Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers' Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred.
Essential Responsibilities:
Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
Investigates, evaluates, and resolves Workers' Compensation claims.
Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues.
Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
Generates checks for indemnity and medical payments daily.
Develops and monitors consistency in procedural matters of the claims handling process with CRS.
Compiles and interprets Workers' compensation reports on designated accounts, as requested.
Ability to adjudicate lost time claims.
Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
Performs special projects and other duties as requested.
Qualifications:
Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed.
Experience: 2-4 years claims experience with strong background in Workers' Compensation coverage.
Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.
Here's a little bit about us:
At Creative Risk Solutions, you'll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
The salary range for this role is $45,800- $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes!
Essential Responsibilities:
· Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
· Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims.
· Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
· Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
· Generates checks for indemnity and medical payments daily.
· Develops and monitors consistency in procedural matters of claims handling process within CRS.
· Willingness to become licensed if required in jurisdiction where claims are handled.
Qualifications:
· Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
· Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling.
· Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota.
· Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
· Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.
Here's a little bit about us:
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.
In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
· Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
· Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
· 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
· Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
· Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
· DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
· Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
· Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
$51k-72k yearly est. Auto-Apply 22d ago
Claims Representative
CBCS 4.0
Claims representative job in Dubuque, IA
Join our Claims Academy - we are building the next generation of expert Claims Adjusters!
It's an exciting time at CBCS! We've been experiencing explosive growth, and as a result, we're adding a number of ClaimsRepresentatives to our team! No experience? No problem. At CBCS, you'll receive in-depth training, providing you with all the information and tools you'll need to succeed. From day one, you'll be surrounded by and learning from talented industry experts, dedicated trainers, mentors and colleagues all invested in your professional growth!
As a ClaimsRepresentative you will:
Analyze and process claims
Talk with injured employees, doctors, CEO's, and attorneys from all across the U.S.
Engage private investigators if fraud is suspected
Advise clients and negotiate settlements on their behalf
Actively manage litigation
This position will never leave you bored. No two claims are the same so you'll be constantly learning new things and meeting new people.
The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment.
Pay & Benefits
Salary
Most Benefits start Day 1
Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/ Defined Contribution (1-year waiting period)
PTO/ Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/ Parental Leave
Subsidized Parking
Company-paid Term Life/ Accidental Death Insurance
About Cottingham & Butler Claims Services
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on ****************** | LinkedIn
$30k-38k yearly est. Auto-Apply 42d ago
Claims Care Representative
Homesteaders Life Company Corp
Claims representative job in West Des Moines, IA
As a Claims Care Representative, you will support policyholders, beneficiaries, and other stakeholders throughout the claims process. Your role will include aiding, answering inquiries, processing claims, and ensuring a smooth customer experience. You'll work with a high level of confidentially and adhere to all privacy regulations with a compassionate team working alongside you.
Your responsibilities will include:
Accepts and processes inbound, and outbound calls, emails, and other communications related to life insurance claims inquiries.
Assist customers in completing claims forms, gathering necessary documentation, and submitting claims for processing. Updates and maintains customer records and data in the system.
Review, verify, and process claim submissions by company policies and legal requirement.
Approve and process EFT claim payments or may authorize claim payment by draft for claims submitted via phone, fax or internet.
Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently.
Meet or exceed performance targets related to claim resolution time, accuracy, and customer satisfaction
Requirements
Equivalent to high school degree
Prior experience in customer service, claims processing, or a related field, ideally within the insurance industry.
Strong communication and interpersonal skills, with the ability to explain complex information clearly and empathetically.
Attention to detail and accuracy in reviewing claims documents and processing information.
Problem-solving skills and the ability to handle difficult conversations with professionalism.
Proficiency in using CRM systems, claims management software, and other relevant tools
Our benefits include:
Hours: Monday through Thursday 10:00am - 6:00pm and Friday 12:00pm to 5:00pm
Annual profit sharing
401(k) with company match with discretionary contribution
Company-sponsored group medical and dental insurance
Company-paid life insurance
Company-paid long-term disability
Hybrid work environment
Paid holidays
Generous vacation time and sick leave
Paid parental leave
Casual dress year-round
Professional membership and licensing dues reimbursement
Tuition reimbursement
Volunteer Time Off (VTO)
About Homesteaders:
Homesteaders Life Company, a mutual company owned by its policy holders, is a national leader providing products and services to help people design a better farewell. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other.
