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Associate Claim Representative - Outside Property
The Travelers Companies 4.4
Claims representative job in Franklin, TN
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$52,600.00 - $86,800.00
Target Openings
1
What Is the Opportunity?
Travelers' Claim Organization is at the heart of our business by providing assurance to our customers during life's rainy days. As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. This position focuses on developing your skills and knowledge to successfully manage 1st party property claims. This program is typically 9-12 months and upon successful completion of this program you will have the skills needed to handle claims independently and progress toward full claims handling responsibility. This position is based remotely with work at residential and commercial locations with a combination of mobile work, work from your primary residence, or the nearest Travelers office. As part of the hiring process, this position will require the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
What Will You Do?
* Actively participate in structured training classes covering insurance policies, specific claim processes, systems, and procedures, including virtual, classroom, and on-the-job training.
* Review, investigate, and document 1st party property claims under close supervision.
* Gather information from policyholders, claimants, witnesses, and third-party providers.
* Learn to investigate and evaluate all relevant facts and information (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact). Determine and apply coverage for building damages per policy terms.
* Establish accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
* Provide timely and professional communication to customers, claimants, and internal stakeholders.
* Maintain accurate records of claim activity in claim management systems.
* Demonstrate openness to continuous learning, particularly in AI and digital transformation.
* Adapt to new technology implementations, system upgrades, and digital tool rollouts while maintaining productivity and service quality.
* Acquire and maintain relevant Insurance License(s) to comply with state and Travelers' requirements within three months of starting the job.
* This position requires participation in our Catastrophe Response Program, which could include deployment to assist our customers in other states.
* This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Previous internship or work experience in customer service or insurance.
* Strong attention to detail and organizational skills.
* Ability to manage multiple tasks and prioritize effectively.
* Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
* Ability to exercise sound judgement and make effective decisions.
* Strong verbal and written communication skills with the ability to convey information clearly and professionally.
* Basic conflict resolution skills with willingness to learn advanced techniques for facilitating productive discussions and negotiations.
What is a Must Have?
* High School Diploma or GED and one year of customer service experience OR Bachelor's Degree.
* Valid driver's license.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
$26k-35k yearly est. 5d ago
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Health Claim Investigation Representative
The Phia Group 3.6
Claims representative job in Louisville, KY
The Phia Group provides, amongst other things, claim recovery services for health benefit plans. When a health benefit plan pays medical bills, and we later discover someone else should have paid those medical bills, The Phia Group - on behalf of the health plan - will seek to recover the funds. The Case Investigator plays an important role in this effort, by determining whether another proper payer exists, and obtaining the details needed to pursue fund reimbursement.
The Health Claim Investigation Representative is responsible for communicating with plan members (insured participants) to determine potential sources of recovery (i.e. auto insurance, workers compensation, first party coverage, third party coverage, etc.). You will also be in contact with insurance carriers to collect adjuster and claim information while balancing communication with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email.
At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only unparalleled benefits for yourself but also being immersed in a company that was named one of USA Today's Top Workplaces for 2025. Meanwhile, from a regional perspective, both The Boston Globe and Louisville Business First also recognized our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work in 2025.
Note: This is a hybrid position.
Essential Duties and Responsibilities
Calling members for accident details
Drafting, mailing & faxing correspondence
Calling insurance carriers for claim information (claim #, adjuster name, phone, fax & mailing address)
Providing clients with accident details, payment ledgers, police reports, etc.
Reviewing plan documents for possible exclusions
Verifying first party, workers' compensation, third party and/or attorney representation and properly promoting and/or transferring the file to the appropriate CRS
Will be responsible for consistency and accuracy on time-sensitive documents.
Working on a team to efficiently handle tasks and keep the team up to date.
Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents
Experience and Qualifications
Excellent attention to detail with the ability to multi-task
Excellent communication skills
High level of proficiency using Microsoft Word and Excel required
Outstanding organizational, interpersonal, and administrative skills
Excellent telephone, writing, and communication skills
Must be self-motivated and able to meet deadlines under pressure
Must have the ability to work as part of a team, as well as to work independently
The Phia Group's Commitment to Diversity
The Phia Group is committed to creating a diverse environment and we are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. The Phia Group is also committed to compliance with all fair employment practices regarding citizenship and immigration status.
Working Conditions / Physical Demands
Sitting at workstation for prolong periods of time. Extensive computer work. Workstation may be exposed to overhead fluorescent lighting and air conditioning. Fast paced work environment. Operates office equipment including personal computer, copiers, and fax machines.
This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, the company reserves the right to modify, add or remove duties and assign other duties as necessary.
