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Claims Representative - Edina, MN
Federated Mutual Insurance Company 4.2
Claims representative job in Edina, MN
Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Edina, MN office, located at 7700 France Avenue South. A work from home option is not available.
Responsibilities
* Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
* Explain policy coverage to policyholders and third parties.
* Complete thorough investigations and document facts relating to claims.
* Determine the value of damaged items or accurately pay medical and wage loss benefits.
* Negotiate settlements with policyholders and third parties.
* Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
* Current pursuing, or have obtained a four-year degree
* Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
* Ability to make confident decisions based on available information
* Strong analytical, computer, and time management skills
* Excellent written and verbal communication skills
* Leadership experience is a plus
Salary Range: $63,800 - $78,000
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
$63.8k-78k yearly Auto-Apply 14d ago
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Workers Compensation Senior Claim Representative
Travelers Insurance Company 4.4
Claims representative job in Saint Paul, MN
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$70,400.00 - $116,200.00
**Target Openings**
1
**What Is the Opportunity?**
Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery. The Injured worker is working modified duty and receiving ongoing medical treatment. The injured worker has returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. Independently handles all assigned claims up to and including most complex where injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and job is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered.
**What Will You Do?**
+ Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability.
+ Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions.
+ Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment in collaboration with internal nurse resources where appropriate.
+ Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation).
+ Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome
+ Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy.
+ Prepare necessary letters and state filings within statutory limits. Pursue all offset opportunities, including apportionment, contribution and subrogation.
+ Evaluate claims for potential fraud. Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment.
+ Proactively manage moderate to complex litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations.
+ Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. Apply deep technical expertise to assist in the resolution of highly complex claims. Mentor other Claim Professionals
+ Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written. Keep injured worker apprised of claim status
+ Act as technical resource to others.
+ Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written. Keep injured worker apprised of claim status. Act as technical resource to others. Engage specialty resources as needed.
+ Performs other assigned duties which may include: Applies deep technical/subject matter expertise to assist in the resolution of complex claims. Acts as an independent mentor to other Claim Professionals. May be dedicated to and apply skills necessary to manage special account relationships (sensitive or complex). May primarily manage a specialized inventory of Workers' Compensation claims.
+ Acts as an independent mentor to other Claim Professionals Applies deep technical/subject matter expertise to assist in the resolution of complex claims
+ Acts as an independent mentor to other Claim Professionals
+ 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.
+ Maintain Continuing Education requirements as required.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Education/Course of Study: Work Experience:
+ Analytical Thinking:
+ Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.
+ Communication:
+ Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology.
+ Ability to effectively present file resolution to internal and/or external stakeholders.
+ Negotiation:
+ Advanced evaluation, negotiation and case resolution skills.
+ Ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.
+ General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract.
+ Principles of Investigation: Intermediate investigative skills including the ability to take statements.
+ Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss.
+ Value Determination: Advanced ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
+ Settlement Techniques:
+ Advanced ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package.
+ Legal Knowledge:
+ Thorough knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
+ Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
+ WC Technical:
+ Advanced ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims.
+ Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state.
+ Advanced knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
+ Customer Service:
+ Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes.
+ Teamwork:
+ Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result.
+ Planning & Organizing:
+ Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals.
**What is a Must Have?**
+ High school diploma or equivalent.
+ 2 years Workers Compensation claim handling experience.
**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 ******************************************************** .
$70.4k-116.2k yearly 6d ago
Daily Claims Adjuster-Minneapolis MN
Cenco Claims 3.8
Claims representative job in Minneapolis, MN
CENCO partners with top insurance carriers to provide efficient and accurate claims handling across the Midwest. We are looking for Daily Property Claims Adjusters to assess residential and commercial property damage caused by severe storms, hail, tornadoes, flooding, and other spring weather events.
Your Role:
- Inspect residential and commercial properties to assess damage from hail, windstorms, tornadoes.
- Document findings with detailed reports, high-quality photos, and policy coverage analysis.
- Prepare and submit estimates using Xactimate or Symbility.
- Maintain professional communication with policyholders, contractors, and insurance carriers.
- Manage multiple claims efficiently and meet carrier deadlines.
What You Need:
- Active adjuster license in applicable Midwest states.
- Experience with Xactimate or Symbility for preparing estimates.
- Reliable equipment, including a vehicle, ladder, laptop, and standard adjusting tools.
- Strong organizational skills and the ability to work independently.
- Flexibility to take on assignments quickly and efficiently.
Why Work with CENCO?
- Consistent claim volume in a high-demand region.
- Competitive pay with timely processing of completed claims.
- A supportive team and streamlined workflow to help you succeed.
If you're looking for steady, daily claims work in the Minneapolis region, apply now to join CENCO's trusted team!
