Outside Property Claim Representative Trainee - Oklahoma City, OK
Claims Representative job in Oklahoma City, OK
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 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$48,700.00 - $80,400.00
What Is the Opportunity?
This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
LOCATION REQUIREMENT: This position services Insureds/Agents in and around Oklahoma City, OK The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.
What Will You Do?
Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
The on the job training includes practice and execution of the following core assignments:
Handles 1st party property claims of moderate severity and complexity as assigned.
Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
Broad scale use of innovative technologies.
Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.
Establishes timely and accurate claim and expense reserves.
Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
Negotiates and conveys claim settlements within authority limits.
Writes denial letters, Reservation of Rights and other complex correspondence.
Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
Meets all quality standards and expectations in accordance with the Knowledge Guides.
Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
Manages file inventory to ensure timely resolution of cases.
Handles files in compliance with state regulations, where applicable.
Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
Identifies and refers claims with Major Case Unit exposure to the manager.
Performs administrative functions such as expense accounts, time off reporting, etc. as required.
Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Must secure and maintain company credit card required.
In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.
This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position
Perform other duties as assigned.
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred.
Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
Verbal and written communication skills -Intermediate
Attention to detail ensuring accuracy - Basic
Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
Analytical Thinking - Basic
Judgment/ Decision Making - Basic
Valid passport preferred.
What is a Must Have?
High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
Valid driver's license - required.
Claims Adjuster IV
Claims Representative job in Oklahoma City, OK
Job Details Oklahoma City Location - Oklahoma City, OK Tulsa Location - Tulsa, OK Full Time ClaimsDescription
Are you an experienced Claims Adjuster looking for a new career in the Oklahoma City or Tulsa area? Are you skilled at timely data management and analytical thinking? Interested in joining an AM Best A rated company? Let me introduce you to CompSource Mutual! CompSource has been proudly serving Oklahoma workers since 1933, providing workers' comp protection and support in good times and bad. We are passionate about providing a great place to work and are consistently awarded as a “best” and “top” place to work in Oklahoma!
What we're offering:
Full-time Claims Adjuster IV position with a hybrid work schedule based out of our Oklahoma City or Tulsa office. Salary target $70-75,000 annual base. Comprehensive benefit package includes: free employee medical/dental/vision/life/ad&d insurance, company match 401k safe harbor plan, generous paid time off and wellness leave, voluntary benefits, & more!
What this position does:
Claims Adjuster IV have responsibility of claims with the most significant complexity. Employees assigned to this role have mastered investigative skills, management of outside experts in support of file direction and have mastered reserve analysis sufficiently to properly protect the company's assets and reputation. This position routinely settles catastrophic and coverage dispute “type” losses.
Who we're looking for:
-High school diploma or GED required, Bachelor's degree preferred.
-Active Oklahoma Workers' Compensation Adjusters License or the ability to obtain within 6 months.
-3 years insurance industry experience handling highly litigated claims required
Claims Review Specialist III
Claims Representative job in Oklahoma City, OK
Job Posting Title
Claims Review Specialist III
Agency
385 OKLAHOMA INSURANCE DEPARTMENT
Supervisory Organization
Insurance Department
Job Posting End Date (Continuous if Blank)
Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.
Estimated Appointment End Date (Continuous if Blank)
Full/Part-Time
Full time
Job Type
Regular
Compensation
Will be filled as a level II or III, based on education and experience. Salary range for the II to III is $50,000-$65,000.
Job Description
DEFINITION:
Under limited supervision, analyze and investigate Property and Casualty consumer complaints and inquiries received by the Consumer Assistance/Claims Division of the Oklahoma Insurance Department.
DUTIES AND RESPONSIBILITIES:
Conduct interviews with walk-in claimants to gather information and answer questions in an effort to assist claimant with filing a request for assistance. Explain process and procedures of consumer assistance division.
Answer questions pertaining to the information submitted via feedbacks
Any other duties deemed necessary by the supervisor, including meetings, conferences, state of emergency issues, and outreach events and any necessary travel
Serve as intermediary for the inquirer and provide direct contact with the insurer.
Plan, organize and implement a course of action for each consumer inquiry to provide the most efficient, prompt, and effective response within the jurisdiction of the department. Maintain effective communication with the consumer throughout the process.
Convey response to the consumer or explain and facilitate the understanding of a response that may not be desirable.
Provide technical knowledge, expertise, detailed information, and response to the public regarding various insurance questions and concerns.
Responsible for answering phone calls from the public regarding insurance questions on policies, procedures, and statutes.
Backup to the Claims Processor Reviewer
Level III will have mentoring responsibilities
Perform other duties as required.
KNOWLEDGE, SKILLS AND ABILITIES:
Be knowledgeable of insurance laws, rules, and policies.
Possess skill in time management and decision-making.
Initiate, implement and complete required tasks to resolve all insurance questions, concerns, or complaints.
Exercise judgment in reviewing claim files; handle confidential work with tact and discretion.
Maintain effective working relationships.
Communicate effectively.
EDUCATION AND EXPERIENCE:
Level II- Bachelor's degree or equivalent education and experience. Experience in the insurance field with account
management or customer assistance, demonstrating evidence of knowledge and skills to perform the tasks of the job. Industry designation related to consumer assistance, CISR, considered a plus.
Level III-Bachelor's degree and five years' experience in the insurance field or an equivalent combination of education and experience including at least one of the following certifications/designations: ACS, CISR.
NOTE:
Upon hire, any applicant who is licensed as a producer/agent, adjuster or is otherwise affiliated with any entity that is regulated by the department must surrender their license and terminate any financial or non-financial affiliation with the entity that is regulated by the department. The selected applicant must pass a background check. Individual may be required to pursue NAIC designations as job duties require.
For benefits offered by the State of Oklahoma to employees of the state, please use this link to access the Office of Human Capital Management benefits page at **********************************************
EEO/AA
Equal Opportunity Employment
The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.
