Post job

Claims representative jobs in Centennial, CO

- 60 jobs
All
Claims Representative
Claims Adjuster
Claim Specialist
Claims Supervisor
Senior Claims Examiner
Bodily Injury Adjuster
Senior Claims Representative
Liability Claims Examiner
  • Claims Adjuster

    Network Adjusters, Inc. 4.1company rating

    Claims representative job in Denver, CO

    Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability and/or Construction Defect for a third-party liability Construction Defect Claims Adjuster position. In this role, you will manage third-party Construction Property Damage and Liability Insurance claims of varying complexity and severity, specifically within construction development and subcontractor programs. CONSTRUCTION DEFECT ADJUSTER RESPONSIBILITES: Knowledge of General Liability and Construction Defect claims. Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients. Fulfill specific client requirements including reporting of claim details and analysis. Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements. Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.) Investigate facts to determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties. Manage 3rd party property damages, bodily injury and other claims requiring specialized investigation and utilization of external experts in accordance with local laws. Effectively manage litigated claims & assigned defense or coverage counsel. Establish and maintain appropriate claim and expense reserves in a timely fashion. Develop and continually update a plan of action for file resolution including maintaining an effective diary. Document claim file activities in accordance with established procedures. Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants. Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly. Determine settlement amounts based on independent judgment, application of applicable limits and deductibles. Negotiate settlements within authority limits. Identify subrogation opportunities. Meet all quality standards and expectations based on Best Practices. Assure compliance with state specific regulations. Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution. CONSTRUCTION DEFECT ADJUSTER QUALIFICATIONS: 2-5 years of experience in claims handling (preferably 3rd party - general liability). College/Technical degree or equivalent business experience. Obtain Adjusters licenses as required to meet business need. Complete continuing education to maintain licenses. Strong verbal and written communication skills. General software skills including MS Word, Outlook and Excel. Customer service and empathy skills. Solid analytical and decision-making skills in order to evaluate claims and make sound decisions. Excellent negotiation skills and ability to effectively handle conflict. Strong organization and time management skills. Ability to multi-task and adapt to a changing environment. Attention to detail, ensuring accuracy. Strong investigative skills and creativity to achieve optimal results. Ability to maintain confidentiality. CONSTRUCTION DEFECT ADJUSTER BENEFITS: Training/Development and growth opportunities 401(k) with company match / Retirement planning Paid time off / Company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs We have openings in Denver, Colorado; Farmingdale, New York; and Covington, Kentucky. Remote work may be available for experienced candidates who meet the required criteria. The starting salary for this position is $75,000 - $100,000, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
    $75k-100k yearly 23h ago
  • Auto Total Loss Claim Representative Trainee

    The Travelers Companies 4.4company rating

    Claims representative job in Centennial, CO

    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 $45,400.00 - $74,900.00 Target Openings 7 What Is the Opportunity? This is an entry level position that requires satisfactory completion of required training to advance to Claim Rep Auto Total Loss position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires 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. As of the date of this posting, Travelers anticipates that this posting will remain open until 12/17/25. What Will You Do? * Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. * The on the job training includes practice and execution of the following core assignments: * Handle all types of automobiles, and a variety of heavy and mobile equipment (i.e. cranes, tractor trailers, construction, agricultural equipment) at every severity level excluding other property damage i.e.: guard rails, mail boxes and any property within the vehicle. * Contact all appropriate parties to gather supporting documents necessary to negotiate and settle the claim within their authority level (i.e.; obtaining the title, keys, and other required documentation). * Review controlling claim handlers' coverage determination, summarize the review and seek clarification as needed. Recognize additional coverage issues (i.e. covered equipment, endorsements). * Establish and/or update claim and expense reserves. * Control damages through the proper use of cost containment tools (i.e. mitigate storage, expenses, rental). * Properly manage Total Loss settlement process and rental expenses by working closely with appraisers, rental facilities, body shops, and salvage vendors. Manage deductibles and limits. * Review the valuation (appraisal estimate) based on the type of vehicle to effectively and efficiently resolve the claim. * Meet all quality standards and expectations per Best Practices. * Maintain an effective diary system, manage file inventory, and document claim file activities in accordance with established procedures. * Comply with state specific regulations. * Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers. * May participate with property ERT during extreme weather events. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred. * Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic * Verbal and written communication skills -Intermediate * Attention to detail ensuring accuracy - Basic * Ability to work in a high volume, fast paced environment managing multiple priorities - Basic * Analytical Thinking - Basic * Judgment/ Decision Making - Basic What is a Must Have? * High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We 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 *********************************************************
    $45.4k-74.9k yearly 25d ago
  • Auto Total Loss Claim Representative Trainee - Centennial, CO

