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Claims representative jobs in Iowa

- 109 jobs
  • Claim Representative

    Berkley 4.3company rating

    Claims representative job in Iowa

    Company Details Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted. As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor's Financial Rating of A+ (Strong). This role is would ideally be based in one of our two offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so. Urbandale, IA Lincoln, NE The Company is an equal employment opportunity employer. #LI-LD1 Responsibilities As a Casualty Claims Adjuster for commercial lines, you'll investigate low to medium level commercial casualty claims in a prompt, equitable manner by analyzing coverage, liability and damages; evaluating reserves; and negotiating settlement or conclusion of claim. What you can expect: Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent Internal mobility opportunities. Visibility to senior leaders and partnership with cross functional teams. Opportunity to impact change. Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education. We'll count on you to: Examine and analyze policies, contracts and claim forms to determine coverage. Investigate loss in a prompt manner by investinagion, telephone, or correspondence to determine the extent of the Company's liability. Request necessary reports, e.g., police reports, fire reports, medical records, property damage inspections, etc. Utilize independent adjusting services to assist in the claim investigation as appropriate. Establish accurate claim reserves and re-evaluate exposures and reserves during the life of the claim. Correctly enter claim data and file documentation into claim and related systems for reporting purposes. Negotiate settlement or conclusion of claim. Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge. Perform other related duties as assigned by management. Qualifications What you need to have: 2+ years related casualty claims experience and/or training; or equivalent combination of education and experience. Ability to travel on an occasional basis. Proficient with Microsoft Word, Excel, and Outlook What makes you stand out: Bachelor's Degree preferred but not required Prior commercial lines casualty claims experience Ability to organize, prioritize and manage multiple tasks in a fast-paced environment; and quickly and professionally respond to inquiries from customers Possess strong customer orientation; problem analysis and problem resolution skills; and interpersonal and communication skills Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.
    $42k-54k yearly est. Auto-Apply 1d ago
  • Property Claim Representative

    IMT Insurance

    Claims representative job in Iowa

    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 CLAIM REPRESENTATIVE IMT Insurance is now taking applications for the position of a Property Claim Representative in Council Bluffs, IA and surrounding 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 Claims Representatives 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-41k yearly est. 60d+ ago
  • Claims Representative

    CBCS 4.0company rating

    Claims representative job in Des Moines, 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 Claims Representatives 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 Claims Representative 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 60d+ ago
  • Claims Representative

    Ncmic

    Claims representative job in Clive, IA

    Job Purpose: Responsible for the investigation, evaluation, negotiation and resolution of assigned claims, as well as providing policyholders with basic risk management assistance and guidance. Essential Functions 1 Effectively investigate, evaluate, negotiate and resolve claims presented against the insured's of the company within department procedures. Apply medical expertise, solicit subject matter experts and conduct research as needed. Includes working with defense attorneys, claimant, claimant's attorney, and insured. Monitor, evaluate and direct the legal counsel employed for the defense of insured's claims within settlement authority. Handle assigned claims, including court ordered appearances and mediations. 2 Confirm coverage and evaluate petitions as filed against insured. Present appropriate recommendations to Litigation Consultant or Vice-President of Claims in a timely manner. 3 Assist insureds by answering questions, referring to counsel as needed and provide guidance. 4 Performs other job related duties as assigned. Requirements: Education: College degree or equivalent experience. Adjuster license or ability to obtain within 90-120 days if not already licensed. Experience: 3-5 years claims experience with emphasis on general and professional liability claims and/or legal claims experience. AIC, SCLA, RPLU or other professional designations preferred. Skills: Requires negotiation skills, excellent verbal and written communication skills. Excellent presentation skills and interpersonal skills. Requires ability to develop expertise in assigned line of malpractice (medical, dental or legal). Requires knowledge of company coverages, policy terminology and legal concepts. Must maintain confidentiality. Mental Demands: Must have the ability to focus on task for extended periods of time. Must be flexible and have the ability to work with a variety of tasks and employees. Ability to plan, organize, be detail and deadline oriented and maintain a high accuracy rate. Must be able to interpret data/problem solve and make effective decisions with limited or incomplete information. Physical Demands: Continuous sitting for extended periods of time, some standing, walking, bending and reaching. Frequent use of fingers and hands to manipulate computer, telephone and other office equipment. Must be able to travel and work flexible hours. Ability to be able to look and concentrate at a computer/monitor for extended periods of time.
    $30k-41k yearly est. 60d+ ago
  • Bilingual Claims Care Representative

