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Claims representative jobs in Gilbert, AZ

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Senior Claims Representative
  • Injury Adjuster

    USAA 4.7company rating

    Claims representative job in Phoenix, AZ

    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust non-attorney involved soft tissue bodily injury to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion. This hybrid role requires an individual to be in the office 3 days per week. This position will be based in Phoenix, AZ. Relocation assistance is not available for this position. What you'll do: Identifies and handles existing and emerging risks that stem from business activities and the job role. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled. Follows written risk and compliance policies, standards, and procedures for business activities. Adjusts non-attorney involved soft tissue bodily injury claims, as well as all auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on soft tissue claims. Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines. Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions. Provides advice and sets expectations into next steps to members. Collaborates and supports team members to resolve issues and identify appropriate matters for escalation. Partners and/or directs vendors and internal business partners to facilitate timely claims resolution. Supports workload surges and/or Catastrophe Operations as needed. What you have: High School Diploma or General Equivalency Diploma. 1 year of injury adjusting or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims. Working knowledge and understanding of the auto claims contract as well as application of case and state laws and regulations. Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts. What sets you apart: 2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability. 1 year auto physical damage or total loss experience. Ongoing Professional Development with a focus on Insurance. Bachelors' Degree or higher. US military experience through military service or a military spouse/domestic partner. Compensation Range: The salary range for this position is: $57,970 - $103,870. Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $58k-103.9k yearly Auto-Apply 3d ago
  • Claims Representative - Glendale, AZ

    Federated Mutual Insurance Company 4.2company rating

    Claims representative job in Glendale, AZ

    Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Glendale, AZ office, located at 5701 W. Talavi Blvd. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.
    $63.8k-78k yearly Auto-Apply 60d+ ago
  • ESIS Claims Representative, WC

    Chubb 4.3company rating

    Claims representative job in Phoenix, AZ

    Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! MAJOR DUTIES & RESPONSIBILITIES: The ESIS Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process. Investigation: Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability. Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws. Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system. Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained. Compliance: Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements. Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status. Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes. Qualifications Experience: Minimum of 2-3 years of experience handling workers' compensation claims; prior experience with ESIS or similar third-party administrators is a plus. Licensing: Knowledge of California Workers Compensation and active adjuster license or ability to obtain licensure within a specified timeframe. Skills: Strong analytical and problem-solving abilities. Excellent verbal and written communication skills. Proficiency in claims management systems and Microsoft Office Suite. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Knowledge: Familiarity with California workers' compensation laws, medical terminology, and claim handling best practices. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam. The pay range for the role is $60,700 to $93,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
    $60.7k-93k yearly Auto-Apply 46d ago
  • Claims Representative

    Auto-Owners Insurance 4.3company rating

    Claims representative job in Mesa, AZ

    *We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. 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
    $33k-42k yearly est. Auto-Apply 17d ago
  • Risk Claims Supervisor

