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Claims representative jobs in Lake Charles, LA

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  • Litigation Claims Supervisor

    Harrison Gray Search

    Claims representative job in Dallas, TX

    Litigation Claims Supervisor - Commercial Auto & Bodily Injury Join a dynamic and growing organization as a Litigation Claims Supervisor, where you will provide daily leadership and direction to a dedicated team of 6-9 Litigation and Bodily Injury claims adjusters. This highly visible, on-site role is based in Westlake, Texas. In this role, you will be crucial in ensuring the consistent delivery of high-quality claim handling and customer service within the Commercial Auto division. You will utilize strong critical thinking and judgment to guide your team in the proper resolution of claims, fostering an environment of accountability, teamwork, and professional development. As a leader, you will coach and guide your team through organizational and industry changes, promoting an entrepreneurial spirit and driving outstanding achievement of unit and company goals. Key Responsibilities Team Leadership & Performance Management Lead and manage a team of 6-9 commercial lines claims adjusters to meet or exceed key performance indicators (KPIs), metrics, and best practices on a monthly and quarterly basis. Provide clear daily goals and solutions to address challenges in work completion and customer service. Offer direction, leadership, and training on coverage, investigations, and claim evaluations, ensuring adherence to company policy and regulations. Conduct management oversight and quality assurance reviews on all open claim inventory (both non-litigated and litigated files). Authorize reserve and settlement decisions according to established company guidelines. Champion a diverse, inclusive, and trusting work environment, encouraging staff to professionally challenge the status quo and identify improvements. Technical & Compliance Oversight Ensure 100% compliance with all claim adjuster licensing requirements. Act as a professional representative of the organization to both internal and external customers. Communicate information to Senior Management and the claims or legal management team regarding claim files with unusual circumstances or excess exposure potential. Maintain strict confidentiality concerning sensitive information and employee matters. Required Qualifications Experience: A minimum of 7+ years of Auto Bodily Injury and litigated claims experience is required. Supervisory Background: Prior experience of 3-5 years in a claims supervisory role is mandatory. Technical Skills: Must possess a strong technical and administrative background in auto claims handling. Licensing: A Texas Adjuster license is required. Education: A High School Diploma or equivalent is required; a Bachelor's degree is preferred. Workplace & Environment This is an On-Site position based in Westlake, Texas. The ideal candidate must be able to work independently on technical and administrative matters in accordance with company policy and procedures.
    $43k-79k yearly est. 2d ago
  • Claims Specialist

    Us Tech Solutions 4.4company rating

    Claims representative job in Plano, TX

    Duration:6 Months+ Roles & Responsibilities Maximize customer satisfaction by providing prompt actions to customer's need and obtain quality photos/data to determine root cause of claim to defend or accommodate customer's claim Provide efficient solutions to customer-facing agents by developing and operating guide and contents Use various tools/dashboard/systems to quantify the agent's performance of customer care and develop appropriate actions to improve performance and quality Spanish speaking agent recommended but not a requirement. [Customer Experience Management] Analyze end-to-end processes that customers experience and participate in providing suitable resolutions accordingly and in controlled & monitored turnaround time for each action of customer claim process [Quality Management] Monitor and review customer calls/tickets for customer care quality control, carry out activities to secure quality competitiveness of our company and customers Maintains and improves operational quality by monitoring system performance; identifying and resolving problems; preparing and completing action plans. Qualifications & Experience College Graduate 3~5 Years in customer experience Case management for MX/CE claims CE Tender management Pending Management (KPI, LTP) Case Tracker Management for special issue CPSC claim management (Customer care/tracker) (CE) Monitoring FCCM report quality (ACQ/OS Reports) Special Projects Customer Care Resolution EnR Submission/Management Work to de-escalate customer situations while finding an appropriate solution; involve upper management as needed Skills Customer Care Experience (Call Center) Claims Management Experience Insurance Claims or Adjuster background beneficial About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Name: P Praveen Chary Email: **************************** Internal Id: 25-54476
    $27k-40k yearly est. 4d ago
  • Legal Claims Analyst

