Claims Adjusters, Examiners, and Investigators
Claims representative job in Minneapolis, MN
**Role Overview**Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors-particularly claims adjusters, examiners, and investigators-to execute and evaluate a wide range of P&C insurance tasks.
This project supports the development of AI systems capable of understanding, simulating, and automating complex insurance operations.
It is a short-term, high-impact engagement ideal for professionals with strong technical and compliance knowledge.
**Key Responsibilities** - Execute full-cycle claims tasks including FNOL intake, coverage verification, reserve setting, and liability determination - Simulate real-world workflows using structured tools and mock systems such as Guidewire ClaimCenter and Xactimate - Review and synthesize third-party documentation including police reports, medical records, and vendor estimates - Draft structured outputs such as coverage memos, repair estimates, and liability assessments - Identify inconsistencies or red flags in claim statements and documentation - Evaluate claim compliance, document regulatory deadlines, and assess communication quality - Flag fraud indicators and recommend SIU referrals where applicable - Document all work clearly for auditability and quality review **Ideal Qualifications** - 5+ years handling property, auto, bodily injury, or general liability claims - Familiarity with systems such as Guidewire, Duck Creek, Xactimate, Hyland OnBase, or FileNet - Deep understanding of coverage interpretation, state compliance standards, and claims file documentation - Experience reviewing third-party documentation (e.
g.
, police reports, medical summaries, contractor estimates) - Strong written communication and analytical skills **More About the Opportunity** - Remote and asynchronous - control your own work schedule - **Expected commitment: min 30 hours/week** - **Project duration: ~6 weeks** **Compensation & Contract Terms** - $100-150/hour - Independent contractor arrangement - Paid weekly via Stripe Connect **Application Process** - Submit your resume followed by domain expertise interview and short form **About Mercor** - Mercor is a talent marketplace that connects top experts with leading AI labs and research organizations - Our investors include Benchmark, General Catalyst, Adam D'Angelo, Larry Summers, and Jack Dorsey - Thousands of professionals across domains like insurance, law, engineering, and research partner with Mercor to shape the next era of AI
Auto Claim Representative
Claims representative job in Saint Paul, MN
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 170 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
$55,200.00 - $91,100.00
Target Openings
1
What Is the Opportunity?
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner.
In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process.
This role is eligible for a sign on bonus.
What Will You Do?
* Provide quality claim handling of Auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations.
* Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates.
* Determine claim eligibility, coverage, liability, and settlement amounts.
* Ensure accurate and complete documentation of claim files and transactions.
* Identify and escalate potential fraud or complex claims for further investigation.
* Coordinate with internal teams such as investigators, legal, and customer service, as needed.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* Three years of experience in insurance claims, preferably Auto claims.
* Experience with claims management and software systems.
* Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
* Strong analytical and problem-solving skills.
* Proven ability to handle complex claims and negotiate settlements.
* Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
What is a Must Have?
* High School Diploma or GED required.
* A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
WC Sr. Claims Examiner
Claims representative job in Minnesota
Company Details
We're a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.
Responsibilities
Responsible for managing a caseload consisting of incoming and more complex workers' compensation cases including extended disability cases, litigation, employer's liability claims, and assigned claims. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.
Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files.
Document claim handling activities; create and document action plans.
Establish appropriate case reserves.
Actively manage medical treatment and disability while assisting the injured worker to return to work.
Comply with all performance guidelines.
Identify loss trends and communicate to supervisor and/or clients.
Use automated diary system to issue indemnity payments and for claims management
Investigate and manage claim subrogation and negotiate settlements.
Manage coverage B or conflict of interest cases as assigned.
Address customer complaints and inquiries in an exemplary and professional manner.
Participate in client claim reviews when scheduled or requested
May perform other functions as assigned
Qualifications
Demonstrated working knowledge of workers' compensation administration rules/laws in at least one of the following states: MN, IL or WI.
Excellent communication and presentation skills.
Must be able to interface with clients, legal counsel, health care professionals, etc.
Good math and analytical ability.
Excellent customer service skills.
Basic PC skills and a working knowledge of Windows environment. Experience with a client/server based claims processing system.
Education
BA/BS degree with three years' experience. Experience must include litigation, subrogation and complex medical/legal issues or two years post-high school education and five years' experience in workers compensation claims management.
Additional Company Details ****************************
The Company is an equal employment opportunity employer.
We do not accept unsolicited resumes from third party recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees including:
• Base Salary Range: $75k - $88k
• Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.
Auto-ApplyClaims Representative - Edina, MN
Claims representative job in Edina, MN
Who is Federated Insurance?
At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Edina, MN office, located at 7700 France Avenue South. A work from home option is not available.
Responsibilities
Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
Explain policy coverage to policyholders and third parties.
Complete thorough investigations and document facts relating to claims.
Determine the value of damaged items or accurately pay medical and wage loss benefits.
Negotiate settlements with policyholders and third parties.
Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
Ability to make confident decisions based on available information
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Leadership experience is a plus
Salary Range: $61,700 - $75,400
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
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Auto-ApplyClaims Representative - Edina, MN
Claims representative job in Edina, MN
Who is Federated Insurance?
At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Edina, MN office, located at 7700 France Avenue South. A work from home option is not available.
Responsibilities
Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
Explain policy coverage to policyholders and third parties.
Complete thorough investigations and document facts relating to claims.
Determine the value of damaged items or accurately pay medical and wage loss benefits.
Negotiate settlements with policyholders and third parties.
Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
Ability to make confident decisions based on available information
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Leadership experience is a plus
Salary Range: $61,700 - $75,400
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
Auto-ApplyProduct Liability Litigation Adjuster
Claims representative job in Saint Paul, MN
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
As a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside counsel defending CVS in high exposure, product liability mass tort litigations and general liability cases filed throughout the United States.
Responsibilities include:
+ Developing relationships with internal colleagues for fact-finding and key litigation activities.
+ Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution.
+ Managing all aspects of product liability mass tort litigations and complex general liability cases.
+ Working with outside national counsel and sr. management to develop consistent litigation strategies applicable to mass tort cases filed across the country.
+ Providing reporting to key internal stake holders on case developments and litigation trends for product liability mass torts and other cases.
+ Managing large scale discovery investigations by working with internal custodians, outside counsel and vendors to develop comprehensive procedures for identifying, locating, preserving and producing corporate records.
+ Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned.
+ Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel.
+ Participating in meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases.
**Required Qualifications**
+ 2+ years of legal experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier.
+ Juris Doctor degree from an ABA accredited university.
+ Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
**Preferred Qualifications**
+ Experience overseeing or defending product liability claims and litigation.
+ Familiarity or experience with insurance and coverage issues related to litigated claims.
+ Strong attention to detail and project management skills.
+ Experience overseeing and answering written discovery.
+ Ability to work independently and in an environment requiring teamwork and collaboration.
+ Strong written and verbal communication skills.
+ Demonstrated negotiation skills and ability.
+ Ability to articulate and summarize cases with management in a concise, cogent manner.
+ Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure.
+ 3-5 years of legal or claims experience.
+ Familiarity with the rules and procedures applicable to mass tort litigations, class actions, and/or multidistrict litigations.
+ Knowledge and experience navigating attorney-client privilege issues, corporate litigation holds, corporate witness depositions, and e-discovery.
+ Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside counsel.
+ Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new software programs and systems.
+ Ability to positively and aggressively represent the company at mediation, arbitration and trial.
+ Ability to navigate difficult situations and communicate effectively with both internal and external groups.
+ Excellent organizational and time management skills and ability to handle a high volume of litigated claims.
+ Experience with and understanding of legal documents (pleadings, discovery, motions and briefs).
**Education**
+ Verifiable Juris Doctor degree
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $122,400.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/03/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Claims Adjuster Trainee
Claims representative job in Minneapolis, MN
Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like.
Duties & responsibilities (upon completion of training)
* Determine coverage
* Determine liability (who's at fault for the damages)
* Interview customers, claimants, and witnesses
* Partner with appraisers/estimators to manage vehicle repairs
* Negotiate with customers and other insurance carriers and resolve claims
Must-have qualifications
* Three years of work experience OR
* Bachelor's degree OR
* Two years work experience and an associate degree
Schedule: Monday - Friday, 8:30 am - 5:30 pm for the first three weeks during training, then 9:00 am - 6:00 pm.