    Maricopa Integrated Health System 4.4company rating

    Claims representative job in Phoenix, AZ

    As a key member of the Risk Operations team, you#ll lead and support our Risk Specialists while overseeing the management of complex claims data. In this role, you#ll guide investigations and coordinate liability, Workers# Compensation, and property claims to help protect Valleywise Health and the communities we serve. # You#ll work closely with leaders across the organization to ensure effective remediation plans are in place, supervise the collection and analysis of claims data, and play a critical role in insurance renewals and the actuarial process. Because information is often incomplete or difficult to obtain, this position requires strong problem-solving, research, and decision-making skills. # Reporting to the Risk Operations Manager, you#ll bring structure and clarity to complex issues while empowering your team to deliver accurate insights and effective solutions that shape our risk management strategies. # Annual Salary Range: $79,913.60 - $117,873.60 # Qualifications Education: Requires a bachelor#s degree in insurance, Risk Management, Public Administration, Business Administration, Finance, Management, or a closely related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work. Experience: Must have three (3) years of Claim Supervisor experience. Preference given for technical training in claims or insurance policies and demonstrated supervisory experience. Knowledge, Skills, and Abilities: Must possess demonstrated experience and expertise in liability and property claims adjusting or auditing. Strong supervisory, organizational, and critical thinking skills, as well as a highly professional attitude and demeanor. Must be self-directed with good time management skills and strong interpersonal skills that will result in working effectively with diverse individuals and groups. Must have the ability to exercise sound judgment and initiative within established guidelines, meet deadlines, and simultaneously handle numerous projects. Will need to be able to work independently and as a team member to attain goals and resolutions through collaboration and negotiation. Must continually strive to improve processes, assigned functions, and functions performed by assigned staff. Requires the ability to read, write and speak effectively in English. #CRP As a key member of the Risk Operations team, you'll lead and support our Risk Specialists while overseeing the management of complex claims data. In this role, you'll guide investigations and coordinate liability, Workers' Compensation, and property claims to help protect Valleywise Health and the communities we serve. You'll work closely with leaders across the organization to ensure effective remediation plans are in place, supervise the collection and analysis of claims data, and play a critical role in insurance renewals and the actuarial process. Because information is often incomplete or difficult to obtain, this position requires strong problem-solving, research, and decision-making skills. Reporting to the Risk Operations Manager, you'll bring structure and clarity to complex issues while empowering your team to deliver accurate insights and effective solutions that shape our risk management strategies. Annual Salary Range: $79,913.60 - $117,873.60 Qualifications Education: * Requires a bachelor's degree in insurance, Risk Management, Public Administration, Business Administration, Finance, Management, or a closely related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work. Experience: * Must have three (3) years of Claim Supervisor experience. * Preference given for technical training in claims or insurance policies and demonstrated supervisory experience. Knowledge, Skills, and Abilities: * Must possess demonstrated experience and expertise in liability and property claims adjusting or auditing. * Strong supervisory, organizational, and critical thinking skills, as well as a highly professional attitude and demeanor. * Must be self-directed with good time management skills and strong interpersonal skills that will result in working effectively with diverse individuals and groups. * Must have the ability to exercise sound judgment and initiative within established guidelines, meet deadlines, and simultaneously handle numerous projects. * Will need to be able to work independently and as a team member to attain goals and resolutions through collaboration and negotiation. * Must continually strive to improve processes, assigned functions, and functions performed by assigned staff. * Requires the ability to read, write and speak effectively in English. #CRP
    $79.9k-117.9k yearly 3d ago
  • Patient Claims Specialist - Bilingual Only

    Modmed 4.5company rating

    Claims representative job in Phoenix, AZ

    We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine! Your Role: Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates Input and update patient account information and document calls into the Practice Management system Special Projects: Other duties as required to support and enhance our customer/patient-facing activities Skills & Requirements: High School Diploma or GED required Availability to work 9:30-5:30pm PST or 11:30am to 8:30 pm EST Minimum of 1-2 years of previous healthcare administration or related experience required Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs) Manage/ field 60+ inbound calls per day Bilingual is required (Spanish & English) Proficient knowledge of business software applications such as Excel, Word, and PowerPoint Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone Ability and openness to learn new things Ability to work effectively within a team in order to create a positive environment Ability to remain calm in a demanding call center environment Professional demeanor required Ability to effectively manage time and competing priorities #LI-SM2 ModMed Benefits Highlight: At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits: India Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk, Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees, Allowances: Annual wellness allowance to support your well-being and productivity, Earned, casual, and sick leaves to maintain a healthy work-life balance, Bereavement leave for difficult times and extended medical leave options, Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave, Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind. United States Comprehensive medical, dental, and vision benefits 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep. Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (*************************). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
    $74k-103k yearly est. Auto-Apply 15d ago
  • Senior Claims Representative