We are currently not hiring in Colorado, Montana, New York, Illinois, Minnesota, and California.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
Salary Description 47,000+
$30k-41k yearly est. 14d ago
Public Adjuster
The Misch Group
Claims representative job in Des Moines, IA
Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Location: Primary Locations: KS City, Des Moines IA, State of CO, State of CA, St. Louis, State of IL with emphasis on ChicagoCompensation: $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!
$75k-100k yearly 15d ago
Property Claim Representative
IMT Insurance
Claims representative job in Council Bluffs, IA
Job Description
WHO WE ARE
IMT is proud of our heritage and will never forget where our roots are firmly planted. Locally run from its office in West Des Moines, Iowa, IMT has been a Midwest company since it was founded in Wadena, Iowa in 1884. That's over 140 years!
Today, IMT continues to offer a strong line of personal and commercial insurance products for which it has always been known, along with exceptional service for a competitive price. Our products are offered through Independent Agents throughout a six-state territory - Iowa, Illinois, Minnesota, Nebraska, South Dakota and Wisconsin.
PROPERTY CLAIMREPRESENTATIVE
IMT Insurance is now taking applications for the position of a Property ClaimRepresentative in the Council Bluffs, Iowa area. This individual will conduct investigations and attempt settlement of claims submitted by policyholders for property losses. The ideal candidate will be an analytical, detailed worker, who can manage time and work on multiple projects while maintaining accuracy and service. IMT Property ClaimsRepresentatives investigate and evaluate claims involving personal and commercial property to determine proper policy coverages and apply best claims practices to ensure accurate settlements in accordance with company guidelines. If you're interested in joining our claims department, apply online today!
A DAY IN THE LIFE
Conduct interviews with insureds, claimants and other interested parties
Conduct thorough investigations and examine insurance policies to determine coverage
Inspect damages and prepare written estimates of repair or replacement
Correspond with insureds, claimants and other interested parties
Prepare and report findings and negotiate settlements
DESIRED QUALIFICATIONS
0 - 3 years Property claims experience preferred
Bachelor's Degree
Excellent verbal and written communication skills
Excellent problem-solving and negotiation skills
Good keyboard/PC skills
Excellent organizational and prioritization skills
Ability to climb ladder to assess roof damage
Ability to lift minimum 30 lbs
Must maintain valid driver's license
Able to travel/stay overnight for storm claim duty
BENEFITS & PERKS
IMT Insurance is committed to our employees and their families. When you work for IMT, you earn far more than just a paycheck. The IMT office was new in 2018 and offers a fitness room, game room and a variety of collaboration areas. This position includes learning and development opportunities and more! Below is a list of what IMT offers our employees:
Medical, dental, and vision insurance, Life & A D & D insurance, 401K retirement savings accounts, spending accounts, long and short-term disability, profit share, paid vacation & sick time, employee assistant program and additional voluntary benefits.
The salary range for this position is $53,000.00 - $99,000.00
Starting salary and level of position will depend on level of experience
This position is not eligible for tips or commission but may be eligible for additional bonuses
WHAT DEFINES US
Our vision is to provide peace of mind in the moments that matter.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.
Our agents and customers come from all walks of life and so do we. Our goal is to hire great people from a wide variety of backgrounds, because it makes our team stronger. If you share our values and our passion for creating a Worry Free life for others, we want to talk to you!
$30k-40k yearly est. 23d ago
Des Moines Regional Claims Adjuster
Cenco Claims 3.8
Claims representative job in Des Moines, IA
CENCO Claims partners with leading insurance carriers to deliver accurate, efficient property claims services throughout the Midwest. We're currently seeking Daily Property Claims Adjusters to support ongoing field assignments across Des Moines and the surrounding Central Iowa area.
This role is ideal for adjusters looking for steady daily work, flexibility in the field, and dependable support from an organized claims operation.
What You'll Be Doing:
Conduct on-site inspections for property losses related to wind, hail, water, fire, and other covered events
Document damages with clear photos, detailed notes, and accurate reports
Prepare and submit estimates using Xactimate or Symbility
Communicate professionally with policyholders, contractors, and carrier partners
Manage assigned claim files efficiently while meeting submission timelines
What You'll Need:
Familiarity with Xactimate or Symbility
Understanding of property damage assessment and repair scope
Reliable transportation and standard field equipment
Strong communication and organizational skills
Active Iowa adjuster license or designated home state license
Why Work with CENCO?