    Erisa Recovery

    Claims representative job in Plano, TX

    ERISA Recovery are experts in collecting complex and aged claims through the Federal ERISA appeals process. We are a fast-growing organization located in Plano, TX. If you would like to join a friendly, passionate team with limitless potential, we'd love to meet you. This extraordinary opportunity to advance your career and make a difference is now. We are searching for a Legal Hospital Claims Analyst - someone who works well in a fast-paced setting. In this position, you'll provide support in analyzing comprehensive claims and identifying key metrics. You will be a subject matter expert in legal claims. You must be able to work both independently and as part of a team. Key attributes for the ideal candidate include working with intensity, focus, and being detail oriented. Essential responsibilities and duties Conducts legal research and investigation of claims Drafting legal documents Keeping track of changes in legal framework and providing timely updates on these changes Utilizes ERISA law enforcement Utilizes knowledge of health care standards appropriate to specific claim Ability to understand and apply medical reimbursement policies, procedures, and standards Ensures eligibility for claims is reasonable and correct by analyzing claims and providing supporting documentation Utilize a variety of EHR systems Thrives in a fast-paced environment Collaborates effectively with other team members Ability to adapt to changing needs Consistently applies knowledge relevant to claims Work intensely at a fast-paced rate Ability to communicate effectively with third party administrators Determine the status of medical claims through research Meet the standards of the department and quality standards Strong organizational skills Desired skills and Qualifications Bachelor's degree 3+ years working in the legal field 2+ years working with healthcare insurance claims (preferred) Strong Communication skills Working knowledge utilizing Microsoft software (Word, Excel, Outlook) Ability to work in a fast-paced environment Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Paid lunches Bonus ERISA Recovery is an Equal Opportunity Employer
    $34k-55k yearly est. 3d ago
  • Claims Supervisor (Bodily Injury)

    Geico 4.1company rating

    Claims representative job in Dallas, TX

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Join a team where your expertise truly matters!Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage: complex investigations coverage determinations liability assessments bodily injury claim resolutions-through both settlement and litigation. This role requires advanced knowledge of litigation processes and the ability to strategically support litigated and attorney-represented claims. If you're passionate about developing talent, driving results, and making an impact in the automotive liability space, we'd love to hear from you.Success in this role is built on the foundation of GEICO's core leadership behaviors: Ownership: You take responsibility for outcomes in all scenarios. Adaptability: You navigate dynamic environments with creativity and resilience. Leading People: You empower individuals and teams to achieve their best. Collaboration: You build and strengthen partnerships across organizational lines. Driving Value: You use data-driven insights to align actions with strategic goals. What You'll Do: Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust. Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims. Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations. Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention. Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service. Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence. Collaborate with leadership and cross-functional teams to identify and implement process improvements. Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge. What We're Looking For: Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases. Active Adjuster license (required) Expertise in Casualty claims, including knowledge of industry regulations and best practices Strong ability to assess needs and guide associates in negotiating claim settlements as needed Experienced in the use of various claims tools with ability to assist associates Strong adherence to compliance and regulatory requirements Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment Strong results orientation, with a history of meeting or exceeding performance goals Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations Ability to analyze data and metrics to inform decision-making and improve customer outcomes Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence Why Join GEICO? Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Inclusive Culture: Join a company that values diversity, collaboration, and innovation. Workplace Flexibility: This is a M-F, 8:00am - 4:30pm position offering a Hybrid work model based in Richardson, TX. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Increased Earnings Potential: Pay Transparency: The starting salary for this position is between $97,735 annually and $151,700 annually. Incentives and Recognition: Corporate wide bonus programs are in place to reward top performers. Beware of scams! As a recruiter, I will only contact you through ************ email address and will never ask you for financial information during the hiring process. If you think you are being scammed or suspect suspicious activity during the hiring process, please contact us at ...@geico.com. keywords: litigation, auto liability, liability claims#geico300#LI-AL2 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $49k-73k yearly est. 13d ago
  • Specialty Claims Examiner

    Staffing Now 4.2company rating

    Claims representative job in Austin, TX

    Staffing Now is looking for a detail-oriented and customer-focused contract to hire Specialty Claims Examiner to join our clients team in the Austin area. In this role, you'll be responsible for accurately processing and adjudicating GAP and Anti-Theft claims while delivering an exceptional service experience. What You'll Do Review loan, insurance, and contract documents to confirm claim eligibility Process claims submitted through phone, email, and chat Document all claim interactions in our system with accuracy and clarity Provide timely updates on open and pending claims Manage your assigned queue to ensure efficient claim resolution Interpret insurance and dealership documents, including payment histories Maintain strong product knowledge and deliver high-quality customer service Support administrative tasks and assist with special projects as needed What You Bring High school diploma or equivalent 2+ years of claims experience in a call center or insurance setting Working knowledge of GAP and Anti-Theft claims Strong communication skills, critical thinking, and the ability to read and interpret contracts Ability to manage high contact volume (40+ calls/emails/chats daily) Preferred Qualifications Active Claims Adjuster License Previous experience in the insurance industry If you're driven, organized, and ready to make an impact, this could be the perfect next step in your career.
    $26k-31k yearly est. 1d ago
  • Product Liability Litigation Adjuster

    CVS Health 4.6company rating

    Claims representative job in Iowa, LA

    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 SummaryAs 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 Qualifications2+ 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 QualificationsExperience 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). EducationVerifiable Juris Doctor degree Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988. 00 - $122,400. 00This 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 ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 01/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $47k-122.4k yearly 18d ago
  • Independent Insurance Claims Adjuster in Lake Charles, Louisiana

    Milehigh Adjusters Houston

    Claims representative job in Lake Charles, LA

    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.
    $40k-49k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Lake Charles, LA