    Liberty Mutual 4.5company rating

    Claims representative job in Phoenix, AZ

    Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available. As a Commercial Insurance Claims Representative, you will review and process simple and straightforward Commercial claims within assigned authority limits consistent with policy and legal requirements. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual. The preference is for the candidates to be located close to a hub and be in the office a minimum of 2 days/week (Hubs: Plano, TX, Suwanee, GA, Westborough, MA, Hoffman Estates, IL, Indianapolis, IN and Eugene. OR, and Phoenix, AZ) although candidates from any location will be considered. Please note this policy is subject to change. Responsibilities: Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers. Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues. Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims. Determines and negotiates settlement amount for damages claimed within assigned authority limits. Writes simple to moderately complex property damage estimates or review auto damage estimates. Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate. Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations. Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed. Qualifications Bachelor's Degree preferred. High school diploma or equivalent required. 1-2 years of experience. Claims handling skills preferred. Strong customer service and technology skills. Able to navigate multiple systems, strong organizational and communication skills. License may be required in multiple states by state law. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $62k-93k yearly est. Auto-Apply 14d ago
  • Risk Claims Supervisor

    Valleywise Health

    Claims representative job in Phoenix, AZ

    As a key member of the Risk Operations team, you'll lead and support our Risk Specialists while overseeing the management of complex claims data. In this role, you'll guide investigations and coordinate liability, Workers' Compensation, and property claims to help protect Valleywise Health and the communities we serve. You'll work closely with leaders across the organization to ensure effective remediation plans are in place, supervise the collection and analysis of claims data, and play a critical role in insurance renewals and the actuarial process. Because information is often incomplete or difficult to obtain, this position requires strong problem-solving, research, and decision-making skills. Reporting to the Risk Operations Manager, you'll bring structure and clarity to complex issues while empowering your team to deliver accurate insights and effective solutions that shape our risk management strategies. Annual Salary Range: $79,913.60 - $117,873.60 Qualifications Education: * Requires a bachelor's degree in insurance, Risk Management, Public Administration, Business Administration, Finance, Management, or a closely related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work. Experience: * Must have three (3) years of Claim Supervisor experience. * Preference given for technical training in claims or insurance policies and demonstrated supervisory experience. Knowledge, Skills, and Abilities: * Must possess demonstrated experience and expertise in liability and property claims adjusting or auditing. * Strong supervisory, organizational, and critical thinking skills, as well as a highly professional attitude and demeanor. * Must be self-directed with good time management skills and strong interpersonal skills that will result in working effectively with diverse individuals and groups. * Must have the ability to exercise sound judgment and initiative within established guidelines, meet deadlines, and simultaneously handle numerous projects. * Will need to be able to work independently and as a team member to attain goals and resolutions through collaboration and negotiation. * Must continually strive to improve processes, assigned functions, and functions performed by assigned staff. * Requires the ability to read, write and speak effectively in English. #CRP Share: Apply Now
    $79.9k-117.9k yearly 22d ago
  • Senior Claim Adjuster