    Homesteaders Life Company

    Claims representative job in West Des Moines, IA

    As a Bilingual 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 confidentiality and adhere to all privacy regulations with a compassionate team working alongside you. Your responsibilities will include: * Interact with customers via telephone and email to aid with the claims process. * Assist customers in completing claims forms, gathering documentation, and submitting claims for processing in both Spanish and English. Update and maintain records in bilingual communication and documentation as needed. * Review, verify, and process claims in accordance with company procedure and legal requirements * Translate and respond to correspondence and service emails in Spanish. * Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently. * Resolve customer complaints or issues. When appropriate, collaborate with internal departments to resolve escalated cases. Requirements * High school diploma or equivalent * Prior experience in call center environment is required. * Fluency in both Spanish and English verbal and written communication required. * Customer service, claims processing, or a related field, ideally within the insurance industry preferred but not required * Prior experience in using CRM systems, claims management software, and other relevant tools is preferred. * Knowledge of life insurance policies, claims procedures, and relevant regulations is a plus. Our benefits include: * An excellent schedule - office closes at 1 p.m. every Friday * 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 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. 7d 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 4d ago
  • Senior Claims Representative

    VGM Insurance 3.8company rating

    Claims representative job in Waterloo, IA

    Headquartered in Waterloo, Iowa, VGM is a 100% employee-owned company providing business and professional services to thousands of business customers across North America. Services include group purchasing, commercial insurance, management of healthcare services and networks in post-acute cases, healthcare distribution direct to patient homes, specialty consulting, online education, digital, print, and traditional marketing and more. VGM employs approximately 1,700 people across 40 states and Canada, with more than 1,100 working in Iowa. VGM has been named the Top Workplace in Iowa on multiple occasions and is proud of its role in the communities in which it serves. VGM Insurance Services is headquartered in Waterloo, Iowa, and has provided Protection Beyond Policies for over 30 years. VGM Insurance offers industry-specific insurance products and risk management solutions nationwide for a variety of post-acute healthcare industries, as well as golf and hospitality markets. Learn more at ********************* Join Our Talent Network at VGM Insurance Services - At VGM Insurance Services, we're always looking to connect with talented claims professionals who are passionate about delivering exceptional service and protecting our insureds. Our team of experienced Claims Specialists manage matters involving general liability, medical malpractice, products liability, bodily injury, and more. This is an evergreen opportunity, meaning we accept applications on a rolling basis for current and future openings within our Claims team. Working Location: VGM main campus is located in Waterloo, Iowa with many of our professionals working in the Des Moines area at our East Village office. Don't worry if you're not located in Waterloo or Des Moines, we would still love to hear from you! Employment Type: Full-time (Monday - Friday, 8am-5pm CT) What You Will Do - * Investigate and evaluate third-party liability claims to determine coverage, liability, and damages * Manage claims from initial report through resolution, including management of litigation * Communicate with insureds, legal counsel, and internal stakeholders * Apply best practices and maintain compliance with regulatory and internal standards * Manage claim-related expenses and documentation * Deliver high-quality service throughout the claim life cycle What We Look For - We're interested in professionals who bring a mix of the following: * Experience in third-party liability claims handling (particularly general liability, medical professional liability, products liability, or related areas) * Strong analytical, negotiation, and communication skills * Familiarity with insurance coverages, legal/medical terminology, and claims systems * A customer-first mindset and a commitment to excellence * A degree in a related field or equivalent experience (J.D is a plus for some roles) Why VGM Insurance? VGM Insurance Services is part of VGM Group, Inc., a 100% employee-owned company that values integrity, collaboration, and continuous growth. We offer: * A supportive and inclusive work environment * Opportunities for professional development * Competitive compensation and benefits * A culture that values work-life balance and employee well-being Ready to Connect? If you're a claims professional looking for your next opportunity - or simply want to explore what's possible at VGM Insurance - we encourage you to apply today. Please note: This is an evergreen job posting. If there are no current openings that match your qualifications, we will keep your application on file and may reach out when a suitable opportunity becomes available. We appreciate your interest in joining our team and look forward to staying connected.
    $42k-61k yearly est. 60d+ ago
  • Independent Insurance Claims Adjuster in Davenport, Iowa

    Milehigh Adjusters Houston

    Claims representative job in Davenport, 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
  • Liability Claims Specialist II

