, and guidelines
Ability to work independently, be self-motivated, and detail-oriented
Ability to effectively cope with difficult individuals and situations
Valid driver's license with acceptable motor vehicle record
Why work for Indiana Farmers Insurance? Imagine working for an employer like this:
95% retention of its associates over the last 5 years
Financially stable as shown by our A- (Excellent) rating by AM Best
Truly customer focused
A strong legacy of excellent performance throughout our 148 years in business!
For more information about Indiana Farmers, please go to **********************************************
Indiana Farmers Insurance is an equal opportunity employer!
$27k-34k yearly est. 60d+ ago
Claims Representative - Indianapolis, IN
Federated Mutual Insurance Company 4.2
Claims representative job in Indianapolis, IN
Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Indianapolis, IN office, located at 9785 Crosspoint Blvd. A work from home option is not available.
Responsibilities
* Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
* Explain policy coverage to policyholders and third parties.
* Complete thorough investigations and document facts relating to claims.
* Determine the value of damaged items or accurately pay medical and wage loss benefits.
* Negotiate settlements with policyholders and third parties.
* Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
* Current pursuing, or have obtained a four-year degree
* Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
* Ability to make confident decisions based on available information
* Strong analytical, computer, and time management skills
* Excellent written and verbal communication skills
* Leadership experience is a plus
Salary Range: $63,800 - $78,000
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
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
$52,600.00 - $86,800.00
Target Openings
2
What Is the Opportunity?
Travelers' Claim Organization is at the heart of our business by providing assurance to our customers and their employees in their time of need. The Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate. As an Associate Claim Rep, Workers Compensation, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. This position focuses on developing your skills and knowledge to successfully manage workers compensation claims. This program can typically last up to 12 months and upon successful completion of this program you will have the skills needed to handle claims independently and progress toward full claims handling responsibility. As part of the hiring process, this position will require the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
What Will You Do?
* Actively participate in structured training classes covering insurance policies, specific claim processes, systems, and procedures, including virtual, classroom, and on-the-job training.
* Assist in reviewing, investigating, and documenting Workers Compensation claims under close supervision.
* Investigate, develop, and evaluate action plans for claim resolution. Assess coverage and determine if a claim is compensable under Workers Compensation including evaluating claims for potential fraud.
* Participate in Telephonic and/or onsite File Reviews.
* Learn how to determine coverage, compensability, and exposure based on policy terms and claim facts.
* Gather information from policyholders, claimants, witnesses, and third-party providers.
* Communicate and apprise all parties regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel.
* Maintain accurate records of claim activity in claim management systems.
* Achieve a positive result by returning an injured party to work when appropriate. This may include coordinating medical treatment in collaboration with internal or external resources.
* Demonstrate openness to continuous learning, particularly in AI and digital transformation.
* Acquire and maintain relevant Insurance License(s) to comply with state and Travelers' requirements within three months of starting the job.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Previous internship or work experience in insurance, finance, or customer service.
* Strong attention to detail and organizational skills.
* Ability to manage multiple tasks and prioritize effectively.
* Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
* Ability to exercise sound judgement and make effective decisions.
* Strong verbal and written communication skills with the ability to convey information clearly and professionally.
What is a Must Have?
* High School Diploma or GED.
* One year of customer service experience OR Bachelor's Degree.
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 *********************************************************
$26k-35k yearly est. 7d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Bowling Green, KY
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.
$44k-53k yearly est. Auto-Apply 8d ago
Independent Insurance Claims Adjuster in Bowling Green, Kentucky
Milehigh Adjusters Houston
Claims representative job in Bowling Green, KY
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$44k-53k yearly est. Auto-Apply 60d+ ago
Associate Claims Specialist - Workers Compensation - Central Region
Liberty Mutual 4.5
Claims representative job in Indianapolis, IN
Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the Central Region!
As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest technology to manage a caseload of routine to moderately complex claims. Responsibilities include investigating claims, assessing liability and compensability, evaluating losses, and negotiating settlements. The role involves interactions with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.
Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in February 2026.
This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I, or a Workers Compensation Claims Specialist II. The salary range posted reflects the range for the varying pay scale across various locations.
To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, and Virginia are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change.
Responsibilities
Manages an inventory of claims to evaluate compensability/liability.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
Evaluates actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
Performs other duties as assigned.