Location: 8 Pine Tree Dr, #300, Arden Hills, MN 55112
Compensation
* Once you complete training and pass any necessary testing requirements, your salary will be $56,500-$60,000/year, however, during training, you'll be paid hourly based on your annual salary.
* Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance
Benefits
* 401(k) with dollar-for-dollar company match up to 6%
* Medical, dental & vision, including free preventative care
* Wellness & mental health programs
* Health care flexible spending accounts, health savings accounts, & life insurance
* Paid time off, including volunteer time off
* Paid & unpaid sick leave where applicable, as well as short & long-term disability
* Parental & family leave; military leave & pay
* Diverse, inclusive & welcoming culture with Employee Resource Groups
* Career development & tuition assistance
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.
Equal Opportunity Employer
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at **************************************************************
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Property Claims Representative
Claims representative job in Minnesota
Will be filled at the appropriate level based on experience Do you thrive in a work environment where you must multi-task and have strong organization skills? Are you a go-getter with high initiative, a positive attitude and strong customer service experience? Are you able to work with limited direction? If so, this Property Claims Representative opportunity could be a great fit for you!
Who We Are: With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive.
What You'll Do: As a Property Claims Representative, you will be responsible for investigating, evaluating, negotiating and settling claims involving property lines of insurance coverage (farm, home, and commercial). You must investigate the cause of the loss, interpret the policy, determine whether the loss is covered, and estimate the value of the loss. As a Property Claims Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships.
What It Takes to Join Our Team:
* College degree or equivalent required, with claims experience preferred.
* Insurance and basic building material knowledge is helpful. Farm background is preferred.
* High attention to detail, strong organizational skills and a good work ethic.
* Strong verbal and written communication skills.
* Exceptional customer service skills.
* Strong computer skills are required in order to quickly learn our multiple systems.
* Must be able to work under all kinds of weather conditions and fully appraise all physical aspects of the property and buildings, which includes climbing on ladders.
* A valid driver's license and satisfactory Motor Vehicle Records are required.
* Must be able to travel daily.
* Some travel with overnight stays.
* Must attend training schools as required.
* Salary range: $67,500-$95,000
What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, as well as a company car and cell phone. Salary is dependent on experience. Farm Bureau....where the grass really IS greener!
If you're interested in joining a company that appreciates its employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today!
Work Authorization/Sponsorship
Applicants must be currently authorized to work in the United States on a full-time basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not able to sponsor OPT status
Claims Representative
Claims representative job in Minneapolis, MN
Job Description
About the Role:
We are seeking a highly motivated and detail-oriented Claims Representative to join our team in Minnesota, MN. As a Remote Claims Representative, you will be responsible for investigating, evaluating, and resolving insurance claims related to property and auto damages. You will work closely with clients, insurance adjusters, and other stakeholders to ensure timely and accurate claims processing. Your goal will be to provide exceptional customer service and achieve positive outcomes for our clients.
Minimum Qualifications:
3+ years of experience in insurance claims handling
Strong knowledge of property and auto claims processes and regulations
Excellent communication and interpersonal skills
Ability to work independently and as part of a team
Preferred Qualifications:
Experience with subrogation and claims resolution
Knowledge of personal lines insurance
Experience with claims processing software
Responsibilities:
Investigate and evaluate insurance claims related to property and auto damages
Communicate with clients, insurance adjusters, and other stakeholders to gather information and resolve issues
Process claims in accordance with company policies and procedures
Maintain accurate records of claims and related activities
Provide exceptional customer service throughout the claims process
Skills:
As a Claims Representative, you will use your strong analytical and problem-solving skills to investigate and evaluate insurance claims. You will also need excellent communication and interpersonal skills to effectively communicate with clients, insurance adjusters, and other stakeholders. Your ability to work independently and as part of a team will be crucial in ensuring timely and accurate claims processing. Additionally, your knowledge of property and auto claims processes and regulations, as well as experience with claims processing software, will be essential in performing your daily tasks.
Claims Representative
Claims representative job in Eagan, MN
Experienced Claims Representative - Workers' Compensation
We are seeking a seasoned workers' compensation professional to work with clients to control costs and exposure and help injured workers get back to work. In this position, you will handle workers' compensation claims involving litigated, loss time and complicated medical claims. This position offers a hybrid/ home-based work opportunity .