Outside Property Claim Representative - Oklahoma, OK & Tulsa, OK
Claims Representative job in Oklahoma City, OK
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$65,300.00 - $107,600.00
**Target Openings**
1
**What Is the Opportunity?**
Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. 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 position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
LOCATION REQUIREMENT: This position services Insureds/Agents in and around Oklahoma, OK or Tulsa, OK. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.
**What Will You Do?**
+ Handles 1st party property claims of moderate severity and complexity as assigned.
+ Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
+ Broad scale use of innovative technologies.
+ Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate.
+ Establishes timely and accurate claim and expense reserves.
+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
+ Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits.
+ Writes denial letters, Reservation of Rights and other complex correspondence.
+ Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
+ Meets all quality standards and expectations in accordance with the Knowledge Guides.
+ Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
+ Manages file inventory to ensure timely resolution of cases.
+ Handles files in compliance with state regulations, where applicable.
+ Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
+ Identifies and refers claims with Major Case Unit exposure to the manager.
+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.
+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
+ May provides mentoring and coaching to less experienced claim professionals.
+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
+ CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states.
+ Must secure and maintain company credit card required.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work.
+ This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree preferred.
+ General knowledge of estimating system Xactimate preferred.
+ Two or more years of previous outside property claim handling experience preferred.
+ Interpersonal and customer service skills - Advanced
+ Organizational and time management skills- Advanced
+ Ability to work independently - Intermediate
+ Judgment, analytical and decision making skills - Intermediate
+ Negotiation skills - Intermediate
+ Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate
+ Investigative skills - Intermediate
+ Ability to analyze and determine coverage - Intermediate
+ Analyze, and evaluate damages -Intermediate
+ Resolve claims within settlement authority - Intermediate
+ Valid passport preferred.
**What is a Must Have?**
+ High School Diploma or GED required.
+ A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required.
+ Valid driver's license required.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
Contestable Claims Analyst
Claims Representative job in Oklahoma City, OK
The Contestable Analyst reviews all aspects of a contestable claim and determines how to process. High exposure to a multitude of life claims is a norm for this position; Analyst needs to be able to identify claim benefits in regards to the specific policy and operates on multiple claims systems. The Analyst has a checklist of items to review before the claim can progress for further processing. Some of these items include; performing a name search to see if the insured has additional coverage, reinstating a policy if it has already been removed from the system, requesting various types of letters, reviewing application date versus effective date of policy, reviewing Medical Information Bureau reports, requesting recordings of contact with insured, ordering medical records, and reviewing medical records. The Contestable Analyst also determines if certain policies should be investigated by external third parties (i.e., RSB). Once the Analyst makes a claim determination, they either proceed with paying the claim or rescind the claim. A Contestable Analyst is responsible for keeping a claim moving through the processing procedures. Contestable Analyst is in contact with agents, funeral homes, coroners, medical providers, and police departments to gather and confirm information in regards to the claim.
Investigates all contestable life claims and processes in accordance with policy provisions and Company procedures.
Processes claims on a multiple claims system.
Contacts outside 3rd parties and obtains additional claim information needed. Third parties consist of agents, beneficiaries, funeral homes, coroners, medical providers and police departments.
Updates system notes with claim progress.
Orders and reviews medical information.
Responsible for claim movement and progression.
Maintains production data and must meet the production quota set by the department.
Other duties; as assigned by the supervisor.
Required Skills:
Must be PC/Windows literate and posses a working knowledge of MS Office (Outlook, Excel and Word).
Strong communication skills.
Detail oriented.
Ability to work in a fast paced environment.
Problem solving skills.
Physical Requirements; While performing the duties of the job, the employee is regularly required to sit for extended lengths of time. The employee is frequently required to reach with hands and arms, occasionally required to stand and walk, occasionally lift and or move up to 25 lbs.
Qualifications
Must be PC/Windows literate and posses a working knowledge of MS Office (Outlook, Excel and Word).
Strong communication skills.
Detail oriented.
Ability to work in a fast paced environment.
Problem solving skills.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Independent Insurance Claims Adjuster in Oklahoma City, Oklahoma
Claims Representative job in Oklahoma City, OK
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
"Discover a wealth of valuable resources on our YouTube channel! Dive into a trove of insightful videos at ******************************************************** to explore expert tips, and testimonials to enhance your skills and knowledge. Subscribe now for exclusive content and stay ahead in your journey with MileHigh Adjusters Houston!"
Claims Review Specialist III
Claims Representative job in Oklahoma City, OK
Job Posting Title Claims Review Specialist III Agency 385 OKLAHOMA INSURANCE DEPARTMENT Supervisory Organization Insurance Department Job Posting End Date (Continuous if Blank) Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.
Estimated Appointment End Date (Continuous if Blank)
Full/Part-Time
Full time
Job Type
Regular
Compensation
Will be filled as a level II or III, based on education and experience. Salary range for the II to III is $50,000-$65,000.
Job Description
DEFINITION:
Under limited supervision, analyze and investigate Property and Casualty consumer complaints and inquiries received by the Consumer Assistance/Claims Division of the Oklahoma Insurance Department.
DUTIES AND RESPONSIBILITIES:
* Conduct interviews with walk-in claimants to gather information and answer questions in an effort to assist claimant with filing a request for assistance. Explain process and procedures of consumer assistance division.
* Answer questions pertaining to the information submitted via feedbacks
* Any other duties deemed necessary by the supervisor, including meetings, conferences, state of emergency issues, and outreach events and any necessary travel
* Serve as intermediary for the inquirer and provide direct contact with the insurer.
* Plan, organize and implement a course of action for each consumer inquiry to provide the most efficient, prompt, and effective response within the jurisdiction of the department. Maintain effective communication with the consumer throughout the process.
* Convey response to the consumer or explain and facilitate the understanding of a response that may not be desirable.