Consistent daily claim assignments in the Des Moines market
Competitive per-claim compensation with reliable, on-time payments
Flexible field work with independence
Responsive internal support and streamlined systems
Opportunity for continued work
If you're looking for steady daily field assignments with a claims partner you can rely on, CENCO Claims would be glad to connect.
$43k-52k yearly est. Auto-Apply 3d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Davenport, IA
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 42d ago
Independent Insurance Claims Adjuster in Ames, Iowa
Milehigh Adjusters Houston
Claims representative job in Ames, IA
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.
$43k-52k yearly est. Auto-Apply 60d+ ago
Claims Specialist II - WC
UFG Career
Claims representative job in Cedar Rapids, IA
UFG is currently hiring for a Claims Specialist II to work with our Workers Compensation team. This individual's primarily responsible for verifying applicable coverages, conducting timely and thorough research of the facts of a loss, analyzing compensability and evaluating benefits for reserve and settlement, and negotiating medium to occasional high complexity claims to resolution in accordance with claims best practices.
The Claims Specialist II - Workers Compensation role demonstrates a strong desire to learn and grow, promotes a positive work environment, and embraces a strong service-oriented mindset in support of internal and external customers. This role requires strong communication skills, attention to detail, and the ability to handle multiple tasks efficiently and effectively. It also requires the ability to work independently with low to moderate levels of supervision. A strong desire to advance one's professional development is essential to this role.
Essential Duties & Responsibilities:
Review claim assignments to timely determine policy coverage, compensability of a claimed injury or illness and facilitation of medical, indemnity and other statutory workers' compensation benefits. If a coverage issue is relevant, review facts with a designated leader or mentor to determine a proper plan of action.
Make prompt, meaningful contact with insureds and their employees to research facts by conducting interviews; securing, understanding and synthesizing information from relevant documents; identifying other relevant parties to a claim; and proactively supporting all parties with their commitment to outcomes.
Establish rapport and an outcome focused relationship with insureds and their employees, as well as other internal and external stakeholders, through consistent on-going contact throughout the recovery process and claim resolution.
Request and analyze medical records to determine compensability according to evidence-based causation by jurisdiction. Develop knowledge of how to conduct medical and legal research.
Interact with medical providers to clearly define medical causation and establish treatment plans focused on recovery.
Promptly and supportively inform insured and employees as well as other stakeholders of coverage and compensability decisions.
Support stay-at-work or return-to-work opportunities for insureds and their employees. Propose and facilitate vocational support when appropriate by jurisdiction.
Identify subrogation potential and document evidence in support of subrogation. Understand the subrogation mechanism and actively partner with internal and external subrogation partners to achieve outcomes with a goal to achieve global resolution.
Identify potential Medicare eligibility and comply with all Medicare Secondary Payor requirements of law. Develop knowledge of Medicare settlement obligations.
Assess and periodically re-assess the nature and severity of injury or illness. Design a plan of action focused on recovery and resolution in accordance with claims best practice guidelines by jurisdiction. Identify factors which could impact successful outcomes and collaborate with others on plans of action to mitigate impacts.
Assess and periodically re-assess claim file reserves adequacy. This will be achieved through understanding medical diagnoses and care plan developments; thorough analysis of wage information and accurate calculations of indemnity benefits; and by securing and providing job descriptions specific to the employee to medical providers. Promptly identify factors of risk for increased loss and expense costs.
Execute all technical claim handling functions such as documenting facts within the claims management system in a consistent, concise and clear manner; make timely decisions and promptly communicate decisions to stakeholders; process accurate benefit payments; and seek opportunities to mitigate claim handling expenses.
Proactively seek resolution of claims by defining stakeholder outcome expectations early and often, managing processes focused on outcomes and engaging in direct negotiation, mediation, settlement conferences or hearings according to jurisdiction. Emphasis is placed on seeking opportunities to overcome resolution barriers.
Comply with statute specific claims handling practices and reporting requirements.
Inform underwriting of increased hazards or unusual circumstances concerning a risk/policy exposure.
Participate in internal and external continuing education opportunities to maintain licensure and develop claim handling skills and abilities.
Demonstrate a supportive attitude and presence within the team by adapting well to change in process or procedure. Share innovative ideas to improve work product and outcomes. Take initiative to identify and learn about areas of professional development. Proactively seek out opportunities to collaborate with peers.
Demonstrate interest in one's own career development and interest in supporting peers with their development.
Job Specifications:
Education:
High school diploma required.
Post-Secondary education or Bachelor's degree preferred.