The successful candidate must reside in the state of SD, KS, NE, MN, or IA to be considered.
A minimum of three years of progressive workers' compensation claims handling experience to include handling litigated claims and files with larger losses is required
Experience in the Midwest jurisdictions is preferred
Proven decision making and problem-solving skills
Excellent verbal and written communication skills
Must be proficient in Microsoft Word and Excel
In our 30+-year history, we've soared to great heights, reimagined ourselves, and gained a profound awareness of the value we bring as experienced workers' compensation insurance providers. Today our reputation has grown as the region's leading workers' compensation insurance writer . While our product is insurance, what we truly sell is safer workplaces, help for companies looking to protect their employees, and support for people at their most vulnerable.
We offer a competitive wage and benefits package including medical, dental and vision coverage, paid holidays, paid parental leave PTO, 401K, and much more!
At RAS, we believe in an inclusive work environment, where employees are welcomed, valued, respected, and heard to ensure that individuals bring their best selves to work. RAS provides equal opportunities to all qualified candidates without regard to race, color, religion, sexual orientation, gender identity or expression, age, disability status, veteran status, national origin, or any other status protected under federal, state or local law.
Auto-ApplyAuto Claim Representative - St. Paul, MN
Claims representative job in Saint Paul, MN
ATTENTION MILITARY AFFILIATED JOB SEEKERS
- Our organization works with partner companies to source qualified talent for their open roles. The following position is available to
Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers
. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
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 170 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.
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
$55,200.00 - $91,100.00
What Is the Opportunity?
This position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. This may include applying laws and statutes for multiple state jurisdictions. Claim types include multi-vehicle (2 or more cars) auto damage with unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto, property related damage. 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.
This role is eligible for a sign on bonus.
What Will You Do?
Customer Contacts/Experience:
Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC).
Coverage Analysis:
Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration other issues relevant to the jurisdiction.
Investigation/Evaluation:
Investigates each claim to obtain relevant facts necessary to determine coverage, causation, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, etc.) Takes recorded statements as necessary.
Recognizes and requests appropriate inspection type based on the details of the loss and coordinates the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling.
Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e., Subrogation, SIU, Property, Adverse Subrogation, etc.).
Reserving:
Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner.
Negotiation/Resolution:
Determines settlement amounts based upon appraisal estimate, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants.
May provide support to other parts of Auto Line of Business (e.g. Total Loss, Salvage, etc.) when needed.
Insurance License:
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.
Perform other duties as assigned.
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Bachelor's degree preferred.
Demonstrated ownership attitude and customer centric response to all assigned tasks
Ability to work in a high volume, fast paced environment managing multiple priorities
Attention to detail ensuring accuracy
Keyboard skills and Windows proficiency, including Excel and Word - Intermediate
Verbal and written communication skills - Intermediate
Analytical Thinking- Intermediate
Judgment/Decision Making- Intermediate
Negotiation- Intermediate
Insurance Contract Knowledge- Basic
Principles of Investigation- Intermediate
Value Determination- Basic
Settlement Techniques- Basic
What is a Must Have?
High School Diploma or GED required.
A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required.
Field Claims Representative - Minnesota
Claims representative job in Minnesota
Acuity is seeking a Field Claims Representative to investigate, record facts, preserve evidence, determine coverage. The representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation. In this role, duties and responsibilities are to be carried out in the field and in person with a high level of frequency.
Candidates must be located in, or willing to relocate to the West Metro area for this opportunity.
Internal deadline to apply: December 8th, 2025
ESSENTIAL FUNCTIONS:
* Organizes work and arranges for immediate contact with all pertinent parties surrounding claim assignment.
* Completes a thorough investigation to determine coverage, assess liability and evaluate damages.
* Conducts investigations and provides customer follow-up in person.
* Evaluates, revises or recommends reserve changes.
* Inspects and determines property damage.
* Understands basic anatomy, medical terminology and has ability to decipher medical records and bills.
* Identifies and pursues all subrogation opportunities.
* Employs customer service concepts and requirements.
* Identifies potentially fraudulent claims and promptly refers them to the SIU.
* Maintains a sense of urgency while implementing proactive claim handling plans and procedures.
* Properly and effectively utilizes sound judgment, discretion and settlement authority to resolve claims through negotiation, settlement or denial.
