Claims Representative Jobs Near Me

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  • Insurance Claims Associate - Wye River Insurance

    Generate regular reports for review by Wye River and Bozzuto & Associates. In addition to an award-winning culture and amazing work spaces, Bozzuto offers a wide range of programs to support the overall health of you and your family. In addition, they will provide key reporting for the Bozzuto Construction Company s Workers Compensation Contractor Controlled Insurance Program (CCIP). is responsible for assisting Wye River Insurance, a Bozzuto affiliate, with general claim reporting for property, general liability and workers compensation claims, investigations and reserve discussions across all divisions of Bozzuto. As a Claims Associate, your primary responsibilities include:
    $34k-39k yearly est.15d ago
  • BJs Free Sample Representative

    If you enjoy talking and engaging with people, our Part Time Product Demonstrator role may be exactly what you're looking for! In this role, you will introduce club members to new products and enjoy a flexible schedule. Shifts are available throughout the week and hours are typically between 10am-5pm. You: Are looking to make $13.00 per hour Are 18 or older Are available to work 2-3 shifts per week, including 1 weekend day Able to lift up to 20lbs comfortably Can stand for 4-6 hours while distributing samples in-store Able to use your smartphone or tablet to record work after each shift No experience? No problem! We provide ongoing training and team support to help you succeed. We also offer competitive pay, early wage access and a variety of employee discount resources.
    $13 hourly5d ago
  • Tricare Claims Processor

    Please Note: Scammers are posing as Aston Carter. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
    $18.5-20 hourly5h ago
  • Claims Supervisor, Employee Benefits TPA ( Hybrid-Remote)

    AP Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability. AP Keenan, an AssuredPartners company, is a successful insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts.
    $71k-102k yearly est.5d ago
  • Reinsurance Industry Professionals - Remote

    At RGP, diversity, equity and inclusion are critical underpinnings of our shared values. Learn more about the humans of RGP and how we support our people. As a Reinsurance Industry Accounting & Finance Consultant you will play an instrumental role in assisting clients in a variety of challenging project. Strong knowledge and 5+ years of experience within the Reinsurance Industry
    $50-80 hourly6d ago
  • Property Adjuster

    Job DescriptionAlacrity Solutions is seeking experienced property adjusters to join the Alacrity daily claims team!
    $49k-70k yearly est.27d ago
  • Senior Property Claim Representative

    Job DescriptionWe have partnered with a mutual insurance company to find their next Senior Property Claim Representative in the Frederick, MD area.
    $33k-65k yearly est.30d ago
  • Payment Posting Representative - Remote

    A Partner of MediRevv, A Tegria Company The Payment Posting Representative is responsible for accurate and timely posting of all third-party and patient payments as well as timely resolution of WQ transactions.
    $41k-62k yearly est.10d ago
  • Lead Claim Adjudication Specialist - Remote Position

    Community Health Options' Lead Claim Adjudication Specialist is responsible for daily claim inventory assignment, providing subject matter expertise, processing claims, supporting claim adjustment requests from the Audit & Recovery department, as well as providing timely response to claim inquiries from internal and external stakeholders.
    $69k-110k yearly est.4d ago
  • BJs Free Sample Representative

    If you enjoy talking and engaging with people, our Part Time Product Demonstrator role may be exactly what you're looking for! In this role, you will introduce club members to new products and enjoy a flexible schedule. Shifts are available throughout the week and hours are typically between 10am-5pm. You: Are looking to make $13.00 per hour Are 18 or older Are available to work 2-3 shifts per week, including 1 weekend day Able to lift up to 20lbs comfortably Can stand for 4-6 hours while distributing samples in-store Able to use your smartphone or tablet to record work after each shift No experience? No problem! We provide ongoing training and team support to help you succeed. We also offer competitive pay, early wage access and a variety of employee discount resources.
    $13 hourly5d ago
  • Outside Property Claim Representative Trainee - Northern VA/Chantilly