External and internal applicants, as well as position incumbents who become disabled as defined under the Americans with Disabilities Act, must be able to perform the essential job functions (as listed here) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case by case basis.
Salary: $47,000 - $50,000
$47k-50k yearly 2d ago
Auto Claims Representative
Auto-Owners Insurance 4.3
Claims representative job in Brentwood, TN
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to:
Investigate, evaluate, and settle entry-level insurance claims
Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
Learn and comply with Company claim handling procedures
Develop entry-level claim negotiation and settlement skills
Build skills to effectively serve the needs of agents, insureds, and others
Meet and communicate with claimants, legal counsel, and third-parties
Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements
Desired Skills & Experience
Bachelor's degree or direct equivalent experience with property/casualty claims handling
Ability to organize data, multi-task and make decisions independently
Above average communication skills (written and verbal)
Ability to write reports and compose correspondence
Ability to resolve complex issues
Ability to maintain confidentially and data security
Ability to effectively deal with a diverse group individuals
Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage
Continually develop product knowledge through participation in approved educational programs
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-DNI
#IN-DNI
$27k-34k yearly est. Auto-Apply 47d ago
Property Field Claims Adjuster Sr- Montgomery, AL and surrounding area
Country Financial 4.4
Claims representative job in Montgomery, AL
Experience more with a career at COUNTRY Financial! We're excited you're interested in a career at COUNTRY as we strive toward our vision - to enrich lives in the communities we serve. Our footprint spans coast to coast. But more important than where we operate, is the people who do the work. Apply today to help our organization grow and make a difference for our clients.
About the role
Looking for a genuinely rewarding career where you know you're actually making a difference in people's lives? COUNTRY Financial is seeking a Property Claims Consultant Sr to join our field claims team. You'll be providing a consistent, positive, and satisfying claims experience for our clients through the proper investigation, evaluation, negotiation, and settlement of more complex property claims. You'll learn how to use innovative technologies, i.e., drones for property inspections. In addition to on-site inspections, we also use virtual claim handling software to lead our clients safely and expertly through the claim process.
How does this role make an impact?
* Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims. - Initiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when necessary), and explain the overall claims process. - Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability.
Do you have what we're looking for?
Typically requires 7+ years of relevant experience or a combination of related experience, education and training.
* Maintains the appropriate adjuster's licensing as required by the states in which we do business.
* For Property-Field representatives only, excluding representatives in the Large Property Loss Unit: Part 107 drone license required for roof inspections. License must be obtained within 5 months of start date; must pass exam within 3 attempts.
* This job operates in a professional office or work from home environment and routinely uses standard office equipment such as computers, phones, scanners and copy machines.
* Work may extend beyond normal business hours as business needs dictate.
* May be called upon for catastrophic duty.
This position allows full-time field work within the territory for this position which includes Montgomery, Alabama and surrounding areas.
#LI-Remote
Base Pay Range:
$77,600-$106,700
The base pay range represents the typical range of potential salary offers for candidates hired. Factors used to determine your actual salary include your specific skills, qualifications and experience.
Incentive Pay:
In addition to base salary, this position is eligible for a Short-Term Incentive plan.
Why work with us?
Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We're a big company, yet small enough you can make an impact and won't get lost in the shuffle. You'll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business.
You'll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match.
COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations.
Come join our team at COUNTRY today!
$77.6k-106.7k yearly 13d ago
CLAIMS REPRESENTATIVE
State of Alabama 3.9
Claims representative job in Montgomery, AL
The ClaimsRepresentative is a permanent, full-time position with the Department of Finance. Positions are located in Montgomery. This is technical work in the adjustment of claims in the Risk Management Division of the Department of Finance.
$27k-33k yearly est. 60d+ ago
Bodily Injury Claim Representative - Auto
Travelers 4.8
Claims representative job in Franklin, TN
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 CategoryClaimCompensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range$67,000.00 - $110,600.00Target Openings1What Is the Opportunity?This position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process. This may include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims. 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.What Will You Do?
Customer Contacts/Experience:
Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follow-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions.
Coverage Analysis :
Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for moderate complexity Bodily Injury liability claims in assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration issues such as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel.
Investigation/Evaluation:
Investigates each claim to obtain relevant facts necessary to determine coverage, the extent of liability, damages, and contribution potential with respect to the various coverages provided through prompt contact with appropriate parties (e.g. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Takes recorded statements as necessary. Utilizes evaluation documentation tools in accordance with department guidelines.
Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.
Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit.
Reserving:
Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities in accordance with established procedures to resolve claim in a timely manner.
Negotiation/Resolution:
Determines settlement amounts, negotiates and conveys claim settlements within authority limits to claimants or their representatives. Recognizes and implements alternate means of resolution. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to claimants.