$45k-54k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Saint Paul, MN
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
RCM Representative Senior, Third-Party Claims-HB&PB (251131) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County. Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization. SUMMARY:We are currently seeking a RCM Representative Senior to join our Third-Party Claims-HB&PB team. This full-time role will primarily work remotely (Days, M- F). Purpose of this position: Working under general supervision, provides revenue cycle services to incoming and existing patients and their families either in person or by telephone. Is responsible for gathering patient information needed to provide services such as following up on complex claim issues, financial clearance, customer service, or admission. Works will be assigned via a work queue in the electronic health record system Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, WisconsiRESPONSIBILITIES:Gathers information from patients, clients/family members, HCMC clinical areas, government agencies, employers, third party payors, and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility, and/or to identify sources of payment for services Requests, inputs, verifies, and modifies patient's demographic, primary care provider, and payor information Utilizes tools, including computer programs, when indicated Makes appropriate referrals (i.e. Patient Financial Care Specialists, Collections Specialists) as appropriate Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.Answers questions (by phone and in-person) and provides quotes for services (including discounts), identifies financial resources, etc. in accordance with HCMC policies and procedures Utilizes various databases and specialized computer software for financial care activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.Establishes plans (patient liabilities, payment, etc.) and conducts follow up activities related to those plans Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies Works with Claims and Collections (both internally and with collection agencies) in order to assist patients and their families with billing and payment activities in order to increase cash flow Other duties as assigned QUALIFICATIONS:Minimum Qualifications:
2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc.
Bilingual strongly preferred, required in some positions
-OR-
An approved equivalent combination of education and experience
Preferred Qualifications:
Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
Excellent verbal and written communication and interpersonal skills
Ability to work independently with minimal supervision, within a team setting and be supportive of team members
Proficient with Microsoft Office
Ability to analyze issues and make judgments about appropriate steps toward solutions
CRCR (Credentialed Revenue Cycle Representative) preferred
Knowledge/ Skills/ Abilities:
Knowledge of patient billing claims process
Ability to communicate with patients and families under sometimes stressful circumstances
Strong telephone communication skills
Experience with electronic health record or similar software program
Knowledge of payor programs
Knowledge of applicable federal and state regulations
You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer. Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements. Total Rewards Package:We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).For a complete list of our benefits, please visit our career site on why you should work for us. Department: Third-Party Claims-HB&PBPrimary Location: MN-Minneapolis-Downtown CampusStandard Hours/FTE Status: FTE = 1.00 (80 hours per pay period) Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: UnionMin:$22.18Max: $28.37 Job Posting: Oct-10-2025
$40k-61k yearly est. Auto-Apply 11h ago
Independent Insurance Claims Adjuster in Saint Paul, Minnesota
Milehigh Adjusters Houston
Claims representative job in Saint Paul, MN
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$44k-53k yearly est. Auto-Apply 60d+ ago
Claims Adjuster
Allegro Home Delivery
Claims representative job in Eagan, MN
Allegro Home Delivery is a nationwide third-party logistics company specializing in the final mile delivery and installation of big and bulky items including furniture and appliances. We partner with major retail clients to provide comprehensive delivery solutions ranging from standard delivery to white-glove installation services.
Position Summary
The Claims Adjuster will manage all aspects of damage and loss claims for our final mile delivery and installation operations. This role requires a detail-oriented professional who can investigate claims, determine liability, negotiate settlements, and work cross-functionally to reduce future claim occurrences. The ideal candidate will balance customer satisfaction with cost control while maintaining strong relationships with retail partners and delivery teams.
Key Responsibilities
Claims/Licensure Management
Review, investigate, and adjudicate damage and loss claims from customers, retail partners, and delivery teams
Evaluate claim validity by analyzing delivery documentation, photos, customer statements, and driver reports
Determine liability and appropriate settlement amounts based on contract terms and claim circumstances
Process approved claims efficiently while maintaining accurate documentation in company systems
Manage claim communications with customers, retail partners, insurance carriers, and internal teams
Track claims from initial report through final resolution and payment
Oversee the full lifecycle of state, federal, and trade licenses required for company operations
Verify that employees and contractors hold required trade licenses for assigned work
Coordinate with regulatory agencies to submit applications, updates, and renewals
Monitor changing state and federal regulations to ensure ongoing compliance
Maintain accurate records of all regulatory licenses and ensure timely renewal
Provide leadership with regular reports on licensure status, risks, and upcoming deadlines
Analysis & Investigation
Conduct thorough investigations of high-value or complex claims
Identify patterns in damage types, locations, or delivery partners to inform operational improvements
Analyze root causes of damages occurring during delivery, unpacking, assembly, or installation
Coordinate with delivery partners and installation teams to gather evidence and statements
Review driver training and handling procedures when patterns emerge
Financial Management
Negotiate settlements within established authority limits
Manage claims budget and track expenses against targets