* Provide technical knowledge, expertise, detailed information, and response to the public regarding various insurance questions and concerns.
* Responsible for answering phone calls from the public regarding insurance questions on policies, procedures, and statutes.
* Backup to the Claims Processor Reviewer
* Level III will have mentoring responsibilities
* Perform other duties as required.
KNOWLEDGE, SKILLS AND ABILITIES:
* Be knowledgeable of insurance laws, rules, and policies.
* Possess skill in time management and decision-making.
* Initiate, implement and complete required tasks to resolve all insurance questions, concerns, or complaints.
* Exercise judgment in reviewing claim files; handle confidential work with tact and discretion.
* Maintain effective working relationships.
* Communicate effectively.
EDUCATION AND EXPERIENCE:
Level II- Bachelor's degree or equivalent education and experience. Experience in the insurance field with account
management or customer assistance, demonstrating evidence of knowledge and skills to perform the tasks of the job. Industry designation related to consumer assistance, CISR, considered a plus.
Level III-Bachelor's degree and five years' experience in the insurance field or an equivalent combination of education and experience including at least one of the following certifications/designations: ACS, CISR.
NOTE:
Upon hire, any applicant who is licensed as a producer/agent, adjuster or is otherwise affiliated with any entity that is regulated by the department must surrender their license and terminate any financial or non-financial affiliation with the entity that is regulated by the department. The selected applicant must pass a background check. Individual may be required to pursue NAIC designations as job duties require.
For benefits offered by the State of Oklahoma to employees of the state, please use this link to access the Office of Human Capital Management benefits page at **********************************************
EEO/AA
Equal Opportunity Employment
The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.
Field Claims Adjuster
Claims Representative job in Yukon, OK
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.
Adjusters Needed NOW for the Storm Season
Claims Representative job in Oklahoma City, OK
Are you Interested in becoming an Independent Claims Adjuster?
The storm season is in at an all-time HIGH this past year and it is predicted that the next 5 years to be as Active as this year was, that means TONS of work as ADJUSTERS, and Adjusters are needed “Everywhere” to help with the winter storm season. As a top firm that trains, licenses and staff's adjusters for the upcoming storm season. Insurance companies send Jet Adjusters claims and our Adjusters write estimates so the carrier can pay the claim. Adjusters make either 37.50 to 62.25/per hour or from $500 to $1000 per claim (Average). The average Adjuster can process 2-5 claims a day during storm season. Travel to the storm area, cash in and go home. A sixfigure income potential/year and up. Start working right away and make what you are worth this year while helping others put their lives back together!
Visit -******************************* - or call Charles or Mike for details. ************.
Must be 18 years and older, valid driver's license, and a good working vehicle, energetic with a positive attitude a must. Basic computer skills and strong customer service skills.
Total Loss Adjuster
Claims Representative job in Oklahoma City, OK
Job Description
Primary Purpose: Obtains all necessary information to evaluate auto total loss claims and expedite settlement. Essential Duties and Responsibilities include the following. Other duties may be assigned.
Confirm coverage for claims. Responsible for the accurate and efficient completion of all phases of an auto total loss claim; process from inception to settlement.
Investigate personally and/or in conjunction with Specialist/Manager on major losses and complex claims.
Obtain (via telephone, correspondence, or personal visit) appraisals, repair estimates, total loss evaluations form, market comparable, photos, NADA, etc., as required.
Analyze all accumulated data, reports, photos, etc. and evaluate total loss claims; determine coverage and extent of loss; prepare corresponding claims summaries.
Settle auto total loss claims within limits of authority; issue checks/ACH for claim payment, if required, obtain liability releases upon settlement, and close claim files.
Responsible for completion of tag tax and title, approving and extending rental vehicle usage; reporting vehicles to the insurance pool, posting salvage proceeds, and completing salvage transmittals.
Confer with the District Claims Manager regarding complex claims or when potential exposure exceeds settlement authority.
Periodically review all open claims files assigned to adjuster, obtain any necessary information, and adjust reserve amounts as needed.
Travel to county offices as needed. Travel as necessary with storm teams to assist with catastrophe losses as required.
Confirm coverage for claims and set reserves amounts; follow up on necessary information; and record diaries for schedules review of files; issue payment & correspondence as needed.
*Note: As a licensed Claims Adjuster, you may be required at the direction of the company to assist with and/or handle all lines of insurance claims within the assigned territory.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Analyze complex or diverse information; Collects and researches data; Uses facts and experience to complement data.
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
Interpersonal Skills - Maintains confidentiality; Keeps emotions under control.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
Business Acumen - Understands business implications of decisions; Displays orientation to profitability.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Organizational Support - Follows policies and procedures; Supports organization's goals and values.
Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Accepts responsibility for own actions.
Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Monitors own work to ensure quality.
Quantity - Meets productivity standards; Completes work in timely manner; Works quickly.
Safety and Security - Observes safety and security procedures.
Adaptability - Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events.
Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
Dependability - Follows instructions, responds to management direction; Commits to long hours of work when necessary to reach goals.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Bachelor's degree from a four-year college or university; or two to four years related experience and/or training; or equivalent combination of education and experience.
The worker is expected to participate in continuing education program(s) such as participation in the AIC or INS courses through home study and sitting for the national exams.
Skills and Knowledge
Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, and business correspondence. Ability to effectively present information and respond to common inquiries or complaints from groups of managers and supervisors, company departments, insureds, third parties, witnesses, doctors, attorneys, agents, county offices, and other insurance companies.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have knowledge of computers and computer systems.
Certificates, Licenses, Registrations
Valid Oklahoma driver's license or obtainment of valid Oklahoma driver's license is required. Satisfactory driving record is a condition of employment.
Obtainment of adjuster license is required.
Other Skills and Abilities
Must have investigative skills and a proven ability to work with people and solve problems.