    Atlantic Casualty Insurance Co 4.2company rating

    Claims representative job in Scottsdale, AZ

    Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior). Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune's “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We're a team-supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits. Our benefits include: Health, Dental & Vision plans (HSA & PPO options) 401(k) with company match + financial advisor access Tuition reimbursement & student loan assistance Paid parental leave Counseling and mental wellness support Flexible work and in-office schedules Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success. Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company. ************************************************ SUMMARY: The Senior Claims Adjuster will be capable of independently handling claims in states where ACIC writes business. The Senior Claims Adjuster will have a higher authority level than an adjuster and will have full responsibility for claims within that authority. This position has the authority to assign a local independent appraiser / adjuster for fieldwork in the state where the loss occurred. In those cases, they are responsible for controlling the work done by the I/A. ESSENTIAL DUTIES AND RESPONSIBILITIES: Analyze, review, and interpret policies to assess coverage and liability. Establish and maintain proper loss and expense reserves on their claims. Determine what investigation is necessary on more complicated claims in order to bring a claim to an equitable conclusion for all parties involved. Responsible for controlling the work done by the independent adjuster/appraiser. Properly document information in the claim file. Verify and review damages. Determine applicability of coverage and liability. Maintain working diary of assigned claims. Evaluate and settle claims within assigned authority. Return all phone calls promptly. Provide excellent customer service. Recognize and investigate subrogation. Handle total losses and process salvage returns. Daily contact with adjusters and/or insureds and/or claimants and/or attorney and/or vendors and/or agents. Weekly contact with other department managers. Deal with and have access to information that is important and must be kept confidential. Handle claims in litigation as assigned. Assist in training less experienced adjusters. Perform other similar or related duties as assigned. REQUIRED EDUCATION/EXPERIENCE: A four-year degree from an accredited institution or equivalent experience. 5 years' experience handling claims, including advanced skills in coverage, investigation, litigation, negotiation, damage/injury evaluation, salvage and subrogation. Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims. Basic understanding of claims, mathematics, construction, auto physical damage, medical terms and legal issues. State adjuster's license where domiciled. Non-resident adjuster's license where required in the states where we do business. Be able to demonstrate time management skills; communication skills, verbal and written; strong computer skills. MENTAL REQUIREMENTS : Must be able to clearly define systems and operational problems and draw valid conclusions and recommendations as to how to resolve. Must possess ability to interpret and delegate an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations. Must also be able interact on personnel matters in a secure and confidential manner. PHYSICAL REQUIREMENTS: 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. While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may infrequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Works primarily indoors. TRAVEL: 5%
    $56k-79k yearly est. Auto-Apply 28d ago
  • General Liability Claim Representative

    The Hartford 4.5company rating

    Claims representative job in Scottsdale, AZ

    Claims Representative - CH09CN Associate Claim Representative - CH10DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. As a General Liability Associate Claims Representative for all business lines, you're at the front lines for our customer. Your primary role is to investigate and manage claim files to help individuals and businesses prevail after a claim. The Hartford will provide you with a robust training and onboarding program, as well as ongoing coaching and development to ensure your success. Start Date: February 16, 2026 Hours: 8am-5pm, Core Business hours to support either our Eastern or Western region, limited flexibility. Virtual Training: 8 weeks, core business hours, your local time This role will have a Hybrid work arrangement, with the expectation of working in an office location : (Hartford, CT / San Antonio, TX / Aurora (Naperville) IL/ Lake Mary, FL/ Scottsdale, AZ ) 3 days a week (Tuesday through Thursday). Responsibilities: * Utilize active listening and critical thinking skills to quickly analyze customer needs * Leverage knowledge and resources to provide the appropriate solutions to requests * Take ownership to ensure that we go above and beyond in providing customer service * Utilize every touch point as an opportunity to build value and The Hartford brand * Commit to learning and developing * Develop an in depth understanding of Hartford products and business lines * Act as a liaison with other departments to resolve problems * Secure essential facts about losses * Negotiate settlements * Interpret, understand and explain coverage to policyholders * Efficiently update and move files to closure * Manage pending claims to meet company quality criteria * Ensure payments are processed timely as needed or input payments within authority * Special assignments or projects as assigned * May be required to assist in catastrophe situations * Develop proficiency and capabilities expected during new hire ramp-up period * Must demonstrate strong customer service focus * Ability to operate, lead and coach within The Hartford Way management system Qualifications: * High School Diploma required; college degree preferred * Minimum of 1 year of related customer service experience or applicable insurance experience * Excellent oral, written and interpersonal communication * Demonstrated capacity to multi-task in a structured work environment * Ability to utilize multiple systems to handle/process claims * Problem solving and critical thinking skills are a must * Strong attention to detail Additional Information: * As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance Claims in the states supported by your office. Continued employment with The Hartford is contingent upon the successful passage of the Licensing exam(s) within 30 business days from the completion of the licensing training. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $45,280 - $79,320 The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience. Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us | Our Culture | What It's Like to Work Here | Perks & Benefits
    $45.3k-79.3k yearly Auto-Apply 8d ago
  • Insurance Claims Specialist