    Msccn

    Claims representative job in Centennial, CO

    ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. 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. 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 $45,400.00 - $74,900.00 Target Openings 7 What Is the Opportunity? This is an entry level position that requires satisfactory completion of required training to advance to Claim Rep Auto Total Loss position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires 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. As of the date of this posting, Travelers anticipates that this posting will remain open until 12/17/25. What Will You Do? Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. The on the job training includes practice and execution of the following core assignments: Handle all types of automobiles, and a variety of heavy and mobile equipment (i.e. cranes, tractor trailers, construction, agricultural equipment) at every severity level excluding other property damage i.e.: guard rails, mail boxes and any property within the vehicle. Contact all appropriate parties to gather supporting documents necessary to negotiate and settle the claim within their authority level (i.e.; obtaining the title, keys, and other required documentation). Review controlling claim handlers' coverage determination, summarize the review and seek clarification as needed. Recognize additional coverage issues (i.e. covered equipment, endorsements). Establish and/or update claim and expense reserves. Control damages through the proper use of cost containment tools (i.e. mitigate storage, expenses, rental). Properly manage Total Loss settlement process and rental expenses by working closely with appraisers, rental facilities, body shops, and salvage vendors. Manage deductibles and limits. Review the valuation (appraisal estimate) based on the type of vehicle to effectively and efficiently resolve the claim. Meet all quality standards and expectations per Best Practices. Maintain an effective diary system, manage file inventory, and document claim file activities in accordance with established procedures. Comply with state specific regulations. Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers. May participate with property ERT during extreme weather events. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. Perform other duties as assigned. Additional Qualifications/Responsibilities What Will Our Ideal Candidate Have? Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred. Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic Verbal and written communication skills -Intermediate Attention to detail ensuring accuracy - Basic Ability to work in a high volume, fast paced environment managing multiple priorities - Basic Analytical Thinking - Basic Judgment/ Decision Making - Basic What is a Must Have? High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
    $45.4k-74.9k yearly 21d ago
  • Workers' Compensation Claim Specialist (CO)

    Ccmsi 4.0company rating

    Claims representative job in Greenwood Village, CO

    Workers' Compensation Claim Specialist (CO jurisdiction, some UT possible) Hours: Monday - Friday, 8:00 AM to 4:30 PM Salary Range: $60,000-$98,000 (experience considered) At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of assigned claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The Claim Representative is accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws. Establish reserves and/or provide reserve recommendations within established reserve authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Review and maintain personal diary on claim system. Assess and monitor subrogation claims for resolution. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Performs other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience Ten years claims experience is required. Bachelor degree is preferred. Computer Skills Proficient using Microsof Office products such as Word, Excel, Outlook, etc. Certificates, Licenses, Registrations Adjuster's license may be required based upon jurisdiction. AIC, ARM OR CPCU Designation preferred. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity. Work requires the ability to sit or stand up to 7.5 or more hours at a time. Work requires sufficient auditory and visual acuity to interact with others. CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #WorkersCompensation #HybridWork #ClaimsAdjuster #InsuranceCareers #WorkersCompSpecialist #AdjusterJobs #CareerAdvancement #FlexibleWork #ExperiencedAdjuster #WorkComp #IND123 #LI-Hybrid
    $60k-98k yearly Auto-Apply 10d ago
  • Claims Adjuster II