Qualifications
Effective interpersonal, analytical and negotiation abilities required
Ability to provide information in a clear, concise manner with an appropriate level of detail
Demonstrated ability to build and maintain effective relationships
Demonstrated success in a professional environment; success in a customer service/retail environment preferred
Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent
Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory
Licensing may be required in some states
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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$64k-89k yearly est. Auto-Apply 7d ago
Insurance Claims Specialist (Construction Defects and Property Damage)
DPR Construction 4.8
Claims representative job in Nashville, TN
The Insurance Claims Specialist will be responsible for assisting with the management of all aspects of complex Construction Defect and Property Damage incidents and claims for DPR (and DPR-related entities), as assigned. Reporting: Role reports to Insured Claims Manager and Insured Claims Leader
Specific Duties Include:
Claims & Incident Management (General):
* Initial triage and processing of incidents received from project teams for DPR (and DPR-related entities).
* Input and/or review all incidents reported in DPR's RMIS system.
* Working with the incident triage group to ensure timely and appropriate review of all incidents
* Ensure all necessary information is compiled to properly manage claims. This includes working with the DPR teams to collect relevant documents such as the Prime contract, Subcontracts, Certificates of Insurance, Owner Policy Documents, Project Documents and Project Specific Coverage information, etc.
* Assess all potential risks, as well as identify all contractual risk transfer mechanisms.
* Analyzing potential insurance coverage for all applicable lines of coverage and report, with all appropriate documents and information, potential claims for DPR (and DPR-related entities) to the broker for any applicable program (Traditional, CCIP, OCIP).
* Assist with the development and training of other DPR Workgroups (and DPR-related entities) around CD/PD Best Practices.
Construction Defect & Property Damage (CD/PD) Specific Claims Management:
* Manage all assigned claims in DPR's RMIS system relating to Construction Defect and Property Damage matters for DPR (and DPR-related entities). This would include using all appropriate lines of coverage such as Commercial General Liability, Builder's Risk, Property, Contractor's Pollution Liability and Professional Liability, whether the policies are placed by DPR or our Clients.
* Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
* Management of and coordination with DPR's consultants and outside attorneys throughout the claim process.
* Continuously analyze claim-specific details as the claim progresses to devise key strategies in conjunction with all internal stakeholders and outside consultants.
* Proactive management and coordination of all phases of the DPR CD/PD Claims Workflow.
Key Skills:
* Basic working knowledge and familiarity of:
* Commercial General Liability
* Property Insurance (Including Inland Marine and Builder's Risk
* Pollution Liability
* Professional Liability
* Controlled Insurance Programs (CCIP/OCIP)
* RMIS Systems
* Construction Industry Expertise
* Strategic thinking
* Strong written and oral communication skills
* High level of EQ (Soft skills)
* Self-Starter
* Highly organized and responsive; ability to meet deadlines
* Detail Oriented
* Contractual risk assessment
* Dispute management
* Integrity
* Ability to mentor and inspire others
* Team player
* Willingness to understand and advance the DPR Culture
* Proactive Learner
Qualifications:
* 5-7 years relevant construction industry and/or insurance industry experience preferred.
* Previous experience in construction company Risk Management highly desired.
* Position location - TBD based on location of most qualified candidate.
DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.
Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.
Explore our open opportunities at ********************
$60k-75k yearly est. Auto-Apply 6d ago
Associate VB Claims Specialist
Unum 4.4
Claims representative job in Chattanooga, TN
When you join the team at Unum, you become part of an organization committed to helping you thrive.
Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
Award-winning culture
Inclusion and diversity as a priority
Performance Based Incentive Plans
Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
Generous PTO (including paid time to volunteer!)
Up to 9.5% 401(k) employer contribution
Mental health support
Career advancement opportunities
Student loan repayment options
Tuition reimbursement
Flexible work environments
*All the benefits listed above are subject to the terms of their individual Plans
.
And that's just the beginning…
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
General Summary:Minimum starting hourly rate is $22.60
This is an entry level position within the Voluntary Benefits Claims Organization. This position is responsible for the thorough, fair, objective, and timely adjudication of voluntary benefits claims in conjunction with providing technical expertise regarding applicable regulations. This position is responsible for providing excellent customer service and interacts on a regular basis with employees, employers, health care providers and other specialized internal resources.
Incumbents in this role are considered trainees and are assigned a formal mentor for 6-12 months until they are assessed as capable of independent work. Incumbents are primarily responsible for learning and developing the skills, knowledge, and behaviors necessary to successfully adjudicate assigned claims, in accordance with our claims philosophy and policies and procedures.
Incumbent must demonstrate the ability to effectively manage an assigned caseload, exercise discretion and independent judgment, and appropriately render timely claim decisions while demonstrating strong customer service prior to movement to the exempt level claims specialist role.