Ability to manage stress due to high volumes of work, long hours, and dealing with discontented insureds and/or third parties.
Worker is expected to maintain regular attendance.
Other Qualifications
Work unscheduled hours and some travel.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to climb or balance and stoop, kneel, crouch, or crawl. The employee is occasionally required to taste or smell. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This is not a remote position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is frequently exposed to outside weather conditions. The employee is occasionally exposed to wet and/or humid conditions; moving mechanical parts; high, precarious places; fumes or airborne particles; extreme cold; extreme heat and risk of electrical shock. The noise level in the work environment is usually moderate.
Powered by JazzHR
ycf IItXpax
Gross Production Claims Specialist
Claims Representative job in Oklahoma City, OK
Job Posting Title
Gross Production Claims Specialist
Agency
695 OKLAHOMA TAX COMMISSION
Supervisory Organization
Gross Production
Job Posting End Date (Continuous if Blank)
Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.
Estimated Appointment End Date (Continuous if Blank)
Full/Part-Time
Full time
Job Type
Regular
Compensation
Gross Production Claims Specialist
Salary- $48,100.00
Why you'll love it here!
TRANSPARENCY. FAIRNESS. COMPLIANCE. The Oklahoma Tax Commission is committed to leading Oklahoma with unparalleled customer service. Our mission is to promote tax compliance through serving taxpayers with transparency and fairness in administration of the tax code and unparalleled customer service. Check out our About Us page to learn why we are passionate about tax compliance and believe it is the career for you!
There are perks to working for the OTC. We know that benefits matter, and that is why we offer a competitive benefits package for all eligible employees:
Generous state-paid benefit allowance to help cover insurance premiums.
A wide choice of insurance plans with no pre-existing condition exclusions or limitations.
Flexible spending accounts for health care expenses and/or dependent care.
A Retirement Savings Plan with a generous match.
15 days of paid vacation and 15 days of sick leave for full-time employees the first year.
11 paid holidays a year.
Paid Maternity leave for eligible employees.
Employee discounts with a variety of companies and venders.
A Longevity Bonus for years of service.
The Specialist supports the Business Tax Services Division by performing various routine audits, reviews, or investigations. This may include independent responsibility for conducting audits of various functions or activities, or serving as a member of an audit team in completing more complex audits or special investigations.
The Specialist is involved in conducting professional operational reviews, audits, or special investigations to determine compliance with laws and regulations, generally accepted accounting procedures, financial accountability standards or other requirements. This includes scheduling, planning and conducting required audits, reviewing required accounting records or other business documents, evaluating financial controls, identifying deficiencies, advising on compliance with established requirements or standards, and preparing audit reports and supporting documents.
DUTIES AND RESPONSIBILITIES
The functions performed by employees in this job family will vary by level, but may include the following:
Analyze taxpayer-provided data against gross production records to determine lease eligibility for economically-at-risk status.
Review taxpayer-submitted data in accordance with statutes and regulations to assess the eligibility of claimed costs for the marketing cost deduction on natural gas production.
Evaluate leases certified by the Oklahoma Corporation Commission for secondary, tertiary, and recycled water incentives to validate refund claims and establish credits to be issued.
Prepare memos and taxpayer correspondence that clearly convey procedures, laws, and regulations.
Provide professional assistance to taxpayers, legal representatives, and internal and external personnel via email, telephone, and in person.
Complete assigned work items efficiently to meet section production and accuracy standards.
Resolve both complex and routine business tax issues by utilizing appropriate resources and responding in a timely manner.
Plan, schedule, and conduct audits of businesses, agencies, schools, corporations, and other entities to ensure compliance with laws, regulations, generally accepted accounting principles, and financial accountability standards.
Review financial and business records to identify deficiencies and provide guidance on compliance with existing laws, policies, and standards.
Prepare audit reports and offer recommendations for policy or procedural improvements.
Conduct special investigations as assigned.
Other duties as assigned.
COMPLEXITY OF KNOWLEDGE, SKILLS, AND ABILITIES
Knowledge of:
Advanced knowledge of Excel, including pivot tables, VLOOKUP, macros, and data reconciliation.
Generally accepted accounting principles and practices.
Auditing theories and techniques.
Financial statements, ledgers, journals, and reports.
Analytical principles.
Modern office methods and procedures, including computer technology related to accounting systems.
Skills in:
Attention to detail
Interpersonal skills
Written & verbal communication
Active listening
Exceptional attention to detail
Ability to :
Review and analyze accounting records and business practices
Prepare audit reports and recommendations
Establish and maintain effective working relationships with others
Communicate effectively
MINIMUM QUALIFICATIONS
Education and Experience requirements at this level consist of:
A bachelor's degree in accounting, finance, business or public administration, or closely related field
Each year of relevant experience may be substituted for each year of required education.
PREFERRED QUALIFICATIONS
Preference may be given to candidates who have completed a CPA certification or have a background in business taxes.
PHYSICAL DEMANDS
Ability to sit and stand for extended periods of time. Exhibit manual dexterity and hand-eye coordination to operate a computer, keyboard, photocopier, telephone, calculator and other office equipment. Ability to see and read a computer screen and printed material with or without vision aids. Ability to hear and understand speech at normal levels, with or without aids. Ability to communicate clearly. Physical ability to lift up to 15 pounds, to bend, stoop, climb stairs, walk and reach. Duties are normally performed in an office environment with a moderate noise level.
SPECIAL REQUIREMENTS
Travel is not required.
Oklahoma Tax Commission's normal work hours are Monday through Friday, 7:30am to 4:30pm. This schedule may require minor flexibility based on the needs of the agency.
Telework may be required based on the needs of the agency, division, and section. If applicable, applicant must be willing and able to work BOTH on-site and telework at an off-site location, generally in the applicant's home. Applicant must have a secure internet connection and a dedicated telephone (landline) or smart phone device during scheduled working hours.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Equal Opportunity Employment
The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.