    Holmes Murphy 4.1company rating

    Claims representative job in Waukee, IA

    We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. This role will provide high quality claims handling and expertise for all CRS customers. This includes investigating, communicating, evaluating, and resolving auto and general liability claims utilizing the CRS Best Practice of Claim Handling. Essential Responsibilities: Articulate and assess coverage for commercial auto and commercial general liability claims. Adjudication of claims. Investigate bodily injury/liability claims and negotiate settlements when applicable, utilizing our “Best Practices for Claims.” Enter and maintain accurate loss information on a computer system during the claim process. Set and maintain accurate reserves within reserve authority. Negotiate and process interim and final settlements, within settlement authority. Research information for responding to questions and complaints posed by our insured's, claimants, agency partners and fronting carriers. Qualifications: Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. Experience: 2+ years of exposure in the liability claims field. Prior agency involvement preferred. Licensing: Active adjusters license required Skills: An ideal candidate should have a fundamental understanding of general and auto liability coverages, along with knowledge of claims processing procedures. Must be able to handle confidential matters with discretion and exercise independent judgment. Proficiency in typing and using various software packages, including Maverick, is also required. 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.
    $51k-72k yearly est. Auto-Apply 53d ago
  • 3A - Process Specialist - Claims

    Infosys 4.4company rating

    Claims representative job in Des Moines, IA

    Process Specialist Claims Examiner In the role of Process Specialist, you will serve as a subject matter expert for the claim team in answering team member questions regarding case specifics and assisting with complicated cases. You will respond to phone and email inquiries related to claims and follow up on any outstanding requirements within a specified timeframe. You will maintain detailed, compliant, and accurate documentation of all claim activity and collaborate with the team to update procedures and develop new procedures as appropriate. Responsibilities: Serve as an SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases. Customer Service Experience - respond to phone and email inquiries related to claims. Follow up on any outstanding requirements within a specified timeframe. Maintain detailed, compliant, and accurate documentation of all claim activity. Collaborate with team to update procedures and develop new procedures as appropriate. Coordinate special projects as assigned. Training in new procedures. Perform quality reviews on claims/letters. Qualifications: Basic High School Diploma or GED Equivalent. Will also consider three years of progressive experience in the specialty in lieu of every year of education. 2 years' experience relevant to the job description Preferred Associate or bachelor's degree 3 years' experience analyzing life claims. Effective written and verbal communication skills Knowledge of the insurance industry or insurance products/procedures through a combination of experience and/or coursework Organizational and follow through skills. Sensitivity to service and quality Ability to work with confidential information. Your responsibilities include but may not be limited to Serve as a SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases. Customer Service Experience - respond to phone and email inquiries related to claims. Follow up on any outstanding requirements within a specified timeframe. Maintain detailed, compliant, and accurate documentation of all claim activity. Collaborate with team to update procedures and develop new procedures as appropriate. Coordinate special projects as assigned. Training on new procedures. Perform quality reviews on claims/letters. Note: Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa (H1B or otherwise). The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face. About Us Infosys McCamish Systems,(*********************************** located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPM Limited.(******************* Infosys McCamish was started in 1985 as a virtual insurance company and went to market as a commercial services provider in 1995.It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim - generating US$16 billion of recurring premium in less than five years as a virtual insurance company. Infosys McCamish has expert technology and outsourcing credentials, along with a proven business model for re-engineering systems and performing back-office services at a reduced cost, while reinforcing accuracy, speed and security. Seven of the top ten US insurers are among Infosys McCamish's many BPM clients. Infosys McCamish has its operations spread across Atlanta GA and Des Moines IA in USA. U.S. citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time. EOE/Minority/Female/Veteran/Disabled/Sexual Orientation/Gender Identity/Nationality Infosys is an equal opportunity employer, and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.
    $72k-87k yearly est. 60d+ ago
  • Claims Specialist III- Workers Compensation

    UFG Career

    Claims representative job in Cedar Rapids, IA

    UFG is currently seeking a Claims Specialist III - Workers Compensation who will be 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 high complexity claims to resolution in accordance with claims best practices. The Claims Specialist III - WC 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 a low level of supervision and a high level of accountability. A strong desire to advance one's professional development and the development of others is essential to this role. Essential Duties and Responsibilities: Review claim assignments to 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. Have proficiency with conducting 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. Have strong knowledge of Medicare settlement obligations. Assess and periodically re-assess the nature and severity of injury or illness and 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 on plans of action to mitigate impacts. Assess and periodically re-assess claim file reserves to a high degree of accuracy. 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. Proficient with 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 actively support peers with their development. This role requires a strong understanding of the insurance mechanism and interactions between business functions as well as strong support for initiatives that advance the goals of the enterprise. 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 Senior Workers' Compensation Law Associate (SCLA) designation program. Willingness to pursue other professional certifications or designations as requested. Experience: 5+ years of general work experience. 10+ years of workers' compensation claims handling experience or a combination of workers' compensation claims handling experience and experience in a related field. Knowledge: Proficient 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 aptitude for mentorship and leadership Actively leads execution of 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. Disclaimer 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.
    $26k-42k yearly est. 60d+ ago
  • Lead Claims Specialist

    VTI Architectural Products Inc.