Handles both unrepresented and attorney representedclaims. May manage litigated claims on appropriately assigned cases. Develops litigation plan with staff or panel counsel, track and control legal expenses. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Insurance License:
In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
Perform other duties as assigned.
What Will Our Ideal Candidate Have?
Bachelor's Degree.
2 years bodily injury liability claim handling experience.
General knowledge and skill in claims handling and litigation.
Basic working level knowledge and skill in various business line products.
Demonstrated ownership attitude and customer centric response to all assigned tasks.
Demonstrated good organizational skills with the ability to prioritize and work independently.
Attention to detail ensuring accuracy.
Keyboard skills and Windows proficiency, including Excel and Word - Intermediate.
Verbal and written communication skills - Intermediate.
Analytical Thinking- Intermediate.
Judgment/Decision Making- Intermediate.
Negotiation- Intermediate.
Insurance Contract Knowledge- Intermediate.
Principles of Investigation- Intermediate.
Value Determination- Intermediate.
Settlement Techniques- Intermediate.
Medical Knowledge- Intermediate.
What is a Must Have?
One-year bodily injury liability claim handling experience or comparable liability claim handling experience, or successful completion of Travelers ClaimRepresentative training program is 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 *********************************************************
$27k-34k yearly est. Auto-Apply 1d ago
Multi-Line Adjuster Trainee
Geico 4.1
Claims representative job in Nashville, TN
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Multi-Line Adjuster Trainee - Nashville, TN
Salary: $27.98 per hour / $56,375 annually
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Property Damage Trainee! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, a customer's home or in a virtual estimating environment. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing boat, motorcycle, RV and other specialty claims.
Our industry-leading, paid training, which includes 3-weeks of required hands-on experience at our Ashburn, VA training facility will teach you the ins and outs of physical damage adjusting. We will provide the resources and training so you can directly assist our customers after accidents or major disasters. We're looking for those who are equally as motivated as they are compassionate. Your unique skillset, along with the latest adjusting tools and tech, will help you.Qualifications & Skills:
Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits
Willingness to be flexible with primary work location - position may require either remote or field work
Solid computer, mechanical aptitude, and multi-tasking skills
Effective attention to detail and decision-making skills
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$56.4k yearly Auto-Apply 37d ago
Associate VB Claims Specialist
Unum 4.4
Claims representative job in Chattanooga, TN
When you join the team at Unum, you become part of an organization committed to helping you thrive.
Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
Award-winning culture
Inclusion and diversity as a priority
Performance Based Incentive Plans
Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
Generous PTO (including paid time to volunteer!)
Up to 9.5% 401(k) employer contribution
Mental health support
Career advancement opportunities
Student loan repayment options
Tuition reimbursement
Flexible work environments
*All the benefits listed above are subject to the terms of their individual Plans
.
And that's just the beginning…
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
General Summary:Minimum starting hourly rate is $22.60
This is an entry level position within the Voluntary Benefits Claims Organization. This position is responsible for the thorough, fair, objective, and timely adjudication of voluntary benefits claims in conjunction with providing technical expertise regarding applicable regulations. This position is responsible for providing excellent customer service and interacts on a regular basis with employees, employers, health care providers and other specialized internal resources.
Incumbents in this role are considered trainees and are assigned a formal mentor for 6-12 months until they are assessed as capable of independent work. Incumbents are primarily responsible for learning and developing the skills, knowledge, and behaviors necessary to successfully adjudicate assigned claims, in accordance with our claims philosophy and policies and procedures.
Incumbent must demonstrate the ability to effectively manage an assigned caseload, exercise discretion and independent judgment, and appropriately render timely claim decisions while demonstrating strong customer service prior to movement to the exempt level claims specialist role.
Principal Duties and Responsibilities:
Maintain organizational service standards on all assigned claims demonstrating success in developing and implementing effective strategies to manage a caseload of varying size and complexity.
Develop an understanding and working knowledge of Voluntary Benefits for Unum and Colonial Life, including products, policies, procedures, and contracts.
Develop an understanding of the applicable contract/policy definitions and relevant provisions, clauses, exclusions, riders, and waivers, as well as regulatory and statutory requirements for claim products administered.
Develop skill set to determine appropriate risk management strategies through analyzing and applying technical and complex contractual knowledge (policies and provisions) to ensure appropriate eligibility requirements, liability decisions, and benefits payee.
Develop problem solving skills by demonstrating analytical and logical thinking resulting in the timely and accurate adjudication of a variety of simple to complex voluntary benefits claims.
Develop a working knowledge of systems needed for claims adjudication.