Principal Duties and Responsibilities:
Maintain organizational service standards on all assigned claims demonstrating success in developing and implementing effective strategies to manage a caseload of varying size and complexity.
Develop an understanding and working knowledge of Voluntary Benefits for Unum and Colonial Life, including products, policies, procedures, and contracts.
Develop an understanding of the applicable contract/policy definitions and relevant provisions, clauses, exclusions, riders, and waivers, as well as regulatory and statutory requirements for claim products administered.
Develop skill set to determine appropriate risk management strategies through analyzing and applying technical and complex contractual knowledge (policies and provisions) to ensure appropriate eligibility requirements, liability decisions, and benefits payee.
Develop problem solving skills by demonstrating analytical and logical thinking resulting in the timely and accurate adjudication of a variety of simple to complex voluntary benefits claims.
Develop a working knowledge of systems needed for claims adjudication.
Provide excellent customer service and independently respond to all inquiries within service guidelines.
Responsible for timely and accurate claims review, initiation and completion of appropriate claim validation activities, and referrals/notifications to other areas (i.e., medical assessments, billing, etc.) as appropriate.
Produce objective, clear documentation and technical rationale for all claim determinations and demonstrate the ability to effectively communicate determinations while ensuring compliance with Voluntary Benefits procedures and all legal requirements including state regulations.
Partner and coordinate file strategies utilizing specialized resources including nurses, physicians, vocational rehabilitation and assessing medical documentation, when appropriate.
Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business, ensuring a coordinated and continuous claims experience for customers.
Be familiar with specialized workflow requirements and performance standards for any assigned customers.
May perform other duties as assigned.
Job Specifications:
4-year degree preferred or equivalent work experience
Ability to develop Voluntary Benefits product knowledge and apply a best-in-class service experience
Medical background, voluntary benefits claims and/or disability management experience preferred
Possess strong analytical, critical thinking, and problem-solving skills
Ability to exercise independent judgment and discretion in increasingly complex claim adjudication decisions, including initial decision and ongoing medical management.
Able to effectively utilize a broad spectrum of resources, materials, and tools needed to assist with the decision-making process
Strong service and quality orientation.
Ability to interact effectively and professionally with claimants, employers, medical resources, attorneys, accountants, brokers, sales representatives, etc.
Demonstrated ability to operate with a sense of urgency and make balanced decisions with the highest degree of integrity and fairness.
Excellent communication skills, written and verbal
Meets the standards for this position, as defined in the Talent Management framework
~IN3
#LI-LM2022
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$40,000.00-$75,600.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum
$40k-75.6k yearly Auto-Apply 14d ago
Claims Negotiation Specialist
The Strickland Group 3.7
Claims representative job in Indianapolis, IN
Join Our Team as a Claims Negotiation Specialist!
Are you a strategic thinker with a passion for driving business growth and innovation? We are looking for a Claims Negotiation Specialist to develop data-driven strategies, identify new opportunities, and optimize business performance for long-term success.
Why You'll Love This Role:
📈 High-Impact Role - Shape business strategies that drive sustainable growth.
🚀 Career Advancement - Access professional development and leadership opportunities.
💡 Strategic Influence - Work closely with decision-makers to implement winning strategies.
💰 Competitive Compensation - Earn a stable income with performance-based incentives.
Your Responsibilities:
Analyze market trends, business performance, and competitive landscapes to identify growth opportunities.
Develop and implement data-driven growth strategies that optimize revenue and profitability.
Collaborate with cross-functional teams to align business strategies with company objectives.
Provide strategic recommendations on market expansion, customer acquisition, and operational efficiencies.
Monitor key performance indicators (KPIs) and adjust strategies to maximize success.
Identify and mitigate potential risks while exploring new business opportunities.
What We're Looking For:
Proven experience in business strategy, growth consulting, or a related field.
Strong analytical and problem-solving skills with expertise in market analysis.
Ability to develop and execute scalable growth strategies.
Excellent communication and presentation skills.
Experience working with executive leadership to drive business decisions.
Perks & Benefits:
Professional development and continuous learning opportunities.
Health insurance and retirement plans.
Performance-based bonuses and recognition programs.
Leadership growth and career advancement opportunities.
🚀 Ready to Drive Business Growth?
If you're passionate about helping businesses scale and succeed, apply today! Join us and be a key player in shaping innovative growth strategies.
Your journey as a Claims Negotiation Specialist starts here-let's unlock new opportunities together!