    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.
    $41k-49k yearly est. 60d+ ago
  • Risk Claims Specialist

    Maya Management Group LLC 4.1company rating

    Claims representative job in Dallas, TX

    Job Description Key Responsibilities: Customer Claims: • Manage Customer Injury and Liability Claims: Oversee the investigation, documentation, and resolution of customer claims related to personal injury, property damage, or any other incidents occurring on organization premises. • Coordinate with Insurance Providers: Liaise with insurance companies to ensure proper claims filing and coordinate the resolution of claims involving external parties. • Customer Support: Handle escalated customer claims and provide appropriate resolutions while ensuring the store's best interests are maintained. • Documentation & Compliance: Ensure that all claims are properly documented in compliance with company policies and legal requirements. Keep detailed records of each customer-related claim. • Risk Prevention: Identify trends or recurring incidents that may contribute to customer claims and work with store management to implement safety measures or preventive actions. Employee Claims: • Workers' Compensation Claims: Oversee and manage all workers' compensation claims, ensuring compliance with state and federal regulations, and ensuring employees receive appropriate benefits. • Workplace Injury Claims: Manage the investigation of employee injury claims, including gathering evidence, interviewing witnesses, and ensuring all necessary forms are completed and submitted on time. • Fleet Claims Management: Manage the investigation of employee fleet claims, support employee's injuries if any, gather witness statements • Support and Guidance: Provide support to injured employees, ensuring they are informed throughout the claims process and are aware of their rights and available benefits. • Collaboration with HR and Legal: Work with HR and legal teams to ensure employee-related claims are handled correctly and in compliance with labor laws, insurance regulations, and company policies. • Collaboration with Safety Team: Work with the Safety Team to consistently do store visits, conduct safety audits, checklists and investigations as needed. Development: • Process Improvement: Identify opportunities to improve the claims process, whether through more efficient systems, better documentation, or enhanced communication strategies. Risk Management and Reporting: • Claims Analysis and Reporting: Review and analyze the data on claims to identify trends, recurring issues, or areas for improvement. Prepare detailed reports for management regarding claim frequency, costs, and risk mitigation efforts. • Collaboration with Risk and Safety Teams: Work closely with the Risk Management and Safety teams to address underlying causes of incidents that may lead to claims and develop preventive strategies. • Compliance: Ensure that all claims are processed in line with company policies, industry standards, and legal requirements, including managing documentation for audits or regulatory reviews. • Invoices: Reconcile and verify all invoices generated from claims. • Safety Monitor Report: Complete Safety Monitor report and communicate all parties involved to resolve an issue related to an investigation. Qualifications: • Bachelor's degree in Business, Risk Management, Insurance, or a related field (or equivalent experience). • 3-5 years of experience in claims management, risk management, or a specialist role, preferably in a retail or supermarket environment. • Strong understanding of risk management principles, insurance claims processes, and workers' compensation regulations. • Strong problem-solving and analytical abilities to investigate and resolve complex claims efficiently. • Excellent communication skills, both written and verbal, with the ability to manage sensitive issues with customers and employees. • Attention to detail and ability to maintain accurate records and reports. • Proficient in Microsoft Office and experience with claims management software or risk management tools. Physical Requirements: • Ability to stand for extended periods • Ability to lift up to 50 lbs as needed Work Environment: • Fast-paced, high-volume environment • Occasional evening, weekend, or holiday work may be required • Occasional travel to different company locations Physical Demands: Some lifting, carrying, pushing, and/or pulling; some stooping, kneeling, crouching, and/or crawling; and significant fine finger dexterity. Generally, the job requires 70% sitting, 20% walking, and 10% standing. This job is performed in a generally clean and healthy office environment.
    $37k-65k yearly est. 25d ago
  • Scope Only Adjusters

    Elevate Claims Solutions

    Claims representative job in Shreveport, LA

    About Us At Elevate Claims Solutions, we are dedicated to supporting the unique skill sets and career goals of our Independent Adjusters. Our commitment to continuous improvement and meaningful work ensures that you can make a real difference in the lives of those you serve. What We Offer: Career Development: We prioritize your growth by seeking your feedback on how we can support your professional journey. Diverse Opportunities: Work with a variety of carriers, allowing you to expand your skills and network. Clear Expectations: Benefit from guidelines that clearly outline carrier requirements, ensuring you know what to expect. Continuous Feedback: Engage in real -time Quality Assurance and formal quarterly coaching sessions to refine your skills and highlight strengths. Expert Guidance: Collaborate with a team of seasoned industry professionals who provide valuable insights and support. Job Description Responsibilities: Evaluate exterior and minor interior property damage. Draft detailed damage descriptions, including measurements and materials used. Fill in basic scope sheets. Utilize Xactanalysis software effectively. Requirements: Current, active Xactimate license with experience writing estimates for both residential and commercial damages. Flexibility to maintain a non -traditional work schedule to accommodate the needs of insureds and carriers. Strong written and verbal communication skills, with an emphasis on clear and timely communication. Proficient in various claims management systems and strong technological skills. Ability to manage workload independently and exercise good judgment. Openness to receiving and providing constructive feedback. Background screening eligibility and current active licenses as required. Join Us If you're ready to elevate your career in a supportive and dynamic environment, we want to hear from you! Let's work together to make a meaningful impact.
    $40k-53k yearly est. 11d ago
  • Liability Adjuster II