* Handles all claims as assigned, including claims in other districts as requested.
* Maintains positive attitude.
* Always represents the Company in a professional manner.
* Maintains company property in good working order, requests new equipment and secures authorization for repairs.
* Maintains working relationship with field sales force and underwriting department in securing and giving information on claims and regarding the risk desirability of insureds.
* Supervises and directs defense attorneys in preparing a case for trial, including attending mediations and depositions.
* Must have a valid driver's license and an acceptable motor vehicle record to operate a corporate vehicle.
* Regular and predictable attendance.
* Performs other duties as assigned.
EDUCATION:
College degree or equivalent.
EXPERIENCE:
Minimum 5 yrs of Multi line claim adjusting, preferably in the field.
OTHER QUALIFICATIONS:
* Knowledgeable in all matters relating to property and casualty claims practices, policies and procedures.
* Good written and verbal communication skills.
* Organizational and time management skills.
* Basic understanding of state statutes and case laws.
* Customer service oriented.
* Efficient use of laptop and associated software, including e-mail and word processing.
* Work independently.
* Acuity does not sponsor applicants for U.S. work authorization.*
This job is classified as exempt.
The salary range for this position is $60,000-$123,000 annually. This salary range is an estimate, and the actual salary will vary based on applicant's education, experience, knowledge, skills, and abilities.
We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability and require reasonable accommodations to apply or during the interview process, please contact our Talent Acquisition team at ******************. Acuity is dedicated to offering reasonable accommodations during our recruitment process for qualified individuals.
Restoration Claims Adjuster
Claims representative job in Saint Paul, MN
Replies within 24 hours Basic Functions: Assist estimators in creating scopes, estimates and jobsite sketches as requested. Respond, communicate with adjuster as necessary to assist estimators in meeting estimating timelines. Consistently deliver exceptional customer service to internal and external customers.
Basic Requirements:
High School Diploma or equivalent
Bachelor's degree is preferred
Advanced Excel knowledge and ability to create and review complex spreadsheets
Ability to operate complex software (specifically Xactimate and CRM tools)
Pays close attention to detail with excellent proofreading skills
Key Skills
Highly Organized
Ability to multi-task and prioritize
High level Communicator
Evaluated On:
Quality of overall finished product
Performance versus annual and quarterly goals
Actual Skill Development versus Annual Skill Development Goals
Overall Duties Include:
Assist with updating 3rd party programs online to ensure compliance with program service standards
Prepare scope of damages and estimate within a very timely manner.
Prepare scope of work through estimating software Xactimate & communicate to adjuster.
Utilize Matterport 3D imaging software to create estimates.
Understand insurance trends in claims and adjusting losses
Be knowledgeable in the insurance industry. Keep up on technologies, equipment, processes, etc…
Be knowledgeable on building products, new products, building technologies, etc…
Communicate with Management and all internal/external Customers.
Maintain & obtain additional IICRC certifications, when requested by management.
Follow & enforce established safety practices including proper use of PPE, when required.
Other related activities as requested by estimating staff
High Level Job Duties include:
Meet with Supervisor no less than weekly for Goal Setting and Review
Attend and actively participate in leadership development trainings such as but not limited to selling, situational leadership, priority management, facilitation, conflict resolution and interviewing
Participates in marketing and business development as the need arises
Participates in the collection process of payment from customers
Complete special assignments as requested by Supervisor
Participates in emergency services when an “All hands on deck” scenario arises
Participate in on-going problem solving and practicing continuous improvement of the department and company as a whole
Participate in Paul Davis social events, Goal Setting and Review, All Team Meetings and as many other opportunities as possible to engage with the rest of the team
Hours:
Available to work full time Monday through Friday during standard business hours
This may occasionally require after hours availability, including weekends, and/or holidays
Reward:
Compensation is evaluated on a yearly basis effective from the start date of employment of each calendar year. An annual reward planner (ARP) is completed at that time.
Promotions and advancement within the position bring progressively greater challenge, learning, responsibility, and compensation. Compensation: $40,000-$70,000
Since 1966, Paul Davis has been an industry leader in the areas of property damage mitigation, reconstruction and remodeling. With more than 370 offices in our franchise network, the company serves residential, institutional, and commercial customers and clients across the United States and Canada.