    DPR Construction 4.8company rating

    Claims representative job in Phoenix, AZ

    The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPR's Insured Claims Manager. Specific Duties include: Claims & Incident Management: * Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to: * Input and/or review all incidents reported in DPR's RMIS system. * Maintain incident records in Insurance Team's document management system. * Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements. * Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities. * Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable. * Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate. * Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date. * Provide in-network aluminum certified repair shop information to drivers following an incident. * Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement. * When required, notify the applicable State's Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form. * Work with Insurance Controller on auto program claim reports * Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed. Fleet Vehicle Safety & Operations Policy Management: * Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs * Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training * Ensure authorized driver list is kept current * Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions * Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy Key Skills: * Strategic thinking * Ability to mentor and inspire others * Integrity * Team player * Strong writing and communication skills * Self-Starter * Highly organized and responsive - ability to meet deadlines * Detail Oriented * Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs. * Risk and dispute management - insured claims Qualifications: * A minimum of five years relevant insurance industry experience * Previous experience in auto claims management highly desired DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world. Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek. Explore our open opportunities at ********************
    $51k-68k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Queen Creek, AZ

    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.
    $41k-50k yearly est. 15d ago
  • Copay Support/Claims Processing Specialist

    Assistrx 4.2company rating

    Claims representative job in Phoenix, AZ

    Job Description The Copay Support/Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail (emails, USMail) from pharmacies, patients, Sites of Care, Health Care Providers, copay vendors (PDMI, FHA and Merchant Card processors) and other sources. Required engagement is with pharmacy claim adjudicators, third party medical claim administrators, merchant vendors, finance for manual claim reimbursement, Sites of Care and Health Care Providers. The Copay Support/Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, allocation deficiencies, identifying group accumulator and maximizers, provide alternate payment processing method, handle paperwork related to medical procedures, treatments and services submitted by the site of care or health care providers that meet the program business rules for determination of approval, denial, or pending for submission of required information for final determination as well as claim appeal handling. Quality control of commercial copay programs. Collaborate with internal HUB teams on enrollment discrepancies (missing info and duplicates) Partners with claim adjudication vendors ensure proper claims processing and data integrity. Monitor and remediate medical and pharmacy manual data entry errors Serve as Subject Matter Expert for internal and external stakeholders on medical and pharmacy Copay claim adjudication issues and platform logic variations. Provide ongoing insights on specific program trends and system/process opportunities. Patient and Prescriber Support: Act as the primary point of contact for handling inquiries from prescribers, patients, external clients, and internal program team members. Subject Matter Expert on reviewing and processing of medical claims submitted for copay programs where the therapy is primarily processed through a medical benefit Thorough understanding of copay program design and elements eligible for payment processing Ensure proper CMS form and EOB is provided for each eligible item Validate required elements for payment approval are present If not partner with HUB to secure missing information Create manual medical reimbursement record for submission to finance Review Directive Analytics against Net-Suite and make necessary corrections Identify applicable programs and guide stakeholders through next steps for patient support. Accept inbound calls, team chats, and emails. Ensure one-call resolution for patients and providers. Communicate status updates across all patient support activities in a holistic, clear, and professional manner. Liaise with program-specific AssistRx resources to secure outcomes and resolve escalations. Maintain accurate documentation and ensure protection of patient and prescriber information. Requirements High school diploma or general education degree (GED), or one to three months related experience and/or training, or equivalent combination of education and experience. Associate's Degree (AA) or equivalent from a two-year college or technical school, or six months to one year related experience and/or training, or equivalent combination of education and experience. Computer skills required: Contract Management Systems; Microsoft Office Other skills required: Pharmacy Data Management (PDMI), PNC Card Platform COMPETENCIES: Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce. Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan. Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed. Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention. Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Project Management - Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities. Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness. Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. Benefits Supportive, progressive, fast-paced environment Competitive pay structure Matching 401(k) with immediate vesting Medical, dental, vision, life, & short-term disability insurance Why Choose AssistRx: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary. Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications. Flexible Culture: Many associates earn the opportunity to work from home after 120 days. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives. Career Growth: We prioritize a “promote from within mentality”. We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization. Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry. Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus! Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications. Flexible Culture: Many associates earn the opportunity to work from home after 120 days. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives. Career Growth: We prioritize a “promote from within mentality”. We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization. Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry. Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus! Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year! #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis. Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork. Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy. AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.
    $46k-66k yearly est. 16d ago
  • Daily Claims Adjuster - Phoenix, AZ