Provide excellent customer service and independently respond to all inquiries within service guidelines.
Responsible for timely and accurate claims review, initiation and completion of appropriate claim validation activities, and referrals/notifications to other areas (i.e., medical assessments, billing, etc.) as appropriate.
Produce objective, clear documentation and technical rationale for all claim determinations and demonstrate the ability to effectively communicate determinations while ensuring compliance with Voluntary Benefits procedures and all legal requirements including state regulations.
Partner and coordinate file strategies utilizing specialized resources including nurses, physicians, vocational rehabilitation and assessing medical documentation, when appropriate.
Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business, ensuring a coordinated and continuous claims experience for customers.
Be familiar with specialized workflow requirements and performance standards for any assigned customers.
May perform other duties as assigned.
Job Specifications:
4-year degree preferred or equivalent work experience
Ability to develop Voluntary Benefits product knowledge and apply a best-in-class service experience
Medical background, voluntary benefits claims and/or disability management experience preferred
Possess strong analytical, critical thinking, and problem-solving skills
Ability to exercise independent judgment and discretion in increasingly complex claim adjudication decisions, including initial decision and ongoing medical management.
Able to effectively utilize a broad spectrum of resources, materials, and tools needed to assist with the decision-making process
Strong service and quality orientation.
Ability to interact effectively and professionally with claimants, employers, medical resources, attorneys, accountants, brokers, sales representatives, etc.
Demonstrated ability to operate with a sense of urgency and make balanced decisions with the highest degree of integrity and fairness.
Excellent communication skills, written and verbal
Meets the standards for this position, as defined in the Talent Management framework
~IN3
#LI-LM2022
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$40,000.00-$75,600.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum
$40k-75.6k yearly Auto-Apply 7d ago
Independent Insurance Claims Adjuster in Murfreesboro, Tennessee
Milehigh Adjusters Houston
Claims representative job in Murfreesboro, TN
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.
$41k-50k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Huntsville, AL
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.
$42k-51k yearly est. Auto-Apply 41d ago
Claims Disbursement Specialist
Acrisure, LLC 4.4
Claims representative job in Brentwood, TN
Essentials Duties and Responsibilities:
include the following. Other duties may be assigned
:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Print and process daily claims checks for clients.
Communicate with claims teams to resolve payment-related issues.
Handle voids, stop payments, and ACH debit/credit transactions.
Monitor client escrow accounts and ensure adequate funding.
Process and transmit positive pay files to banking institutions.
Research, deposit, and record refunds and overpayments.
Manage third-party recoverable checks, including paperwork and deposits.
Prepare and distribute transaction and reconciliation reports per client requirements.
Evaluate and improve internal controls to prevent duplicate or missed check printing.
Ensure timely mailing of all checks.
Explore and support future implementation of Electronic Funds Transfer (EFT) for providers and claimants.
Reconcile payments against month-end financial reports.
Perform other duties as assigned.
The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Qualifications /Required Education and Experience:
High school diploma or equivalent required; associate or bachelor's degree in accounting, finance, or business preferred.
Minimum of 1-2 years of experience in claims processing, disbursements, or a related financial operations role.
Understanding of Workers' Compensation claims is preferred.
Proficiency in Microsoft Excel is preferred.
Experience working with banking systems and financial reconciliation processes.
Skills and Competencies:
Strong attention to detail and accuracy.
Excellent organizational and time management skills.
Ability to work independently and manage multiple priorities.
Strong communication skills, both written and verbal.
Problem-solving and analytical thinking.
Ability to maintain confidentiality and handle sensitive financial information.
Team-oriented with a proactive and collaborative approach.
Knowledge Areas:
Claims processing and disbursement workflows.
Escrow account management and reconciliation.
Banking operations including ACH and positive pay.
Financial reporting and audit controls.
Workers' Compensation claims (preferred).
Position Type/Expected Hours of Work
This is a full-time position. Standard business hours of operations are - Monday through Friday, 8:30 a.m. to 5 p.m.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
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.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management.
Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at *************************************
To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure's property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure's Human Resources Talent Department.
$35k-60k yearly est. Auto-Apply 60d+ ago
Claim Specialist // Memphis TN 38134
Mindlance 4.6
Claims representative job in Memphis, TN
Business Claim Specialist Visa GC/Citizen Division Pharmaceutical Contract 6 Month Timings Mon - Fri between 8.00AM - 5.00PM Qualifications The primary function/purpose of this job. Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside the client. Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team.
