Outside Property Claim Representative Trainee - Oxford, MS
Claims representative job in Jackson, MS
Who Are We?
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job CategoryClaimCompensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range$48,700.00 - $80,400.00Target Openings1What Is the Opportunity?This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.What Will You Do?
Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
The on the job training includes practice and execution of the following core assignments:
Handles 1st party property claims of moderate severity and complexity as assigned.
Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
Broad scale use of innovative technologies.
Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.
Establishes timely and accurate claim and expense reserves.
Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
Negotiates and conveys claim settlements within authority limits.
Writes denial letters, Reservation of Rights and other complex correspondence.
Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
Meets all quality standards and expectations in accordance with the Knowledge Guides.
Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
Manages file inventory to ensure timely resolution of cases.
Handles files in compliance with state regulations, where applicable.
Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
Identifies and refers claims with Major Case Unit exposure to the manager.
Performs administrative functions such as expense accounts, time off reporting, etc. as required.
Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Must secure and maintain company credit card required.
In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.
This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position
Perform other duties as assigned.
What Will Our Ideal Candidate Have?
Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred.
Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
Verbal and written communication skills -Intermediate
Attention to detail ensuring accuracy - Basic
Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
Analytical Thinking - Basic
Judgment/ Decision Making - Basic
Valid passport preferred.
What is a Must Have?
High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
Valid driver's license - required.
What Is in It for You?
Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
Auto-ApplyOffice Claims Rep
Claims representative job in Ridgeland, MS
Are you looking for a great team environment? Southern Farm Bureau Casualty Insurance Company is currently seeking a Office Claims Representative.
Southern Farm Bureau is a great company and an excellent place to work. The Company offers a family-oriented work environment and a rich benefit package including paid time off, company matched 401(k), pension/retirement, medical, dental, vision, group life, accidental death and dismemberment, employee assistance program, a continued education program, and a hybrid home/office work schedule. This position is located in Little Rock , Arkansas.
The Office Claims Representative will resolve property damage and injury claims caused by or incurred by insureds. This includes verifying coverage, determining liability, evaluating damages and affecting a settlement with the parties involved.
Essential Functions
•
Analyze policy contracts to determine coverage.
•
Negotiate fair settlement with insured, third party claimants and/or legal representatives and issue payment.
•
Collect settlement documents and prepare status reports for file documentation.
•
Investigate the facts surrounding the claim by using various types of communication such as telephone, mail, email, and other means available to determine liability.
•
Prepare status reports to the District Claims Manager and/or Office Claims Supervisor in a timeline designated by those individuals.
•
Assist in catastrophe claims operations as needed.
•
Attend training sessions to gain the skills and ability to perform the functions of a Claims Representative.
Additional Responsibilities
•
Other duties and responsibilities as assigned.
•
Regular and predictable attendance is required.
Education
Education Level
Education Details
Req
Pref
H.S. Diploma
or equivalent required.
X
Bachelor's Degree
X
Or
Other
Previous insurance or customer service experience (minimum 2 years) may be substituted for degree.
X
And
Other
Must be able to obtain required adjuster licenses in applicable states within one year of hire.
X
Other
Must be able to obtain appraiser license for FL & SC within one year of hire.
X
Field Claims Adjuster
Claims representative job in Jackson, MS
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Independent Insurance Claims Adjuster in Jackson, Mississippi
Claims representative job in Jackson, MS
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyField Claims Adjuster - Auto Damage - Ridgeland, MS
Claims representative job in Ridgeland, MS
ATTENTION MILITARY AFFILIATED JOB SEEKERS
- Our organization works with partner companies to source qualified talent for their open roles. The following position is available to
Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers
. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress.
As an auto damage claims adjuster, you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end. Managing your own inventory while working independently, you'll work closely with body shops and others to negotiate repair pricing and assess liability. Ideal candidates will possess leadership and conflict management skills, along with strong attention to detail and a passion for providing excellent customer service.
This is a field position with access to a company car and frequent driving within your assigned geographical area. We assess our workload collectively, which means you may cover assignments outside your geographical area. You may also be required to report into an office occasionally.