    **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 Category** Claim **Compensation 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** $48,500.00 - $80,000.00 **Target Openings** 1 **What 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 and resources that empower you to achieve your wellness goals. In addition, our Life Balance program provides access to professional counseling services, life coaching and other resources to support your daily life needs. Through Life Balance, you're eligible for five free counseling sessions with a licensed therapist. + **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 believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results. 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 .
    $48.5k-80k yearly42d ago
  • BDC Representative

    Jim Koons Automotive Companies are seeking energetic individuals to be part of our award winning team.
    $27k-34k yearly est.39d ago
  • Auto Damage Field Claims Adjuster

    Auto Damage Field Claims Adjuster Job Number: 206642 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. Valid driver's license, auto insurance, and compliance with Progressive's driving standards and/or policies Job: Claims Primary Location: United States-Virginia-Leesburg Schedule: Full-time Employee Status: Regular Work From Home: No
    $66.1k-78.9k yearly7d ago
  • Claims Processing Rep (CNPA)

    The Claims Processing Rep (CP&A) will be responsible to evaluate and correct registration and charge data in accordance with insurance standards and CP&A billing policy and procedure. Communicate with Practice Managers and Revenue Cycle Manager for process improvement. Minimum Education High School Diploma or GED (Required) Minimum Work Experience 1 year Related Medical Office or Healthcare Billing Trade Certification. (Required) Functional Accountabilities Registration Review * Verify the insurance sequence is correct and re-sequence if incorrect. * Verify system indicates insurance is active. * Communicate invalid insurance errors to Practice Manager and Revenue Cycle Manager. Charge Data Verification and Posting * Verify that CPT, age and gender coordinate and are valid; make corrections following CP&A policy and procedure. * Correct modifiers according to payer specifications; apply missing modifiers according to CP&A policy/procedure. * Verify that immunizations billed are listed on the Medical Record for DOS tasking the provider when conflicts are identified. * Apply patient incentive credit according to Practice note. Productivity & Quality * Process a minimum of 500 line items per day. * Resolve charges within two days (2) of receipt. * Maintain a maximum error rate of 2% per daily line item total per day. * Communicate Task Message to Providers, Practice Managers and Revenue Cycle Managers with accuracy and professionalism. * Identify trends in charge and registration errors and report findings with examples to Manager. Program Knowledge * Understand managed care contracting requirements and apply principles to billing. Non- Essential Function * Develop detailed understanding of state/federal assistance programs, e.g., Medicaid * Understand federal and state regulations surrounding billing. Organizational Accountabilities Organizational Accountabilities (Staff) Organizational Commitment/Identification * Anticipate and responds to customer needs; follows up until needs are met Teamwork/Communication * Demonstrate collaborative and respectful behavior * Partner with all team members to achieve goals * Receptive to others' ideas and opinions Performance Improvement/Problem-solving * Contribute to a positive work environment * Demonstrate flexibility and willingness to change * Identify opportunities to improve clinical and administrative processes * Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility * Use resources efficiently * Search for less costly ways of doing things Safety * Speak up when team members appear to exhibit unsafe behavior or performance * Continuously validate and verify information needed for decision making or documentation * Stop in the face of uncertainty and takes time to resolve the situation * Demonstrate accurate, clear and timely verbal and written communication * Actively promote safety for patients, families, visitors and co-workers * Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
    $33k-40k yearly est.27d ago
  • Sr CGL Adjuster - Bodily Injury

    * Typically has 1 to 5 years General Liability Bodily Injury experience The Hanover Insurance Group has adopted a Hybrid work model that allows for 2 or 3 days of remote work each week with the balance of time being in the office. Our Claims team is currently seeking a Sr. Commercial General Liability Adjuster - Bodily Injury.
    $66k-103k yearly est.12d ago
  • Commissary Representative

    Keefe Commissary Network is a division of TKC Holdings, Inc. and is a multi-award winning company that is the industry leader in the commissary market.
    $20 hourly25d ago
  • Property Adjuster - Field Estimating DC Metro $1,000 Sign On Bonus

    The world isn't standing still, and neither is Allstate. A day in the life of a Field Estimating Property Adjuster: Everything we do at Allstate is driven by a shared purpose: to protect people from life's uncertainties so they can realize their hopes and dreams.
    $60k-101.6k yearly26d ago
  • Claims Support Specialist II