    FCCS

    Claims representative job in Greenwood Village, CO

    FCCS is seeking a motivated and detail-oriented Claims Adjuster II to join our dynamic and forward-thinking Risk Management team. In this mid-level role, you'll manage property and casualty claims within your authority while gaining valuable exposure to more complex cases-handling claims outside of your authority under the guidance of the Claims Manager. This hands-on experience offers a unique opportunity to expand your skill set and grow professionally. You'll work closely with customers, claimants, attorneys, third-party administrators, and insurance partners, as well as colleagues across all levels of the organization. FCCS provides a tremendous culture for its employees with a focus on work/life values. In addition to competitive pay and benefits, our Denver-based employees operate on a hybrid schedule, currently working remotely 3 days/week. The benefits and bonus structure are unique and a competitive advantage for FCCS making us a Great Place to Work certified organization. In addition to an annual bonus opportunity and competitive benefits, the salary range for this position is $70,000 -100,000 annually. JOB RESPONSIBILITIES Adjusts bodily injury claims resulting from slips and falls or automobile accidents, including litigated claims, that exceed authority under the direction and supervision of the Claims Manager or a Supervising Examiner. Adjusts property and third-party property claims. Oversee non-litigated medical and lost time workers compensation claims for clients in partnership with third party administrator. This includes maintaining timely communication with injured employees, employers, medical providers and vendors to ensure prompt and adequate treatment is received. Maintains timely communication and oversight with clients, claimants, third-party vendors and attorneys to facilitate a quick and fair resolution of all injuries or damages. Participates in claim reviews with auditors, customers and other stakeholders as requested. Establishes and maintains (or directs the maintenance of) appropriate reserves, payments, and notes into the claims database. Maintains the integrity of the claims database by providing or entering accurate information. Demonstrates the features of our RMIS database to others. Ability and willingness to assist in administrative tasks as needed. Participates in department activities and functions, including communications to new clients, as appropriate. Performs other similar duties as assigned or deemed necessary. JOB REQUIREMENTS Bachelor's degree required Five or more years' experience in the property & casualty industry required Claims handling knowledge and skills required Ability to travel 5-10% required Multi-line claims handling experience preferred Strong verbal and written communication skills for working with employees at all levels of the company and clients Strong organizational skills Proven attention to detail and solid analytical skills Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) Able to meet deadlines under pressure and adjust to changing priorities Able to prioritize and manage several tasks at once Able to maintain a consistently high level of productivity and accuracy Able to work in a fast paced, service-focused environment A demonstrated interest in supporting and advancing the agricultural industry is strongly valued Must enjoy working in a team environment while also able to work independently An Overview of FCCS. Our Expertise. Our Services. FCCS was created in 1975 to help clients enhance their organizations and optimize their operations. In the 45 years since, we have: Expanded our business and consulting services to address the increasingly dynamic challenges of the marketplace. Introduced leadership development, governance, and talent management programs that have earned strong praise from boards, executives, and human resource officers, alike. Addressed the financial and operational concerns our clients face at the most pragmatic levels with legal consulting services, strategic risk management, and collective buying power. Diversified our clients and programs, bringing growth, new energy, and insight to our organization. Headquartered in the Denver Tech Center, with approximately 50 employees, FCCS is proud to serve a variety of clients across the U.S. We provide: Governance and Leadership Development Conferences, Programs, and Events for Professional Development Executive Coaching Thought Leadership and Professional Speakers Strategic Talent Management Merger, Acquisition and Corporate Finance Advisory Risk Management and Insurance Management Passkey Affinity Program The unique blend of our expertise, services, programs, and conferences enables us to create enriching business solutions and help organizations to be more. JOIN OUR GROWING TEAM! Compensation: Competitive Salaries Annual Performance Bonuses Benefits: 90% employer paid health insurance options. 10-12 paid holidays annually Open paid vacation time - Supervisor Approved Generous paid sick time Generous 401k matching and other benefits Casual Dress Code Collaborative and welcoming work environment Great Place to Work Certified Being certified as a Great Place to Work reflects our collective efforts to foster a positive and inclusive workplace culture where everyone feels valued, supported, and empowered to do their best at work. This achievement is a testament to the incredible dedication, talent and passion that each of our employees brings to our organization every day. Click HERE to see the FCCS company profile on the Great Places to Work website. FCCS is an Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. FCCS may require job candidates to successfully complete a background check as a condition of employment.
    $70k-100k yearly 60d+ ago
  • Sr Claims Representative

    Bitco Insurance Companies 3.5company rating

    Claims representative job in Lakewood, CO

    BITCO Corporation, headquartered in Davenport, IA, is currently seeking a Sr. Claims Representative to join our branch office located in Lakewood, CO. With 11 branch offices in 10 states, BITCO provides quality insurance services to specialized industries including construction, forest products and oil & gas. This position is eligible for a hybrid work schedule with required business travel to BITCO office locations and customer offices. Position Summary: This position provides key support in the handling of claims across multiple lines of coverage, with a focus on Liability (Commercial Auto and General Liability). This includes assessing claim coverage, liability, legal and damage issues, and investigating, evaluating, and effectively resolving all assigned claims in a timely manner according to company and regulatory guidelines. Provides a high level of customer service to internal and external business partners. Primary Responsibilities: Review, analyze, and interpret policy conditions, exclusions, and endorsements to resolve coverage and liability issues for assigned claims Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers to address claim coverage issues Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials Provide proper documentation and reporting of investigation and claims handling activities Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts, settles, and resolves claims with claimants, insureds, and their lawyers; provides appropriate claims resolution documents Maintain a working knowledge of regulatory and jurisdictional requirements Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim Identify and pursue (if applicable) risk transfer opportunities Other duties as assigned Qualifications: Minimum of 5 years of experience with the following: Coverage Review - interpreting policies, agreements/contracts, reservation of rights, and disclaimers Claims Investigation - Statements, authorizations, retention of qualified experts and counsel Claims Administration - Reports, review reserves, compliance knowledge of laws and procedures Claims Settlement - Preparation of disclaimer letters, releases, and proof of loss statements; participation in legal court proceedings when necessary Knowledge of coverage, negligence principles, investigation, and negotiation techniques Ability to obtain and maintain state adjusting licenses, as needed Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public Ability to manage and organize workload of multiple tasks simultaneously Excellent judgement, negotiation, and decision making skills Must be able to travel between different off-site locations or overnight in an expeditious manner Experience in handling liability claims in western states, inclusive of Montana, Wyoming, Colorado, New Mexico, Idaho, Utah, Arizona, California, Washington and Oregon Salary Range: $70,000-$100,000, commensurate with experience Benefits: Competitive salary and benefits Paid time off and 12 paid holidays a year Health, dental, and vision insurance Company paid life insurance - 2x annual earnings Old Republic 401(k) Savings and Profit Sharing Plan Education and training opportunities Insurance designations encouraged with financial assistance available Daily two-hour flexible start and end time for 7.5-hour workday Employee Fitness Program
    $70k-100k yearly 1h ago
  • Healthcare Claims Processing Representative