Duties and responsibilities
Complete vehicle inspections, write estimates, determine total loss evaluations, and set clear expectations and timelines
Negotiate repair process with body shops
Document information related to the claim and make decisions consistent with claims standards and local laws
Evaluate and handle claim payments and resolution of claims without payments
Review and determine validity of any supplement requests
Additional Qualifications/Responsibilities
Must-have qualifications
A minimum of four years of relevant work experience with one year appraisal/estimatics or insurance experience
{OR} Associate's degree and a minimum of three years relevant work experience with one year appraisal/estimatics or insurance experience
{OR} Bachelor's degree and a minimum of one year appraisal/estimatics or insurance experience
Valid driver's license, auto insurance, and compliance with Progressive's driving standards and/or policies
Compensation
$66,800 - $81,600/yearly
Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance
Benefits
401(k) with dollar-for-dollar company match up to 6%
Medical, dental & vision, including free preventative care
Wellness & mental health programs
Health care flexible spending accounts, health savings accounts, & life insurance
Paid time off, including volunteer time off
Paid & unpaid sick leave where applicable, as well as short & long-term disability
Parental & family leave; military leave & pay
Diverse, inclusive & welcoming culture with Employee Resource Groups
Career development & tuition assistance
Workers Compensation Claims Representative
Claims representative job in Oxford, MS
Job Details Corinth, MS Optional Work from Home Full Time None DayDescription
Workers' Compensation Claims Representative - This position will assist healthcare providers in identification, verification, billing and follow-up on workers' compensation claims. The claims representative will help identify the appropriate workers' compensation carrier and provide the documentation necessary for payment. The claims representative will work directly with adjusters to obtain claim updates and resolve outstanding claims. Representatives will need excellent communication and organizational skills to gather information and achieve resolution on assigned claims. Prior medical billing experience is preferred.
Essential Duties
Answering inbound calls and making outbound calls, while demonstrating proper phone etiquette and HIPAA compliance
Identification and verification of workers' compensation insurance
Properly noting the account and setting appropriate follow-up
Proficient communication related to standard billing forms (UB04 and 1500)
Qualifications
High School Diploma and GED
Strong Knowledge of computer skills and typing
Intermediate knowledge of Outlook, Excel
Dependable and Detailed individuals with organizational skills
Great Communication skills
Recommended- 1- or 2-years' medical billing experience
Claims Adjuster - Brandon, MS
Claims representative job in Brandon, MS
Benefits:
Dental insurance
Health insurance
Opportunity for advancement
Paid time off
Company Overview Alfa Insurance is an A-rated insurance carrier that offers an excellent array of auto, home, life, farm and business insurance products. Alfa is known for its superior customer service and boasts 94% claims satisfaction. Since its humble beginnings in 1946, Alfa and its affiliates now serve more than 1 million customers across 14 states. Working as a Claims Adjuster for Alfa Insurance offers a remarkable opportunity that extends beyond the mere tasks of handling property and casualty clams. It entails joining a revered company built on principles of faith, family, community, and unwavering integrity. By becoming a member of the Alfa family, you can uncover your true purpose and actively contribute to enhancing the lives of our valued policyholders and making a positive impact in your community. Job Summary
Are you looking for a rewarding career in the insurance industry? Do you have a keen eye for details, have excellent time management skills and thrive in a fast-paced working environment? Do you enjoy working with a team of professionals who are committed to customer service excellence? If you answered yes, then you might be the perfect fit for the Claims Adjuster position at Alfa Insurance.
As a Claims Adjuster, you will be responsible for handling all assigned company property and casualty and/or subrogation claims in an efficient and accurate manner. At Alfa Insurance, we pride ourselves on delivering on our promise to our customers. Our Claims department has a 94% satisfaction rating, and we work hard to help our customers get back on their feet as quickly as possible. Responsibilities
Responsible for handling all company property and casualty claims assigned to the position in an efficient and accurate manner.
Maintain the company standard of professional claims handling providing fast, fair claims service with a minimum of customer complaints.
Contribute to the financial planning of the company by adequate reserving and control of expenses.
Assure control of claimants and insured to avoid lawsuits.
Qualifications
4-year bachelor's degree plus 3 years as an adjuster required. In lieu of degree, must have 2 years as Alfa Adjuster Trainee II or 8 years experience as an adjuster.
AIC certification preferred.
Valid driver's license and satisfactory driving record. Computer skills with Excel and Word preferred.
Helpful to this position would be a background in automobiles, home construction, or law.
Must be able to perform various physically demanding job functions included but not limited to, carrying a ladder that weighs in excess of fifty pounds, climb ladders, walk on roofs, crawl under houses/cars.