ESSENTIAL FUNCTIONS:
The 6-10 major responsibility areas of the job. Weight: (%)
(Total = 100%)
1. Manage member and client expectations related to claim reimbursements. Input claim requests into adjudication platform maintaining compliance to performance guarantees, HIPAA guidelines and service standards, which include production and accuracy standards. Processing according to client guidelines making exceptions upon member appeal and client approval. Recognize and escalate appropriate system crises/problems and fraudulent claims to management. 40 %
2. Identify claims requiring additional research, navigate through appropriate system platforms to perform research and resolve issue or forward as appropriate 15 %
3. Research to define values for missing information not submitted with claim but required for processing. Identify drug form, type and strength to manually determine correct NDC number value which will allow claim to process. Continue researching values if system editing does not accept original assigned value. Utilize anchor platform, internet resources and/or contacting retail pharmacist as resources for missing values. 15 %
4. Initiate correspondence to members, pharmacies or other internal departments for missing information, claim denials or other claim issues. 15 %
5. Evaluate claim submission, ensure all required information is present and determine what action should be taken. Confirm patient eligibility and verify patient information matches system. Update member's address to match claim form if necessary. 5 %
6. Identify exception handling and process per client requirements. Monitor system to ensure client specific documentation related to claims processing and benefits is current and system editing is operating appropriately. 5 %
7. Variety of other miscellaneous duties as assigned 5 %
SCOPE OF JOB
Provide quantitative data reflecting the scope and impact of the job - such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc.
Maintain an average of 30 Commercial claims per hour (cph) or 35 Work Comp claims per hour (cph).
MINIMUM QUALIFICATIONS TO ENTER THE JOB:
Formal Education and/or Training:
High school diploma or equivalent required, some college or technical training preferred
Years of Experience:
Two years' experience in P.B.M. environment is helpful but not required.
Computer or Other Skills:
Strong data entry, 10-key skills, general PC skills and MS Office experience
Knowledge and Abilities:
• Strong data entry and 10-key skills
• Retail pharmacy, customer service experience helpful but not required
• PC and MS Office literate
• Strong attention to detail
• Excellent retention and judgment ability
• Proficient written and oral communication skills
• Ability to work in fast-paced, production environment
• Reliable, self-motivated with excellent attendance
• Team player who has the ability to stay on task with little supervision
If you are available and interested then please reply me with your “
Chronological Resume”
and call me on
**************
.
Additional Information
Thanks & Regards,
Ranadheer Murari
|
Team Recruitment
|
Mindlance, Inc.
|
W
:
************
*************************
$29k-38k yearly est. Easy Apply 1d ago
Billing Claims Specialist-Business Office- Full Time
Murray-Calloway County Public Hospital C 3.5
Claims representative job in Murray, KY
Job Description
An Account Resolution Specialist I is responsible for researching and identifying unpaid, partially paid, incorrectly paid or denied claims. They must follow-up with insurance carriers verbally or via on-line tools and properly discuss the problem with the knowledge of how to negotiate payment/additional payments on all claims. In the event the needs arise, they will also resubmit a corrected claim and/or follow-up with patients regarding the issue(s) as needed.
Minimum Education
Must have a high-school diploma or a GED.
Minimum Work Experience
No prior work experience in this related field is required at this level.
Required Skills
Customer service
Must have general Microsoft Office (Word, Excel, PPT, and Outlook) experience.
Ability to manage their time in order to meet job requirements.
Ability to review an account and come to a decision as to what the proper solution would be to resolve the account.
Must be a team player.
Screening Requirements:
Drug Screen
Tuberculosis Test
Background Check
Physical Exam
Respirator Fit
Eligible Benefits:
Medical, Dental and Vision *Excellent Low Premiums!*- No copays or Deductibles when utilizing MCCH services!
Life Insurance *ZERO premium*
Retirement Plan
Paid Time Off
Bereavement
Bridge Coverage *ZERO premium for self-coverage when enrolled in medical coverage
Tuition Reimbursement
Our Mission:
To improve the lives of those we serve by providing outstanding care and services through our confident, compassionate and exceptional healthcare professionals.
Our Vision:
To be chosen by our community and expanded service region based on proven outcomes as the trusted provider to care for their families, friends and neighbors.
Our Values:
Competence, Excellence, Compassion, Respect and Integrity.
$42k-52k yearly est. 12d ago
Field Property Adjuster - Columbia, Tennessee Area
Cenco Claims 3.8
Claims representative job in Columbia, TN
CENCO Claims is expanding daily field coverage in Southern Middle Tennessee and is currently seeking a Daily Property Claims Adjuster to support residential property claims in the Columbia area. This position is ideal for adjusters who want steady local work, flexible scheduling, and a support team that keeps files moving.
Position Overview
As a Daily Property Claims Adjuster, you will handle residential property claims from inspection through file submission. This is a field-based role focused on accurate inspections, organized documentation, and timely reporting.