    Oliver Behavioral Consultants 4.4company rating

    Claims representative job in Denver, CO

    Job DescriptionJob Summary:The Accounts Receivable Specialist is responsible for managing the financial reimbursement process, including insurance claim follow-up, payment posting, and resolving outstanding patient and insurance balances. This role plays a key part in maintaining healthy cash flow and ensuring accuracy in revenue collection. Key Responsibilities:
    $33k-39k yearly est. 4d ago
  • Claims Examiner, Commercial General Liability

    Arch Capital Group Ltd. 4.7company rating

    Claims representative job in Denver, CO

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibilityâ„ . Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities include actively managing commercial claims for medium severity, and general liability, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States. Responsibilities * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures * Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary * Investigate claims and review the insureds' materials, pleadings, and other relevant documents * Identify and review each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Demonstrated ability to take part in active strategic discussions * Demonstrated ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 10% Education * Bachelor's degree or 6 years of commercial Claims experience in lieu of degree * Three to five (3-5) years of working experience with a primary and or excess carrier supporting commercial accounts for Casualty claims; with Casualty and Construction a plus * Proper & active adjuster licensing in all applicable states #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $85,000 - $115,000 * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. For Colorado Applicants - The deadline to submit your application is: December 31, 2025 14400 Arch Insurance Group Inc.
    $85k-115k yearly Auto-Apply 60d+ ago
  • Sr. Claims Examiner - PIP

    Philadelphia Insurance Companies 4.8company rating

    Claims representative job in Englewood, CO

    Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Sr. Claims Examiner - PIP to join our team! Summary: Analyze insurance claims to determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and applicable law. A typical day will include the following: Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and other legal proceedings. Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and documents communication as well as results of investigation. Qualifications: High School Diploma; Bachelor's degree from a four-year college or university preferred. Five plus years related experience and/or training; or equivalent combination of education and experience. Three plus years of PIC related experience and an AIC Designation will be considered for employees in good standing with excellent claim audit scores. Compensation Range : $90,226.00 - $100,840.00 Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
    $90.2k-100.8k yearly Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Aurora, CO

    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.
    $46k-56k yearly est. 60d+ ago
  • Independent Insurance Claims Adjuster in Denver, Colorado

    Milehigh Adjusters Houston

    Claims representative job in Denver, CO

    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.
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Workers' Compensation Claims Specialist

    Arcadis Global 4.8company rating

    Claims representative job in Highlands Ranch, CO

    Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most complex challenges and deliver more impact together. Role accountabilities: Case Coordination * Serve as the main point of contact between the company and the external workers' compensation carrier. * Track and manage all workers' compensation claims from initial report to resolution. * Gather, review, and submit all required documentation to the carrier in a timely manner. * Coordinate with supervisors and injured employees to ensure accurate reporting of workplace injuries. Communication * Facilitate clear, timely communication between employees, management, healthcare providers, and the carrier. * Provide updates to management and affected employees regarding claim status and next steps. * Educate employees and supervisors on the workers' compensation process and requirements. Compliance & Documentation * Ensure all workers' compensation processes adhere to federal, state, and local regulations. * Maintain confidential and accurate records of all claims, correspondence, and decisions. * Assist in preparing reports related to claims trends, costs, and outcomes for management review. Return-to-Work Coordination * Collaborate with People team, Health & Safety team, management, and healthcare providers to facilitate safe and timely return-to-work plans. * Monitor work restrictions and accommodations as recommended by medical professionals. Continuous Improvement * Identify opportunities to improve claim handling processes and reduce claim costs. * Participate in safety committees and contribute to workplace injury prevention initiatives. Qualifications & Experience: * Bachelor's degree in Legal Studies, Human Resources, Business Administration, or related field (preferred). * 3+ years of experience in workers' compensation claims management or related field. * Familiarity with workers' compensation laws and regulations (state and federal). * Proficiency with case management systems and Microsoft Office Suite. Why Arcadis? We can only achieve our goals when everyone is empowered to be their best. We believe everyone's contribution matters. It's why we are pioneering a skills-based approach, where you can harness your unique experience and expertise to carve your career path and maximize the impact we can make together. You'll do meaningful work, and no matter what role, you'll be helping to deliver sustainable solutions for a more prosperous planet. Make your mark, on your career, your colleagues, your clients, your life and the world around you. Together, we can create a lasting legacy. Join Arcadis. Create a Legacy. Our Commitment to Equality, Diversity, Inclusion & Belonging We want you to be able to bring your best self to work every day which is why we take equality and inclusion seriously and hold ourselves to account for our actions. Our ambition is to be an employer of choice and provide a great place to work for all our people. We are an equal opportunity and affirmative action employer. Women, minorities, people with disabilities and veterans are strongly encouraged to apply. We are dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, religion, national origin, sex, age, disability, marital status, sexual orientation, gender identity, citizenship status, disability, veteran status, or any other basis prohibited by law. Arcadis offers benefits for full time and part time positions. These benefits include medical, dental, and vision, EAP, 401K, STD, LTD, AD&D, life insurance, paid parental leave, reward & recognition program and optional benefits including wellbeing benefits, adoption assistance and tuition reimbursement. We offer nine paid holidays and 15 days PTO that accrue per year. The salary range for this position is $65,000 - $85,000. Actual salaries will vary and are based on several factors, such as experience, education, budget, internal equity, project and location. #LI-CB3 #LI-Hybrid
    $65k-85k yearly 11d ago
  • Claims Specialist