We have built our heritage one project at a time, establishing a reputation for performance, integrity and responsibility among customers and carriers alike. Whether property damage is caused by water, fire, smoke, storms or other disasters, we deliver on our promise to deliver excellence, expertise and a customer experience that is second to none. At Paul Davis, our passion for quality drives everything we do.
Our Vision:
To Provide Extraordinary Care While Serving People In Their Time Of Need.
Our Values:
Deliver What You Promise
Respect The Individual
Have Pride In What You Do
Practice Continuous Improvement
Our Mission:
To provide opportunities for great people to deliver Best in Class results
Auto-ApplyIndemnity Claims Specialist
Claims representative job in Saint Paul, MN
Job Description
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Receives claims, confirms policy coverage and acknowledgment of the claim
Determines validity and compensability of the claim
Establishes reserves and authorizes payments within reserving authority limits
Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision
Communicates claim status with the customer, claimant and client
Adheres to client and carrier guidelines and participates in claims review as needed
Assists other claims professionals with more complex or problematic claims as necessary
Requires regular and consistent attendance
Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
Additional projects and duties as assigned
KNOWLEDGE & SKILLS:
Excellent written and verbal communication skills
Ability to learn rapidly to develop knowledge and understanding of claims practice
Ability to identify, analyze and solve problems
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
Strong interpersonal, time management and organizational skills
Ability to meet or exceed performance competencies
Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
Bachelor's degree or a combination of education and related experience
Minimum of 1 year of industry experience and claims management preferred
State Certification as an Experienced Examiner
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $51,807 - $83,551
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Contents Adjuster
Claims representative job in Saint Paul, MN
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Contents Adjuster
**PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Examines insurance policies and other records to determine insurance coverage.
+ Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.
+ Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
+ Estimates cost of repair, replacement, or compensation.
+ Prepares report of findings and negotiates settlement with claimant.
+ Recommends litigation by legal department when settlement cannot be negotiated.
+ Attends litigation hearings.
+ Revises case reserves in assigned claims files to cover probable costs.
+ Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.
**Experience**
None.
**Skills & Knowledge**
+ Strong oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Demonstrated commitment to timely reporting
+ Strong customer service skills
+ Strong interpersonal skills
+ Attention to detail and accuracy
+ Good time management and organizational skills
+ Ability to work independently or in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** :
+ Must be able to stand and/or walk for long periods of time.
+ Must be able to kneel, squat or bend.
+ Must be able to work outdoors in hot and/or cold weather conditions.
+ Have the ability to climb, crawl, stoop, kneel, reaching/working overhead
+ Be able to lift/carry up to 50 pounds
+ Be able to push/pull up to 100 pounds
+ Be able to drive up to 4 hours per day.
+ Must have continual use of manual dexterity.
**Auditory/Visual** : Hearing, vision and talking
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($45,000 - $60,000 USD annually). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
RCM Representative Senior, Third-Party Claims-HB&PB
Claims representative job in Minneapolis, MN
RCM Representative Senior, Third-Party Claims-HB&PB (251131) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County. Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization. SUMMARY:We are currently seeking a RCM Representative Senior to join our Third-Party Claims-HB&PB team. This full-time role will primarily work remotely (Days, M- F). Purpose of this position: Working under general supervision, provides revenue cycle services to incoming and existing patients and their families either in person or by telephone. Is responsible for gathering patient information needed to provide services such as following up on complex claim issues, financial clearance, customer service, or admission. Works will be assigned via a work queue in the electronic health record system Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, WisconsiRESPONSIBILITIES:Gathers information from patients, clients/family members, HCMC clinical areas, government agencies, employers, third party payors, and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility, and/or to identify sources of payment for services Requests, inputs, verifies, and modifies patient's demographic, primary care provider, and payor information Utilizes tools, including computer programs, when indicated Makes appropriate referrals (i.e. Patient Financial Care Specialists, Collections Specialists) as appropriate Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.Answers questions (by phone and in-person) and provides quotes for services (including discounts), identifies financial resources, etc. in accordance with HCMC policies and procedures Utilizes various databases and specialized computer software for financial care activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.Establishes plans (patient liabilities, payment, etc.) and conducts follow up activities related to those plans Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies Works with Claims and Collections (both internally and with collection agencies) in order to assist patients and their families with billing and payment activities in order to increase cash flow Other duties as assigned QUALIFICATIONS:Minimum Qualifications:
2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc.