    TWAY Trustway Services

    Claims representative job in McAllen, TX

    JOIN THE ASSURANCEAMERICA TEAM Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact? Join the AssuranceAmerica team. For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds. Liability Adjuster II The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases. About the ROLE Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will: Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/. Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages. Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure. Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards. Control expenses and adhere to company reserving philosophy by maintaining proper reserves on all pending claims/potential exposures. Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews. Properly utilize underwriting and policy systems and understand its features and functionality, as needed. Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities. Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims. About YOU Excellent communication skills with demonstrative ease with both verbal and written formats. Attention to detail and ability to multi-task. A high degree of motivation and team orientation. Direct, results driven, and dedicated to the success of the business and each other. Required Minimum three years of experience handling auto claims. Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases. Preferred Bachelor's degree or equivalent. Non-standard experience. Adjuster's license in relevant state or the ability to obtain one quickly. Bilingual (English-Spanish). Physical Requirements Prolonged periods sitting at a desk and working on a computer. Must be able to lift 15 pounds at times. Must be able to navigate various departments of the organization's physical premises. About US We are direct, results-driven, and dedicated to the success of our business and each other. We are a diverse group of thinkers and doers. We offer many opportunities to grow in your professional skills and career. We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy. WHAT WE OFFER AssuranceAmerica provides these benefits to Associates: Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account. Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate. Additional Benefits: 401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan. AssuranceAmerica will match 100% of the first 4% of an Associate's contributions. Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations. Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance. Time Off: Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.
    $45k-62k yearly est. Auto-Apply 24d ago
  • Medical Only Adjuster II

    Tx Assoc of School Boa

    Claims representative job in Austin, TX

    Why Texas Association of School Boards (TASB) TASB comes from humble beginnings - picture a one-person organization created in 1949 to advocate for excellence in public education on behalf of Texas school board members. Flash forward to today, and we have over 500 employees working together to provide 1,024 school districts with purposeful resources and services so they can focus on what matters most - excellent education for over 5 million Texas students. Our employees work alongside talented team members who are passionate about supporting public education and enjoy learning from new and different perspectives. TASB believes the rich variety of expertise our employees collectively bring to the workplace makes our organization highly successful. And TASB's passion for education and learning doesn't end there. Our culture has always encouraged employees to grow and become their best selves, professionally and personally, through a variety of innovative and collaborative development opportunities. You're likely beginning to see why we'd been regularly named by the Austin Business Journal as one of the Top Ten Best Places to Work! TASB offers competitive pay, rich benefits (including retirement matching of 2:1 up to 5% after one year, which means that if you contribute 5% to the plan, TASB will contribute 10%), family-friendly paid leave, onsite daycare, onsite gym, wellness program, tuition reimbursement, hybrid work options, and more. Every role at TASB thoughtfully complements our mission and its impact on school districts across Texas. These roles include work in TASB's Risk Management Services division, which provides administrative services to the TASB Risk Management Fund - a multi-line self-insurance pool (or “risk pool”) of Texas schools. If you consider your work exceptional, have a passion for risk management or risk pools, and want to help drive our mission forward, keep reading! About You As the Medical Only Adjuster, you will bring strong analytical skills, attention to detail, and a commitment to delivering excellent service to our member districts and injured employees. You will investigate and manage workers' compensation claims, ensuring compliance with Texas statutes and internal best practices, while communicating effectively with stakeholders. Whether you are early in your claims career or have advanced experience, your expertise in claims handling, problem-solving, and customer service will add value to our collaborative team environment. A Typical Day Investigate and manage a caseload of workers' compensation medical-only claims, ensuring timely and accurate benefit payments in compliance with Texas statutes and internal guidelines. Communicate with injured employees, member districts, and vendors to gather information, resolve issues, and provide updates throughout the claims process. Collaborate with your team during meetings or case reviews to share insights, discuss complex claims, and contribute to continuous improvement initiatives. If you're still reading, we'd love to meet you! How You'll Make an Impact Investigate, evaluate, and manage workers' compensation medical-only claims to ensure timely and accurate benefit delivery. Maintain thorough documentation, proper reserves, and compliance with all regulatory and departmental requirements. Communicate proactively with injured employees, member districts, and vendors to resolve questions and provide updates. Apply knowledge of Texas workers' compensation statutes, best practices, and claims handling procedures to every case. Contribute to a positive team environment by sharing insights and supporting continuous improvement efforts. Skills for Success High school diploma required. Bachelor's degree or some college preferred. Experienced candidates should have a Type 03 or 08 Texas adjuster license. Candidates without adjusting experience will be considered for an Adjuster 1 role and required to obtain a license within one year of hire. Must demonstrate good organizational, analytical, and communication skills (oral and written). The TASB Difference Enjoy competitive pay and rich benefit offerings. Be a part of a collaborative environment where every contribution impacts Texas public schools. Thrive in a culture that promotes bringing your whole self to work every day and emphasizes healthy boundaries and work-life balance. Learn and grow individually and together through frequent professional development, wellness seminars, and more. Work alongside transparent leaders with an open and consistent feedback approach. Celebrate as a team with meaningful (and fun) events throughout the year. Posting Notices The health and safety of our employees and members, is our top priority. The Association is an equal opportunity employer and will not discriminate against an individual based on any of the following personal characteristics protected by law: race, color, national origin, religion, sex (including in relation to marital status, pregnancy, pay, sexual orientation or gender identity), age, disability, genetics or veteran status. This position does not qualify for visa sponsorship. Any job offer is contingent upon receipt of results of a satisfactory background check. #LI-Hybrid
    $44k-59k yearly est. Auto-Apply 19d ago
  • Licensed Public Adjuster Houston, Texas