$43k-75k yearly est. Auto-Apply 60d+ ago
Medicare Supplement Claims Specialist
Everence Services 3.7
Claims representative job in Goshen, IN
Review health claims for the Medicare Supplement line of business. Interact with internal and external customers to answer questions, resolve issues, and address concerns while maintaining a professional image through excellent telephone etiquette and top-notch customer service.
RESPONSIBILITIES AND DUTIES
Approve or reject health claims according to Everence's policy and certificate guidelines.
Complete data entry into Group+ to adjudicate claims charges.
Perform appropriate correspondence via letter or telephone for claim completion.
Answer inquiries regarding eligibility and confirmation of benefits for coverage of proposed services for Medicare Supplement plans.
Answer inquiries regarding the status of claims payment for Medicare Supplement plans.
Document all customer service contacts.
Perform other duties and assignments as requested by the manager.
QUALIFICATIONS
Education: High School graduate preferred
Experience: Medical or insurance background is desirable
Skills and Abilities:
Excellent verbal and written interpersonal and communication skills, including advanced listening skills.
Customer-focused with the ability to adapt and respond sensitively to various customer types
Demonstrates positive leadership skills and takes initiative
Ability to make quick and appropriate decisions despite interruptions
Flexibility in adapting to changing work patterns and fluctuating workloads
Excel at problem solving
Strong attention to detail with the ability to multitask and prioritize while managing time efficiently
Skilled in using Microsoft Office software
Ability to cultivate and sustain a strong sense of teamwork
SUPERVISORY RESPONSIBILITIES: None SCHEDULE: Full-time
$51k-89k yearly est. Auto-Apply 23d ago
Claims Specialist
Evans Transportation Services 4.2
Claims representative job in Chattanooga, TN
Requirements
QUALIFICATIONS AND REQUIREMENTS
Associate's or Bachelor's Degree preferred.
1-3 years of experience in transportation, logistics, freight claims, customer service, or a related operational role.
Prior experience handling freight claims or working with carriers is preferred but not required.
Strong attention to detail and ability to manage multiple claims simultaneously.
Excellent written and verbal communication skills, with the ability to professionally interact with customers and carriers.
Strong critical thinking, problem-solving, and negotiation skills.
Working knowledge of truckload and less-than-truckload transportation is preferred.
Proficiency in Microsoft Office Suite (Excel, Outlook, Word); experience with Transportation Management Systems is a plus.
High level of organizational skills with the ability to meet deadlines in a fast-paced environment.
Ability to read, write, type, and speak English fluently is a requirement of this position.
PHYSICAL DEMANDS / WORK ENVIRONMENT
While performing the duties of this job, the employee must be able to use a keyboard, calculator, and telephone. Frequent sitting, talking, hearing, and close-vision work are required, with occasional standing and lifting (up to 10 lbs.). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Salary Description 60000
$60k-85k yearly est. 2d ago
Product Claims Specialist
Delta Faucet Company of Tennessee
Claims representative job in Indianapolis, IN
At Delta Faucet, we are committed to transforming everyday experiences with water through innovative products and exceptional service. As a leader in the plumbing industry, we take pride in our dedication to quality, sustainability, and customer satisfaction. We believe that diverse perspectives strengthen our mission to create solutions that inspire and elevate the lives of all our customers. We welcome individuals from all backgrounds to join us on this journey toward inclusivity and excellence.
Your Role at Delta Faucet
Delta Faucet Company has an opportunity for someone who enjoys resolving consumer and customer issues to ensure satisfaction with our products. When an experience with a Delta Faucet product does not meet expectations, this employee works in a team environment to resolve the issue.
The Product Claims Specialist will research and address inquiries from customers and/or agencies that distribute Delta Faucet products. This team member should be prepared to connect with consumers and customers with efficiency and excellence by phone, e-mail, in person, or through other channels.
The successful candidate will be able to work with a team as well as independently and have excellent follow-up and accountability for tasks.
This will be a hybrid role in our Indianapolis headquarters.
Responsibilities
Review returned products and call data to take next steps to resolve a customer's issue
Monitor e-mail and mail for receipt of subrogation or litigation paperwork and request / file needed information; communicate with Delta and Masco personnel as needed to resolve
Review Product Return data in Smartsheet and update the submitted data as needed
Evaluate Level 1 Product Returns and determine if the claim should be dispositioned or submitted to Delta's test lab for further evaluation
Submit returned product to Delta's test lab for evaluation when needed to evaluate product performance
Leverage internal information to answer questions from customers and internal personnel; questions can be both general and technical in nature
Communicate directly with customers, consumers, Contact Center employees, and sales personnel
Work with Delta Faucet's engineers and other technical resources to understand potential product issues and resolution
Request inspection of in-house stock when there is a potential non-conformance
Monitor and respond to on-line portal concerns professionally and efficiently
Work with product development teams on coordination of product field trials
Stay up to date on product changes and new products that are introduced
Address consumer or customer dissatisfaction with care, patience, and concern
Respond positively when faced with fast-paced decision making
Elevate issues within Delta Faucet Company when necessary
Additional responsibilities or projects may be assigned
Qualifications
The ideal candidate will possess a degree from a 4-year college or university and customer service experience
Working knowledge of Delta's products or plumbing products is desired
Proficient use of software, including the use of Microsoft products and Smartsheet, is required; SAP and Salesforce experience are a plus
The demonstrated ability to handle multiple tasks concurrently with attention to detail is required
The employee will need to make business decisions with little supervision
The candidate must possess strong written and verbal communication skills and must exhibit a high degree of professional excellence characterized by good judgment, initiative, and a high standard of ethics
A consistent track record of successfully completing assigned responsibilities without direct supervision required
Why Join Us?
At Delta Faucet Company, our people are our greatest assets. We value different perspectives and fostering an inclusive environment. You'll have the opportunity to shape the future of our brand, working alongside passionate professionals committed to excellence and innovation. Join us to lead progressive growth and make a significant impact within a leading organization.
Here are some of the benefits we offer for your personal and professional growth:
Culture: Recognized and award-winning reputation for equality, diversity and inclusion, flexibility, work-life balance, and more.
Wellbeing: Comprehensive benefit plans; retirement, savings, tuition reimbursement, and employee incentive programs; resources for mental, physical, and financial wellbeing.
Learning & Development: LinkedIn Learning access; internal opportunities to work on projects cross-company.
Social Impact: Four employee-led and self-directed Business Resource Groups; Paid volunteer day annually; Employees share their time, skills and talent with charities and nonprofit organizations across the U.S. and around the globe.
Company: Delta Faucet CompanyFull time Hiring Range: $20.70 - $32.45Actual compensation may vary based on various factors including experience, education, geographic location, and/or skills.
Delta Faucet Company
(the “Company”) is an equal opportunity employer and
we
strive to employ the most qualified individuals for every position
.
The Company makes employment decisions only based on merit. It is the Company's policy to prohibit discrimination in any employment opportunity (including but not limited to recruitment, employment, promotion, salary increases, benefits, termination and all other terms and conditions of employment) based on race, color, sex, sexual orientation, gender, gender identity, gender expression, genetic information, pregnancy, religious creed, national origin, ancestry, age, physical/mental disability, medical condition, marital/domestic partner status, military and veteran status, height, weight or any other such characteristic protected by federal, state or local law. The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all people involved in the operations of the Company regardless of where the employee is located and prohibits unlawful discrimination by any employee of the Company.
Delta Faucet Company is an E-Verify employer. E-Verify is an Internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States. Please click on the following links for more information.
E-Verify Participation Poster:
English & Spanish
E-verify Right to Work Poster: English, Spanish
$20.7-32.5 hourly Auto-Apply 55d ago
Claim Specialist // Memphis TN 38134
Mindlance 4.6
Claims representative job in Memphis, TN
Business Claim Specialist Visa GC/Citizen Division Pharmaceutical Contract 6 Month Timings Mon - Fri between 8.00AM - 5.00PM Qualifications The primary function/purpose of this job. Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside the client. Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team.
ESSENTIAL FUNCTIONS:
The 6-10 major responsibility areas of the job. Weight: (%)
(Total = 100%)
1. Manage member and client expectations related to claim reimbursements. Input claim requests into adjudication platform maintaining compliance to performance guarantees, HIPAA guidelines and service standards, which include production and accuracy standards. Processing according to client guidelines making exceptions upon member appeal and client approval. Recognize and escalate appropriate system crises/problems and fraudulent claims to management. 40 %
2. Identify claims requiring additional research, navigate through appropriate system platforms to perform research and resolve issue or forward as appropriate 15 %
3. Research to define values for missing information not submitted with claim but required for processing. Identify drug form, type and strength to manually determine correct NDC number value which will allow claim to process. Continue researching values if system editing does not accept original assigned value. Utilize anchor platform, internet resources and/or contacting retail pharmacist as resources for missing values. 15 %
4. Initiate correspondence to members, pharmacies or other internal departments for missing information, claim denials or other claim issues. 15 %
5. Evaluate claim submission, ensure all required information is present and determine what action should be taken. Confirm patient eligibility and verify patient information matches system. Update member's address to match claim form if necessary. 5 %
6. Identify exception handling and process per client requirements. Monitor system to ensure client specific documentation related to claims processing and benefits is current and system editing is operating appropriately. 5 %
7. Variety of other miscellaneous duties as assigned 5 %
SCOPE OF JOB
Provide quantitative data reflecting the scope and impact of the job - such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc.