Bilingual strongly preferred, required in some positions
-OR-
An approved equivalent combination of education and experience
Preferred Qualifications:
Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
Excellent verbal and written communication and interpersonal skills
Ability to work independently with minimal supervision, within a team setting and be supportive of team members
Proficient with Microsoft Office
Ability to analyze issues and make judgments about appropriate steps toward solutions
CRCR (Credentialed Revenue Cycle Representative) preferred
Knowledge/ Skills/ Abilities:
Knowledge of patient billing claims process
Ability to communicate with patients and families under sometimes stressful circumstances
Strong telephone communication skills
Experience with electronic health record or similar software program
Knowledge of payor programs
Knowledge of applicable federal and state regulations
You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer. Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements. Total Rewards Package:We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).For a complete list of our benefits, please visit our career site on why you should work for us. Department: Third-Party Claims-HB&PBPrimary Location: MN-Minneapolis-Downtown CampusStandard Hours/FTE Status: FTE = 1.00 (80 hours per pay period) Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: UnionMin:$22.18Max: $28.37 Job Posting: Oct-10-2025
Auto-ApplyField Claims Adjuster
Claims representative job in Minneapolis, MN
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Independent Insurance Claims Adjuster in Moorhead, Minnesota
Claims representative job in Moorhead, MN
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyCommercial Lines Claims Specialist
Claims representative job in Lexington, MN
* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays
We are looking for someone who will
* Manage the claims reporting process for agency clients.
* Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
* Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information.
* Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed.
* Prepare reports by collecting and summarizing information as requested by management.
Why Join AAA Club Alliance and the Energy Insurance team?
* A base rate of $20.00 to $25.00/hour, depending on experience and geographic location.
* Annual bonus potential
Do you have what it takes?
* Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc.
* Strong communication skills (both verbal and written) and attention to detail
* Strong time management skills
* Ability to obtain property and casualty license within 60 days of hire
Full time Associates are offered a comprehensive benefits package that includes:
* Medical, Dental, and Vision plan options
* Up to 2 weeks Paid parental leave
* 401k plan with company match up to 7%
* 2+ weeks of PTO within your first year
* Paid company holidays
* Company provided volunteer opportunities + 1 volunteer day per year
* Free AAA Membership
* Continual learning reimbursement up to $5,250 per year
* And MORE! Check out our Benefits Page for more information
ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance.
Job Category:
Insurance
Auto-ApplyField Adjuster (Residential or Commercial) - Minneapolis, MN
Claims representative job in Minneapolis, MN
CCMS & Associates is looking for a 1099 Field Adjuster in Minnesota, specifically the Minneapolis area. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team! We are seeking a residential or commercial field adjuster with at least 1 year of field experience.
Requirements:
Minimum 1 year first-party commercial and/or residential property adjusting experience
Maintain own current estimating software - Xactimate preferred (Symbility experience a plus)
Working computer - internet access and Microsoft Word required
Must demonstrate strong time management and customer service skills
Experience in preparing Statement of Loss, Proof of Loss, and denial letters
Minnesota State adjusters license
Must have a valid drivers license
Responsibilities:
Complete residential and commercial field property inspections utilizing Xactimate software
Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages
Recommend claim reserves based on investigation, through well-supported reserve report
Obtain and interpret official reports
Review applicable coverage forms and endorsements, provide a thorough analysis of coverage and any coverage issues in a well-documented initial captioned report to the client
Maintain acceptable product quality through compliance with established best practices
Knowledge and Skills:
In-depth knowledge of property and liability insurance coverage and industry standards
Ability to prepare full-captioned reports by collecting and summarizing required information
Strong verbal and written communications skills
Prompt, reliable, and friendly
Preferred but Not Required:
College degree
AIC, IICRC, HAAG or other professional designations
All candidates must pass a full background check (void in states where prohibited)
CCMS & Associates offers multi-line claim adjusting and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry. We create programs that drive a successful claim life cycle while strategically managing all aspects of the complicated issues carriers and policyholders are facing. Servicing excess and surplus/domestic carriers in the United States.
Auto-Apply