    Rockwall National Public Adjusters

    Claims representative job in Houston, TX

    Job DescriptionSalary: About Us Rockwall National Public Adjusters is one of the most established public adjusting firms in the region. For more than 15 years, we have successfully advocated for property owners, supported by leadership with over 20 years of experience in the insurance claims industry. We pride ourselves on our longevity, high retention, and reputation for excellence. Many of our adjusters and office staff have been with us for over 10 years, reflecting our supportive culture and commitment to long-term careers. At Rockwall, our mission is simple: level the playing field, fight for our clients rights, and secure the settlements they deserve. By joining our team, you will become part of a well-respected firm with proven processes, unmatched administrative support, and a collaborative environment that fosters professional growth. The Role We are seeking a motivated and Licensed Public Adjuster in the Houston area to join our team in a hybrid, commission-based role. As a Public Adjuster, you will represent policyholders throughout the insurance claims process, guiding them through stressful property damage losses and securing fair settlements. You will play a vital role in soliciting referral business, signing clients, evaluating damages, preparing and negotiating claims, and advocating for clients best interests. This position is designed to support all levels of experience: Newly licensed adjusters benefit from structured training, mentorship, and back-office support. Experienced adjusters gain access to qualified leads, advanced systems, and a trusted brand with a long-standing reputation. Key Responsibilities Collaboratively solicit residential and commercial new claims and referral partners Sign, inspect, evaluate, and document property damage for residential and commercial claims Prepare, submit, and negotiate insurance claims on behalf of policyholders Communicate with clients, insurance carriers, contractors, and stakeholders to advance claims efficiently Advocate for clients best interests and ensure fair settlements are achieved Maintain accurate records, reports, and claim documentation Deliver exceptional customer service while educating clients on the claims process Generate new business and efficiently close provided leads Required Qualifications Active Texas Public Adjuster license (or ability to obtain one) Prior experience in insurance adjusting, construction, restoration, or a related field preferred, but not required Strong negotiation and communication skills Organized, detail-oriented, and able to manage multiple claims simultaneously Professional demeanor with a client-focused mindset Valid drivers license and reliable transportation for field inspections Compensation & Benefits Commission-based structure with unlimited earning potential Training and ongoing professional development Career growth opportunities within a supportive and collaborative team Hybrid work flexibility (field + office) Full administrative and office support (contracts, compliance, claims, invoicing, mortgage company payments) The Rockwall Difference At Rockwall, we provide unmatched support at every stage of the claims process, allowing our adjusters to focus on serving clients and building careers. Key Advantages: Comprehensive adjuster onboarding and mentorship programs Professional ongoing sales training to close contracts faster and expand referral networks Proprietary lead generation sources and affiliate networks Automated client onboarding to reduce paperwork Access to advanced claims management software for streamlined workflows Hands-on field training for residential and commercial claims Xactimate training and estimate reviews to ensure complete assessments Seamless invoicing and fee collection support Regular updates on case law, legislation, and industry trends A collaborative team environment that promotes growth and shared knowledge Why Join Rockwall NPA 20+ years of insurance industry expertise 15+ years as a trusted, established firm Strong reputation and high staff retention Proprietary lead generation sources and long-standing affiliate networks Full support systems that empower adjusters to succeed A company culture built on professionalism, advocacy, and results
    $43k-59k yearly est. 7d ago
  • Total Loss Adjuster