Must be able to work in adverse weather and work conditions, with some extended stay away from home.
OR
4-year bachelor's degree. In lieu of degree, must have 2 years as an Adjuster -OR- 3 years in automobile repair, home and/or commercial construction, law enforcement, auto and/or property estimating for a Claims Adjuster Trainee position.
Benefits/Perks
Opportunity for annual performance bonus
Discounts on your auto insurance (underwriting approval required)
Benefits include: Health, dental, supplemental cancer, vision insurance and 401(k) plan
Paid Time Off Bank to include 3 days PTO available after first 80 hours worked for New Hires
Short-term and long-term disability
Flexible Healthcare and Childcare spending accounts for tax savings
Opportunities for advancement
Continuous training and support throughout your career with Alfa
College tuition discounts at various colleges in Alabama
Alfa Insurance is an A-rated insurance carrier that offers an excellent array of auto, home, life, farm and business insurance products. Alfa is known for its superior customer service and boasts 94% claims satisfaction. Since its humble beginnings in 1946, Alfa and its affiliates now serve more than 1 million customers across 14 states.
Working for Alfa Insurance is more than just servicing customers and selling insurance. It's becoming part of a well-respected company that is based on our core 4 values of faith, family, community and integrity.
Auto-ApplyPublic Adjuster
Claims representative job in Jackson, MS
Department
Insurance & Financial Services
Employment Type
Full Time
Location
Mississippi
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.
Specialty Loss Adjuster
Claims representative job in Jackson, MS
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Specialty Loss Adjuster
**Embark on an Exciting Career Journey with Sedgwick Specialty**
**Job Location** **: USA, Mexico, Brazil and strategic locations globally**
**Job Type** **: Permanent**
**Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.**
**We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations**
We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction.
Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry.
**As a member of the Specialty platform, you will have the opportunity to:**
+ Work with a wide range of clients across the globe, handling complex cases and claims
+ Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results
+ Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency
+ Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry
+ Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success
**The skills you will have when you apply:**
+ **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience
+ **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must
+ **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically
+ **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage
**What we'll give you for this role:**
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always Accepting Applications.
**This isn't just a position, it's a pivotal role in shaping our industry**
At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education.
Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry.
**Next steps for you:**
**Think we'd be a great match? Apply now -** ** we want to hear from you.**
As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.
After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person).
\#LI-HYBRID
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
Product Liability Litigation Adjuster
Claims representative job in Jackson, MS
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
As a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside counsel defending CVS in high exposure, product liability mass tort litigations and general liability cases filed throughout the United States.
Responsibilities include:
+ Developing relationships with internal colleagues for fact-finding and key litigation activities.
+ Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution.
+ Managing all aspects of product liability mass tort litigations and complex general liability cases.
+ Working with outside national counsel and sr. management to develop consistent litigation strategies applicable to mass tort cases filed across the country.
+ Providing reporting to key internal stake holders on case developments and litigation trends for product liability mass torts and other cases.
+ Managing large scale discovery investigations by working with internal custodians, outside counsel and vendors to develop comprehensive procedures for identifying, locating, preserving and producing corporate records.
+ Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned.
+ Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel.
+ Participating in meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases.
**Required Qualifications**
+ 2+ years of legal experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier.
+ Juris Doctor degree from an ABA accredited university.
+ Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
**Preferred Qualifications**
+ Experience overseeing or defending product liability claims and litigation.
+ Familiarity or experience with insurance and coverage issues related to litigated claims.
+ Strong attention to detail and project management skills.
+ Experience overseeing and answering written discovery.
+ Ability to work independently and in an environment requiring teamwork and collaboration.
+ Strong written and verbal communication skills.
+ Demonstrated negotiation skills and ability.
+ Ability to articulate and summarize cases with management in a concise, cogent manner.
+ Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure.
+ 3-5 years of legal or claims experience.
+ Familiarity with the rules and procedures applicable to mass tort litigations, class actions, and/or multidistrict litigations.
+ Knowledge and experience navigating attorney-client privilege issues, corporate litigation holds, corporate witness depositions, and e-discovery.
+ Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside counsel.
+ Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new software programs and systems.
+ Ability to positively and aggressively represent the company at mediation, arbitration and trial.
+ Ability to navigate difficult situations and communicate effectively with both internal and external groups.
+ Excellent organizational and time management skills and ability to handle a high volume of litigated claims.