Medical Claims Technician I
Claims Representative job in Oklahoma City, OK
Researches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Researches denial of claims, evaluates and rebills as necessary in an effort to ensure the maximum accurate payment and reduce the number of A/R days
Communicates with Business Office or clinical staff regarding coverage and denials, if appropriate
Sustains aged A/R of less than 120 days
Maintains a high level of integrity and commitment to accurate claims processing
Performs other duties as required
QUALIFICATIONS
One year of experience with insurance billing and claims research preferred
High school or equivalent with emphasis on business related courses
Ten key, computer/data entry, spreadsheets, and word processing
Communication, analytical and problem solving skills
Ability to multi-task and meet deadlines
Detail oriented and organizational skills
Excellent verbal and written communication skills
Ability to work independently and collaboratively within a team environment
Commitment to the mission of Red Rock BHS
PHYSICAL REQUIREMENTS
Must have the ability to stand or sit for long periods of time
Must have the ability to lift, push, or pull a minimum of 25 pounds
Ability to travel approximately 10% of the time
Ability to use telephone, PC, fax machine, copy machine, and printer
HOW WE TAKE CARE OF YOU!
We pay a generous portion of your Health Insurance
Low-cost Dental and Vision Insurance
Retirement Plan with employer contributions equal to 5% of annual salary
Student Loan Repayment options
No cost Employee Assistance Plan
3 Weeks Paid Time-Off (increases annually between years 2-10)
9 Paid Holidays
1 Floating Holiday to use at your discretion.
4 Rest and Relaxation days
3 days of Education Leave
4 hours of Volunteer Leave
Eligible for Pay Increases and Bonuses annually
Employer Paid Long-Term Disability and Life Insurance
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.
Claims Administrator Reporting Analyst
Claims Representative job in Oklahoma City, OK
McLarens is a leading global claims services provider that helps clients achieve timely and equitable claims resolution.
McLarens family of brands' is trusted by clients worldwide to deliver the best in claims management, loss adjusting and auditing services to pre-risk and damage surveying. With direct operations in 200 countries with over 2000 team members, McLarens is a global leader with a customer-centric culture and quality is at the heart of McLarens.
The professionals at McLarens live by a set of shared values that guide their actions and behaviors:
EXCELLENCE - We aim for nothing less than the highest standards in everything we do.
TEAMWORK - We work best when we work together with clients, colleagues and suppliers alike.
RESPECT - We are trusted to keep our promises, act with integrity and treat people the right way.
KNOWLEDGE - We know our market better than anyone, but still we never stop developing.
THOUGHT LEADERSHIP - We use inspired thinking and pioneering solutions to stay ahead in an ever-changing market.
POSITION: Claims Administration Reporting Analyst
McLarens is looking for an experienced Claims Administration Reporting Analyst to be responsible for managing claims files, data entry, fund management and processing reports in our Oklahoma City office location (hybrid).
Under limited supervision, the Claims Administration Reporting Analyst will perform clerical and administrative duties following established procedures and will be required to directly support the Claims Administration program(s) at McLarens. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required to be successful in the role. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Essential Duties & Responsibilities:
Performs administrative tasks to include, but not limited to: bordereau reporting, fund management, word processing, data entry, managing claims files and records, processing reports, and designing forms. Likewise, performs automation of regularly used documents, develops templates, and sets up spreadsheets for refresh.
Helps generate and appropriately distribute accurate internal and external program reports (ie. all bordereau, KPI, trust account data)
Utilize business systems and database tools to define, extract, create queries as well as analyze and compile data to prepare various reports, charts or written summaries for management to support recommendations or validate results.
Participate in the maintenance and upkeep of standard reporting documentation.
Collaborate with business units to evaluate work processes and identify enhancements to system functions or processing to facilitate improved turn-around times and performance risk and controls.
Analyze and interpret a wide variety of complex data and information.
Receives new losses, establishes and maintains electronic claim files and/or paper files; to included, but not limited to: obtain coverage documents, establish diary, generate acknowledgment, and attach correspondence as applicable
Reviews claim FNOL for assignment to appropriate adjuster or office
Maintains loss run which involves data entry of approved check, recovery, and reserves transactions
Provide end of program Trust account reconciliations upon closure
Creates and maintains client data for initial client set up and database maintenance
Creates and maps data for client-specific reports
Provides loss run reports, no loss letters, and various other claim information as requested
Prepares and gathers all requested information for audits to include maintaining audit log, responses and follow ups
Coordinates/arrange gathering/transferring files to/from other offices for audits as well as securing conference rooms
Maintain all fraud and complaint logs
Practices quality control by inspecting data entry and reviewing reports for accuracy
Receives unmatched incoming mail / faxes, identifies, and forwards appropriately
Obtains W9 when necessary for establishing a new vendor
Provides ISO indexing function
Enters compliance checks as necessary; to include, but not limited to, OFAC, CSLN, CMS reporting
Creates “new matters” in Legal Exchange for invoice processing when applicable per carrier requirements (if necessary)
Prepares draft program manuals as requested and maintains approved manuals as current.
Responsible for month-end closing process in conjunction with Corporate Finance and Corporate Cash Ops for the reconciliation of Account Receivable and Trust Cash balances required for month-end reporting.
Provides customer service by phone, via email, and in-person
Participates in meetings or otherwise communicates information as it relates to areas of responsibility and performs related duties as requested by employer.
Qualifications
The employee should be analytical, detail-oriented, flexible, and decisive. He/she should be able to multi-task and cope with deadlines.
The employee should possess a working knowledge related to the Microsoft suite of products; specifically, Microsoft Excel.
Ability to work in a hybrid environment, commuting to the Oklahoma City Office Location
To perform this job successfully, the employee must possess strong communication and interpersonal skills so that effective working relationships can be developed and maintained.
