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Claims representative jobs in Gulfport, MS - 285 jobs

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  • Hospital Billing & Claims Appeal Specialist

    Talently

    Claims representative job in Lafayette, LA

    Salary: $50,000+ depending on experience Skills: Hospital Billing, Claims Appeals, Post-Acute Setting, Payor Contract Interpretation, MS Excel About the Health Care Company / The Opportunity: This is an exciting opportunity to join a dynamic team in the Health Care industry dedicated to making a meaningful impact in the lives of patients every day. As a Hospital Billing & Claims Appeal Specialist, you will play a pivotal role in supporting operations within a post-acute care environment while growing your career in a collaborative and supportive setting. This on-site role offers a chance to contribute to integrated healthcare management in Lafayette, Louisiana, and be part of a mission-driven organization committed to excellence in patient care and employee development. Responsibilities: Manage patient account billing, including preparing and mailing monthly statements and processing electronic billing submissions. Oversee fiscal year-end cost reporting and ensure accurate documentation for billing records. Support the billing team and corporate office in identifying and resolving incorrect contracted payments from managed care payors. Write, file, and follow up on appeals regarding claim denials in compliance with payor contract guidelines. Assist billing specialists in obtaining necessary documentation for appeals and maintaining appeal timelines. Collaborate effectively with colleagues to achieve departmental objectives and provide excellent customer service. Interpret and explain complex information related to billing and claim appeals to internal and external stakeholders. Utilize strong organizational and time management skills to handle multiple tasks and deadlines efficiently. Must-Have Skills: 2-3 years of hospital billing, collections, or accounting experience in a health care setting. Extensive experience with claim appeals and billing in the post-acute or long-term acute care (LTAC) setting. Ability to interpret payor contracts for appropriate appeal rights and regulatory compliance. Strong knowledge of MS Word and Excel for billing operations and reporting. Exceptional communication, organizational, analytical, and problem-solving skills. Diplomatic and clear articulation of complex information in written and verbal communications. Nice-to-Have Skills: Prior experience supporting billing specialists and managing multiple appeal workflows. Background in patient account billing in multi-site or multi-facility health systems. Experience with Employee Stock Ownership Plan (ESOP) organizations. Familiarity with a variety of managed care payors and electronic submission systems. Ability to work as a self-starter with strong attention to detail under tight deadlines.
    $50k yearly 2d ago
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  • Property Field Claims Adjuster Sr- Montgomery, AL and surrounding area

    Country Financial 4.4company rating

    Claims representative job in Montgomery, AL

    Experience more with a career at COUNTRY Financial! We're excited you're interested in a career at COUNTRY as we strive toward our vision - to enrich lives in the communities we serve. Our footprint spans coast to coast. But more important than where we operate, is the people who do the work. Apply today to help our organization grow and make a difference for our clients. About the role Looking for a genuinely rewarding career where you know you're actually making a difference in people's lives? COUNTRY Financial is seeking a Property Claims Consultant Sr to join our field claims team. You'll be providing a consistent, positive, and satisfying claims experience for our clients through the proper investigation, evaluation, negotiation, and settlement of more complex property claims. You'll learn how to use innovative technologies, i.e., drones for property inspections. In addition to on-site inspections, we also use virtual claim handling software to lead our clients safely and expertly through the claim process. How does this role make an impact?- Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims. - Initiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when necessary), and explain the overall claims process. - Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability.Do you have what we're looking for? Typically requires 7+ years of relevant experience or a combination of related experience, education and training. -Maintains the appropriate adjuster's licensing as required by the states in which we do business. -For Property-Field representatives only, excluding representatives in the Large Property Loss Unit: Part 107 drone license required for roof inspections. License must be obtained within 5 months of start date; must pass exam within 3 attempts. - This job operates in a professional office or work from home environment and routinely uses standard office equipment such as computers, phones, scanners and copy machines. - Work may extend beyond normal business hours as business needs dictate. - May be called upon for catastrophic duty. This position allows full-time field work within the territory for this position which includes Montgomery, Alabama and surrounding areas. #LI-Remote Base Pay Range: $77,600-$106,700 The base pay range represents the typical range of potential salary offers for candidates hired. Factors used to determine your actual salary include your specific skills, qualifications and experience. Incentive Pay: In addition to base salary, this position is eligible for a Short-Term Incentive plan. Why work with us? Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We're a big company, yet small enough you can make an impact and won't get lost in the shuffle. You'll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business. You'll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match. COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations. Come join our team at COUNTRY today!
    $77.6k-106.7k yearly Auto-Apply 22d ago
  • Biloxi Mississipi Daily Claims Adjuster

    Cenco Claims 3.8company rating

    Claims representative job in Biloxi, MS

    Cenco Claims is a trusted provider of property claims solutions, partnering with insurance carriers to deliver accurate, timely, and customer-focused adjusting services. We are actively seeking Daily Claims Adjusters to support residential and commercial property claims throughout Biloxi Region. Key Responsibilities: Conduct on-site inspections and assess damages for both residential and commercial property claims Document findings with clear photos and notes, and prepare detailed reports in line with policy guidelines Use Xactimate or Symbility to write and submit accurate estimates Maintain professional and timely communication with policyholders, contractors, and insurance carriers Deliver high-quality service while meeting deadlines and file standards What You'll Need: Licensing: Active adjuster license in Mississippi Tools: Reliable vehicle, ladder, laptop, and basic inspection equipment Skills: Strong organization, communication, and time management Independence: Ability to manage assignments and schedule without direct supervision Responsiveness: Willingness to respond to assignments quickly and meet carrier expectations Why Cenco? Steady claim volume and competitive pay structure Efficient workflows and responsive support from our internal team Clear expectations Ready to take the next step? If you're looking for consistent work and value professionalism, communication, and independence in your claims career, we'd love to hear from you.
    $40k-49k yearly est. Auto-Apply 46d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Gulfport, MS

    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.
    $40k-49k yearly est. Auto-Apply 8d ago
  • Independent Insurance Claims Adjuster in Gulfport, Mississippi

    Milehigh Adjusters Houston

    Claims representative job in Gulfport, MS

    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.
    $39k-49k yearly est. Auto-Apply 60d+ ago
  • Workers Compensation Claims Representative

    Syntriq Health Solutions

    Claims representative job in Corinth, MS

    Workers' Compensation Claims Representative - This position will assist healthcare providers in identification, verification, billing and follow-up on workers' compensation claims. The claims representative will help identify the appropriate workers' compensation carrier and provide the documentation necessary for payment. The claims representative will work directly with adjusters to obtain claim updates and resolve outstanding claims. Representatives will need excellent communication and organizational skills to gather information and achieve resolution on assigned claims. Prior medical billing experience is preferred. Essential Duties Answering inbound calls and making outbound calls, while demonstrating proper phone etiquette and HIPAA compliance Identification and verification of workers' compensation insurance Properly noting the account and setting appropriate follow-up Proficient communication related to standard billing forms (UB04 and 1500) Qualifications High School Diploma and GED Strong Knowledge of computer skills and typing Intermediate knowledge of Outlook, Excel Dependable and Detailed individuals with organizational skills Great Communication skills Recommended- 1- or 2-years' medical billing experience
    $28k-38k yearly est. 16d ago
  • Claims Representative

    Louisiana Workers Compensation Corporation

    Claims representative job in Baton Rouge, LA

    Integral part of helping Louisiana thrive through efficient and consistent handling of injured workers claims. Investigating assigned claims through completion. Provides unparalleled customer experience for all our stakeholders. Major Areas of Accountability General Participates in a formal training program to develop the knowledge and skills to handle insurance claims involving work-related accidents. Is responsible for the well-being of hundreds of Louisiana employees who are injured. Examine claims forms and other records to determine insurance coverage. Interview or correspond with our policyholders, claimants, witnesses, physicians, or other relevant parties to complete investigation. Investigate facts of loss to determine extent of injury. Review and understand police reports, medical treatment records, medical bills, and other insurance documents during the duration of the claim. Adjust reserves or provide reserve recommendations to establish the value of the claim consistent with corporate policies. Negotiate claim settlement opportunities. Confer with legal counsel on claims involving litigation. Takes initiative and manages personal claim caseload in accordance with processes and procedures with a focus on individual, team and departmental goals. Seeks opportunities for improvement and continued learning Maintains required LA Workers' Compensation Adjuster License. Performs other job duties as needed by the department Personality/Working Style Strong character Alignment with company values, mission, and vision Trustworthy and honest Decisive Curious and persistent Passion for innovation Willingness to learn Adaptive to changing (tolerance for ambiguity) Desire to collaborate to achieve corporate goals Strong communicator Effective communication skills Empathetic listener and open-minded Commitment to accountability Education and Experience Education Required: Bachelor's degree and a minimum of 2 years handling of workers' compensation claims, or 4 years of experience as an insurance claims adjuster. OR High School Diploma/GED with 2 years handling of workers' compensation claims and 4 years of experience as an insurance claims adjuster. Active Louisiana Workers' Compensation Adjuster License required prior to start or obtained within seven (7) business days after start date. Skills Required: Communication, computer literate, math, judgement and problem-solving skills.
    $25k-35k yearly est. 60d+ ago
  • Liability Field Adjuster - Gulfport, MS

    CCMS & Associates 3.8company rating

    Claims representative job in Gulfport, MS

    CCMS & Associates is looking for 1099 Field Liability Adjusters. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team! We are seeking auto/homeowners/general liability field adjusters with at least 5 years of field experience. Requirements: Minimum 5 years auto and/or premise liability adjusting experience Working computer/laptop - internet access and Microsoft Word required Must demonstrate strong time management and customer service skills State adjusters license (where applicable) Must have a valid drivers license Responsibilities: Conduct in-depth investigations into liability claims to gather facts regarding the loss Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses, and by interviewing fire, police, or other government officials as well as inspecting claimed damages Inspect damage to property and obtain personal injury information to assist in determining liability Maintain acceptable product quality through compliance with established best practices Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Ability to prepare full-captioned reports by collecting and summarizing required information Strong verbal and written communication skills Prompt, reliable, and friendly Detail-oriented individual to accurately gather and analyze information to avoid errors Preferred but Not Required: College degree Professional designations and certifications All candidates must pass a full background check (void in states where prohibited)
    $39k-53k yearly est. Auto-Apply 60d+ ago
  • Fraud Claims & Disputes Analyst 1

    Hancock Whitney 4.7company rating

    Claims representative job in Gulfport, MS

    Thank you for your interest in our company! To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. The email address used in establishing your account will be used to correspond with you throughout the application process. Please be sure and check the spam folder. You may review, modify, or update your information by visiting and logging into your account. JOB FUNCTION / SUMMARY: The Fraud Claims & Disputes Analyst 1 is responsible fraud and non-fraud claims on Debit and ATM cards. This position conducts an analysis of the claim and ownership of associated actions to meet regulatory requirements, ensure validity of the claim by identifying trends, challenging information that doesn't align with the claim (false claims) and providing a high level of client care. The Fraud Claims & Disputes Analyst processes the appropriate disputes in accordance with Visa regulations and Regulation E. ESSENTIAL DUTIES & RESPONSIBILITIES: Provides client care via email and phone while performing the appropriate investigation process for fraud claims and merchant disputes. Research and process fraud claims and disputes filed by cardholders through different channels. Adhere to all regulatory timers, including but not limited to notification and crediting clients within the specified timeframe. Process and monitor chargebacks and representments; submit pre-arbitration as appropriate. Retain all documentation received throughout the investigation to satisfy internal and external audit needs. Complete frequent balancing of items keyed to the general ledger. Maintains an in-depth understanding of Regulation E, Visa Regulations, or any subsequent regulations to process daily work. Comfortable reaching out and working with merchants, law enforcement, bankers, and clients to resolve complex disputes, thereby lowering bank expense. Identify and escalate fraud trends and/or other commonalities. Effectively leverages the challenge process to ensure client claims are valid. May assist the Detection Team to increase client support and risk mitigation performance; may support Team Lead in coaching/supporting new tools, techniques and associated testing. Works and reviews daily/monthly reports. SUPERVISORY RESPONSIBILITIES: None MINIMUM REQUIRED EDUCATION, EXPERIENCE & KNOWLEDGE: High school diploma or equivalent. 1+ year Financial services industry experience or equivalent combination of education and experience. Basic knowledge of Microsoft Office. Excellent written and verbal communication skills. Ability to read and assimilate information from multiple sources. ESSENTIAL MENTAL & PHYSICAL REQUIREMENTS: Ability to work under stress and meet deadlines. Ability to operate related equipment to perform the essential job functions. Ability to read and interpret a document if required to perform the essential job functions. Ability to lift/move/carry approximately 10 pounds if required to perform the essential job functions. If the employee is unable to lift/move/carry this weight and can be accommodated without causing the department/division an “undue hardship” then the employee must be accommodated; hence omitting lifting/moving/carrying as a physical requirement. Equal Opportunity/Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religious beliefs, national origin, ancestry, citizenship, sex, gender, sexual orientation, gender identity, marital status, age, physical or mental disability or history of disability, genetic information, status as a protected veteran, disabled veteran, or other protected characteristics as required by federal, state and local laws.
    $26k-52k yearly est. Auto-Apply 8d ago
  • Loss Claims Specialists/ Project Manager

    Puroclean 3.7company rating

    Claims representative job in Shreveport, LA

    About the Role PuroClean of Shreveport is seeking a high-character individual to join our team as a Loss Claims Specialist. This is more than a job-it's a leadership role designed for someone who can take full ownership of a project from start to finish and align with our mission of providing empathetic, efficient, and professional restoration services to our community. As a Loss Claims Specialist, you will serve in a project manager capacity, overseeing the execution of all services related to water damage, mold, biohazard, contents handling, and reconstruction. This role demands strong organizational skills, technical knowledge, and a commitment to both customer care and team collaboration. Why Join Us Profit Sharing Position - your success is our success Annual Draw of $50,000 + laptop + software subscriptions Be part of a purpose-driven company that values integrity, excellence, and service Opportunities for growth and advancement in a fast-paced industry What You'll Need A personal vehicle and reliable transportation A working phone A desire to learn and align with our SOPs and company goals Willingness to take ownership and be accountable for job outcomes Ability to manage multiple claims and ensure timely completion of each project What You'll Do Manage restoration projects from intake through completion Coordinate and execute all mitigation and reconstruction services: Water Damage Mold Remediation Biohazard Cleanup Contents Pack-Out and Cleaning Reconstruction/Build-Back Estimate, invoice, and track jobs using software including: Xactimate Estimate Time and Materials platforms Learn and apply our internal SOPs with consistency and accuracy Meet or exceed quarterly performance goals Preferred (but not required): Prior construction or restoration experience Familiarity with insurance claims processes or property loss mitigation Who We're Looking For We're looking for someone with more than just technical skills. We value character, accountability, and alignment with our company vision. If you take pride in your work, can lead by example, and are looking to grow in an environment that rewards dedication and results-you may be exactly who we're looking for. “We Build Careers” - Steve White, President and COO With over 300 locations across North America and Canada, PuroClean is leading the industry in emergency property restoration services, by helping families and businesses overcome the devastating setbacks caused by water, fire, mold, biohazard, and other conditions resulting in property damage. We operate with a ‘servant-based leadership' mindset and seek to create an environment where our team members can grow both professionally and spiritually through serving our customers, communities, and each other. Culture is very important to us. We want to make sure that we are the right fit for YOU! Apply today and join our Winning TEAM. “We are One Team, All In, Following The PuroClean Way in the spirit of Servant Leadership” This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to PuroClean Corporate.
    $50k yearly Auto-Apply 60d+ ago
  • Scope Only Adjusters

    Elevate Claims Solutions

    Claims representative job in Baton Rouge, LA

    About Us At Elevate Claims Solutions, we are dedicated to supporting the unique skill sets and career goals of our Independent Adjusters. Our commitment to continuous improvement and meaningful work ensures that you can make a real difference in the lives of those you serve. What We Offer: Career Development: We prioritize your growth by seeking your feedback on how we can support your professional journey. Diverse Opportunities: Work with a variety of carriers, allowing you to expand your skills and network. Clear Expectations: Benefit from guidelines that clearly outline carrier requirements, ensuring you know what to expect. Continuous Feedback: Engage in real -time Quality Assurance and formal quarterly coaching sessions to refine your skills and highlight strengths. Expert Guidance: Collaborate with a team of seasoned industry professionals who provide valuable insights and support. Job Description Responsibilities: Evaluate exterior and minor interior property damage. Draft detailed damage descriptions, including measurements and materials used. Fill in basic scope sheets. Utilize Xactanalysis software effectively. Requirements: Current, active Xactimate license with experience writing estimates for both residential and commercial damages. Flexibility to maintain a non -traditional work schedule to accommodate the needs of insureds and carriers. Strong written and verbal communication skills, with an emphasis on clear and timely communication. Proficient in various claims management systems and strong technological skills. Ability to manage workload independently and exercise good judgment. Openness to receiving and providing constructive feedback. Background screening eligibility and current active licenses as required. Join Us If you're ready to elevate your career in a supportive and dynamic environment, we want to hear from you! Let's work together to make a meaningful impact.
    $40k-54k yearly est. 56d ago
  • Public Adjuster

    The Misch Group

    Claims representative job in Jackson, MS

    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!
    $31k-42k yearly est. 23d ago
  • Marine Casualty Claim Adjustment Specialist

    Struction Solutions

    Claims representative job in New Orleans, LA

    About Us: Struction Solutions is an innovative Independent Adjusting, Building Consultant, and Disaster Recovery Firm, known for our commitment to delivering innovative and tailored solutions to our clientele. Our team of professionals work tirelessly to ensure accuracy, efficiency, and customer satisfaction. As we continue to grow and expand, we're seeking talented individuals who share our dedication to excellence and are eager to make a meaningful impact in our industry. Position Details: Resolves insurance claims involving marine casualties. Their role includes investigating, evaluating, and negotiating claims to determine the extent of the insurance company's liability. This role requires a thorough understanding of maritime laws, insurance policies, and handling procedures. Investigation: They conduct thorough investigations of marine incidents, such as collisions, groundings, sinkings, fires, or cargo damage. This includes gathering evidence, interviewing witnesses, and inspecting vessels and cargo. Assessment: They assess the extent of the damage and determine the cause of the incident. This may involve working with marine surveyors, engineers, and other experts to evaluate the condition of the vessel and cargo. Documentation: They collect and review relevant documents, such as ship logs, maintenance records, cargo manifests, and insurance policies, to support the claim. Evaluation: They evaluate the claim to determine whether it is covered under the insurance policy and to what extent. This involves interpreting policy terms and conditions, as well as applicable laws and regulations. Negotiation: They negotiate settlements with claimants, which can include shipowners, charterers, cargo owners, and other affected parties. The goal is to reach a fair and equitable resolution while minimizing the financial impact on the insurance company. Reporting: They prepare detailed reports and recommendations for the insurance company, documenting their findings, the extent of the damage, and the proposed settlement. Liaison: They act as a liaison between the insurance company and other parties involved in the claim, such as legal representatives, regulatory authorities, and other stakeholders. Compliance: They ensure that all claims are handled in compliance with relevant laws, regulations, and industry standards. Risk Management: They may also be involved in risk management activities, helping to identify and mitigate potential risks to reduce the likelihood of future claims. Qualifications: Proven experience in insurance claims adjustment, preferably in marine insurance. Strong knowledge of maritime laws and regulations. Excellent analytical, negotiation, and communication skills. Ability to manage multiple claims efficiently under tight deadlines. Proficiency in claim management software and Microsoft Office Suite. Location: New Orleans, LA area Marine casualty claim adjustment specialists need a strong understanding of maritime law, insurance principles, and the technical aspects of marine operations. They also require excellent analytical, communication, and negotiation skills. Join us at Struction Solutions, and let's redefine the future of the Independent Adjusting industry together! View all jobs at this company
    $26k-46k yearly est. 60d+ ago
  • Insurance Claims Specialist

    Peach Tree Dental 3.7company rating

    Claims representative job in Monroe, LA

    Peach Tree Dental - Monroe, West Monroe, Ruston, Jonesboro Job Details: Salary: Starting from $16.00-$20.00/hourly Pay is based on experience, qualifications, and desired location. **incentives after training vary and are based on performance Job Type: Full-time Qualifications For Insurance Claims Specialists: High school or equivalent (Required) Takes initiative. Has excellent verbal and written skills. Ability to manage all public dealings in a professional manner. Ability to recognize problems and problem solve. Ability to accept feedback and willingness to improve. Ability to set goals, create plans, and convert plans into action. Is a Brand ambassador, both in and outside of the facility. Benefits Offered For Full-Time Insurance Claims Specialists: Medical, Dental, Vision Benefits Dependent Care & Healthcare Flexible Spending Account Simple IRA With Employer Match Basic Life, AD&D & Supplemental Life Insurance Short-term & Long-term Disability Perks & Rewards For Full-Time Insurance Claims Specialists: Competitive pay + bonus Paid Time Off & Sick time 6 paid Holidays a year Full Job Description: With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you! Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL: **********************************************
    $16-20 hourly 60d+ ago
  • Revenue Cycle - Pre-Billing/Claims Processing Specialist

    Physicians' Group Laboratories 4.5company rating

    Claims representative job in Houma, LA

    Pre-Billing / Claims Processing Specialist (On-Site - Houma, LA) The Pre-Billing / Claims Processing Specialist is responsible for preparing, reviewing, and submitting clean, accurate claims to insurance companies for payment. This role is critical to minimizing denials and ensuring timely reimbursement. Key Responsibilities Review charges, patient demographics, diagnosis codes, and insurance information for accuracy Process and submit insurance claims using CollaborateMD Ensure claims meet payer and regulatory requirements prior to submission Identify and correct errors before claims are released Collaborate with AR and Billing Admin teams to resolve pre-billing issues Maintain timely claim submission and productivity standards Address claim rejections related to data entry or formatting errors Why Work at PGL Play a key role in a high-impact function where clean claims drive financial success Gain hands-on experience with CollaborateMD and laboratory billing workflows Work in a structured environment that prioritizes accuracy, training, and process consistency Be part of a growing organization that values career development and internal growth opportunities Work Location This position is on-site in Houma, Louisiana This is not a remote position Qualifications & Skills Experience in medical billing or claims processing preferred Knowledge of CPT, ICD-10, and insurance guidelines Strong attention to detail and organizational skills Ability to manage volume while maintaining accuracy
    $33k-41k yearly est. 14d ago
  • Property Field Claims Adjuster Sr- Montgomery, AL and surrounding area

    Country Financial 4.4company rating

    Claims representative job in Montgomery, AL

    Experience more with a career at COUNTRY Financial! We're excited you're interested in a career at COUNTRY as we strive toward our vision - to enrich lives in the communities we serve. Our footprint spans coast to coast. But more important than where we operate, is the people who do the work. Apply today to help our organization grow and make a difference for our clients. About the role Looking for a genuinely rewarding career where you know you're actually making a difference in people's lives? COUNTRY Financial is seeking a Property Claims Consultant Sr to join our field claims team. You'll be providing a consistent, positive, and satisfying claims experience for our clients through the proper investigation, evaluation, negotiation, and settlement of more complex property claims. You'll learn how to use innovative technologies, i.e., drones for property inspections. In addition to on-site inspections, we also use virtual claim handling software to lead our clients safely and expertly through the claim process. How does this role make an impact? * Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims. - Initiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when necessary), and explain the overall claims process. - Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability. Do you have what we're looking for? Typically requires 7+ years of relevant experience or a combination of related experience, education and training. * Maintains the appropriate adjuster's licensing as required by the states in which we do business. * For Property-Field representatives only, excluding representatives in the Large Property Loss Unit: Part 107 drone license required for roof inspections. License must be obtained within 5 months of start date; must pass exam within 3 attempts. * This job operates in a professional office or work from home environment and routinely uses standard office equipment such as computers, phones, scanners and copy machines. * Work may extend beyond normal business hours as business needs dictate. * May be called upon for catastrophic duty. This position allows full-time field work within the territory for this position which includes Montgomery, Alabama and surrounding areas. #LI-Remote Base Pay Range: $77,600-$106,700 The base pay range represents the typical range of potential salary offers for candidates hired. Factors used to determine your actual salary include your specific skills, qualifications and experience. Incentive Pay: In addition to base salary, this position is eligible for a Short-Term Incentive plan. Why work with us? Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We're a big company, yet small enough you can make an impact and won't get lost in the shuffle. You'll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business. You'll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match. COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations. Come join our team at COUNTRY today!
    $77.6k-106.7k yearly 20d ago
  • Central Alabama Regional Claims Adjuster

    Cenco Claims 3.8company rating

    Claims representative job in Birmingham, AL

    CENCO Claims is seeking Daily Property Claims Adjusters to handle field assignments throughout Birmingham and surrounding Central Alabama communities. This field-based role offers steady claim volume, flexibility in the field, and dependable support from an organized claims team. You'll focus on inspections and documentation while our internal team helps keep assignments and files moving efficiently. What You'll Be Doing: Conduct on-site inspections to assess property damage from wind, hail, water, fire, and other covered events Document damages with clear photos, detailed notes, and accurate reports Prepare and submit estimates using Xactimate Communicate professionally with policyholders, contractors, and carrier representatives Manage assigned claims efficiently while meeting submission timelines What You'll Need: Familiarity with Xactimate Understanding of property damage assessment and repair scope Reliable transportation and standard field equipment Strong communication and organizational skills Active Alabama adjuster license or designated home state license What CENCO Offers: Consistent daily claim assignments in the Birmingham area Competitive per-claim compensation with reliable, on-time payments Flexible scheduling and independence in the field Responsive internal support and streamlined systems Opportunity for continued work If you're looking for steady daily field work with a claims partner you can rely on, CENCO Claims would be glad to connect.
    $42k-51k yearly est. Auto-Apply 11d ago
  • Independent Insurance Claims Adjuster in Anniston, Alabama

    Milehigh Adjusters Houston

    Claims representative job in Anniston, AL

    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.
    $42k-51k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Fairhope, AL

    At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
    $43k-52k yearly est. Auto-Apply 6d ago
  • VA Claims Follow-Up Specialist

    Syntriq Health Solutions

    Claims representative job in Corinth, MS

    The VA Claims Follow-Up Specialist will ensure timely and accurate resolution of Veterans Administration hospital claims by proactively monitoring claim status, addressing denials, and maintaining compliance with VA policies and federal regulations. Key Responsibilities Claim Monitoring & Status Updates Track VA hospital claims through systems like HSRM (HealthShare Referral Manager) and eCAMS Provider Portal. Verify receipt of claims and follow up with VA representatives and Third-Party Administrators (TPAs) such as Optum or TriWest Authorization & Documentation Confirm VA authorizations for inpatient and outpatient services. Ensure the hospital requested an emergency care within 72 hours when applicable. Denial Management Investigate and resolve denials related to eligibility, missing authorizations, or medical necessity. Prepare appeals and submit supporting documentation as required. Communication Provide timely updates to internal teams and escalate issues when needed. Reporting Generate reports on claim aging, payment variances, and resolution timelines. Use Epic or similar systems for real-time account updates. Qualifications Strong knowledge of VA billing processes, Community Care Network (CCN), and Veterans Care Agreements (VCA). Familiarity with UB-04 and CMS-1500 claim forms. Experience with electronic billing systems and portals (e.g., eCAMS, Epic). Excellent communication and problem-solving skills.
    $27k-46k yearly est. 17d ago

Learn more about claims representative jobs

How much does a claims representative earn in Gulfport, MS?

The average claims representative in Gulfport, MS earns between $24,000 and $44,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Gulfport, MS

$33,000
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