    Sonsio 4.2company rating

    Claims representative job in Arvada, CO

    Who We Are With a comprehensive lineup of Vehicle Protection plans, Sonsio offers industry-leading programs that cover Tire Road Hazard Protection, Appearance, Parts & Labor Warranties, Mechanical Advisory, and other critical consumer services. These benefits provide vehicle owners with affordable and valuable coverages to keep their vehicles on the road safely, and also maximize the resale value by keeping the appearance of their vehicles like-new. Sonsio Vehicle Protection is committed to innovation and excellent customer service. Since our inception in 1984, Sonsio has been a leader in the automotive industry-serving more than 74,000 dealerships, F&I service providers, manufacturers, insurance companies, parts suppliers, retail chains, and many independent retailers across all 50 states, Canada, and Puerto Rico. We understand the challenges and complexities that our partners face when it comes to offering vehicle protection plans. There is no one-size-fits-all. Every business we help is different and has their own set of challenges. That's why, when you partner with Sonsio, we work with you to provide a custom solution designed to improve customer acquisition and retention and increase profitability. And when it comes to managing claims, you don't have the time or resources to worry about the headaches. Sonsio provides end-to-end support and decades of expertise to give customers the highest quality services with a world-class customer experience. Base Pay Range: $18-$19/HR As a Claims Adjuster, Tire Operations, L1, your essential job functions will include the following: Claims Adjuster, Tire Operations, L1 Responsibilities To have thorough knowledge of all service agreement (terms and conditions), claims guidelines and updating\settlement claim procedures. Standard: Quality Assurance scores above 90% with at least half having a 100% score. In a timely manner and accurately process each claim you are in. This is to be done by following through each step of a claim. Standard: From audits to have no more than 2% in errors. Handle all claim inquiries from customers and repair facilities. Notes must have as much detail as possible including, who you talked with, complete description of the failure, location of the failed component, and any other information that would be needed in a claim. Standard: Level 1 claims adjuster standard for calls is minimum of 55 calls each day. All claims adjusters should be on the phone 80% of the time and calls should be answered within the first 45 seconds. Average length of calls at 5 1\2 minutes. Claims comment worksheet is followed for all notes. Establish good working relationships with customers and repair facilities. Standard: No complaints from contract holders or shops. Process all photos received on claims where damage verification is needed. Standard: Verify and document all information gathered in a timely manner. Handle calls from specific tire programs in the claim department, this will include Dealer Tire and other level 1 calls once fully trained. Standards: Have complete understanding of all programs and be able to process claims under each program. Attendance is a must on all scheduled days of work. Standard: Keep from calling in at a minimum-being a call center it is essential to be staffed appropriately. Be punctual when showing up to work and coming off of breaks and lunches. Standard: Be ready to take phone calls at the start of scheduled shifts. Update claims throughout the day when call volume is low. Standard: Update a minimum of 7 claims per day while waiting for a call. Seeks additional work when assigned work is completed. Other Duties as Assigned This position is targeted to be closed on: Why Sonsio: An amazing opportunity to join a growing organization, built on the efforts of hard working, innovative, and team-oriented people. The compensation offered for this position will depend on qualifications, experience, and geographic location. The total compensation package may also include commission, bonus or profit sharing. We offer a competitive & comprehensive benefit package including: paid time off, medical, dental, vision, and 401k match (50% on the dollar up to 7% of employee contribution). For more information on our benefit offerings, please visit our Dealer Tire Family of Companies Benefits Highlights Booklet. EOE Statement: Sonsio is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status or disability (in compliance with the Americans with Disabilities Act*), or any other legally protected status, with respect to employment opportunities. *ADA Disclosure: Any candidate who feels that they may need an accommodation to complete this application, or any portions of same, based on the impact of a disability should contact Sonsio's Human Resources Department to discuss your specific needs. Please feel free to contact us at ************** x6550.
    $18-19 hourly Auto-Apply 3d ago
  • Claims Adjuster/Examiner