What You'll Be Responsible For:
Conduct on-site inspections of residential property losses
Identify and document damage related to wind, hail, water, and other covered events
Prepare accurate estimates using Xactimate or Symbility
Capture clear photos, measurements, and supporting documentation
Communicate professionally with policyholders, contractors, and carrier representatives
Manage claim files efficiently and submit reports within required timelines
Represent CENCO Claims with professionalism in the field
What We're Looking For:
Active Tennessee adjuster license or approved reciprocal license
Working knowledge of Xactimate (Symbility experience is a plus)
Understanding of residential construction and damage assessment
Strong organization, time management, and communication skills
Ability to work independently in the field
Reliable transportation, ladder, laptop, and standard adjusting equipment
What CENCO Claims Offers:
Consistent daily claim volume in the Columbia market
Competitive per-claim compensation
Flexible scheduling with local territory assignments
Support from an experienced and responsive claims team
Ongoing assignment opportunities
If you're looking for dependable daily work with a company that values clean files and quality fieldwork, apply today and join CENCO Claims.
$38k-51k yearly est. Auto-Apply 55d ago
Asset Adjuster
Max Credit Union 3.2
Claims representative job in Montgomery, AL
At MAX Credit Union, our culture is built on
simplicity, integrity, and hospitality
. As an Asset Adjuster, you'll play a vital role in helping members overcome financial challenges with clarity and care. By managing delinquent accounts and guiding members toward solutions, you'll embody our commitment to making banking easy, honest, and personal-protecting the credit union's assets while preserving trust and strengthening relationships.
We value our team and offer a competitive benefits package that includes:
Comprehensive health and dental coverage
200% employer 401k match!
Access to pharmacy and wellness programs
Supportive work environment with recognition for outstanding service
and
more
!
Role:
To protect and preserve the credit union's financial assets by effectively managing delinquent loan accounts through consistent, accurate, and professional collection efforts. This role requires a high level of attention to detail, adherence to compliance standards, and expertise in analyzing member accounts and recovering funds while maintaining a member-centric approach.
Essential Functions & Responsibilities:
• Proactively monitors and manages a portfolio of consumer loans that are 11 to 50 days past due.
• Follows structured collection processes to contact members, negotiate repayment terms, and ensure timely resolution.
• Performs precise file maintenance on member accounts and ensures all teller postings, account updates, and status changes are accurately recorded in the core system.
• Accepts and processes member payments with accuracy and ensures all transactions are correctly applied in accordance with internal policies.
• Supports proper and timely reporting of loan statuses to credit bureaus and other financial reporting systems; ensuring adherence to Fair Credit Reporting Act (FCRA) guidelines.
• Maintains comprehensive, organized records of all member communication and collection activities while ensuring all actions are documented in compliance with regulatory standards and internal procedures.
• Performs in-depth skip tracing using internal systems and approved tools to locate members with outdated or inaccurate contact information.
• Evaluates accounts for legal collection activity and collaborates with legal partners or attorneys to escalate cases appropriately, ensuring proper documentation and chain of custody.
• Prepares, maintains, and analyzes delinquency reports, spreadsheets, and account watch lists to support decision-making and track trends or recurring issues.
• Identifies potential legal or operational risks and promptly escalates concerns to management with recommendations for next steps.
• Assists in responding to collection hotline calls and provides support to internal team members to ensure seamless member service and issue resolution.
• Serves as backup to department adjusters and specialists when needed.
• Approaches all collection activity with professionalism, empathy, and the intent to preserve member relationships while enforcing policy and protecting the credit union.
• Stays current with policy and regulatory changes.
• Maintains a member first mindset.
• Upholds core values and builds team member and customer relationships.
• Completes all training as required.
• Performs other duties as assigned.
$45k-57k yearly est. 14d ago
Intermediate Medical Imaging Analyst (PACS and Radiology Applications)
Baptist Anderson and Meridian
Claims representative job in Memphis, TN
Analyze, plan, design, maintain, and provide ongoing optimization and support of medical imaging systems. Perform workflow assessments, capture business needs and analyze internal business systems to determine functional requirements for optimal utilization. Possess proficient clinical, technical, or application knowledge and experience. Perform system builds, upgrades, and system enhancements as needed. Support application through all phases of implementation, optimization, and maintenance. Work
with cross-functional teams and end users to achieve application integration to meet clinical and/or business needs. Contributes to project teams and collaborates to ensure system functionality and user satisfaction. Exercise discretion and judgment in the performance of original, creative, intellectual work. Incumbent is subject to callback and on-call as required. Perform other duties as assigned.