    Claims representative job in Holstein, IA

    Job Description this is an onsite position in Holstein, IA. Overall Responsibilities: The duties of the Claims Specialist Lead are to perform as a mentor and trainer for Claims Specialist team members, along with managing assigned claim territory. Report to Tech Services/Claims Manager on team performance. Specific responsibilities include, but are not limited to the following: Train team members on systems and process for claim documentation Provides assistance to identify production errors for proper claim resolution Manage and report workload within assigned Claims Specialist team to meet service level standards Primary contact with Wisconsin production operations personnel for identification and resolution of production and shipping claims for team Essential Job Functions: Works with team to minimize errors Manages daily departmental duties for assigned team Participate and conduct personnel performance reviews Processes claims for assigned territory Participate and facilitate meetings/group function as needed Participates in claims meetings with production to discuss trends and quality improvement actions Have advanced understanding of VT product offering, construction, labeling, hardware, fire approvals, STC approvals, and production processes Functions as a resource for distributors and follows up with customers regarding claims Assists in sourcing special or subcontracted materials Works with Management and Sales Service to schedule ship dates for remake doors and accessories Work closely with Department Manager Confers with Project Coordinators, Schedulers, Detailers, and Production when appropriate Supports 5S/lean program keeping work area organized Available to work 8 to 10 hours per day as required Observes all safety policies and procedures at all times Participates and conducts Tech Services team meetings Assists with charting and reports for the department as needed Works individually or with team members as assigned, maintaining a positive work environment Other duties as assigned Position Requirements Must be able to work in an office environment during standard business hours High School Diploma or equivalent 2 to 4 years of relevant work experience Able to review your own work and the work of others ensuring accuracy of presented data Able to use and troubleshoot general office equipment including computer data entry (Word, Excel, IFS, VTOL, XA as needed) and other computer functions, telephone, and printers Self-Motivated Satisfactory attendance record Able to deal with multiple problems and tasks effectively and efficiently Excellent written and verbal communication with internal and external customers Strong organizational skills, detail oriented and consistently works toward continuous improvement 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. 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. 2d ago
  • Claim Representative

    Berkley 4.3company rating

    Claims representative job in Urbandale, IA

    Company Details Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted. As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor's Financial Rating of A+ (Strong). This role is would ideally be based in one of our two offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so. Urbandale, IA Lincoln, NE The Company is an equal employment opportunity employer. #LI-LD1 Responsibilities As a Casualty Claims Adjuster for commercial lines, you'll investigate low to medium level commercial casualty claims in a prompt, equitable manner by analyzing coverage, liability and damages; evaluating reserves; and negotiating settlement or conclusion of claim. What you can expect: Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent Internal mobility opportunities. Visibility to senior leaders and partnership with cross functional teams. Opportunity to impact change. Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education. We'll count on you to: Examine and analyze policies, contracts and claim forms to determine coverage. Investigate loss in a prompt manner by investinagion, telephone, or correspondence to determine the extent of the Company's liability. Request necessary reports, e.g., police reports, fire reports, medical records, property damage inspections, etc. Utilize independent adjusting services to assist in the claim investigation as appropriate. Establish accurate claim reserves and re-evaluate exposures and reserves during the life of the claim. Correctly enter claim data and file documentation into claim and related systems for reporting purposes. Negotiate settlement or conclusion of claim. Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge. Perform other related duties as assigned by management. Qualifications What you need to have: 2+ years related casualty claims experience and/or training; or equivalent combination of education and experience. Ability to travel on an occasional basis. Proficient with Microsoft Word, Excel, and Outlook What makes you stand out: Bachelor's Degree preferred but not required Prior commercial lines casualty claims experience Ability to organize, prioritize and manage multiple tasks in a fast-paced environment; and quickly and professionally respond to inquiries from customers Possess strong customer orientation; problem analysis and problem resolution skills; and interpersonal and communication skills Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role
    $41k-54k yearly est. Auto-Apply 4d ago
  • Bilingual Claims Care Representative