Licensing/Certifications/Designations:
Meet the appropriate state licensing requirements to handle claims.
Within 1 year of hire, complete the Workers' Recovery Professional (WRP) certification program.
Within 3 years of hire, complete the Workers' Compensation Law Associate (WCLA) certification program.
Willingness to pursue other professional certifications or designations requested.
Experience:
3+ years of general work experience.
5+ years of workers' compensation claims handling experience or a combination of workers' compensation claims handling experience and experience in a related field.
Knowledge:
General knowledge of insurance, medical and legal concepts is required with a high degree of ability to articulate knowledge verbally and in writing.
Skills and Abilities:
Service-Oriented Mindset
Clear and Concise Communication
Analytical and Critical Thinking
Attitude of Collaboration and Curiosity
Proactive Decision-making and Problem-solving
Time management and Sense of Service Urgency
Demonstrate mentorship within the team
Actively demonstrate engagement in executing on claims initiatives
Working Conditions:
Working remote from home or general office environment.
Occasionally the job requires working irregular hours.
Infrequent overnight travel and weekend hours may be required.
Pay Transparency Statement:
UFG Insurance is committed to fair and equitable compensation practices. The base salary range for this position is $59,622 - $78,637 annually, which represents the typical range for new hires in this role. Individual pay within this range will be determined based on a variety of factors, including relevant experience, education, certifications, skills, internal equity, geography and market data.
In addition to base salary, UFG Insurance offers a comprehensive total rewards package that includes:
Annual incentive compensation
Medical, dental, vision & life insurance
Accident, critical Illness & short-term disability insurance
Retirement plans with employer contributions
Generous time-off program
Programs designed to support the employee well-being and financial security.
This pay range disclosure is provided in accordance with applicable state and local pay transparency laws.
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and skills required. Additional tasks and requirements may be assigned, as necessitated by business need. UFG retains the right to modify the description of this job at any time.
$59.6k-78.6k yearly 58d ago
Claims Specialist I
VTI Architectural Products Inc.
Claims representative job in Holstein, IA
Job Description
Essential Job Functions:
Receive, investigate, and maintain reports on production claims and warranty issues for an assigned region of the country with minimal assistance from team lead and manager.
Provides Technical Assistance to CSC, Manufacturing, Customers, Sales Representatives and Architects
Assist in resolving issues by working through internal processes
Resolves claim issues by determining which party is responsible for the claim
Coordinates field-fix, credit, or replacement resolution
Coordinates the field repair between the repair person and customer
Ensures that information and supplies needed for the repair are sent and payment is coordinated
Processes warranty claim replacements and involves the sales representative
Able to utilize negotiating skills in resolving claim issues
Follows up on unresolved claims
Maintains excellent communication with production, customer service and the customer
Provides customer support by providing LEED documentation, product information, and technical information
Has basic knowledge of VT product offering, construction, labeling, and hardware restrictions
Provides website support by directing internal and external customer to the location of technical information
Sends customers product update information
Provides CDN accounting support by processing payment or credit
Types letters and other correspondence as required
Supports 5S/lean program keeping work area organized
Available to work 8 to 10 hours as required, 5 days per week
Always observes all safety policies and procedures
Participates in team meetings
Works individually or with team members as assigned, maintaining a positive work environment
Other duties as assigned by supervisor
Position Requirements
Qualifications:
Eager and willing to gain knowledge of door products and processes. Excellent written and verbal communication skills
Able to apply common sense understanding to carry out instructions in written, oral, or diagram form
Customer service and math skills
Self-motivated and able to achieve a high level of performance without immediate supervision
Verbally articulate and has excellent written communication skills
Be familiar with Excel, Word, PowerPoint, and other computer systems
Able to work quickly and multi-task while adhering to tight deadlines for multiple projects
Compliant with VT employment policy requirements
All team members are expected to follow the Code of Conduct to the highest standards as well as to adhere to the Attendance Policy of VT Industries.
Physical Requirements
Tolerance for sitting long periods of time. Possess finger dexterity to write, type, and use a calculator. Maintain adequate vision to view small print and computer terminal. Ability to speak and hear, walk throughout facilities with occasional light lifting (25 pounds), stooping, kneeling, crouching, and reaching with hands and arms required. Ability to travel between multiple facilities as required to perform core job duties.