Job Responsibilities
• Assist in implementation and serve as point person on assignments related to all phases of implementation of medical imaging systems and new projects used in corporate-wide Epic-related information system solutions to meet project milestones.
• Analyzes problems, recommends improvement, and develops appropriate action plans utilizing Baptist Management System tools to promote transformation and ensure successful implementation.
• Completes testing of software applications using established standards and protocols.
• Provides ongoing support of medical imaging systems and other applications under area of responsibility.
• Supports system configuration and maintenance tasks, ensuring alignment with clinical workflows and operational requirements.
• Collaborates with end users and stakeholders to gather and document requirements, facilitating effective system integration.
• Assists in troubleshooting and resolving technical issues in medical imaging systems, escalating complex problems as needed.
• Completes assigned goals
Experience
Minimum Required
5 yrs. of relevant experience
Education
Minimum Required
Bachelor Degree in either Radiology, Computer Engineering or Information Technology.
Training
Minimum Required
None
Special Skills
Minimum Required
Skill and proficiency in communicating and performing the techniques of information systems and/or telecommunications assessment.
$31k-46k yearly est. Auto-Apply 15d ago
Adjustments/Returns
S&S Firestone 3.8
Claims representative job in Nashville, TN
S&S Firestone, Inc . is one of the largest tire distributors in the U.S., with over 1 million square feet of inventory. S&S Tire has over 550 employees across 10 states, with business focusing on three business sectors: wholesale, commercial, and retread. S&S Firestone, Inc. is now searching for an experienced Adjustment/Returns Associate at our Nashville, TN Wholesale Location.
POSITION SUMMARY
Analyze and properly process tires according to manufacturer and company warranty specifications.
ESSENTIAL FUNCTIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Inspect tires and ensure they match the claim form to determine the appropriate credit process to follow.
Coordinates credit and pick up of adjusted tires with manufacturers.
Communicates with customer status of adjustments.
Process claims through multiple systems.
Requirements
SKILLS & ABILITIES
Minimum 2 years related experience
Must be familiar with inventory systems, point of sale, word processing, spreadsheets, and general knowledge of internet browsing.
Valid driver's license - in good standing
Ability to work in a fast-paced, customer service-oriented environment
Able to lift 50 lbs multiple times in a shift
ENDLESS OPPORTUNITIES
S&S Firestone, Inc. has big plans for the future, just like you. We understand that it takes preparation and hard work to get there. So, we offer challenging purpose, ownership of your role, great teams, and tools to build your capability. In our fast-paced setting, you can take your career in exciting new directions - and as far as you want to go. We offer:
Starting pay $21/hr
Health Benefits: Medical, Dental Vision, Life insurance and more
401(k) Retirement Plan with Company matching
Paid Vacation and Holidays
401(k) & matching
Employee discount
Health savings account
Paid time off
Retirement plan
S&S Tire Mission, Vision, and Values:
Vision: Be the simplest, Fastest, and most Reliable Mission: Create value providing essential products and services that move forward the American economy and way of life Core Values:
Act with integrity
Create customer centric value
Ensure Longevity
Develop Employees
Salary Description 21
$21 hourly 12d ago
Public Adjuster
The Misch Group
Claims representative job in Nashville, TN
Job DescriptionDescriptionQUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well
W2, Base Salary 70K+, and industry leading commission package
We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
$35k-47k yearly est. 5d ago
IRA/HSA/Death Claims Specialist
Ashland Credit Union
Claims representative job in Ashland, KY
At Ashland Credit Union (ACU), we look for people who are ready to Own Their Journey! Whether you are just beginning your career or looking to achieve more along your professional journey, ACU is a great place to get you on the path that best serves you and our members. If you have a passion to serve, a desire to work in a fast-paced environment and are willing to bring enthusiasm to work with you each day, then you may just find that ACU is the right fit for you.
Do you have a desire to reach higher and empower those around you?
Then your journey brought you to the right place and we would like to meet you.
Life is a journey Own it!
About Us:
Ashland Credit Union is a non-profit and member-owned credit union that has been providing exceptional service to members for over 80 years. Continued growth and adaptability are what has allowed ACU to always be a trustworthy answer for staff and members along whatever journey in life they are on. At Ashland Credit Union, we embolden our members to achieve their financial goals. Along life's journey, it is our mission that staff, members, and the community we serve can count on ACU for guidance as they strive to achieve more in life.
Position Summary:
ACU has an exciting opportunity for an IRA/HSA/Death Claims Specialist to join our Member Experience Department in Ashland, KY. This position will manage and process death claims and Individual Retirement Account (IRA) transactions. The candidate will work directly with beneficiaries, family members, and other internal departments to ensure accurate, timely, and empathetic resolution of claims.