    Network Adjusters, Inc. 4.1company rating

    Claims representative job in Denver, CO

    Network Adjusters is seeking experienced claims adjusters with at least 3 years of insurance claims handling experience to join our Disposition Team in a file review role. The Disposition Analyst has two main objectives: assisting in onboarding triage and reviewing new claim programs and reviewing files for closure with the current companies pending. The Disposition Team reports directly to executive management and works aggressively to review files, determine opportunity for resolution and provide feedback to management. In this role, you'll review complex, high-exposure claims, develop creative solutions, and manage multiple files in a fast-paced environment while ensuring compliance and service standards are consistently met. The ideal candidate is energetic, driven, and proactive, with the ability to manage a wide range of claim types-including Commercial General Liability, Auto, Property Damage, Construction Bodily Injury, Construction Defect, Directors & Officers (D&O), Cyber, and Builder's Risk. While experience in all areas isn't required, you should be a quick learner who can adapt to changing business needs. DISPOSITION ANALYST RESPONSIBILITIES: Coverage Analysis: Examine claim forms, policies, and other records to determine insurance coverage. Claims Processing: Deep dive into complex claim files, evaluating damages, determining losses, negotiating settlements, and driving resolutions while upholding all compliance and regulatory standards. Customer Service: Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience. Negotiation: Communicate with related parties to discuss, negotiate and resolve claims. Reporting: Generate and present regular reports to senior management and clients, highlighting trends and areas for improvement. Compliance: Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements. DISPOSITION ANALYST QUALIFICATIONS: Commercial claims handling experience is required Minimum of three years handling bodily injury insurance claims Litigation experience Active or able to obtain Texas OR Florida Property & Casualty Adjusting License within first 90 days of employment Able to obtain New York Property & Casualty Adjusting License within first 90 days of employment Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims Ability to prioritize workload and handle multiple tasks Analytical and problem-solving abilities, with a keen attention to detail Ability to drive conversations with a firm stance Excellent evaluation and strategic skills required Strong claim negotiation skills Proficient in MS Office Suite and other business-related software Polished and professional written and verbal communication skills DISPOSITION ANALYST BENEFITS: Training, development, and growth opportunities 401(k) with company match and retirement planning Paid time off and company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs This role is located in Denver, CO; no remote or hybrid offers are available at this time. The starting salary for this position is $70,000 - $90,000, depending on factors such as licensure, certifications, and relevant experience. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
    $70k-90k yearly 4d ago
  • Auto Total Loss Claim Representative Trainee

    Travelers Insurance Company 4.4company rating

    Claims representative job in Centennial, CO

    **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** $45,400.00 - $74,900.00 **Target Openings** 7 **What Is the Opportunity?** This is an entry level position that requires satisfactory completion of required training to advance to Claim Rep Auto Total Loss position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires 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. As of the date of this posting, Travelers anticipates that this posting will remain open until 12/17/25. **What Will You Do?** + Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. + The on the job training includes practice and execution of the following core assignments: + Handle all types of automobiles, and a variety of heavy and mobile equipment (i.e. cranes, tractor trailers, construction, agricultural equipment) at every severity level excluding other property damage i.e.: guard rails, mail boxes and any property within the vehicle. + Contact all appropriate parties to gather supporting documents necessary to negotiate and settle the claim within their authority level (i.e.; obtaining the title, keys, and other required documentation). + Review controlling claim handlers' coverage determination, summarize the review and seek clarification as needed. Recognize additional coverage issues (i.e. covered equipment, endorsements). + Establish and/or update claim and expense reserves. + Control damages through the proper use of cost containment tools (i.e. mitigate storage, expenses, rental). + Properly manage Total Loss settlement process and rental expenses by working closely with appraisers, rental facilities, body shops, and salvage vendors. Manage deductibles and limits. + Review the valuation (appraisal estimate) based on the type of vehicle to effectively and efficiently resolve the claim. + Meet all quality standards and expectations per Best Practices. + Maintain an effective diary system, manage file inventory, and document claim file activities in accordance with established procedures. + Comply with state specific regulations. + Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers. + May participate with property ERT during extreme weather events. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred. + Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic + Verbal and written communication skills -Intermediate + Attention to detail ensuring accuracy - Basic + Ability to work in a high volume, fast paced environment managing multiple priorities - Basic + Analytical Thinking - Basic + Judgment/ Decision Making - Basic **What is a Must Have?** + High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We 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 ******************************************************** .
    $45.4k-74.9k yearly 57d ago
  • Workers' Compensation Claim Specialist (CO)

    Cannon Cochran Management 4.0company rating

    Claims representative job in Greenwood Village, CO

    Workers' Compensation Claim Specialist (CO jurisdiction, some UT possible) Hours: Monday - Friday, 8:00 AM to 4:30 PM Salary Range: $60,000-$98,000 (experience considered) At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of assigned claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The Claim Representative is accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws. Establish reserves and/or provide reserve recommendations within established reserve authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Review and maintain personal diary on claim system. Assess and monitor subrogation claims for resolution. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Performs other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience Ten years claims experience is required. Bachelor degree is preferred. Computer Skills Proficient using Microsof Office products such as Word, Excel, Outlook, etc. Certificates, Licenses, Registrations Adjuster's license may be required based upon jurisdiction. AIC, ARM OR CPCU Designation preferred. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity. Work requires the ability to sit or stand up to 7.5 or more hours at a time. Work requires sufficient auditory and visual acuity to interact with others. CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #WorkersCompensation #HybridWork #ClaimsAdjuster #InsuranceCareers #WorkersCompSpecialist #AdjusterJobs #CareerAdvancement #FlexibleWork #ExperiencedAdjuster #WorkComp #IND123 #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.
    $60k-98k yearly Auto-Apply 11d ago
  • Claims Adjuster II

    FCCS

    Claims representative job in Greenwood Village, CO

    Job Description FCCS is seeking a motivated and detail-oriented Claims Adjuster II to join our dynamic and forward-thinking Risk Management team. In this mid-level role, you'll manage property and casualty claims within your authority while gaining valuable exposure to more complex cases-handling claims outside of your authority under the guidance of the Claims Manager. This hands-on experience offers a unique opportunity to expand your skill set and grow professionally. You'll work closely with customers, claimants, attorneys, third-party administrators, and insurance partners, as well as colleagues across all levels of the organization. FCCS provides a tremendous culture for its employees with a focus on work/life values. In addition to competitive pay and benefits, our Denver-based employees operate on a hybrid schedule, currently working remotely 3 days/week. The benefits and bonus structure are unique and a competitive advantage for FCCS making us a Great Place to Work certified organization. In addition to an annual bonus opportunity and competitive benefits, the salary range for this position is $70,000 -100,000 annually. JOB RESPONSIBILITIES Adjusts bodily injury claims resulting from slips and falls or automobile accidents, including litigated claims, that exceed authority under the direction and supervision of the Claims Manager or a Supervising Examiner. Adjusts property and third-party property claims. Oversee non-litigated medical and lost time workers compensation claims for clients in partnership with third party administrator. This includes maintaining timely communication with injured employees, employers, medical providers and vendors to ensure prompt and adequate treatment is received. Maintains timely communication and oversight with clients, claimants, third-party vendors and attorneys to facilitate a quick and fair resolution of all injuries or damages. Participates in claim reviews with auditors, customers and other stakeholders as requested. Establishes and maintains (or directs the maintenance of) appropriate reserves, payments, and notes into the claims database. Maintains the integrity of the claims database by providing or entering accurate information. Demonstrates the features of our RMIS database to others. Ability and willingness to assist in administrative tasks as needed. Participates in department activities and functions, including communications to new clients, as appropriate. Performs other similar duties as assigned or deemed necessary. JOB REQUIREMENTS Bachelor's degree required Five or more years' experience in the property & casualty industry required Claims handling knowledge and skills required Ability to travel 5-10% required Multi-line claims handling experience preferred Strong verbal and written communication skills for working with employees at all levels of the company and clients Strong organizational skills Proven attention to detail and solid analytical skills Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) Able to meet deadlines under pressure and adjust to changing priorities Able to prioritize and manage several tasks at once Able to maintain a consistently high level of productivity and accuracy Able to work in a fast paced, service-focused environment A demonstrated interest in supporting and advancing the agricultural industry is strongly valued Must enjoy working in a team environment while also able to work independently An Overview of FCCS. Our Expertise. Our Services. FCCS was created in 1975 to help clients enhance their organizations and optimize their operations. In the 45 years since, we have: Expanded our business and consulting services to address the increasingly dynamic challenges of the marketplace. Introduced leadership development, governance, and talent management programs that have earned strong praise from boards, executives, and human resource officers, alike. Addressed the financial and operational concerns our clients face at the most pragmatic levels with legal consulting services, strategic risk management, and collective buying power. Diversified our clients and programs, bringing growth, new energy, and insight to our organization. Headquartered in the Denver Tech Center, with approximately 50 employees, FCCS is proud to serve a variety of clients across the U.S. We provide: Governance and Leadership Development Conferences, Programs, and Events for Professional Development Executive Coaching Thought Leadership and Professional Speakers Strategic Talent Management Merger, Acquisition and Corporate Finance Advisory Risk Management and Insurance Management Passkey Affinity Program The unique blend of our expertise, services, programs, and conferences enables us to create enriching business solutions and help organizations to be more. JOIN OUR GROWING TEAM! Compensation: Competitive Salaries Annual Performance Bonuses Benefits: 90% employer paid health insurance options. 10-12 paid holidays annually Open paid vacation time - Supervisor Approved Generous paid sick time Generous 401k matching and other benefits Casual Dress Code Collaborative and welcoming work environment Great Place to Work Certified Being certified as a Great Place to Work reflects our collective efforts to foster a positive and inclusive workplace culture where everyone feels valued, supported, and empowered to do their best at work. This achievement is a testament to the incredible dedication, talent and passion that each of our employees brings to our organization every day. Click HERE to see the FCCS company profile on the Great Places to Work website. FCCS is an Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. FCCS may require job candidates to successfully complete a background check as a condition of employment.
    $70k-100k yearly 5d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Boulder, CO