+ Experience with and understanding of legal documents (pleadings, discovery, motions and briefs).
**Education**
+ Verifiable Juris Doctor degree
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $122,400.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/03/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Logistics Claims Representative
Claims representative job in Shreveport, LA
Purpose/Job Function:
The claims associate will support the filing, tracking, and management of claims for all modes supporting a MTS customer. This role will include working closely with the customer at both corporate offices as well as in the field. There will also be frequent communications with carriers to collect documentation as well as status updates. The data collection and analysis produced in this role will be critical in driving continuous improvements to the customer's service performance.
Essential Functions:
File and manage LTL and Parcel freight claims including freight, shortages, overages, and damages.
Deliver reliable service throughout the entire life cycle of each claim, including but not limited to: prompt contact and timely communication throughout the process until the claim is closed, explaining the process, setting expectations, follow-ups and meeting commitments to achieve optimal outcome on every file.
Assist with client and vendor damage claims.
Develop and grow effective relationships with clients, vendors, and internal business partners.
Update and maintain records
Recognize and request appropriate inspection type based on the details of the loss and coordinate the appraisal process.
Maintain oversight of the repair process and ensure appropriate expense handling, manage approvals per guidelines.
Manage and report weekly review of LTL carrier complaints.
Provide reports to support visibility to claims trends and opportunities to reduce issues.
Run reports and data analysis as needed.
Qualifications/Requirements:
Excellent verbal and written communication in order to respond effectively to sensitive inquiries and complaints
Strong data entry and record keeping skills (may include maintaining records in database/s)
Ability to apply principles of logical thinking to a wide range of practical problems
Strong organizational skills with accurate attention to detail
Aptitude to spot trends in shipment data and detail
Proficient in use of Microsoft Office Suite (use of Excel, Word, Outlook)
Education/Experience:
Highschool diploma or GED
Prior data entry experience preferred
Working Conditions/Physical Demands:
The Claims Associate will sit in front of a computer for long hours at a time responding to emails, communicating with clients, teammates and carriers, and entering financial data. Staring at the computer may cause eye irritation or even muscle strain.
The increased repetitive motions and awkward postures attributed to the use of computer keyboards may also result in cumulative trauma disorders (CTDs).
The job as Claims Associate does not require any strenuous or physical activity.
Customary Work Hours: 8:00 A.M. to 5:00 P.M., Monday through Friday
Auto-ApplyLiability Field Adjuster - Jackson, MS
Claims representative job in Jackson, MS
CCMS & Associates is looking for 1099 Field Liability Adjusters. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team! We are seeking auto/homeowners/general liability field adjusters with at least 5 years of field experience.
Requirements:
Minimum 5 years auto and/or premise liability adjusting experience
Working computer/laptop - internet access and Microsoft Word required
Must demonstrate strong time management and customer service skills
State adjusters license (where applicable)
Must have a valid drivers license
Responsibilities:
Conduct in-depth investigations into liability claims to gather facts regarding the loss
Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses, and by interviewing fire, police, or other government officials as well as inspecting claimed damages
Inspect damage to property and obtain personal injury information to assist in determining liability
Maintain acceptable product quality through compliance with established best practices
Knowledge and Skills:
In-depth knowledge of property and liability insurance coverage and industry standards
Ability to prepare full-captioned reports by collecting and summarizing required information
Strong verbal and written communication skills
Prompt, reliable, and friendly
Detail-oriented individual to accurately gather and analyze information to avoid errors
Preferred but Not Required:
College degree
Professional designations and certifications
All candidates must pass a full background check (void in states where prohibited)
Auto-ApplyLoss Claims Specialists/ Project Manager
Claims representative job in Shreveport, LA
About the Role PuroClean of Shreveport is seeking a high-character individual to join our team as a Loss Claims Specialist. This is more than a job-it's a leadership role designed for someone who can take full ownership of a project from start to finish and align with our mission of providing empathetic, efficient, and professional restoration services to our community.
As a Loss Claims Specialist, you will serve in a project manager capacity, overseeing the execution of all services related to water damage, mold, biohazard, contents handling, and reconstruction. This role demands strong organizational skills, technical knowledge, and a commitment to both customer care and team collaboration.