Job Responsibilities:
Review and process death claims and related products.
Verify and document beneficiary information, including beneficiary designations, death certificates, and related paperwork.
Communicate with beneficiaries to provide guidance on the claims process, answer questions, and address concerns.
Coordinate with internal departments (legal, controls, underwriting, etc.) to ensure compliance with company policies, regulations, and guidelines.
Ensure timely and accurate payment of claims in accordance with company policy.
Administer the distribution and transfer of IRA assets, process rollovers, transfers, and other IRA-related transactions.
Ensure compliance with IRS rules and regulations concerning IRA distributions, Required Minimum Distributions (RMDs), and beneficiary designations.
Provide empathetic and professional customer service to beneficiaries and family members.
Ensure a smooth and compassionate claims experience for all parties involved.
Maintain accurate records of all claim transactions and IRA activities.
Ensure compliance with internal audit and regulatory requirements.
Familiarity with Traditional/IRA products.
Exceptional customer service and communication skills, with a compassionate approach to working with clients during difficult times
Education & Experience Requirements:
High School Diploma or Equivalent
Strong analytical, organizational, and time management skills.
Detail-oriented with the ability to manage multiple tasks and deadlines.
Problem solving skills.
Required Skills & Abilities:
Ability to work Monday thru Friday 8am to 5pm EST
Ashland Credit Union is committed to building a team that represents a variety of backgrounds, perspectives, and skills. We are committed to diversity and inclusion in the workplace and do not discriminate on the basis of race, sex, age, handicap, religion, natural origin or any other basis of protected class or where prohibited by law.
$30k-52k yearly est. 24d ago
Claims Specialist - Full Time
Frontier Health 3.5
Claims representative job in Gray, TN
JOB TITLE Claims Specialist Responsible for follow-up of all third-party claims to assure maximum reimbursement for services rendered by Frontier Health staff. Must exercise sound judgment, demonstrate initiative, develop and maintain good working relationships with all corporation staff and clients.
EDUCATION AND EXPERIENCE:
Education: High School Diploma/GED required.
Licensure: N/A
Certification: N/A
Experience: Medical billing experience preferred.
Knowledge/Skills: ICD-10, CPT, DSM-V, and HCPCS coding knowledge.
Excellent verbal/written communication skills.
Skilled in use of all major computer applications, especially Excel.
Able to work independently and as a team player.
EQUIPMENT:
Computer, fax, copier, calculator and any other equipment required to perform the functions of the position.
MAJOR DUTIES AND RESPONSIBILITIES:
1. Responsible for follow-up of all third-party claims in a timely fashion.
2. Assures guidelines and billing procedures are followed.
3. Identifies problem accounts and works with Utilization Management to maximize revenue.
4. Responsible for re-billing appropriate charges to the next responsible funding source.
5. Must obtain and maintain knowledge of all collection policies and procedures.
6. Must obtain and maintain knowledge of all services rendered by the agency and the liability of each third-party contract.
7. Must have or obtain working knowledge of CPT coding, revenue coding, HCPCS coding,
DSM-V, and ICD-10 coding.
8. Attend and participate in regularly scheduled staff meetings and in-services and individual
program planning staffings as needed.
9. Maintains records and prepares reports related to Accounts Receivable follow-up for
applicable payors.
10. Responds to questions, telephone calls and letters for follow-up of accounts and documents as necessary.
11. Works with supervisor or other team members
12. All other duties as assigned.
PERFORMANCE RESPONSIBILITIES:
Although each position has its own unique duties and responsibilities, the following listing applies to every employee. All employees of the organization are expected to:
1. Support the organization's mission, vision, and values of excellence and competence, collaboration, innovation, commitment to our community, and accountability and ownership.
2. Exercise necessary cost control measures.
3. Maintain positive internal and external customer service relationships.
4. Demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.
5. Plan and organize work effectively and ensure its completion.
6. Demonstrate reliability by arriving to work on time and utilizing effective time management.
7. Meet all productivity requirements.
8. Demonstrate team behavior and must be willing to promote a team-oriented environment.
9. Represent the organization professionally at all times.
10. Demonstrate initiative and strive to continually improve processes and relationships.
11. Follow all Frontier Health rules, policies and procedures as well as any applicable laws and standards.
How much does a claims representative earn in Franklin, TN?
The average claims representative in Franklin, TN earns between $23,000 and $43,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.
Average claims representative salary in Franklin, TN
$31,000
What are the biggest employers of Claims Representatives in Franklin, TN?
The biggest employers of Claims Representatives in Franklin, TN are: