Claims representative jobs in Greenville, SC

Created in 1933, the Georgia Municipal Association (GMA) is the only state organization that represents municipal governments in Georgia. Based in Atlanta, GMA is a voluntary, non-profit organization that provides legislative advocacy, educational, employee benefit and technical consulting services to its members The purpose of this position is to coordinate, manage and oversee claims and litigation for the Georgia Interlocal Risk Management Agency (GIRMA). This role directs, guides, and evaluates the performance of the third-party claims administrator (TPA) and collaborates with defense counsel regarding litigation and resolution strategies. The incumbent serves as a key liaison to member entities, helping navigate claims processes, interpret coverage issues, and understand case strategies. Responsibilities Provide strategic oversight of all property and liability claims processed by the third-party administrator (TPA). Direct TPA on assignment of defense counsel. Oversee selection and performance of claims-related vendors, including independent adjusters, investigators, appraisers, and expert consultants. Evaluate TPA work product and processes to ensure proper claims handling and compliance with service instructions. Monitor claim reserves, plans of action, and detailed status reports. Assess TPA performance through audits, file reviews, reports, metrics, and compliance with service-level agreements. Review new claims for coverage and conflicts. Prepare and issue notices of reservation of rights. Collaborate with outside coverage counsel to resolve and/or document claims-related coverage concerns. Assist TPA and legal counsel in expediting closure of claims. Review and approve high-exposure, complex, or non-routine claims decisions, including coverage determinations, settlement authority, and claim resolutions. Participate in settlement strategy discussions and approve settlement recommendations within authority. Ensure settlements are in the best interest of the Fund Member and GIRMA. Ensure compliance with applicable laws, regulations, and policies for claims handling and insurance operations. Ensure settlements are properly executed, including consideration of Medicare Set Aside Agreements. Oversee litigated claims in collaboration with assigned defense counsel. Review and evaluate litigation plans, budgets, strategies, and file handling to ensure alignment with program goals. Monitor work product for compliance with established litigation management guidelines. Review and approve requests for filing of pre-answer motions. Assist with settlement negotiations. At times, this may include negotiating directly with claimants on behalf of GIRMA. Participate with defense counsel on litigated claims. Attend depositions, mediations, hearings and/or trial preparation meetings as appropriate. Serve as the primary liaison to members for claims questions, concerns, and escalated issues. Facilitate communication between TPA, defense counsel and members to address any problems or concerns. Schedule and perform new member orientation. Conduct onsite visits with members to review claim status, discuss strategy, and strengthen relationships. Educate members on coverage, claims processes, and best practices for incident reporting and documentation. Maintain thorough documentation and reporting to support decision-making and accountability. Assist Management as needed with overall program goals and objectives, including development and implementation of new services and/or procedures; vendor management and contract negotiations; and interpretation, update, and amendment of GIRMA Member Coverage Agreement. Work closely with underwriting, risk control, finance, and pool leadership to ensure alignment across program functions. Monitor legislation and court decisions impacting municipal liability, property claims, and risk exposure. Monitor claim trends, loss drivers, and emerging risks to inform program improvements and risk management initiatives. Communicate new or emerging issues, claims trends, and liability concerns to supervisor, pool leadership, risk control, and/or members as appropriate. Qualifications Bachelor's degree (Master's preferred) in risk management / insurance or equivalent in a related field; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Must possess and maintain a valid Georgia Driver's License. Minimum of five (5) years of supervisory experience. This position requires strong analytical judgment, excellent communication skills, and the ability to drive high-quality claims outcomes while maintaining positive relationships with internal and external stakeholders.

ob Title: Claims Manager Reports To: Chief Safety Officer Permanent/Fulltime role The client is seeking a Claims Manager to join our team at our corporate office in Charleston, South Carolina. The Claims Manager will oversee and manage the administration of all claims, including workers' compensation, vehicle accidents, and general liability. This role requires strong collaboration with internal departments and external insurance carriers to ensure accurate claims handling, timely communication, and efficient resolution. Key Responsibilities Claims Administration Receive and review reported claims for accuracy and completeness. Forward claims to insurance carriers and provide necessary follow-up support. Claim Monitoring & Communication Communicate with assigned adjusters to provide requested information and monitor claim progression. Collaborate with operations teams to gather updates and necessary documentation. Human Resources & Legal Coordination Work closely with HR to obtain personnel information, wage data, and manage lost-time communication. Partner with the legal department on claims involving litigation. Leadership Reporting Maintain open communication with senior leadership regarding the status of open and closed claims. Perform other duties as required to support business needs. Qualifications Education & Experience Bachelor's degree preferred. Proven experience in claims management; workers' compensation experience strongly preferred. Skills & Competencies Strong administrative skills and attention to detail. Excellent written and verbal communication skills. Ability to manage multiple priorities and maintain high organizational standards. Willingness to learn and adapt to evolving processes and industry standards.

Indirect Sourcing Representative, Alpharetta, GA Arclin USA is currently looking for an Indirect Sourcing Representative to join our Procurement team at our corporate office. Reporting into the Procurement Manager, this position is responsible for execution of established procurement strategies to support our organization with procuring high-quality, cost effective raw materials and services. Are you a detail-oriented sourcing professional who thrives on executing value-driven sourcing events and managing supplier relationships? Do you enjoy working with cross-functional teams to deliver quality, service, and savings? WHO WE ARE At Arclin, satisfying the changing needs of our customers is at the center of everything we do. We provide innovative, value-added bonding and surfacing solutions for the engineered materials markets and agricultural/natural resources applications. Our mission rests on three key principles: Trust, Value, and Innovation. Learn more about us at our website. With nearly 1,000 employees across 15 production sites in North America, we're a team dedicated to continuous improvement, operational excellence, and employee growth. WHAT YOU'LL DO As an Indirect Sourcing Representative, you'll be a key enabler of Arclin's indirect procurement strategies. You'll support sourcing execution across capital and indirect categories-including MRO, services, and general supplies-working alongside Category Managers, Buyers, and site teams. You'll lead and support sourcing activities, manage RFx processes, and collaborate with internal stakeholders and suppliers to ensure effective and compliant purchasing. Your work will directly impact cost management, supply reliability, and overall operational success. Key Responsibilities: Execute sourcing events (RFQs, RFPs, e-auctions) and evaluate supplier responses in coordination with category leads. Identify qualified suppliers and manage competitive bidding processes. Analyze total cost of ownership (TCO), supplier performance, and cost trends to inform purchasing decisions. Support capital project and operational teams in meeting procurement milestones and deliverables. Collaborate with site stakeholders and Buyers to ensure purchasing needs are understood and addressed. Support efforts across the breadth of Procurement as needed including Energy and Direct Procurement. Facilitate supplier onboarding, risk assessments, and contract routing processes. Support development and reporting of category performance metrics. Help implement new supply agreements and ensure supplier compliance with terms and expectations. Maintain sourcing records and documentation in ERP/procurement systems. WHAT YOU'LL NEED TO SUCCEED 3+ years of sourcing, supply chain, or procurement experience, preferably in manufacturing or capital project environments. Working knowledge of RFx processes, vendor evaluation, and negotiation basics. ERP experience (JD Edwards preferred) and proficiency with Excel or BI tools for data analysis. Strong communication and organization skills; able to manage multiple tasks with attention to detail. Familiarity with indirect categories such as MRO, facilities, or services is a plus. Collaborative team player with initiative and a customer-focused mindset. Associate's or Bachelor's degree in Business, Supply Chain, or related field (or equivalent experience). WHY JOIN US? You'll join a dynamic and growing procurement team that plays a vital role in enabling Arclin's performance. We offer opportunities to expand your sourcing expertise, contribute to strategic initiatives, and grow within a collaborative and mission-driven company.

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 ********************

Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Compensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK 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) About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth. Position Overview: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!

Under the supervision of the Risk Manager, the Claims Specialist will assist in managing the claims process, including collaborating with all departments to help mitigate accidents, injuries, and property damage involving both employees and customers. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities: Will assist with the management process of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation. Utilizes skills and trend-tracking to assist in reducing accidents, and occupational injuries. Coordinates claim notification with the insurance carriers and serves as a point of contact for all assigned claims with the insurance carriers. Contacts employees and customers with potential claims to assist in mitigating potential loss and further injuries. Assist with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other from initial notification through to claim closure, including reviewing, analyzing, and approving authority amounts. Case management can include scheduling of appointments, obtaining current medical information, assisting managers with the transition of injured employees back to work, and assisting the injured employee. Ensure continued communication with injured parties to include customers, workers and leaders of the injured worker. May act as Parker's representative for depositions, informal conferences, mediations, and/or hearings pertaining to claims, working with assigned attorneys as necessary. Prepares Parker's written responses to unemployment claims based upon a summary of facts compiled from files, personnel records and interviews. May prepare cases for and represents Parker's at unemployment claim appeal hearings. Provides personnel employment information and verification, questions witnesses and claimant to ascertain facts of separation and presents a closing summary statement of the employer's position to the hearing officer. Prepares client witnesses for hearing appearances. Case preparation for hearings involves document gathering and organization, unemployment law research, and defense strategies. Maintains frequent telephone contact with management and leaders, gathering facts necessary to determine if unemployment claims are disputable and explaining unemployment rules, regulations, decisions and options. Refers information ascertained during investigations to the Claims team, Operations, and/or Human Resources, as necessary, when possible EEOC charges, wrongful discharge, or threatened litigation facts may have been uncovered. Other similar duties as required. Knowledge, Skills, and Abilities: Strong attention to detail Advanced skills in the use of Windows-based office software: Microsoft Office, Word, Excel, and PowerPoint and G-Suite products Must possess strong analytical and problem-solving skills Able to manage multiple priorities Able to research, collect, and analyze data and prepare written and oral reports Knowledge of claims processing techniques Able to analyze, classify, and rate risks, exposure, and loss expectancies Knowledge of workers' compensation laws and requirements, safety, loss control, and risk management principles Principles, practices, and procedures of general business including knowledge of the unemployment compensation system, filing appropriate unemployment responses, and personnel administration including legal aspects of hiring and firing; and the relationship of the Federal Unemployment Tax Act and the various state acts; knowledge of state and federal unemployment laws, rules and regulations. Highly organized and able to track a project from initial contact through the end of the project Ability to effectively communicate information and ideas in written and verbal format EDUCATION AND REQUIREMENTS Required: Associate or Bachelor's degree or equivalent experience 1-2 years' experience processing workers' compensation, general liability, and/or unemployment claims Experience in creating reports Preferred: ARM, CRM or similar designation 4+ years' experience processing workers' compensation, general liability, and/or unemployment claims TRAVEL As required PHYSICAL REQUIREMENTS Prolonged periods sitting/standing at a desk and working on a computer

Resolution Recruiting is looking for a mid level to senior lever commercial auto, general liability adjuster for our TPA Client. This person will be responsible for handling claims associated with schools. To Be Considered YOU MUST Have: 3 plus years of commercial claims handling specific to commercial auto, general liability Insurance claims litigation experience GA Adjuster License Ability to write Reservation of Rights and Declining Liability Letters College degree preferred but we will consider experience over education Salary: $65,000-$80,000 plus benefits

IAT Insurance Group has an immediate opening for a Management Liability Claims Specialist that can be located in any of our IAT locations. This role works a hybrid schedule from an IAT Office. The hybrid schedule reflects our values (thinking and acting like an owner, collaboration, and teamwork) as it requires working from the office with colleagues and other disciplines Monday through Wednesday, with the option of working Thursday and Friday remotely. Responsibilities: Responsible for handling Management Liability Claims (EPL, D&O, Fiduciary and Crime) for Private and Non-Profit businesses based on Claim Guidelines Within authority limit, thoroughly analyze, investigate, negotiate and resolve all levels of severity claims Selects, directs and manages defense counsel including approval of budgets Develops litigation/file disposition strategy. Attends mediations, settlement conferences and trials Verifies/analyzes applicable coverage for the reported claims Follow operational policies and procedures, including compliance, regulatory and performance and customer service standards Prepare reports, including Large Loss Reports, to management which accurately reflects loss development, potential/actual financial exposure, coverage issues, claim and recovery strategies Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file Identifies and addresses recovery/contribution/SIU opportunities Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines. Drafts correspondence, including but not limited to, coverage letters to stakeholders as required Support business partners on an as needed basis on various claim and underwriting related issues and marketing meetings Maintains resident/nonresident adjuster licenses as required Performs other duties as assigned Qualifications: Must Have: Bachelor's Degree with 5+ years of management liability claims experience (including handling employment liability practices, directors & officers' liability and fiduciary liability coverages) or equivalent Equivalent experience is defined as 9+ years of relevant claims experience, specifically claims involving litigation. Excellent coverage analysis skills with experience in drafting coverage position correspondence Experience handling litigated files and direction of defense counsel Excellent negotiation skills Must be willing to travel, average 1 day a month Claims Licensure as required by respective state(s) Excellent oral and written communication skills Ability to organize, multi-task and prioritize work Excellent customer service and interpersonal skills Ability to analyze data, utilize sound judgment to draw conclusion and make supported decisions To qualify, applicants must be authorized to work in the United States and must not require, now or in the future, VISA sponsorship for employment purposes Preferred to Have: CPCU and other insurance related studies Our Culture IAT is the largest private, family-owned property and casualty insurer in the U.S. I nsurance A nswers T ogether is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers. At IAT, we're committed to driving and building an open and supportive culture for all. Our employees propel IAT forward - driving innovation, stable partnerships and growth. That's why we continue to build an engaging workplace culture to attract and retain the best talent. We offer comprehensive benefits like: 26 PTO Days (Entry Level) + 12 Company Holidays = 38 Paid Days Off 7% 401(k) Company Match and additional Profit Sharing Hybrid work environment Numerous training and development opportunities to assist you in furthering your career Healthcare and Wellness Programs Opportunity to earn performance-based bonuses College Loan Assistance Support Plan Educational Assistance Program Mentorship Program Dress for Your Day Policy 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. We maintain a drug-free workplace and participate in E-Verify. Compensation: Please note, that the annual gross salary range associated with this posting is $60,600 - $95,700. This range represents the anticipated low and high end of the base salary for this position. Actual salaries will vary based on factors such as a candidate's qualifications, skills, competencies, and geographical location related to this specific role. The total compensation will include a base salary, performance-based bonus opportunities, 401(K) match, profit-sharing opportunities, and more. To view details of our full benefits, please visit **************************************************

Job Details Corporate Headquarters - Atlanta, GA HybridDescription Integrity. Care. Trust. Compassion. Expertise. Do these words resonate with you? These values of Builders culture create success in all we do. We strive to provide deeply supportive partnerships to our customers, agents, and each other. Builders is proud to be named among the Great Places to Work. Our award-winning culture has earned top marks in Company Direction, Employee Appreciation, Work-Life Balance, Leadership, and Compensation and Benefits. Our strong culture keeps us Built Strong in a forever-changing world, and our AM Best A Rating is evidence of our financial strength. Position Summary The General Liability Claims Specialist is responsible for the investigation, evaluation and settlement of complex General Liability claims and management of Commercial Auto Liability and Commercial Auto Physical Damage claims. The Specialist upholds standards of excellence in technical proficiency and consistently delivers exceptional customer service. Responsibilities Manage caseload of Property and Casualty claims inclusive of general liability, construction defect particularly small to mid-sized residential contractors, and commercial automobile liability and physical damage losses in multiple jurisdictions through effective claim management Investigate and analyze coverage; make coverage determinations; draft coverage correspondence; effectively communicate coverage determinations to policyholders and other stakeholders with minimal supervision or oversight. Conduct investigation throughout all aspects of the claims process. Establish timely reserves within authority and re-evaluate throughout the life of the claim Determine liability, evaluate exposure, and negotiate claims to resolution. Identify and pursue risk transfer opportunities, whether contractual indemnity, contribution or additional insured opportunities and obligations. Maintain accurate documentation/information in claim file. Proactively drive litigation toward resolution. Prepare timely, concise reports including Large Loss and Reinsurance Reports Control costs involving vendor utilization Negotiate and settle claims within authority Foster a professional rapport with clients and claimants to effectively resolve issues Effectively communicate and collaborate with internal and external partners Meet expected quality performance guidelines As required, attend mediations, pre-trial conferences, trials, etc. Qualifications Bachelor's degree from an accredited college or university; or equivalent education and experience in Insurance or other related fields Minimum of 5 years handling general liability and commercial auto liability and physical damage claims. Current P&C adjuster License, ability to be licensed in GA, FL, SC, CO, and TX SCLA, CPCU or other insurance related designations a plus Proficient in understanding of Construction Defect and commercial auto liability laws, principals, rules and regulations Proficient in both verbal and written communication with the ability and commitment to maintain confidentiality Skill in interpersonal interactions, with the ability to collaborate effectively with individuals at all organizational levels and with external stakeholders; skill in customer service and problem-solving Capacity to work autonomously while ensuring transparent communication with internal leadership Skill in analysis, time management, prioritization, negotiation and project management; ability to multi-task effectively while paying attention to detail Proficient with Microsoft Office Suite and function specific software applications Let's talk benefits! Competitive Salary Bonus Structure Profit Sharing Medical, Dental, Vision Insurance Employer Paid Short Term Disability Employer Paid Long Term Disability Employer Paid Life Insurance Voluntary Life Insurance 401K with Company Match PTO About Builders Builders is a mid-sized mutual with remarkable strengths. Rated A by AM Best, Builders has forged rock-solid financial strength and a reputation for reliability and fairness in fulfilling our promises to customers. Kind, collaborative, and customer-centric, our experienced and passionate teams foster a rewarding atmosphere of excellence, trust, and mutual respect, meriting the “Culture Excellence” honors from Top Workplaces. Flexible and highly personal, our experts leverage deeply supportive partnerships with knowledgeable independent agencies to drive better services and protection for policyholders. Our financial excellence, amazing people, and powerful partnerships build outstanding outcomes and peace of mind for our agents and their clients. This is what we mean by Insurance Built Strong . Builders Insurance Group is an Equal Opportunity Employer. We welcome applicants from all walks of life and don't discriminate based on any protected status. Join us in creating a diverse and inclusive workplace! If, during the application process you need assistance, or an accommodation due to a disability, please contact *******************.

JOIN THE ASSURANCEAMERICA TEAM Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact? Join the AssuranceAmerica team. For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds. Liability Adjuster II The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases. About the ROLE Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will: Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/. Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages. Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure. Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards. Control expenses and adhere to company reserving philosophy by maintaining proper reserves on all pending claims/potential exposures. Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews. Properly utilize underwriting and policy systems and understand its features and functionality, as needed. Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities. Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims. About YOU Excellent communication skills with demonstrative ease with both verbal and written formats. Attention to detail and ability to multi-task. A high degree of motivation and team orientation. Direct, results driven, and dedicated to the success of the business and each other. Required Minimum three years of experience handling auto claims. Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases. Preferred Bachelor's degree or equivalent. Non-standard experience. Adjuster's license in relevant state or the ability to obtain one quickly. Bilingual (English-Spanish). Physical Requirements Prolonged periods sitting at a desk and working on a computer. Must be able to lift 15 pounds at times. Must be able to navigate various departments of the organization's physical premises. About US We are direct, results-driven, and dedicated to the success of our business and each other. We are a diverse group of thinkers and doers. We offer many opportunities to grow in your professional skills and career. We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy. WHAT WE OFFER AssuranceAmerica provides these benefits to Associates: Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account. Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate. Additional Benefits: 401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan. AssuranceAmerica will match 100% of the first 4% of an Associate's contributions. Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations. Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance. Time Off: Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you. About the role We are seeking highly organized and customer-focused Professional Lines Adjuster to join our team. The successful candidate will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. The ideal candidate has a willingness to work through and design process that supports the quickest claim resolution with the best outcome. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements. Who you are Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org. Passionate adjuster who cares about the customer and their experience. Empathetic. You exercise empathy and patience towards everyone you interact with. Sense of urgency - at all times. That does not mean working at all hours. Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured's best interest. Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution. Anti-status quo. You don't just wish things were done differently, you act on it. Communicative. (we'd love to know what this means to you) And did we mention, you have a sense of humor. Claims are hard enough as it is What we need We need you to do all the things typical to the role: Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests Analyzing and reviewing nursing home professional liability insurance claims to identify areas of dispute, investigating, and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers. Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim Analyzing and reviewing nursing home professional liability insurance Managing legal aspects of litigated cases, including evaluation of legal process and expenses. Ensure compliance with specific state regulations, policy provisions, and standard operating procedures Managing litigation cases related to professional liability claim disputes, virtually attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders. Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim Maintain adjuster licenses and continuing education requirements Requirements Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications) Active insurance adjuster's license by way of a designated home state, or home state 7+ years of experience handling Miscellaneous Professional Lines (MPL) claims including experience with: Nursing home exposures Property Management Real Estate Developers Having additional Professional Lines experience is a plus including: Various Errors & Omissions Medical Malpractice Directors & Officers EPLI Willing to obtain all licenses within 60 days, including completing state required testing Knowledge of state regulations, policy provisions, and standard operating procedures Ability to analyze and evaluate complex data and make sound coverage and liability decisions based on established guidelines, policies, and procedures Curious and motivated by problem-solving and questioning the status quo Desire to engage in learning opportunities and continuous professional development Willingness to travel for client and claims needs Benefits Generous health-insurance package with nationwide coverage, vision, & dental 401(k) retirement plan with employer matching Competitive PTO policy - we want our employees fresh, healthy, happy, and energized! Generous family leave policy Work from anywhere to facilitate your work life balance Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team and welcome applicants from all backgrounds. If you believe you are a good fit for this role, we would love to hear from you!

General Medicine Claims Specialist Join a mission-driven team that supports those who've served. Veterans Guardian VA Claim Consulting is seeking a General Medicine Claims Specialist to help Veterans nationwide secure the VA disability benefits they have earned. This role is ideal for someone with a clinical or medical background who thrives in a fast-paced, high-volume environment and is passionate about making a difference. You'll work directly with Veterans, reviewing medical records, gathering symptom information over the phone, and identifying the key medical evidence needed to support disability claims. Strong communication skills, attention to detail, and comfort with phone-based work are essential for success. Key Responsibilities: Review and analyze medical records to identify relevant information Speak with Veterans daily about their medical history and symptoms Process and document case details in internal systems Manage a large caseload with a high call and client volume Collaborate with internal teams to ensure timely and accurate case work Qualifications: 1+ year experience in a clinical or medical support role (e.g., LPN, LVN, EMT, Medical Assistant, Military Medic) Familiarity with medical terminology and documentation Strong verbal and written communication skills High school diploma or GED required Proficient with computers and comfortable using Google Workspace Benefits 401(k) Dental insurance Health insurance Paid time off Vision insurance

Under the supervision of the Risk Manager, the Claims Specialist will assist in managing the claims process, including collaborating with all departments to help mitigate accidents, injuries, and property damage involving both employees and customers. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities: * Will assist with the management process of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation. * Utilizes skills and trend-tracking to assist in reducing accidents, and occupational injuries. * Coordinates claim notification with the insurance carriers and serves as a point of contact for all assigned claims with the insurance carriers. * Contacts employees and customers with potential claims to assist in mitigating potential loss and further injuries. * Assist with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other from initial notification through to claim closure, including reviewing, analyzing, and approving authority amounts. * Case management can include scheduling of appointments, obtaining current medical information, assisting managers with the transition of injured employees back to work, and assisting the injured employee. * Ensure continued communication with injured parties to include customers, workers and leaders of the injured worker. * May act as Parker's representative for depositions, informal conferences, mediations, and/or hearings pertaining to claims, working with assigned attorneys as necessary. * Prepares Parker's written responses to unemployment claims based upon a summary of facts compiled from files, personnel records and interviews. * May prepare cases for and represents Parker's at unemployment claim appeal hearings. Provides personnel employment information and verification, questions witnesses and claimant to ascertain facts of separation and presents a closing summary statement of the employer's position to the hearing officer. Prepares client witnesses for hearing appearances. Case preparation for hearings involves document gathering and organization, unemployment law research, and defense strategies. * Maintains frequent telephone contact with management and leaders, gathering facts necessary to determine if unemployment claims are disputable and explaining unemployment rules, regulations, decisions and options. * Refers information ascertained during investigations to the Claims team, Operations, and/or Human Resources, as necessary, when possible EEOC charges, wrongful discharge, or threatened litigation facts may have been uncovered. * Other similar duties as required. Knowledge, Skills, and Abilities: * Strong attention to detail * Advanced skills in the use of Windows-based office software: Microsoft Office, Word, Excel, and PowerPoint and G-Suite products * Must possess strong analytical and problem-solving skills * Able to manage multiple priorities * Able to research, collect, and analyze data and prepare written and oral reports * Knowledge of claims processing techniques * Able to analyze, classify, and rate risks, exposure, and loss expectancies * Knowledge of workers' compensation laws and requirements, safety, loss control, and risk management principles * Principles, practices, and procedures of general business including knowledge of the unemployment compensation system, filing appropriate unemployment responses, and personnel administration including legal aspects of hiring and firing; and the relationship of the Federal Unemployment Tax Act and the various state acts; knowledge of state and federal unemployment laws, rules and regulations. * Highly organized and able to track a project from initial contact through the end of the project * Ability to effectively communicate information and ideas in written and verbal format EDUCATION AND REQUIREMENTS Required: * Associate or Bachelor's degree or equivalent experience * 1-2 years' experience processing workers' compensation, general liability, and/or unemployment claims * Experience in creating reports Preferred: * ARM, CRM or similar designation * 4+ years' experience processing workers' compensation, general liability, and/or unemployment claims TRAVEL * As required PHYSICAL REQUIREMENTS * Prolonged periods sitting/standing at a desk and working on a computer

About Us At North Carolina Farm Bureau Insurance, we take pride in our strong, community-oriented roots that began right here in North Carolina. In 1953, our company was born out of the need to provide insurance coverage to our farmers and rural communities. Now, with local offices in each of the 100 counties, we provide services to all North Carolinians across the state. Here at NCFB we are a familiar face in the community with a service oriented mindset that truly sets us apart. Guided by our mission, we are deeply committed to both our neighbors and employees. Helping you is what we do best! If you are passionate about making a meaningful impact and value a people-centered culture, we invite you to join us! About the Role Our Claims Department provides outstanding individuals with the opportunity for an exciting and rewarding career. Resolving claims combines the excitement of investigations with the reward of helping people through difficult times. We are seeking motivated and proactive individuals to join our team. As a Casualty Adjuster, you will work directly with policyholders, claimants, and other involved parties to investigate, evaluate, and negotiate settlements of casualty insurance claims. Education and Experience Associate's degree or above preferred Preference given to applicants with extended education and/or training Mechanical aptitude or ability preferred Required Skills and Abilities Present a professional and personable attitude and communicate effectively in stressful situations Demonstrate exceptional mental resilience and possess strong conflict management skills Possess strong written, verbal, and interpersonal communication skills Ability to organize and prioritize your workload to demonstrate effective time management towards meeting deadlines Demonstrate the strong ability to make decisions and problem solve using logical and analytical skills Must be reliable and capable of working independently as well with others Location and Commitments Full-time office role Reports to: Out of State District Claims Manager at 5171 Glenwood Ave, Raleigh NC 27612 Must obtain and maintain licensing CE in compliance with N.C. Department of Insurance and N.C. Farm Bureau Mutual Insurance Company requirements All offers are contingent on a Background Check Responsibilities of the Role Provide prompt, timely, and professional communication for insureds and claimants. Appraise and determine covered damages using provided resources. Investigate losses, verify coverage, and apply policy coverage. Determine legal liability for losses and damages. Authorize or deny claim payments based on policy guidelines. Evaluate and establish reserves for the possible payout amounts. Adhere to company policies, procedures, and regulatory guidelines. Maintain current, accurate, and detailed documentation throughout the claims process. Ensure the protection and proper maintenance of all company equipment assigned to you. Participate in industry-related conferences and training programs. *Certain training programs are located at the Corporate Office in Raleigh, NC. This document is intended to outline the essential responsibilities of the position, and does not limit the tasks that may be assigned or amended by the supervisor.

Claims Specialist Program Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance! Insurance brings peace of mind to almost everything we do in our lives-from family trips to your first car to weddings and college graduations. As a valued member of our claims team, you'll help our customers get back on their feet and restore their lives when catastrophe strikes. The details When you're part of the Claims Specialist Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault. You'll independently manage an inventory of claims, which may include conducting investigations, reviewing medical records, and evaluating damages to determine the severity of each case. You'll resolve cases by working with individuals or attorneys to settle on the value of each case. You will have required comprehensive training, one-on-one mentoring, and a strong pay-for-performance compensation structure at a global Fortune 100 company. Make a difference in the world with Liberty Mutual. Qualifications What you've got You have 0-2 years of professional experience. A strong academic record with a cumulative 3.0 GPA preferred You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism. You possess strong negotiation and analytical skills. You are detail-oriented and thrive in a fast-paced work environment. You must have permanent work authorization in the United States. What we offer Competitive compensation package Pension and 401(k) savings plans Comprehensive health and wellness plans Dental, Vision, and Disability insurance Flexible work arrangements Individualized career mobility and development plans Tuition reimbursement Employee Resource Groups Paid leave; maternity and paternity leaves Commuter benefits, employee discounts, and more Learn more about benefits at ************************** A little about us As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow. We were recognized as a ‘2018 Great Place to Work' by Great Place to Work US, and were named by Forbes as one of the best employers in the country for new graduates and women-as well as for diversity. 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. We can recommend jobs specifically for you! Click here to get started.

Responsibilities: Processing fast paced inbound customer service calls. Taking inbound calls from clients Providers, Consumers and Insurance companies regarding medical billing. Resubmitting claims, and answering questions regarding benefits Demonstrates excellent customer service skills with the ability to take ownership in assisting, researching and resolving customer issues. Performs other duties as assigned. Requirements Previous Call Center or Customer Service experience preferred. Ability to develop rapport and demonstrate a caring attitude. Clear, distinct oral and written communication skills. Must be detail oriented.

Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Charlotte, NC office. Be part of our expanding team focused on recovering third-party property and utility damage claims, primarily in a B2B setting. We're looking for motivated, detail-oriented professionals with strong negotiation skills. Experience in collections or insurance adjusting is highly relevant and transferable. We offer a competitive base salary plus commission. Key Responsibilities Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Work directly with liable parties' insurance providers to defend and negotiate claims settlements. Collaborate with claims departments and management of liable parties, from small businesses to large corporations to municipalities. Learn, understand, and be able to utilize state dig laws and statutes, 811 excavator requirements, NESC standards, CGA guidelines, etc. Develop a professional working relationship with damaging parties, on-site field investigators, management, and other personnel. Conduct 40-50 inbound/outbound calls daily, approximately 2-2.5 hours of total talk time throughout the day. Enter notes and documentation throughout the recovery process into the company's proprietary Claims Database Tool. Use a calendar and diary system to coordinate handling claims to be worked twice weekly. Follow advanced claim handling procedures as detailed by the OPD Claims Manager. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately. Participate in weekly department meetings to discuss individual and team recovery tactics, strategies, and goals. Maintain a working knowledge of the entire PRG claims recovery process. Preferred Qualifications Strong proficiency in Microsoft Word, Outlook, and Excel. Tech-savvy with the ability to quickly adapt to new software and systems. Excellent written and verbal communication skills, with an emphasis on professional phone and email correspondence. Familiarity with the construction, cable, or utility locate industries is advantageous. Understanding of B2B construction, claims management, recovery, or insurance claim negotiation and settlement processes is preferred. Ideally, 3-5 years of experience in claims, recovery, and/or the insurance industry. College education is preferred. Bilingual in Spanish is a plus. Compensation and BenefitsWe offer a competitive hourly pay ($19-$23/hour based on experience), plus the potential to earn substantial commissions up to $4,000-$10,000 monthly based on performance. Along with a comprehensive benefits package, including: Medical, dental, and vision coverage for employees and dependents 401(k) retirement plan, with company match after 1 year Short-term disability coverage after 1 year Paid time off and holidays Additional perks such as company-paid life insurance, and other supplemental insurances available About PRG Since 2001, PRG has been a leader in construction management and outside plant damage recovery for the telecommunications and utility industries. With 20+ offices and 800+ employees nationwide, we deliver industry-leading solutions with speed, accuracy, and expertise. Equal Opportunity EmployerPRG is proud to be an Equal Opportunity Employer. PRG does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, pregnancy-related conditions, and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state, or local law and ordinances.#INDCS

Here are the job details for your review: Job Title: Claims Specialist Pay Rate: $22/hr on W2, Duration: 12 Months Job Location: REMOTE Notes: Position is 100% remote, 40 hours/week. Seeking candidates who have proficient SAP and excel knowledge/skills Job Description: • Supervise the transportation claims inbox and work with the vendors, customers and internal partners to ensure that KC is recovering the appropriate funds o Assist with end-to-end task completion • Maintain daily contact with key client contacts and perform data entry / order processing within specified system. • Document and report on status of pending inquiries regarding account problems, plus some outgoing phone calls. • Intermediate position that requires a Bachelors degree or 8+ years of equivalent experience. • Work with freight payment team to ensure any disputes with transportation carriers are solved timely • Communication with carriers to ensure that there are no gaps in information required • End to end management of freight claims inclusive of assisting KC in creating a new procedure in how to file claims • Assistance to returns and refusals inbox which will require associate to coordinate with carriers, distribution facilities and customer service to determine if loads need to be cancelled, re-scheduled or re-worked

Join Our Dynamic Insurance Team - Unlock Your Potential! Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential. NOW HIRING: ✅ Licensed Life & Health Agents ✅ Unlicensed Individuals (We'll guide you through the licensing process!) We're looking for our next leaders-those who want to build a career or an impactful part-time income stream. Is This You? ✔ Willing to work hard and commit for long-term success? ✔ Ready to invest in yourself and your business? ✔ Self-motivated and disciplined, even when no one is watching? ✔ Coachable and eager to learn? ✔ Interested in a business that is both recession- and pandemic-proof? If you answered YES to any of these, keep reading! Why Choose Us? 💼 Work from anywhere - full-time or part-time, set your own schedule. 💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month. 📈 No cold calling - You'll only assist individuals who have already requested help. ❌ No sales quotas, no pressure, no pushy tactics. 🧑 🏫 World-class training & mentorship - Learn directly from top agents. 🎯 Daily pay from the insurance carriers you work with. 🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary 🏆 Ownership opportunities - Build your own agency (if desired). 🏥 Health insurance available for qualified agents. 🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom. 👉 Apply today and start your journey in financial services! ( Results may vary. Your success depends on effort, skill, and commitment to training and sales systems. )