    Cenco Claims 3.8company rating

    Claims representative job in Phoenix, AZ

    CENCO is a leading provider of property claims solutions, collaborating with top insurance carriers to deliver accurate, timely, and dependable adjusting services. We are currently seeking experienced Daily Property Claims Adjusters to manage residential and commercial claims throughout Phoenix and the surrounding areas of Arizona. This role is perfect for adjusters looking for consistent assignments and the flexibility of independent fieldwork. Key Responsibilities: Conduct thorough inspections of property damage caused by wind, hail, fire, water, and other covered perils. Document damages with detailed reports and clear, high-quality photos. Prepare accurate repair estimates using Xactimate or Symbility. Maintain professional communication with policyholders, contractors, and insurance carriers. Manage claims efficiently to meet all deadlines and carrier requirements. Requirements: Licensing: Active Arizona adjuster license required. Software: Experience with Xactimate or Symbility preferred. Equipment: Reliable vehicle, ladder, laptop, and standard inspection tools. Work Style: Self-motivated, organized, and able to work independently. Availability: Able to accept assignments promptly and complete reports on schedule. Why Work with CENCO? Steady claim volume in Phoenix and surrounding communities Competitive pay with reliable, on-time compensation Supportive team and streamlined workflows If you're a skilled adjuster seeking steady daily work and the opportunity to grow with a trusted industry partner, we want to hear from you!
    $42k-51k yearly est. 60d+ ago
  • Senior Claims Specialist

    Falvey Insurance Group 3.8company rating

    Claims representative job in Phoenix, AZ

    At Falvey Insurance Group, the Senior Claims Specialist plays a critical part in supporting our Transportation & Logistics solution; a comprehensive program that combines legal liability and all-risk cargo coverage into one streamlined offering for logistics providers and their clients. This position is responsible for independently managing complex, high-severity, and hybrid claims across both coverage lines, ensuring accurate, timely, and service-focused resolution for all stakeholders. This is a high-impact, collaborative role designed for a professional who thrives in a dynamic environment and is eager to help shape how Falvey delivers value through best-in-class claims operations. Position Functions The Senior Claims Specialist duties will include: Manage complex transportation and logistics claims across both legal liability and all-risk cargo coverage lines, including high-severity and hybrid scenarios. Interpret and apply policy language to manage the end-to-end handling of claims, analyzing claims data and trends. Work closely with underwriting, legal, and client-facing teams to ensure timely, accurate, and service-focused claim resolution. Apply expertise in cargo and logistics claims, including freight contracts, Incoterms, and detailed coverage interpretation. Contribute to refining and improving internal workflows, documentation, and claims processes Support client engagement and educate clients, brokers, and partners on the Transportation & Logistics program's coverage structure and claims procedures. Knowledge, Skills, & AbilitiesThe Senior Claims Specialist should have an advanced understanding of insurance issues, be customer service oriented, and demonstrate the ability to share knowledge and work effectively in a team environment. The candidate must uphold confidentiality and compliance with all regulatory and internal standards. Strong verbal and written communication skills. Ability to interact with all levels of company staff including management, underwriting, marketing and legal departments with a customer service focus on internal and external customers. Organizational, analytical, and problem-solving skills with the ability to manage and prioritize multiple projects. Must be able to evaluate coverage decisions for claims based upon the documents, surveyor's investigative reports and applicable marine insurance policy. Other Requirements A degree or certificate in any related business field or equivalent industry experience. 5 years of experience as a Claims Associate, or similar role, is required. An active adjuster's license and non-resident licenses is required. If you do not have one, it will be required to obtain one within a year of employment. Also, a willingness to complete continuing education courses in the insurance field. Physical Requirements Must be able to sit and operate a computer; answer and communicate on a telephone; operate copy machine. Supervisory Responsibilities Growth potential - Supervise and mentor a team of claim adjusters. Equipment Used Computer, telephone, copy machine, scanner. Hours of Operation and Working Conditions This position will be located out of Phoenix, AZ office. Working hours are Monday through Friday from 9am to 5pm, in a business-casual office environment. We currently operate in a hybrid capacity with 3 days in the office, Wednesday and Thursday are required and 2 days at home. This position requires occasional flexibility for working additional hours to accomplish project objectives. Occasional business travel may be required.
    $55k-73k yearly est. Auto-Apply 27d ago
  • Workers Compensation Claims Supervisor - Glendale