    Silver Spring Office The successful candidate will work from the Silver Spring Field Office. At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 5,000 employees and over 2,200 independent agencies.
    $27.9k-44.6k yearly1d ago
  • Claims Representative III (Health & Dental)

    Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. Locations: California; Colorado; Nevada; Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health.
    $18.8-28.2 hourlyEasy Apply7d ago
  • BD Representative

    Camping World is the leading RV and outdoor lifestyle retailer providing new products, services, and support to recreationists everywhere. Camping World Holdings, Inc., headquartered in Lincolnshire, IL, (together with its subsidiaries) is America's largest retailer of RVs and related products and services. Our vision is to build a long-term legacy business that makes RVing fun and easy, and our Camping World and Good Sam brands have been serving RV consumers since 1966. Camping World began in 1966 as a small store in Beech Bend Park outside of Bowling Green, Kentucky. With RV sales and service locations in 42 states, Camping World has grown to become the prime destinations for everything RV.
    $24k-32k yearly est.4d ago

Learn More About Claims Representative Jobs

Average Salary For a Claims Representative

Based on recent jobs postings on Zippia, the average salary in the U.S. for a Claims Representative is $38,796 per year or $19 per hour. The highest paying Claims Representative jobs have a salary over $53,000 per year while the lowest paying Claims Representative jobs pay $28,000 per year

Updated March 21, 2023
Average Claims Representative Salary
$38,161 yearly
$19 hourly

5 Common Career Paths For a Claims Representative

Claim Specialist

A claims specialist is responsible for processing insurance claims, reviewing insurance coverage, and analyzing claims cases. Claims specialists' duties include negotiating claims settlements, validating claims to prevent fraud, creating court testimonies as needed, developing claim review plans, and checking necessary documents and related resolve claims. A claims specialist must have strong analytical and critical-thinking skills to authorize claim payment and investigate complex and unusual claims. Claims specialists should also have extensive knowledge of the insurance processes to handle various cases, following legal policies and regulatory procedures.

Claims Adjuster

A claim's adjuster is responsible for the handling of the insurance claims and investigating the extent of property damage and processing the business or a person's liability. Claims adjusters have a broad range of duties such as damage inspection to evaluate incident reports, communicating with property owners and spectators as well as referring to legal documents. They must also have excellent analytical and critical-thinking skills to calculate payments and analyze the complexities of multiple sources. Claims adjusters should also provide timely reports for reference and possible disputes.

Senior Claims Representative

A senior claims representative serves as a client's primary point of contact when processing insurance claims. Their responsibilities include meeting with clients to identify their needs, gathering and verifying documentation, conducting investigations to determine the validity of insurance claims, liaising with external parties, and negotiating the amount of compensation. Furthermore, as a senior claims representative, it is essential to lead and serve as a mentor to junior claims representatives, all while implementing the company's policies and regulations, including its vision and mission.

Team Leader

Team leaders are responsible for managing a team for a specific project or work component. They primarily guide the team members and ensure that they are still working towards the set goals. Team leaders create strategies to reach goals, cascade the goals and strategies to team members, assign tasks, conduct periodic check-ups on the roadmap towards the goals, foster an engaging work environment, motivate and coach team members, monitor team performance, evaluate the strategies and come up with mitigating plans as needed. They are also responsible for reporting the team's progress to higher management.


Specialists are employees who are responsible for specific tasks or activities in the department they are assigned to. The actions or tasks they work on are related to their educational background or work experiences. They are usually highly skilled in specializations related to the work they are assigned to. Specialists are also highly trained on the competencies that are required of their specialty. As such, they are focused on the skills and competencies that are needed to enhance their experience in their specific field further.

Illustrated Career Paths For a Claims Representative

Claims Representative Jobs FAQs

How Much Does A Claims Representative Make At Sedgwick?

A claims representative at Sedgwick's makes, on average, $44,068 per year. The range, however, typically falls between $50,565 and $68,410 a year, depending on your location and experience.

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