    Homesteaders Life Company Corp

    Claims representative job in West Des Moines, IA

    Job DescriptionDescription: As a Bilingual 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 confidentiality and adhere to all privacy regulations with a compassionate team working alongside you. Your responsibilities will include: Interact with customers via telephone and email to aid with the claims process. Assist customers in completing claims forms, gathering documentation, and submitting claims for processing in both Spanish and English. Update and maintain records in bilingual communication and documentation as needed. Review, verify, and process claims in accordance with company procedure and legal requirements Translate and respond to correspondence and service emails in Spanish. Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently. Resolve customer complaints or issues. When appropriate, collaborate with internal departments to resolve escalated cases. Requirements: High school diploma or equivalent Prior experience in call center environment is required. Fluency in both Spanish and English verbal and written communication required. Customer service, claims processing, or a related field, ideally within the insurance industry preferred but not required Prior experience in using CRM systems, claims management software, and other relevant tools is preferred. Knowledge of life insurance policies, claims procedures, and relevant regulations is a plus. Our benefits include: An excellent schedule - office closes at 1 p.m. every Friday 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 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. 5d ago
  • Claims Representative

    CBCS 4.0company rating

    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 Claims Representatives 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 Claims Representative 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. 17d 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 CLAIM REPRESENTATIVE IMT Insurance is now taking applications for the position of a Property Claim Representative in Council Bluffs IA and surrounding 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 Claims Representatives 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
    $30k-40k yearly est. 60d+ ago
  • Public Adjuster

    The Misch Group

    Claims representative job in Des Moines, IA

    Department Insurance & Financial Services Employment Type Full Time Location Iowa Workplace type Hybrid Compensation $90,000 - $120,000 / year Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.
    $34k-47k yearly est. 60d+ ago
  • Independent Insurance Claims Adjuster in Coralville, Iowa

    Milehigh Adjusters Houston

    Claims representative job in Coralville, 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 - Workers Compensation

    UFG Career

    Claims representative job in Cedar Rapids, IA

    UFG is seeking to add an entry-level Claims Specialist I to our high performing Workers' Compensation Claim Specialization team. The role is responsible for verifying applicable coverage, conducting timely and thorough research of the facts of a loss, analyzing compensability and evaluating benefits for accurate reserves. This role will primary be responsible for Medical Only type of claims and may also have responsibility for low complexity, low severity indemnity claims in accordance with claims best practices. The following Essential Duties & Responsibilities defines the growth trajectory of knowledge and skills a successful candidate will be given opportunity to develop. The Claims Specialist I - WC role demonstrates a desire to learn and grow, promotes a positive work environment, and embraces a service-oriented mindset in support of internal and external customers. This role requires good communication skills, attention to detail, and the ability to handle multiple tasks efficiently and effectively. Essential Duties & Responsibilities: Review claim assignments to 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; and identifying other relevant parties to a claim. 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. Interact with medical providers to clearly define medical causation and establish treatment plans focused on recovery. Promptly and supportively inform insureds 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. Identify subrogation potential and document evidence in support of subrogation. Partner with the Technical Leader on increasing knowledge of the subrogation mechanism. Identify potential Medicare eligibility and comply with all Medicare Secondary Payor requirements of law. 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. Assess and periodically re-assess claim file reserves for 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. 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. With the support of the Technical Leader, negotiate settlements of low to medium complexity claims. 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. Job Specifications: Education: High school diploma required. Post-Secondary education or Bachelor's degree is considered advantageous. Licensing/Certifications/Designations: Meet the appropriate state licensing requirements to handle claims. Within 2 years of hire, complete the Workers' Recovery Professional (WRP) certification program. Experience: 3+ years of general work experience. Knowledge: Basic knowledge of insurance, medical, and/or legal concepts is considered advantageous. 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 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. Disclaimer 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 task and requirements may be assigned, as necessitated by business need. UFG retains the right to modify the description of this job at any time.
    $26k-42k yearly est. 60d+ 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 CLAIM REPRESENTATIVE IMT Insurance is now taking applications for the position of a Property Claim Representative in Council Bluffs, IA and surrounding 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 Claims Representatives 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. 27d ago

Learn more about claims representative jobs

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What are the top employers for claims representative in IA?

Top 10 Claims Representative companies in IA

  1. Sedgwick LLP

  2. CBCS

  3. IMT Insurance

  4. Cottingham & Butler

  5. BERKLEY TECHNOLOGY SERVICES

  6. Auto-Owners Insurance

  7. Homesteaders Life Company Corp

  8. UFG Insurance

  9. W. R. Berkley

  10. Homesteaders Life Company

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