    Avonrisk

    Claims representative job in Glendale, AZ

    Workers' Compensation Claims Supervisor - Lead a Dynamic Team in Glendale reporting to the Glendale office 3 times a week We're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team in Glendale, CA. As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Our Mission: To be the leading third party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients' objectives. Innovative processes and state-of-the-art technology support our people. Competent and experienced individuals provide the human element needed to deliver good service and drives good outcomes. Our Goal: To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients. Your Impact: Provide ongoing coaching, counseling, and feedback to team members to enhance skills and performance Ensure all claims are handled in accordance with relevant statutes and company guidelines Address personnel issues promptly and decisively, keeping management informed of corrective action Foster a collaborative and productive team environment focused on excellence in claim resolution Our Offer: Competitive salary and benefits package, including medical, dental, vision, and 401(k) Opportunity for professional growth and advancement in a dynamic organization Collaborative work environment with a team dedicated to workers' compensation excellence Interested? Get in Touch: To learn more about this exciting opportunity and what Intercare has to offer, please do one of the following: Apply to this posting Call me directly at ************ Email [email protected] We look forward to hearing from you! “Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.”
    $47k-84k yearly est. Auto-Apply 60d+ ago
  • Independent Insurance Claims Adjuster in Temple, Arizona

    Milehigh Adjusters Houston

    Claims representative job in Phoenix, AZ

    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.
    $40k-51k yearly est. Auto-Apply 60d+ ago
  • Senior Claim Adjuster

    Strickland Insurance Group 3.4company rating

    Claims representative job in Scottsdale, AZ

    Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior). Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune's “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We're a team-supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits. Our benefits include: Health, Dental & Vision plans (HSA & PPO options) 401(k) with company match + financial advisor access Tuition reimbursement & student loan assistance Paid parental leave Counseling and mental wellness support Flexible work and in-office schedules Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success. Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company. ************************************************ SUMMARY: The Senior Claims Adjuster will be capable of independently handling claims in states where ACIC writes business. The Senior Claims Adjuster will have a higher authority level than an adjuster and will have full responsibility for claims within that authority. This position has the authority to assign a local independent appraiser / adjuster for fieldwork in the state where the loss occurred. In those cases, they are responsible for controlling the work done by the I/A. ESSENTIAL DUTIES AND RESPONSIBILITIES: Analyze, review, and interpret policies to assess coverage and liability. Establish and maintain proper loss and expense reserves on their claims. Determine what investigation is necessary on more complicated claims in order to bring a claim to an equitable conclusion for all parties involved. Responsible for controlling the work done by the independent adjuster/appraiser. Properly document information in the claim file. Verify and review damages. Determine applicability of coverage and liability. Maintain working diary of assigned claims. Evaluate and settle claims within assigned authority. Return all phone calls promptly. Provide excellent customer service. Recognize and investigate subrogation. Handle total losses and process salvage returns. Daily contact with adjusters and/or insureds and/or claimants and/or attorney and/or vendors and/or agents. Weekly contact with other department managers. Deal with and have access to information that is important and must be kept confidential. Handle claims in litigation as assigned. Assist in training less experienced adjusters. Perform other similar or related duties as assigned. REQUIRED EDUCATION/EXPERIENCE: A four-year degree from an accredited institution or equivalent experience. 5 years' experience handling claims, including advanced skills in coverage, investigation, litigation, negotiation, damage/injury evaluation, salvage and subrogation. Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims. Basic understanding of claims, mathematics, construction, auto physical damage, medical terms and legal issues. State adjuster's license where domiciled. Non-resident adjuster's license where required in the states where we do business. Be able to demonstrate time management skills; communication skills, verbal and written; strong computer skills. MENTAL REQUIREMENTS : Must be able to clearly define systems and operational problems and draw valid conclusions and recommendations as to how to resolve. Must possess ability to interpret and delegate an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations. Must also be able interact on personnel matters in a secure and confidential manner. PHYSICAL REQUIREMENTS: 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. While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may infrequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Works primarily indoors. TRAVEL: 5%
    $40k-58k yearly est. Auto-Apply 28d ago
  • Complex Liability Adjuster - CGL & BOP Specialist

    Berkshire Hathaway Guard Insurance Companies 4.4company rating

    Claims representative job in Scottsdale, AZ

    Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise. We're looking for someone who thrives in high-stakes environments, communicates with confidence, and knows how to navigate the legal landscape with precision. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Manage litigated claims involving CGL and BOP policies, including coordination with defense counsel, litigation strategy development, and resolution planning. Process payments efficiently, ensuring timely resolution of claims. Qualifications Prior experience adjusting Commercial General Liability claims with a proven track record in litigation is required. Juris Doctorate (JD) preferred, reflecting the value we place on strong legal acumen in managing complex liability claims. Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. Exceptional written and verbal communication skills. Strong organizational and computer skills. Excellent time management skills with the ability to prioritize tasks effectively.
    $35k-45k yearly est. Auto-Apply 60d+ ago
  • Claims Service Representative I

    Farm Bureau Financial Services 4.5company rating

    Claims representative job in Gilbert, AZ

    Claims Service Representative Will be filled at the appropriate level based on experience Do you thrive in a work environment where you must multi-task and have strong organization skills? Are you a go-getter with high initiative and a positive attitude? Do you have strong customer service and time management skills? If so, this Claims Service Representative opportunity could be a great fit for you! Who We Are: With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive. What You'll Do: As a Claims Service Representative, you will review, investigate, evaluate, negotiate and settle assigned claims involving multi-line insurance coverage that do not require field investigation. You must investigate the facts of the loss, interpret the policy, and determine whether the loss is covered and if our client member is liable. You will also determine the value of lost property and assist in setting reasonable reserves. While handling the claim, you will prepare detailed and organized running notes, written reports and documentation in accordance with established procedures. As a Claims Service Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, doctors, attorneys, and others. What It Takes to Join Our Team: * Associates degree or equivalent experience required. * High attention to detail and strong organizational skills. * Have the ability to exercise independent judgment and arrive at decisions through sound, logical reasoning in order to handle more complex claims. * Excellent phone skills required as approximately 80-90% of time will be spent on the phone. * Must be PC literate and able to effectively use our systems. Familiarity with Outlook, Microsoft Word and Excel is preferred. * Strong verbal and written communication skills. * Work from our office in Gilbert, Arizona. What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. Farm Bureau....where the grass really IS greener! If you're interested in joining a company that appreciates employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today! Work Authorization/Sponsorship: At this time, we are not considering candidates that need any type of immigration sponsorship now or in the future, such as additional or permanent work authorization. Applicants must be currently authorized to work in the United States on a full-time, permanent basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not considering candidates with OPT status.
    $31k-36k yearly est. 7d ago

Learn more about claims representative jobs

How much does a claims representative earn in Gilbert, AZ?

The average claims representative in Gilbert, AZ earns between $25,000 and $47,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Gilbert, AZ

$35,000

What are the biggest employers of Claims Representatives in Gilbert, AZ?

The biggest employers of Claims Representatives in Gilbert, AZ are:
  1. Auto-Owners Insurance
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