Maintain an average of 30 Commercial claims per hour (cph) or 35 Work Comp claims per hour (cph).
MINIMUM QUALIFICATIONS TO ENTER THE JOB:
Formal Education and/or Training:
High school diploma or equivalent required, some college or technical training preferred
Years of Experience:
Two years' experience in P.B.M. environment is helpful but not required.
Computer or Other Skills:
Strong data entry, 10-key skills, general PC skills and MS Office experience
Knowledge and Abilities:
• Strong data entry and 10-key skills
• Retail pharmacy, customer service experience helpful but not required
• PC and MS Office literate
• Strong attention to detail
• Excellent retention and judgment ability
• Proficient written and oral communication skills
• Ability to work in fast-paced, production environment
• Reliable, self-motivated with excellent attendance
• Team player who has the ability to stay on task with little supervision
If you are available and interested then please reply me with your “
Chronological Resume”
and call me on
**************
.
Additional Information
Thanks & Regards,
Ranadheer Murari
|
Team Recruitment
|
Mindlance, Inc.
|
W
:
************
*************************
$29k-38k yearly est. Easy Apply 1d ago
Billing Claims Specialist-Business Office- Full Time
Murray-Calloway County Public Hospital C 3.5
Claims representative job in Murray, KY
Job Description
An Account Resolution Specialist I is responsible for researching and identifying unpaid, partially paid, incorrectly paid or denied claims. They must follow-up with insurance carriers verbally or via on-line tools and properly discuss the problem with the knowledge of how to negotiate payment/additional payments on all claims. In the event the needs arise, they will also resubmit a corrected claim and/or follow-up with patients regarding the issue(s) as needed.
Minimum Education
Must have a high-school diploma or a GED.
Minimum Work Experience
No prior work experience in this related field is required at this level.
Required Skills
Customer service
Must have general Microsoft Office (Word, Excel, PPT, and Outlook) experience.
Ability to manage their time in order to meet job requirements.
Ability to review an account and come to a decision as to what the proper solution would be to resolve the account.
Must be a team player.
Screening Requirements:
Drug Screen
Tuberculosis Test
Background Check
Physical Exam
Respirator Fit
Eligible Benefits:
Medical, Dental and Vision *Excellent Low Premiums!*- No copays or Deductibles when utilizing MCCH services!
Life Insurance *ZERO premium*
Retirement Plan
Paid Time Off
Bereavement
Bridge Coverage *ZERO premium for self-coverage when enrolled in medical coverage
Tuition Reimbursement
Our Mission:
To improve the lives of those we serve by providing outstanding care and services through our confident, compassionate and exceptional healthcare professionals.
Our Vision:
To be chosen by our community and expanded service region based on proven outcomes as the trusted provider to care for their families, friends and neighbors.
Our Values:
Competence, Excellence, Compassion, Respect and Integrity.
$42k-52k yearly est. 19d ago
Claims Specialist
Northern Lights & Jdh Contracting
Claims representative job in Plainfield, IN
The Claims Specialist is responsible for reviewing underground utility damage investigations and overseeing the complete lifecycle of utility damage claims. This role ensures that each claim is accurately assessed, properly documented, and submitted to the appropriate customer or insurer. The Claims Specialist evaluates liability in accordance with state-specific 811 dig laws and industry standards, communicates with internal and external stakeholders, and tracks claims from initial submission through closure. This position plays a critical role in minimizing financial impact, maintaining compliance, and supporting strong customer relationships.
Key Responsibilities
- Thoroughly review underground utility damage investigations, reports, diagrams, photos, measurements, and supporting documentation.
- Validate findings against state 811 laws, safe digging requirements, and applicable standards (NESC, CGA Best Practices, local statutes).
- Determine liability based on evidence, jurisdictional requirements, and damage investigation outcomes.
- Ensure accuracy and completeness of all claim files before submission.
Claim Submission & Customer Communication
- Prepare and submit finalized damage investigation reports to customers in accordance with contract requirements.
- Serve as the primary point of contact for claim-related inquiries from customers, utilities, or contractors.
- Communicate clearly and professionally with all stakeholders regarding liability determinations, documentation needs, next steps, and timelines.