    Constitution General Agency LLC

    Claims representative job in Houston, TX

    Job DescriptionBenefits: 401(k) Dental insurance Health insurance Vision insurance The Total Loss Adjuster plays a critical role in evaluating insurance claims involving the complete loss of vehicles or properties. This position requires thorough investigation, analysis, and communication to ensure accurate assessment, fair settlement, and compliance with policy terms. Key Responsibilities: Conduct in-depth investigations of total loss claims for insured properties. Collect and analyze pertinent documentation and information to determine the extent of loss. Evaluate policy terms to confirm coverage eligibility for claims. Calculate equitable settlement values based on findings and industry standards. Negotiate settlements with claimants, policyholders, and other stakeholders. Prepare detailed, accurate reports outlining evaluations and decisions. Ensure timely and precise processing and resolution of claims. Qualifications: Comprehensive understanding of insurance policies, coverage nuances, and claims assessment procedures. Proficient communication and negotiation skills for effective interaction with claimants and stakeholders. Strong investigative and analytical abilities to evaluate total losses accurately. Exceptional attention to detail for meticulous review of documentation and policy specifics. Outstanding organizational and time management skills to manage multiple claims concurrently. Proven experience in insurance claims adjusting or a related field. Possession of a Multi-line Texas Adjuster's License.
    $43k-59k yearly est. 1d ago
  • Claims Processing Specialist

    Saferide Health

    Claims representative job in San Antonio, TX

    SafeRide Health is looking for a hands-on Claims Specialist to scale SafeRide. We are looking for a leader with deep experience managing Medicare and Medicaid programs as we scale past $100M in annual revenue. The Billing Specialist is responsible for elevating SafeRide's billing function and continuously enhancing the effectiveness of the organization. Strong business and financial orientation as well as a passion for growth and development are critical for this role. Responsibilities: Facilitates data processing and processes claims for NEMT and GMR rides. Performs reconciliation of billing data to encounter data. Works closely with the operations team to resolve issues. Work with internal operations and project teams to solve claims-related problems, benefit plans research and provider contract interpretation and configurations. Communicate and work with providers to get claims issues resolved and paid accurately and in accordance with healthcare/Medicare/Medicaid regulations, policies, and payment policies and guidelines. Receive incoming calls from providers, customers, vendors, and internal groups, to successfully analyze the caller's needs, research information, answer questions, and resolved issues and/or disputes in a timely and accurate manner. Identify issues negatively impacting the provider community including but not limited to system set up, required benefit modifications, EDI logic, provider education, claim examiner errors, and authorization rules. Develops and implements policies, processes and procedures that incorporate industry best practices, and reinforces high quality standards within the Billing team. Served as the Billing team's subject matter expert and primary contact for claims related projects and critical activities. Mentors junior team members and provides internal claims team training, coaching, guidance, and assistance with complex issues. Implement: Scalable and accurate billing operations systems leveraging best in class technology. This includes financial reporting for management, clients and designated state and federal agencies (e.g., HHSC in Texas). Champion and reinforce SafeRide's culture. Required Education/Experience: Minimum 1 years of experience in billing/claims management Must be bilingual Spanish Speaking Preferred NEMT/transportation background preferred Knowledge of CMS/HHSC regulations preferred Skills Strong data skills in Excel/Sheets, including pivot tables, v-lookups, etc. Self-starter, ability to work independently and in a team environment. Strength in problem solving, applying hard data and qualitative insight to frame problems and develop novel solutions Ability to adapt to unforeseen circumstances quickly Keen attention to detail Ability to work with a variety of stakeholders What we offer you An inclusive, encouraging and collaborative company culture Strong support for career growth, including access to our investor communities Competitive compensation with upside for growth (including stock options and performance grants) Competitive benefits including health/vision/dental insurance, 401k match and 18 day's PTO About SafeRide Health: SafeRide's mission is to restore access and dignity to care. SafeRide is transforming access to care for the nations sick, poor and underserved. We are a high growth, tech enabled services firm that's growing past 400 employees. SafeRide is backed by premier investors like NEA and clients like Fresenius. We operate nationally and now deliver over 5M rides per year. Learn more at ***********************
    $27k-36k yearly est. 36d ago
  • Appearance Adjuster

    Bridge Specialty Group

    Claims representative job in Dallas, TX

    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. The Appearance Claims Adjuster is responsible for evaluating and processing insurance claims related to property damage and personal injury. This role involves conducting thorough investigations, assessing damages, and determining liability based on policy coverage. The adjuster will collaborate with policyholders, service providers, and legal teams to ensure timely and accurate claim resolution. How You Will Contribute • Handles claims from initial contact through to conclusion. • Thoroughly investigates claims and verifies eligibility • Responsible for maintaining positive customer relationships seeking to enhance organizational skills. • Manages a high call volume with exception communication and customer service skills • Successfully works independently and in a team atmosphere. • Skillfully adapts and uses critical thinking and problem-solving issues. Skills & Experience to Be Successful · Excellent written and verbal communication skills · Proficient with Microsoft Office Suite and industry standard web applications · Ability to maintain a high level of confidentiality Preferred · Bilingual is a plus, not required · Service Advisor, Warranty, or Service Drive experience a plus · Basic mechanical knowledge of automotive systems. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services; Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
    $42k-57k yearly est. Auto-Apply 60d+ ago
  • Indemnity Adjuster