    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.
    $47k-56k yearly est. 60d+ ago
  • Independent Insurance Claims Adjuster in Boulder, Colorado

    Milehigh Adjusters Houston

    Claims representative job in Boulder, CO

    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.
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Workers' Compensation Claims Specialist

    Arcadis 4.8company rating

    Claims representative job in Highlands Ranch, CO

    Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most complex challenges and deliver more impact together. Role accountabilities: Case Coordination Serve as the main point of contact between the company and the external workers' compensation carrier. Track and manage all workers' compensation claims from initial report to resolution. Gather, review, and submit all required documentation to the carrier in a timely manner. Coordinate with supervisors and injured employees to ensure accurate reporting of workplace injuries. Communication Facilitate clear, timely communication between employees, management, healthcare providers, and the carrier. Provide updates to management and affected employees regarding claim status and next steps. Educate employees and supervisors on the workers' compensation process and requirements. Compliance & Documentation Ensure all workers' compensation processes adhere to federal, state, and local regulations. Maintain confidential and accurate records of all claims, correspondence, and decisions. Assist in preparing reports related to claims trends, costs, and outcomes for management review. Return-to-Work Coordination Collaborate with People team, Health & Safety team, management, and healthcare providers to facilitate safe and timely return-to-work plans. Monitor work restrictions and accommodations as recommended by medical professionals. Continuous Improvement Identify opportunities to improve claim handling processes and reduce claim costs. Participate in safety committees and contribute to workplace injury prevention initiatives. Qualifications & Experience: Bachelor's degree in Legal Studies, Human Resources, Business Administration, or related field (preferred). 3+ years of experience in workers' compensation claims management or related field. Familiarity with workers' compensation laws and regulations (state and federal). Proficiency with case management systems and Microsoft Office Suite. Why Arcadis? We can only achieve our goals when everyone is empowered to be their best. We believe everyone's contribution matters. It's why we are pioneering a skills-based approach, where you can harness your unique experience and expertise to carve your career path and maximize the impact we can make together. You'll do meaningful work, and no matter what role, you'll be helping to deliver sustainable solutions for a more prosperous planet. Make your mark, on your career, your colleagues, your clients, your life and the world around you. Together, we can create a lasting legacy. Join Arcadis. Create a Legacy. Our Commitment to Equality, Diversity, Inclusion & Belonging We want you to be able to bring your best self to work every day which is why we take equality and inclusion seriously and hold ourselves to account for our actions. Our ambition is to be an employer of choice and provide a great place to work for all our people. We are an equal opportunity and affirmative action employer. Women, minorities, people with disabilities and veterans are strongly encouraged to apply. We are dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, religion, national origin, sex, age, disability, marital status, sexual orientation, gender identity, citizenship status, disability, veteran status, or any other basis prohibited by law. Arcadis offers benefits for full time and part time positions. These benefits include medical, dental, and vision, EAP, 401K, STD, LTD, AD&D, life insurance, paid parental leave, reward & recognition program and optional benefits including wellbeing benefits, adoption assistance and tuition reimbursement. We offer nine paid holidays and 15 days PTO that accrue per year. The salary range for this position is $65,000 - $85,000. Actual salaries will vary and are based on several factors, such as experience, education, budget, internal equity, project and location. #LI-CB3 #LI-Hybrid
    $65k-85k yearly Auto-Apply 12d ago

Learn more about claims representative jobs

How much does a claims representative earn in Centennial, CO?

The average claims representative in Centennial, CO earns between $29,000 and $50,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Centennial, CO

$38,000

What are the biggest employers of Claims Representatives in Centennial, CO?

The biggest employers of Claims Representatives in Centennial, CO are:
  1. The Travelers Companies
  2. Msccn
Job type you want
Full Time
Part Time
Internship
Temporary