The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
$25k-40k yearly est. 15d ago
Claims Care Representative
Homesteaders Life Company
Claims representative job in West Des Moines, IA
As a Claims Care Representative, you will support policyholders, beneficiaries, and other stakeholders throughout the claims process. Your role will include aiding, answering inquiries, processing claims, and ensuring a smooth customer experience. You'll work with a high level of confidentially and adhere to all privacy regulations with a compassionate team working alongside you.
Your responsibilities will include:
* Accepts and processes inbound, and outbound calls, emails, and other communications related to life insurance claims inquiries.
* Assist customers in completing claims forms, gathering necessary documentation, and submitting claims for processing. Updates and maintains customer records and data in the system.
* Review, verify, and process claim submissions by company policies and legal requirement.
* Approve and process EFT claim payments or may authorize claim payment by draft for claims submitted via phone, fax or internet.
* Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently.
* Meet or exceed performance targets related to claim resolution time, accuracy, and customer satisfaction
Requirements
* Equivalent to high school degree
* Prior experience in customer service, claims processing, or a related field, ideally within the insurance industry.
* Strong communication and interpersonal skills, with the ability to explain complex information clearly and empathetically.
* Attention to detail and accuracy in reviewing claims documents and processing information.
* Problem-solving skills and the ability to handle difficult conversations with professionalism.
* Proficiency in using CRM systems, claims management software, and other relevant tools
Our benefits include:
* Hours: Monday through Thursday 10:00am - 6:00pm and Friday 12:00pm to 5:00pm
* Annual profit sharing
* 401(k) with company match with discretionary contribution
* Company-sponsored group medical and dental insurance
* Company-paid life insurance
* Company-paid long-term disability
* Hybrid work environment
* Paid holidays
* Generous vacation time and sick leave
* Paid parental leave
* Casual dress year-round
* Professional membership and licensing dues reimbursement
* Tuition reimbursement
* Volunteer Time Off (VTO)
About Homesteaders:
Homesteaders Life Company, a mutual company owned by its policy holders, is a national leader providing products and services to help people design a better farewell. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other.
We are currently not hiring in Colorado, Montana, New York, Illinois, Minnesota, and California.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
$30k-41k yearly est. 15d ago
Claims Representative
CBCS 4.0
Claims representative job in West Des Moines, IA
Job Description
Join our Claims Academy - we are building the next generation of expert Claims Adjusters!
It's an exciting time at CBCS! We've been experiencing explosive growth, and as a result, we're adding a number of ClaimsRepresentatives to our team! No experience? No problem. At CBCS, you'll receive in-depth training, providing you with all the information and tools you'll need to succeed. From day one, you'll be surrounded by and learning from talented industry experts, dedicated trainers, mentors and colleagues all invested in your professional growth!
As a ClaimsRepresentative you will:
Analyze and process claims
Talk with injured employees, doctors, CEO's, and attorneys from all across the U.S.
Engage private investigators if fraud is suspected
Advise clients and negotiate settlements on their behalf
Actively manage litigation
This position will never leave you bored. No two claims are the same so you'll be constantly learning new things and meeting new people.
The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment.
Pay & Benefits
Salary
Most Benefits start Day 1
Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/ Defined Contribution (1-year waiting period)
PTO/ Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/ Parental Leave
Subsidized Parking
Company-paid Term Life/ Accidental Death Insurance
About Cottingham & Butler Claims Services
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on ****************** | LinkedIn
$30k-38k yearly est. 28d ago
Property Claim Representative
IMT Insurance
Claims representative job in Council Bluffs, IA
WHO
WE
ARE
IMT
is
proud
of
our
heritage
and
will
never
forget
where
our
roots
are
firmly
planted
Locally
run
from
its
office
in
West
Des
Moines
Iowa
IMT
has
been
a
Midwest
company
since
it
was
founded
in
Wadena
Iowa
in
1884
Thats
over
140
years
Today
IMT
continues
to
offer
a
strong
line
of
personal
and
commercial
insurance products for which it has always been known along with exceptional service for a competitive price Our products are offered through Independent Agents throughout a six state territory Iowa Illinois Minnesota Nebraska South Dakota and Wisconsin PROPERTY CLAIMREPRESENTATIVE IMT Insurance is now taking applications for the position of a Property ClaimRepresentative in the Council Bluffs Iowa area This individual will conduct investigations and attempt settlement of claims submitted by policyholders for property losses The ideal candidate will be an analytical detailed worker who can manage time and work on multiple projects while maintaining accuracy and service IMT Property ClaimsRepresentatives investigate and evaluate claims involving personal and commercial property to determine proper policy coverages and apply best claims practices to ensure accurate settlements in accordance with company guidelines If youre interested in joining our claims department apply online today A DAY IN THE LIFE Conduct interviews with insureds claimants and other interested parties Conduct thorough investigations and examine insurance policies to determine coverage Inspect damages and prepare written estimates of repair or replacement Correspond with insureds claimants and other interested parties Prepare and report findings and negotiate settlements DESIRED QUALIFICATIONS 0 3 years Property claims experience preferred Bachelors DegreeExcellent verbal and written communication skills Excellent problem solving and negotiation skills Good keyboard PC skills Excellent organizational and prioritization skills Ability to climb ladder to assess roof damage Ability to lift minimum 30 lbs Must maintain valid drivers license Able to travelstay overnight for storm claim duty BENEFITS & PERKS IMT Insurance is committed to our employees and their families When you work for IMT you earn far more than just a paycheck The IMT office was new in 2018 and offers a fitness room game room and a variety of collaboration areas This position includes learning and development