Why Join Us
* Profit Sharing Position - your success is our success
* Annual Draw of $50,000 + laptop + software subscriptions
* Be part of a purpose-driven company that values integrity, excellence, and service
* Opportunities for growth and advancement in a fast-paced industry
What You'll Need
* A personal vehicle and reliable transportation
* A working phone
* A desire to learn and align with our SOPs and company goals
* Willingness to take ownership and be accountable for job outcomes
* Ability to manage multiple claims and ensure timely completion of each project
What You'll Do
* Manage restoration projects from intake through completion
* Coordinate and execute all mitigation and reconstruction services:
* Water Damage
* Mold Remediation
* Biohazard Cleanup
* Contents Pack-Out and Cleaning
* Reconstruction/Build-Back
* Estimate, invoice, and track jobs using software including:
* Xactimate
* Estimate
* Time and Materials platforms
* Learn and apply our internal SOPs with consistency and accuracy
* Meet or exceed quarterly performance goals
Preferred (but not required):
* Prior construction or restoration experience
* Familiarity with insurance claims processes or property loss mitigation
Who We're Looking For
We're looking for someone with more than just technical skills. We value character, accountability, and alignment with our company vision. If you take pride in your work, can lead by example, and are looking to grow in an environment that rewards dedication and results-you may be exactly who we're looking for.
Scope Only Adjusters
Claims representative job in Baton Rouge, LA
About Us At Elevate Claims Solutions, we are dedicated to supporting the unique skill sets and career goals of our Independent Adjusters. Our commitment to continuous improvement and meaningful work ensures that you can make a real difference in the lives of those you serve.
What We Offer:
Career Development: We prioritize your growth by seeking your feedback on how we can support your professional journey.
Diverse Opportunities: Work with a variety of carriers, allowing you to expand your skills and network.
Clear Expectations: Benefit from guidelines that clearly outline carrier requirements, ensuring you know what to expect.
Continuous Feedback: Engage in real -time Quality Assurance and formal quarterly coaching sessions to refine your skills and highlight strengths.
Expert Guidance: Collaborate with a team of seasoned industry professionals who provide valuable insights and support.
Job Description
Responsibilities:
Evaluate exterior and minor interior property damage.
Draft detailed damage descriptions, including measurements and materials used.
Fill in basic scope sheets.
Utilize Xactanalysis software effectively.
Requirements:
Current, active Xactimate license with experience writing estimates for both residential and commercial damages.
Flexibility to maintain a non -traditional work schedule to accommodate the needs of insureds and carriers.
Strong written and verbal communication skills, with an emphasis on clear and timely communication.
Proficient in various claims management systems and strong technological skills.
Ability to manage workload independently and exercise good judgment.
Openness to receiving and providing constructive feedback.
Background screening eligibility and current active licenses as required.
Join Us
If you're ready to elevate your career in a supportive and dynamic environment, we want to hear from you! Let's work together to make a meaningful impact.
Claims Specialist II
Claims representative job in Metairie, LA
**About Us** At ENFRA, we blend a rich history with a forward-looking vision. With over 100 years of experience, we are a pillar of stability in the energy infrastructure industry and a leader in innovative energy solutions. Our commitment to leveraging emerging technologies ensures that we remain at the forefront of the Energy-as-a-Service sector.
We believe in growth-not just for our business, but for our people. Our team members have the opportunity to advance their careers in a supportive environment that values continuous learning and development. We embrace innovation and encourage creative problem solving to tackle the energy infrastructure and energy challenges of tomorrow.
Inclusion is at the heart of our culture. We strive to create a workplace where every voice is heard and valued, fostering a collaborative environment where diverse perspectives drive our success.
Join us to be part of a legacy of excellence and a future of groundbreaking advancements. At ENFRA, stability, innovation, and growth are more than just values-they are the pillars of our continued success.
**Overview**
The Claims Specialist II is responsible for the overall administration of property and casualty claims (General Liability, Auto Liability, and Worker's Compensation). Works closely within the Risk Management team (Claims, Legal, and Operations Senior Leadership) to mitigate losses and communicate claim progress with various levels of management (Business Unit Managers, Project Managers, President) from inception through closure.
**Responsibilities**
+ Review applicable lines of insurance coverage to determine possible coverage, exclusion, and deductibles.
+ Calculates and reports projections, final cost, and the anticipated impact of the claim to the Team.
+ Provide outstanding customer service to Operations, while also collaborating successfully with the carriers, brokers, and TPAs in the handling of construction casualty claims.
+ Review claims for coverage and when applicable, submit claims to the insurance carrier.
+ Maintains updated records and prepares required reports.
+ Lead in claims cost control.
+ Contact applicable employees regarding their claims to provide counsel regarding the explanation of benefits.
+ May provide leadership, coaching, and/or mentoring to a subordinate group.
+ Performs work under minimal supervision.
+ Handles moderately complex issues and problems, and refers more complex issues to higher-level staff.
**Qualifications**
**Required Education, Experience, and Qualifications**
+ Bachelor's degree.
+ 3-5 years of claims experience.
+ Construction, Risk, and Insurance Specialist (CRIS), Associate in Claims (AIC), or Associate in Risk Management (ARM). If not, must obtain within the first six (6) months of employment.
+ Possesses comprehensive knowledge of the subject matter.
+ Problem-solving skills.
+ Organizational skills.
+ Effective written and verbal communication skills.
**Preferred Education, Experience, and Qualifications**
+ Certified Worker's Compensation Professional (CWCP)
**Travel Requirements**
+ 0-5% of time will be spent traveling to job site/office location.
**Physical/Work Environment Requirements**
+ Office Environment - remaining in a stationary position, often sitting for prolonged periods.
+ Quiet and noisy environment.
**Pay Range**
USD $50,500.00 - USD $67,470.00 /Yr.
ENFRA is proud to be an Equal Opportunity Employer of Minorities, Women, Protected Veterans, and Individuals with Disabilities, and participates in the e-Verify program. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, age, sexual orientation, gender identity, national origin, veteran status, disability, or any other classification protected by law.
Submit a Referral (************************************************************************************************************************
**Job Locations** _US-LA-Metairie_
**ID** _2025-8442_
**Category** _HR/Legal/Safety/Risk_
**Position Type** _Full-Time_
**Remote** _No_
Medical Only Adjuster
Claims representative job in Louisiana
About Us At Heartland, we are focused on results, not corporate politics. We foster a harmonious work environment where associates feel like family. We strive to be the employer of choice, and believe all of our associates should have fun at work! We are hardworking - but not at the expense of our families. At Heartland, you will find an entrepreneurial environment where we take the time to educate, coach and lead employees into further opportunities within our company. We want all of our associates to enjoy a good work-life balance and are welcomed in our environment. We strive to show our employees that they are more than just a number and viewed as an integral part of our organization. Heartland recognizes the importance of a quality benefits package, not only to our associates, but to their families. That's the Heartland way. Our generous benefit package includes (but is not limited to) Paid Time Off, Health Insurance, Life Insurance, Long Term Disability, Employee Assistance Program, and two retirement plans. At Heartland, we go out of our way to make our associates feel at home and celebrate their achievements and contributions to the company. Our environment consists of several appreciation events throughout the year and we encourage every employee, near & far, to join us with their families to enjoy good food, fun and comradery. Our benefits package, appreciation events, and fun work environment go above industry standard. We want our employees to feel like family - so we treat them like family. Medical Only Adjuster Primary Responsibility The Medical Only Adjuster will manage an assigned caseload of medical only Workers' Compensation claims from the first report of injury to resolution according to the applicable law. The Medical Only Adjuster is mentored and trained by a licensed adjuster and will interact with claimants, policyholders, and other third parties throughout the claims management process. Essential Functions & Responsibilities
Participate in training and introduction to workers' compensation claims.
Learn to read and interpret complex documents including regulations, statues, legal documents, investigative reports, medical records, medical bills, and claims notes.
Learn to use claims management software and other related software for claims handling and reporting.
Learn to make timely initial contacts and investigation of new claims.
Learn to determine compensability.
Learn to set reserves appropriately.
Learn to document files daily on every conversation and action taken.
Learn to request Peer Reviews as needed.
Learn to request jurisdictional forms timely and accurately.
Train in monitoring ongoing medical treatment.
Learn to work mail and diary on a daily basis.
Communicate with clients and medical providers.
Additional Functions & Responsibilities
Prepares reports and other analytical data as requested by the management team.
Assist others in the department with various duties or projects.
Required Qualifications
High school diploma.
At least one year experience in an office environment with an emphasis on customer service.
Meet the standards and requirements set forth by the state to secure an adjuster license within the designated time frame.
Preferred Qualifications
College degree in business or other related discipline.
Previous experience in insurance or medical office environment.
Claims Specialist
Claims representative job in Mississippi
MSIG USA continues to grow!
MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business's unique risks.
Summary/Job Purpose:
This position is responsible to conduct thorough investigations and evaluate and negotiate complex claims including litigation and coverage issues. Accountable to ensure compliance with MSMM Claim Handling Guidelines, including reserving and payment practices, regulatory requirements and Fair Claims Practices Acts.
Essential Functions:
Investigates, researches and analyzes highly complex or severe claims, including coverage issues and legal issues affecting liability and damages.
Establishes appropriate case reserves, completes settlements and case resolutions within established reserve and settlement authorities. Recommends reserve and settlement values on assigned cases in excess of established reserve and settlement authority.
Manages, controls and negotiates timely and equitable claim payments and settlements in accordance with jurisdictional and fair claim practices and company policy and procedures.
Attends pre-trials, trials, settlement conferences and mediations on assigned cases as required
Assigns the defense of lawsuits to approved defense counsel; directs and monitors quality and performance of defense counsel. Maintains compliance with all requirements of the company's Litigation Management Program. Reviews and adjusts, where appropriate, fee bills and legal expenses for accuracy and reasonableness.
Services the claim needs of our customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends client visitations with underwriters and other parties to conduct presentations and reviews.
Maintains ongoing communication with all customers throughout the claims process in an effort to provide timely and appropriate claim status as appropriate and/or required by statutory regulations.
Completes timely and accurate data reports to state reporting agencies to ensured full compliance with MSMM and regulatory requirement.
Maintains full compliance with all regulatory Fair Claim Practices Acts and state and federal regulations.
Maintains full compliance with all state licensing and continuing education requirements to ensure current and appropriate filing/standing of all adjuster licenses.
Maintains regular reporting of case status, developments and direction to Home Office staff and other appropriate parties as necessary. Ensures timely and appropriate file reports and system documentation as required by company claim manuals and procedures.
Participates and/or manages special projects and assignments as needed.
Supervisory Responsibilities:
This position has no supervisory responsibilities.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience Required:
Diploma/Degree & Experience
High School Degree or G.E.D. is required. Bachelor's degree preferred
7+ years related experience handling complex Liability or Workers' Compensation Claims
It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!
It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.
Marine Casualty Claim Adjustment Specialist
Claims representative job in New Orleans, LA
About Us:
Struction Solutions is an innovative Independent Adjusting, Building Consultant, and Disaster Recovery Firm, known for our commitment to delivering innovative and tailored solutions to our clientele. Our team of professionals work tirelessly to ensure accuracy, efficiency, and customer satisfaction. As we continue to grow and expand, we're seeking talented individuals who share our dedication to excellence and are eager to make a meaningful impact in our industry.
Position Details:
Resolves insurance claims involving marine casualties. Their role includes investigating, evaluating, and negotiating claims to determine the extent of the insurance company's liability.
This role requires a thorough understanding of maritime laws, insurance policies, and handling procedures.
Investigation: They conduct thorough investigations of marine incidents, such as collisions, groundings, sinkings, fires, or cargo damage. This includes gathering evidence, interviewing witnesses, and inspecting vessels and cargo.
Assessment: They assess the extent of the damage and determine the cause of the incident. This may involve working with marine surveyors, engineers, and other experts to evaluate the condition of the vessel and cargo.
Documentation: They collect and review relevant documents, such as ship logs, maintenance records, cargo manifests, and insurance policies, to support the claim.
Evaluation: They evaluate the claim to determine whether it is covered under the insurance policy and to what extent. This involves interpreting policy terms and conditions, as well as applicable laws and regulations.
Negotiation: They negotiate settlements with claimants, which can include shipowners, charterers, cargo owners, and other affected parties. The goal is to reach a fair and equitable resolution while minimizing the financial impact on the insurance company.
Reporting: They prepare detailed reports and recommendations for the insurance company, documenting their findings, the extent of the damage, and the proposed settlement.
Liaison: They act as a liaison between the insurance company and other parties involved in the claim, such as legal representatives, regulatory authorities, and other stakeholders.
Compliance: They ensure that all claims are handled in compliance with relevant laws, regulations, and industry standards.
Risk Management: They may also be involved in risk management activities, helping to identify and mitigate potential risks to reduce the likelihood of future claims.
Qualifications:
Proven experience in insurance claims adjustment, preferably in marine insurance.
Strong knowledge of maritime laws and regulations.
Excellent analytical, negotiation, and communication skills.