The employee should be competent in utilizing office equipment; including, but not limited to: computer, fax machine, copy machine, scanning machine, etc. As well, good typing skills with proficiency in 10-Key is important to success in this position.
To perform this job successfully, the employee should possess a high degree of initiative and be able to work well both independently as well as within a team environment.
The employee should have the ability to work with mathematical concepts such as basic math, fractions, percentages, ratios, and proportions in practical situations. Command of the English language
High School Diploma or GED required
Two years' experience working in a professional office environment
Working knowledge of the insurance industry-specific to claims is considered a plus
Benefits:
This position includes a competitive salary, paid vacation, holidays, and full health benefits including medical, dental, life, disability and a 401(k) plan with company match.
Our Company is an equal employment opportunity employer. The Company's policy is not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, genetic information, religion, national origin, age, disability, veteran status, or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.
Outside Property Claim Representative - Oklahoma, OK & Tulsa, OK
Claims Representative job in Oklahoma City, OK
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
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
$65,300.00 - $107,600.00
Target Openings
1
What Is the Opportunity?
Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. 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 position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
LOCATION REQUIREMENT: This position services Insureds/Agents in and around Oklahoma, OK or Tulsa, OK. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.
What Will You Do?
* Handles 1st party property claims of moderate severity and complexity as assigned.
* Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
* Broad scale use of innovative technologies.
* Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate.
* Establishes timely and accurate claim and expense reserves.
* Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
* Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits.
* Writes denial letters, Reservation of Rights and other complex correspondence.
* Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
* Meets all quality standards and expectations in accordance with the Knowledge Guides.
* Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
* Manages file inventory to ensure timely resolution of cases.
* Handles files in compliance with state regulations, where applicable.
* Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
* Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
* Identifies and refers claims with Major Case Unit exposure to the manager.
* Performs administrative functions such as expense accounts, time off reporting, etc. as required.
* Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
* May provides mentoring and coaching to less experienced claim professionals.
* May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
* CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states.
* Must secure and maintain company credit card required.
* In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
* On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work.
* This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Bachelor's Degree preferred.
* General knowledge of estimating system Xactimate preferred.
* Two or more years of previous outside property claim handling experience preferred.
* Interpersonal and customer service skills - Advanced
* Organizational and time management skills- Advanced
* Ability to work independently - Intermediate
* Judgment, analytical and decision making skills - Intermediate
* Negotiation skills - Intermediate
* Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate
* Investigative skills - Intermediate
* Ability to analyze and determine coverage - Intermediate
* Analyze, and evaluate damages -Intermediate
* Resolve claims within settlement authority - Intermediate
* Valid passport preferred.
What is a Must Have?
* High School Diploma or GED required.
* A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required.
* Valid driver's license required.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
Contestable Claims Analyst
Claims Representative job in Oklahoma City, OK
The Contestable Analyst reviews all aspects of a contestable claim and determines how to process. High exposure to a multitude of life claims is a norm for this position; Analyst needs to be able to identify claim benefits in regards to the specific policy and operates on multiple claims systems. The Analyst has a checklist of items to review before the claim can progress for further processing. Some of these items include; performing a name search to see if the insured has additional coverage, reinstating a policy if it has already been removed from the system, requesting various types of letters, reviewing application date versus effective date of policy, reviewing Medical Information Bureau reports, requesting recordings of contact with insured, ordering medical records, and reviewing medical records. The Contestable Analyst also determines if certain policies should be investigated by external third parties (i.e., RSB). Once the Analyst makes a claim determination, they either proceed with paying the claim or rescind the claim. A Contestable Analyst is responsible for keeping a claim moving through the processing procedures. Contestable Analyst is in contact with agents, funeral homes, coroners, medical providers, and police departments to gather and confirm information in regards to the claim.
Investigates all contestable life claims and processes in accordance with policy provisions and Company procedures.
Processes claims on a multiple claims system.
Contacts outside 3rd parties and obtains additional claim information needed. Third parties consist of agents, beneficiaries, funeral homes, coroners, medical providers and police departments.
Updates system notes with claim progress.
Orders and reviews medical information.
Responsible for claim movement and progression.
Maintains production data and must meet the production quota set by the department.
Other duties; as assigned by the supervisor.
Required Skills:
Must be PC/Windows literate and posses a working knowledge of MS Office (Outlook, Excel and Word).
Strong communication skills.
Detail oriented.
Ability to work in a fast paced environment.
Problem solving skills.
Physical Requirements; While performing the duties of the job, the employee is regularly required to sit for extended lengths of time. The employee is frequently required to reach with hands and arms, occasionally required to stand and walk, occasionally lift and or move up to 25 lbs.
Qualifications
Must be PC/Windows literate and posses a working knowledge of MS Office (Outlook, Excel and Word).
Strong communication skills.
Detail oriented.
Ability to work in a fast paced environment.
Problem solving skills.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Field Claims Adjuster
Claims Representative job in Edmond, OK
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.
OCR-APD Adjuster
Claims Representative job in Oklahoma City, OK
Job Description
Status: Full-time Benefits: Paid vacation and sick leave, Medical, dental, vision, and group life Insurance, 401K with company match, EAP, on-staff Doctor, and more. Reports To: OCR Manager Salary: $50,000.00 per year
Summary Investigates insurance claims; obtains all necessary information to evaluate claims and expedite settlement
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Investigate insurance claims within limits of authority; responsible for the accurate and efficient completion of all phases of claims processing from inception to settlement.
Obtain loss reports, police reports, appraisals, repair estimates, etc. via telephone, or correspondence as required.
Confirms coverage for new claims and set reserve amounts; following up on necessary information and recording diaries for scheduled review of files.
Analyze all accumulated data, reports, photos, etc. and evaluate claims; determine coverage and extent of loss/liability; prepare corresponding claims summaries.