Insurance Coordination & Recovery
- Submit qualifying claims to the company's insurance carrier with all required supporting documentation.
- Work directly with insurance adjusters to negotiate and defend claim liability positions.
- Track each claim through the insurance lifecycle-from submission to determination, recovery, settlement, or closure.
- Maintain detailed, accurate notes throughout the process in the company's Claims Database Tool and related systems.
Cost Review & Analysis
- Review repair invoices for accuracy, legitimacy of labor/equipment charges, and compliance with contractual pricing structures.
- Challenge inflated or questionable costs as needed and collaborate with utilities, insurers, and internal leadership to reach fair settlements.
- Understand cost variances across fiber sizes, conduit types, and multi-state utility repair methods.
Cross-Functional Collaboration
- Partner closely with field investigators, supervisors, trainers, and management to validate field conditions and reconcile discrepancies.
- Use photographs, narratives, GPS data, diagrams, locate tickets, and sketches to fully visualize and understand the damage scene.
- Participate in weekly department meetings to review open claims, recovery strategies, and process improvement opportunities.
Compliance, Scheduling & Documentation
- Ensure all claims adhere to state laws, customer contract requirements, and internal SOPs.
- Utilize calendar/diary systems to manage claims workload and ensure each claim is touched at least twice weekly.
- Maintain data accuracy and file integrity within the CMMS, Claims Database Tool, and shared storage systems.
- Follow advanced claim handling procedures as defined by the Damage Prevention Manager.
Qualifications
Required Skills & Competencies
- Strong understanding of underground utility locating, safe digging practices, and general utility operations.
- Working knowledge of state 811 dig laws (multi-state preferred).
- Excellent analytical and problem-solving skills with strong attention to detail.
- High-level written and verbal communication skills, including professional email and phone etiquette.
- Ability to interpret technical field evidence and reconstruct incidents.
- Strong negotiation and conflict-resolution abilities.
- Ability to prioritize multiple active claims in a fast-paced environment.
- High integrity and commitment to accurate, unbiased claim evaluation.
Preferred Qualifications
- 3-5 years of experience in claims, insurance, utility damage recovery, risk management, or related fields.
- Experience in the construction, telecom, utility locating, fiber installation, or excavation industries.
- Familiarity with claims management systems, CMMS platforms, or workflow-tracking tools.
- College degree preferred.
- Proficiency in Microsoft Word, Excel, Outlook, and strong general tech aptitude.
- Experience negotiating or settling B2B claims is highly valued.
Working Conditions
- Primarily office-based.
- Requires frequent interaction with internal and external stakeholders including utilities, contractors, insurers, and legal teams.
$34k-58k yearly est. 17d ago
Bassoon Adjustor
Fox Products Corporation 3.7
Claims representative job in South Whitley, IN
Position Overview: Aid in the manufacturing of Fox Products double reed instruments by assessing the strengths and weaknesses of all Fox Products bassoons, adjust a fully padded instrument, and assist in the development of final assembly personnel in the Bassoon Finishing Department.
Responsibilities & Duties
Adjust padded bassoons to current specifications
Ensure pads are seated and create a proper seal
Ensure connections, key fits, and spring tensions meet current specifications
Participate in cross-functional team to help define best practices
Represent Fox Products positively to the music community
Clearly understand and communicate outside feedback to the department supervisor
Ability to visualize an assembly and understand how the components fit together
Experience working with light machinery, drill motors, reamers, sanders and buffers
Experience using small hand and power tools
Experience using measuring tools, calipers and scale. Knowledge on how to read fractions and decimals preferred
Ability to solder small metal parts using a brazing method with small flame torch
Competency at performing focused work on small parts with a high level of attention to detail and quality
Ability to work with small intricate metal parts.
Ability to grind, bend, shape and fit metal parts
Good manual dexterity & ability to assemble small components
Leader within the department. Assist department supervisor with moving the business forward through positive change
Perform other tasks and duties as requested by supervisor
Qualifications
Bachelor of Music or higher. Bassoon Performance preferred
Ability to play the bassoon at a high level
Strong mechanical knowledge
Demonstrate knowledge of policies, standards, operations, cleaning and maintenance techniques
Show initiative and make suggestions on operational procedure and conditions
Ability to communicate clearly and effectively in many mediums
Disciplined, detail oriented, punctual, and quality minded
Empathetic and positive attitude
Organized and results-driven with great problem-solving skills
Self-motivated with ability to multitask and thrive in a timeline-driven environment
Collaborative and team-oriented personality
Ability to follow all safety regulations
Employee Benefits:
Flexible Work schedule allowed once trained. Work 5, 8 hours day or 4, 10 hour days with flexible start and end times
Benefits provided 1st of the month following start date.