    Insight Global

    Claims representative job in Dallas, TX

    Insight Global is looking for a Senior Indemnity Adjuster to join our client's team. Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have extensive experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals. - Manage suborgation - Negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim - Support the goals of the Claims Department We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements - Current Adjuster License (Texas) - 3-5+ years of Worker's Compensation Claims experience specifically within indemnity - Experience in the following states are preferred: TX, AR, OK, LA, MS, AL (TX & AR most important)
    $42k-57k yearly est. 23d ago
  • Claims Specialist III, Property Large Loss - $5000 Sign-On (Iowa/Nebraska)

    Nationwide 4.5company rating

    Claims representative job in Iowa, LA

    If you're passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you! At Nationwide, "on your side" goes beyond just words. Our customers are at the center of everything we do and we're looking for associates who are passionate about delivering extraordinary care. A $5,000 SIGN-ON BONUS will be given to all external candidates hired into this role. Half of the bonus will be paid after 3 months of employment and the remainder will be paid after 9 months of employment. This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Ideal Candidate Locations: The ideal candidate will live in the Des Moines, IA, Omaha, NE, or Lincoln, NE areas. * Relocation assistance may be available for qualified candidates who reside more than 50 miles outside of the ideal candidate locations listed. Territory: This role will cover Iowa, Nebraska, North & South Dakota, Kansas, Missouri, Minnesota (Up to 50% travel). Occasional travel outside of the territory may be required. Qualifications: * 5 years of insurance field/property claims handling or adjusting experience (Large Loss experience - preferred) * Solid experience/proficiency with Xactimate * Solid experience writing own estimates and handling claims start to finish * Construction background/experience- Residential, Roofing, Remodeling, water mitigation, etc. * Strong customer service competency * Strong written & verbal communication skills PLEASE NOTE that CAT duty is required for this position. Benefits Include: Medical, Dental, Vision, 401k with company match, Company-paid Pension plan, Paid time off and more. #LI-JJ1 #LI-Remote Summary No two property claims are ever the same and each customer has unique needs. Our team thrives on providing the very best service and building lasting, successful relationships with our customers. If you are confident, curious, driven to learn and grow, and have a desire to help people when they most need it, we want to know more about you! As a Claims Specialist, you'll work to evaluate and resolve serious exposure, large loss claims requiring investigation, liability evaluation and negotiation. We'll count on you to expedite settlements and control average loss cost and litigation expense according to the best claims practices. Job Description Key Responsibilities: * Handles all assigned claims promptly and effectively, with little direction and oversight, which may include complicated and catastrophic losses. Makes decisions within delegated authority, recommends settlement values in the disposition of claims as outlined in company policies and procedures. * Accurately pays claims based on policy provisions, state mandates and/or fee schedules. * Determines proper policy coverages and applies standard methodologies to conclude assigned cases according to company guidelines. Adheres to high standards of professional conduct while delivering outstanding service. * Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. * Maintains knowledge of court decisions that may affect the claim's function; current principles and practices; innovations; and policy changes and modifications. May be required to maintain knowledge of other functions within assigned subject area. This may require attending various seminars or training sessions. * Maintains current knowledge of local industry repair procedures and local market pricing. * Able to act for Claims Manager. Mentors and provides leadership to less experienced claims associates. Provides one-on-one training and assists with training/presentations as assigned by claims management. * Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, claims management and underwriting. * Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assist general counsel to prepares files for suit, trial or subrogation. * Consults claims staff and defense counsel for discovery processes and lawsuit file/trial strategy on case-specific issues. * Initiates and conducts follow-ups through proficient use of the claims and other related business systems. * Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. May perform other responsibilities as assigned . Reporting Relationships: Reports to Claims Manager. Individual contributor role. Typical Skills and Experiences: Education: Undergraduate degree or equivalent experience preferred. Advanced degrees in law or related field desirable. License/Certification/Designation: Successful completion of required claims certification schools/courses. Professional development such as IIA or CPCU preferred. State licensing where required. Experience: Five years of experience handling property claims, insurance processing or field claims adjusting. Knowledge, Abilities and Skills: General knowledge of insurance theory and practices, and contracts and their application. Property estimating and automated claims systems. Demonstrated knowledge of the investigation, consultation and settlement activities used to resolve extensive property damage claims. Proven ability to meet customer needs and provide exemplary meaningful service by guiding customers through the claims process and ensuring a positive customer experience. Analytical and problem-solving skills necessary to make decisions and resolve issues related to application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, and application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for property losses. Ability to evaluate and successfully advise on property claims. Organizational skills to prioritize work. Command of written and verbal communication skills to effectively communicate with policyholders, claimants, repairpersons, attorneys, agents and the general public. Ability to efficiently operate a personal computer and related claims and business software. Able to provide leadership to less experienced claims associates. Must be able to safely access and inspect rooftops using a ladder. Must be prepared and capable of conducting physical inspections on rooftops, including first and second story roofs with pitches up to 8/12. Other criteria, including leadership skills, competencies and experiences may take precedence. Staffing exceptions to the above must be approved by the hiring manager's leader and HR Business Partner. Values: Regularly and consistently demonstrates the Nationwide Values. Job Conditions: Overtime Eligibility: Not Eligible (Exempt) Working Conditions: Normal office or field claims environment. May require ability to sit and operate phone and personal computer for extended periods of time. Able to make physical inspections of property loss sites; including climb ladders, balance at various heights and rooftops up to 8/12 pitch stoop, bend and/or crawl to inspect vehicles and structures; work outside in all types of weather. Must be willing to work irregular hours and to travel with possible overnight requirements. May be on-call. Must be available to work catastrophes (CAT). Extended and/or non-standard hours as required. Must have a valid driver's license with satisfactory driving record in accordance with Nationwide standards. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Credit/Background Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process. Benefits We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here. Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law. #claims Smoke-Free Iowa Statement: Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at ************. NOTE TO EMPLOYMENT AGENCIES: We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.
    $45k-59k yearly est. Auto-Apply 18d ago
  • GAP Warranty Adjuster

    Amynta Agency

    Claims representative job in Fort Worth, TX

    We're thrilled that you are interested in joining us here at the Amynta Group! The WARRANTY CLAIMS ADJUSTER is responsible for interactions with customers, inspectors, repair facilities, and part vendors to support our auto warranty call center. The Warranty Claims Adjuster will be responsible for providing our innovative extended service plans and warranty programs to retailers, dealers, distributors and manufacturers in numerous consumer and automotive markets. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES* Handle claims on a daily basis Work in a call center environment focused on handling calls daily with expected performance metrics, handle times, and volume Probe and troubleshoot mechanical breakdown claims to determine whether customer complaint, repair facility diagnosis, and failed parts meets the criteria for approval based on the terms and conditions of the extended service contract. Review and verify repair costs using standard “national labor guides” (including labor rates and time) to ensure estimates are within approval guidelines. Use other resources such as, technical bulletins, recalls and system comments, and other requirements during the adjudication process. Verify repair information to determine if coverage is within the guidelines of the service contract. Determine if a field inspection is necessary based on cause of failure and cost estimates submitted by repair facility. Document all interactions, research, verification and other claim-related information in the database system. Interface with customers, agents, dealers, and other relevant parties to complete all investigations of claims. Review claims using the adjudication process established by department. Partner with other departments, claim adjusters, and management staff to identify options that support claims resolution and approval. Maintain a continual working knowledge of our client's products, services and promotions. Retrieve information from company systems and communicate information back to the customers, dealers, repair facilities, and vendors in a clear and concise manner. BASIC AND PREFERRED QUALIFICATIONS (EDUCATION AND EXPERIENCE) 2+ year's minimum experience (Required) High School Diploma or GED (Required) Some college (Preferred) Proficient knowledge of Microsoft Office (Required) ASE Certification (Preferred) MINIMUM QUALIFICATIONS, JOB SKILLS, ABILITIES Mastery of the English language, both written and verbal. Strong attention to detail, is dependable and follows through. Ability to read and interpret information. High level of maturity to handle sensitive and confidential situations. Strong work ethic and excellent time management skills. Strong interpersonal skills and ability to work well with people throughout the organization. Willingness to maintain a professional appearance and provide a positive company image. Willingness to work non-traditional shifts which meet the needs of the team and company. Ability to think independently and make decisions. Ability to assist peers. The Amynta Group (the “Company”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any ground of discrimination protected by applicable human rights legislation. The information collected is solely used to determine suitability for employment, verify identity and maintain employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation throughout the recruitment process in accordance with applicable human rights and accessibility legislation. A reasonable accommodation is an adjustment to processes, procedures, methods of conveying information and/or the physical environment, which may include the provision of additional support, in order to remove barriers a candidate may face during recruitment such that each candidate has an equal employment opportunity. The Company will accommodate a candidate to the point of undue hardship. Please inform the Company's personnel representative if you require any accommodation in the application process.
    $43k-57k yearly est. Auto-Apply 25d ago
  • Insurance Claims Specialist

    Peach Tree Dental 3.7company rating

    Claims representative job in Jonesboro, LA

    Peach Tree Dental - Jonesboro Jonesboro, LA 71251 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
    $16-20 hourly 60d+ ago

Learn more about claims representative jobs

How much does a claims representative earn in Lake Charles, LA?

The average claims representative in Lake Charles, LA earns between $22,000 and $40,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Lake Charles, LA

$30,000
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