Settle claims within limits of authority; issue drafts/checks for claim payment. Upon settlement, close claim files.
Confer with OCR Claims Manager regarding complex claims or when potential exposure exceeds settlement authority.
Periodically review all open claims files; obtain any necessary information and adjusting reserve amounts as needed.
May assist with any catastrophe losses as required.
Competencies
To preform the job successfully, an individual should demonstrate the following competencies:
Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance Meets commitments
Interpersonal Skills - Maintains confidentiality; Keeps emotions under control
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and obtains clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Reads and interprets written information
Business Acumen - Understands business implications of decisions; Displays orientation to profitability.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works ethically and with integrity; Upholds organizational values
Organizational Support - Follows policies and procedures; Supports organization’s goals and values
Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions
Planning/Organization - Prioritizes and plans work activities; Uses time efficiently
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Accepts responsibility for own actions
Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Monitors own work to ensure quality
Quantity - Meets productivity standards; Completes work in timely manner; Works quickly
Safety and Security - Observes safety and security procedures
Adaptability - Adapts to changes in the work environment; Deals with frequent changes, delays, or unexpected events
Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time
Dependability- Follows instructions, responds to management direction; Commits to long hours of work when necessary to reach goals
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Bachelor's degree (B. A.) from four-year College or University; and/or 2-4 years related experience and/or training; or equivalent combination of education and experience.
Worker is expected to participate in continuing education programs.
Skills and Knowledge
Language Skills-
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations, insurance policies and contracts; Ability to write reports and business correspondence; Ability to effectively present information and respond to common inquiries or complaints from groups including but not limited to managers and supervisors, company departments, insureds, third parties, witnesses, agents, county offices and other insurance companies.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals; Ability to compute rate, ratio and percent and to draw and interpret bar graphs
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists; Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have knowledge of computers and computer systems
Certificates, Licenses, Registrations
Valid Oklahoma driver’s license or obtainment of valid Oklahoma driver’s license; Satisfactory driving record is a condition of employment; Current Oklahoma adjuster license or obtainment of valid Oklahoma adjuster’s license is required.
Preferred Skills, Abilities, and Proficiencies
Must have investigative skills and a proven ability to work with people and solve problems; Ability to manage stress due to high volumes of work, long hours, and dealing with discontented insureds and/or third parties; Employee is expected to maintain regular attendance.
Other Qualifications
Work unscheduled hours and some travel
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle or feel; reach with hands and arms and talk or hear.
The employee is frequently required to climb or balance and stoop, kneel, crouch or crawl. The employee is occasionally required to taste or smell.
The employee must regularly lift and/or move their assigned equipment of a minimum of 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is frequently exposed to outside weather conditions. The employee is occasionally exposed to wet and/or humid conditions; moving mechanical parts; high, precarious places; fumes and airborne particles; extreme cold; extreme heat and risk of electrical shock.
The noise level in the work environment is usually moderate
Work Location: In person
Oklahoma Farm Bureau & Affiliated Companies does not discriminate on the basis of race, color, religion, national origin, sex, age or disability. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.
Powered by JazzHR
hl0OvcGDQK
Gross Production Claims Specialist
Claims Representative job in Oklahoma City, OK
Job Posting Title Gross Production Claims Specialist Agency 695 OKLAHOMA TAX COMMISSION Supervisory Organization Gross Production Job Posting End Date (Continuous if Blank) Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.
Estimated Appointment End Date (Continuous if Blank)
Full/Part-Time
Full time
Job Type
Regular
Compensation
Gross Production Claims Specialist
Salary- $48,100.00
Why you'll love it here!
TRANSPARENCY. FAIRNESS. COMPLIANCE. The Oklahoma Tax Commission is committed to leading Oklahoma with unparalleled customer service. Our mission is to promote tax compliance through serving taxpayers with transparency and fairness in administration of the tax code and unparalleled customer service. Check out our About Us page to learn why we are passionate about tax compliance and believe it is the career for you!
There are perks to working for the OTC. We know that benefits matter, and that is why we offer a competitive benefits package for all eligible employees:
* Generous state-paid benefit allowance to help cover insurance premiums.
* A wide choice of insurance plans with no pre-existing condition exclusions or limitations.
* Flexible spending accounts for health care expenses and/or dependent care.
* A Retirement Savings Plan with a generous match.
* 15 days of paid vacation and 15 days of sick leave for full-time employees the first year.
* 11 paid holidays a year.
* Paid Maternity leave for eligible employees.
* Employee discounts with a variety of companies and venders.
* A Longevity Bonus for years of service.
The Specialist supports the Business Tax Services Division by performing various routine audits, reviews, or investigations. This may include independent responsibility for conducting audits of various functions or activities, or serving as a member of an audit team in completing more complex audits or special investigations.
The Specialist is involved in conducting professional operational reviews, audits, or special investigations to determine compliance with laws and regulations, generally accepted accounting procedures, financial accountability standards or other requirements. This includes scheduling, planning and conducting required audits, reviewing required accounting records or other business documents, evaluating financial controls, identifying deficiencies, advising on compliance with established requirements or standards, and preparing audit reports and supporting documents.
DUTIES AND RESPONSIBILITIES
The functions performed by employees in this job family will vary by level, but may include the following:
* Analyze taxpayer-provided data against gross production records to determine lease eligibility for economically-at-risk status.
* Review taxpayer-submitted data in accordance with statutes and regulations to assess the eligibility of claimed costs for the marketing cost deduction on natural gas production.
* Evaluate leases certified by the Oklahoma Corporation Commission for secondary, tertiary, and recycled water incentives to validate refund claims and establish credits to be issued.
* Prepare memos and taxpayer correspondence that clearly convey procedures, laws, and regulations.
* Provide professional assistance to taxpayers, legal representatives, and internal and external personnel via email, telephone, and in person.
* Complete assigned work items efficiently to meet section production and accuracy standards.