$37k-46k yearly est. Auto-Apply 60d+ ago
1st Shift Converting Adjuster
Interstate Packaging Company 3.8
Claims representative job in White Bluff, TN
Job Summary: The Converting Adjuster is responsible for setting up and adjusting converting equipment (bag machines) to meet job orders and customer specifications. This role troubleshoots mechanical and quality issues, performs minor maintenance, and ensures production meets safety, quality, and regulatory standards.
Key Responsibilities:
Set up bag machines according to production orders and customer specifications.
Troubleshoot mechanical and quality issues during production runs.
Perform minor preventative maintenance and adjustments on machinery.
Maintain accurate floor shop and production documentation.
Maintain general housekeeping standards in work area.
Follow all company policies related to safety, quality, regulatory compliance, and Good Manufacturing Practices (GMPs).
Communicate effectively with team members and supervisors regarding machine performance and production quality.
Support continuous improvement efforts related to machine efficiency and product quality.
Perform other duties as assigned.
Qualifications
Qualifications:
High school diploma or equivalent preferred.
Strong mechanical aptitude required.
Ability to read and accurately use measuring tools (e.g., tape measure).
Basic reading, writing, and math skills required.
General computer literacy preferred.
Essential Physical and Mental Requirements:
Ability to read and interpret work orders and specifications.
Ability to use a ruler or measuring tools to verify product dimensions.
Ability to understand and follow detailed instructions with minimal supervision.
Ability to lift 30-75 lbs. regularly; ability to manipulate 200-1,000 lbs. with mechanical assistance.
Ability to stand for extended periods of time.
Quick reflexes and full awareness to safely operate and react to moving machinery.
Ability to distinguish subtle color variations for accurate product matching.
Ability to follow all safety procedures and use personal protective equipment as required.
Work Environment:
Manufacturing floor with exposure to machinery, noise, and moving equipment.
Must be able to work assigned shifts, including potential overtime or schedule changes based on business needs.
$32k-41k yearly est. 16d ago
Adjustments/Returns
S&S Firestone 3.8
Claims representative job in Nashville, TN
S&S Firestone, Inc . is one of the largest tire distributors in the U.S., with over 1 million square feet of inventory. S&S Tire has over 550 employees across 10 states, with business focusing on three business sectors: wholesale, commercial, and retread. S&S Firestone, Inc. is now searching for an experienced Adjustment/Returns Associate at our Nashville, TN Wholesale Location.
POSITION SUMMARY
Analyze and properly process tires according to manufacturer and company warranty specifications.
ESSENTIAL FUNCTIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Inspect tires and ensure they match the claim form to determine the appropriate credit process to follow.
Coordinates credit and pick up of adjusted tires with manufacturers.
Communicates with customer status of adjustments.
Process claims through multiple systems.
Requirements
SKILLS & ABILITIES
Minimum 2 years related experience
Must be familiar with inventory systems, point of sale, word processing, spreadsheets, and general knowledge of internet browsing.
Valid driver's license - in good standing
Ability to work in a fast-paced, customer service-oriented environment
Able to lift 50 lbs multiple times in a shift
ENDLESS OPPORTUNITIES
S&S Firestone, Inc. has big plans for the future, just like you. We understand that it takes preparation and hard work to get there. So, we offer challenging purpose, ownership of your role, great teams, and tools to build your capability. In our fast-paced setting, you can take your career in exciting new directions - and as far as you want to go. We offer:
Starting pay $21/hr
Health Benefits: Medical, Dental Vision, Life insurance and more
401(k) Retirement Plan with Company matching
Paid Vacation and Holidays
401(k) & matching
Employee discount
Health savings account
Paid time off
Retirement plan
S&S Tire Mission, Vision, and Values:
Vision: Be the simplest, Fastest, and most Reliable Mission: Create value providing essential products and services that move forward the American economy and way of life Core Values:
Act with integrity
Create customer centric value
Ensure Longevity
Develop Employees
Salary Description 21
$21 hourly 20d ago
Public Adjuster
The Misch Group
Claims representative job in Nashville, TN
Department
Insurance & Financial Services
Employment Type
Full Time
Location
Tennessee
Workplace type
Hybrid
Compensation
$90,000 - $170,000 / year
Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.
How much does a claims representative earn in Bowling Green, KY?
The average claims representative in Bowling Green, KY earns between $25,000 and $47,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.
Average claims representative salary in Bowling Green, KY