opportunities and more Below is a list of what IMT offers our employees Medical dental and vision insurance Life & A D & D insurance 401K retirement savings accounts spending accounts long and short term disability profit share paid vacation & sick time employee assistant program and additional voluntary benefits The salary range for this position is 5300000 9900000 Starting salary and level of position will depend on level of experience This position is not eligible for tips or commission but may be eligible for additional bonuses WHAT DEFINES US Our vision is to provide peace of mind in the moments that matter We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race color sex age national origin religion sexual orientation gender identity andor expression status as a veteran and basis of disability or any other federal state or local protected class Our agents and customers come from all walks of life and so do we Our goal is to hire great people from a wide variety of backgrounds because it makes our team stronger If you share our values and our passion for creating a Worry Free life for others we want to talk to you
We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes!
Essential Responsibilities:
· Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
· Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims.
· Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
· Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
· Generates checks for indemnity and medical payments daily.
· Develops and monitors consistency in procedural matters of claims handling process within CRS.
· Willingness to become licensed if required in jurisdiction where claims are handled.
Qualifications:
· Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
· Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling.
· Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota.
· Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
· Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.
Here's a little bit about us:
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.
In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
· Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
· Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
· 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
· Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
· Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
· DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
· Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
· Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
$30k-50k yearly est. Auto-Apply 22d ago
Daily Claims Adjuster Cedar Rapids Iowa
Cenco Claims 3.8
Claims representative job in Cedar Rapids, IA
CENCO Claims is hiring a Daily Property Adjuster to inspect and handle residential and commercial property claims in the Cedar Rapids area. This is a field-based role with steady claim volume and flexible scheduling.
Key Responsibilities:
Conduct on-site inspections and assess property damage
Prepare estimates using Xactimate software
Take clear photos and write accurate reports
Communicate with policyholders and insurance carriers
Submit complete claim files in a timely manner
Qualifications:
2+ years of property adjusting experience preferred
Proficiency in Xactimate
Knowledge of property construction and damage assessment
Strong time management and communication skills
Reliable vehicle and valid driver's license
Active Adjuster License
What We Offer:
Competitive per-claim compensation
Regular claim assignments
Flexible schedule
Support from an experienced claims management team
Opportunities for ongoing work and growth
Apply Now!
We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes!
Essential Responsibilities:
· Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
· Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims.
· Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
· Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
· Generates checks for indemnity and medical payments daily.
· Develops and monitors consistency in procedural matters of claims handling process within CRS.
· Willingness to become licensed if required in jurisdiction where claims are handled.
Qualifications:
· Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
· Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling.
· Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire.
· Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
· Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.
Here's a little bit about us:
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.
In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
· Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
· Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
· 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
· Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
· Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
· DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
· Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
· Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
$51k-72k yearly est. Auto-Apply 23d ago
Independent Insurance Claims Adjuster in Waterloo, Iowa
Milehigh Adjusters Houston
Claims representative job in Waterloo, IA
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.
$43k-52k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Des Moines, IA
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.
We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes!
Essential Responsibilities:
· Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
· Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims.
· Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
· Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
· Generates checks for indemnity and medical payments daily.
· Develops and monitors consistency in procedural matters of claims handling process within CRS.
· Willingness to become licensed if required in jurisdiction where claims are handled.
Qualifications:
· Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
· Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling.
· Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire.
· Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
· Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.
Here's a little bit about us:
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.
In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
· Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
· Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
· 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
· Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
· Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
· DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
· Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
· Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1