* Resolve both complex and routine business tax issues by utilizing appropriate resources and responding in a timely manner.
* Plan, schedule, and conduct audits of businesses, agencies, schools, corporations, and other entities to ensure compliance with laws, regulations, generally accepted accounting principles, and financial accountability standards.
* Review financial and business records to identify deficiencies and provide guidance on compliance with existing laws, policies, and standards.
* Prepare audit reports and offer recommendations for policy or procedural improvements.
* Conduct special investigations as assigned.
* Other duties as assigned.
COMPLEXITY OF KNOWLEDGE, SKILLS, AND ABILITIES
Knowledge of:
* Advanced knowledge of Excel, including pivot tables, VLOOKUP, macros, and data reconciliation.
* Generally accepted accounting principles and practices.
* Auditing theories and techniques.
* Financial statements, ledgers, journals, and reports.
* Analytical principles.
* Modern office methods and procedures, including computer technology related to accounting systems.
Skills in:
* Attention to detail
* Interpersonal skills
* Written & verbal communication
* Active listening
* Exceptional attention to detail
Ability to :
* Review and analyze accounting records and business practices
* Prepare audit reports and recommendations
* Establish and maintain effective working relationships with others
* Communicate effectively
MINIMUM QUALIFICATIONS
Education and Experience requirements at this level consist of:
* A bachelor's degree in accounting, finance, business or public administration, or closely related field
* Each year of relevant experience may be substituted for each year of required education.
PREFERRED QUALIFICATIONS
Preference may be given to candidates who have completed a CPA certification or have a background in business taxes.
PHYSICAL DEMANDS
Ability to sit and stand for extended periods of time. Exhibit manual dexterity and hand-eye coordination to operate a computer, keyboard, photocopier, telephone, calculator and other office equipment. Ability to see and read a computer screen and printed material with or without vision aids. Ability to hear and understand speech at normal levels, with or without aids. Ability to communicate clearly. Physical ability to lift up to 15 pounds, to bend, stoop, climb stairs, walk and reach. Duties are normally performed in an office environment with a moderate noise level.
SPECIAL REQUIREMENTS
Travel is not required.
Oklahoma Tax Commission's normal work hours are Monday through Friday, 7:30am to 4:30pm. This schedule may require minor flexibility based on the needs of the agency.
Telework may be required based on the needs of the agency, division, and section. If applicable, applicant must be willing and able to work BOTH on-site and telework at an off-site location, generally in the applicant's home. Applicant must have a secure internet connection and a dedicated telephone (landline) or smart phone device during scheduled working hours.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Equal Opportunity Employment
The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.
Medical Claims Technician I
Claims Representative job in Oklahoma City, OK
Job Description
Researches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Researches denial of claims, evaluates and rebills as necessary in an effort to ensure the maximum accurate payment and reduce the number of A/R days
Communicates with Business Office or clinical staff regarding coverage and denials, if appropriate
Sustains aged A/R of less than 120 days
Maintains a high level of integrity and commitment to accurate claims processing
Performs other duties as required
QUALIFICATIONS
One year of experience with insurance billing and claims research preferred
High school or equivalent with emphasis on business related courses
Ten key, computer/data entry, spreadsheets, and word processing
Communication, analytical and problem solving skills
Ability to multi-task and meet deadlines
Detail oriented and organizational skills
Excellent verbal and written communication skills
Ability to work independently and collaboratively within a team environment
Commitment to the mission of Red Rock BHS
PHYSICAL REQUIREMENTS
Must have the ability to stand or sit for long periods of time
Must have the ability to lift, push, or pull a minimum of 25 pounds
Ability to travel approximately 10% of the time
Ability to use telephone, PC, fax machine, copy machine, and printer
HOW WE TAKE CARE OF YOU!
We pay a generous portion of your Health Insurance
Low-cost Dental and Vision Insurance
Retirement Plan with employer contributions equal to 5% of annual salary
Student Loan Repayment options
No cost Employee Assistance Plan
3 Weeks Paid Time-Off (increases annually between years 2-10)
9 Paid Holidays
1 Floating Holiday to use at your discretion.
4 Rest and Relaxation days
3 days of Education Leave
4 hours of Volunteer Leave
Eligible for Pay Increases and Bonuses annually
Employer Paid Long-Term Disability and Life Insurance
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.
OCR-APD Adjuster
Claims Representative job in Oklahoma City, OK
Status: Full-time Benefits: Paid vacation and sick leave, Medical, dental, vision, and group life Insurance, 401K with company match, EAP, on-staff Doctor, and more. Reports To: OCR Manager Salary: $50,000.00 per year
Summary Investigates insurance claims; obtains all necessary information to evaluate claims and expedite settlement
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Investigate insurance claims within limits of authority; responsible for the accurate and efficient completion of all phases of claims processing from inception to settlement.
Obtain loss reports, police reports, appraisals, repair estimates, etc. via telephone, or correspondence as required.
Confirms coverage for new claims and set reserve amounts; following up on necessary information and recording diaries for scheduled review of files.
Analyze all accumulated data, reports, photos, etc. and evaluate claims; determine coverage and extent of loss/liability; prepare corresponding claims summaries.
Settle claims within limits of authority; issue drafts/checks for claim payment. Upon settlement, close claim files.
Confer with OCR Claims Manager regarding complex claims or when potential exposure exceeds settlement authority.
Periodically review all open claims files; obtain any necessary information and adjusting reserve amounts as needed.
May assist with any catastrophe losses as required.
Competencies
To preform the job successfully, an individual should demonstrate the following competencies:
Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance Meets commitments
Interpersonal Skills - Maintains confidentiality; Keeps emotions under control
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and obtains clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Reads and interprets written information
Business Acumen - Understands business implications of decisions; Displays orientation to profitability.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works ethically and with integrity; Upholds organizational values
Organizational Support