Ability to manage multiple claims efficiently under tight deadlines.
Proficiency in claim management software and Microsoft Office Suite.
Location:
New Orleans, LA area
Marine casualty claim adjustment specialists need a strong understanding of maritime law, insurance principles, and the technical aspects of marine operations. They also require excellent analytical, communication, and negotiation skills.
Join us at Struction Solutions, and let's redefine the future of the Independent Adjusting industry together!
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Hospital Billing & Claims Appeal Specialist
Claims representative job in Lafayette, LA
Job Category: Accounting Job Type: Full-Time Facility Type: Corporate Shift Type (Clinical Positions): Day Shift At AMG we offer our employees much more than just a job in the healthcare industry. We offer unique career opportunities for people who are called to make a difference in the lives of others and desire to be part of a team that contributes to making a difference each day for our patients. We invite you to join our team and share your gifts and talents. In addition to market-competitive pay rates and benefits in the Lafayette market, you will have the opportunity to work for an Employee Stock Ownership Plan (ESOP), as AMG is an employee-owned company!
AMG, Integrated Healthcare Management (AMG Corporate) is seeking a Hospital Billing & Claims Appeal Specialist in Lafayette, Louisiana. This position is crossed trained and is responsible for patient account billing, including monthly statement mail out, and electronic billing submissions. Also responsible for fiscal year end cost reporting. Also providing support for the Billing Specialists and the corporate office team in relation to managing incorrect contracted payments with managed care payors to seek resolution and file necessary appeals. The position will be responsible for assisting the billing specialist with obtaining necessary documentation, writing appeals and following up with appeals as requested by the billing team. The candidate must possess strong communication skills, excellent customer services skills, and be able to work collaboratively with a team. This position requires a strong Hospital Billing and Claim Appeals background with experience in the Post-Acute setting and interpretation of payor contracts for appropriate appeal rights. This is not a remote position.
Join our dynamic team and enjoy a career where you can make a difference with AMG Integrated Healthcare Management!
Apply Now
Job Requirements
* Position located in Lafayette, Louisiana.
* Strong knowledge of MS Word and Excel.
* Requires a strong Claim Appeals background with experience in the Post-Acute setting.
* Requires interpretation of payor contracts for appropriate appeal rights.
* Minimum of 2-3 years hospital billing/collections/accounting experience in health care related field.
* A strong background in Long Term Acute Care (LTAC).
* Must be able to diplomatically articulate communications, interpret and explain complex information, and comprehend written, verbal and electronic communication.
* Strong problem-solving skills with effective time management.
* Strong organizational skills to maintain awareness of appeal timelines.
* Self-starter with strong analytical skills and attention to detai
About Us
AMG is a hospital system committed to our patients, our people, and to the pursuit of healing. As a Top-5 Post-Acute hospital system, we're known for excellence, integrity, community, and compassion.
Our mission is to return patients to their optimal level of well-being in the least restrictive medical environment. We accomplish this through a multi-disciplined approach that includes aggressive clinical and therapeutic interventions, as well as family involvement. Our high staff to patient ratio ensures individualized attention. Our nurses, therapists, and physicians work with each patient to obtain the best possible outcomes.
Acadiana Management Group, LLC is an equal opportunity employer.
Insurance Claims Specialist
Claims representative job in Monroe, LA
Peach Tree Dental - Monroe, LA
Monroe, LA 71270
Job details
Salary: Starting from $16.00-$20.00/hourly
Pay is based on experience and qualifications.
**incentives after training vary and are based on performance
Job Type: Full-time
Full Job Description
With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!
Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL: **********************************************
Qualifications
High school or equivalent (Required)
Takes initiative.
Has excellent verbal and written skills.
Ability to manage all public dealings in a professional manner.
Ability to recognize problems and problem solve.
Ability to accept feedback and willingness to improve.
Ability to set goals, create plans, and convert plans into action.
Is a Brand ambassador, both in and outside of the facility.
Benefits offered for Full-time Insurance Claims Specialists:
Medical, Dental, Vision Benefits
Dependent Care & Healthcare Flexible Spending Account
Simple IRA With Employer Match
Basic Life, AD&D & Supplemental Life Insurance
Short-term & Long-term Disability
Perks & Rewards for Full-time Insurance Claims Specialists:
Competitive pay + bonus
Paid Time Off & Sick time
6 paid Holidays a year