Prepare regular reports on claim volumes, costs, and trends by client, region, and service type
Identify opportunities for cost savings through process improvements or training
Work with finance team on proper accounting and reserve management
Process Improvement
Collaborate with operations teams to implement claim prevention strategies
Recommend changes to packaging, handling procedures, or installation protocols
Develop and update claims handling procedures and documentation requirements
Create training materials for delivery partners on proper damage reporting
Support implementation of quality control measures to reduce claim frequency
Partner & Customer Relations
Maintain professional communication with retail partners regarding their customer claims
Manage expectations and provide timely updates throughout the claims process
Handle escalated customer situations with empathy and problem-solving
Build collaborative relationships with delivery partner teams
Represent the company professionally in all claim-related interactions
Required Qualifications
Education & Experience
Bachelor's degree in Business, Risk Management, or related field, or equivalent experience
3+ years of claims adjusting experience, preferably in logistics, transportation, or retail
Experience with final mile delivery, furniture, appliances, or high-value goods preferred
Knowledge of liability determination and insurance principles
Technical Skills
Proficient in claims management software and Microsoft Office Suite, Mercury Gate
Experience with photo documentation and digital evidence review
Strong data analysis skills with ability to create meaningful reports
Comfortable learning new technology systems and tools
Experience with Salesforce or similar CRM systems preferred
Core Competencies
Excellent investigative and analytical skills
Strong negotiation abilities with balanced approach to settlements
Detail-oriented with exceptional organizational skills
Effective written and verbal communication
Ability to make sound decisions under pressure
Customer service mindset with professional demeanor
Understanding of logistics operations and supply chain
Key Performance Indicators
Average claim resolution time
Claim settlement accuracy rate
Cost per claim and total claims expense management
Customer and partner satisfaction scores
Claim volume trends and reduction initiatives
Documentation quality and compliance rates
Physical Requirements & Working Conditions
Office environment with standard computer workstation setup
Occasional travel to distribution centers or client locations may be required
Ability to review and analyze photographic evidence of damaged goods
Standard business hours with occasional flexibility needed for urgent escalations
May require occasional weekend or evening work during peak seasons
Compensation & Benefits
Competitive salary commensurate with experience
Comprehensive health, dental, and vision insurance
401(k) retirement plan with company match
Paid time off and holidays
Professional development opportunities
About Allegro Home Delivery:
We are a fast-growing nationwide logistics and transportation company with a focus in the middle and final mile home delivery market. Our methodology is taking ownership of the product from origination until it is in the customer's home. Retailers, distributors, and manufacturers rely on us to orchestrate the fastest deliveries, with the most comprehensive in-home experience.
AllegroHome Delivery provides equal employment opportunities to all employees andapplicants for employment and prohibits discrimination and harassment of anytype without regard to race, color, religion, age, sex, national origin,disability status, genetics, protected veteran status, sexual orientation,gender identity or expression, or any other characteristic protected byfederal, state or local laws.
Thispolicy applies to all terms and conditions of employment, including recruiting,hiring, placement, promotion, termination, layoff, recall, transfer, leaves ofabsence, compensation and training.
$44k-53k yearly est. 22d ago
Complex Claims Specialist
Lockton 4.5
Claims representative job in Minneapolis, MN
Lockton is currently seeking a Clinical Claims Specialist within our Specialty Practice unit. The objective of this role is to improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client's employee health plan.
* Provide explanation of disease states and associated costs to internal and external stakeholders.
* Provide cost-of-care estimates used in the risk assessment of stop loss underwriting.
* Consult with and advise underwriting on medical/clinical care approaches, standards of care and research of data for new business and renewals.
* Serve as a resource regarding medical necessity issues, standards of care and analysis for the reimbursement of submitted stop loss claims.
* Review claims and clinical documents to identify and monitor opportunities to increase member quality of care and overall cost reduction.
* Collaborate with various key stake holders to strategize clinical and cost savings strategies and assist on execution of plan.
* Coordinate implementation of claims savings solutions with Lockton Client Service Teams, TPAs, and stop loss carriers including regular tracking to measure savings and plan performance.
* Manage and organize task lists and open items and cases.
* Attend team clinical rounds to discuss cases and strategy solutions.
$41k-50k yearly est. 15d ago
Commercial Lines Claims Specialist
AAA Mid-Atlantic
Claims representative job in Lexington, MN
* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays
We are looking for someone who will
* Manage the claims reporting process for agency clients.
* Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
* Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information.
* Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed.
* Prepare reports by collecting and summarizing information as requested by management.
Why Join AAA Club Alliance and the Energy Insurance team?
* A base rate of $20.00 to $25.00/hour, depending on experience and geographic location.
* Annual bonus potential
Do you have what it takes?
* Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc.
* Strong communication skills (both verbal and written) and attention to detail
* Strong time management skills
* Ability to obtain property and casualty license within 60 days of hire
Full time Associates are offered a comprehensive benefits package that includes:
* Medical, Dental, and Vision plan options
* Up to 2 weeks Paid parental leave
* 401k plan with company match up to 7%
* 2+ weeks of PTO within your first year
* Paid company holidays
* Company provided volunteer opportunities + 1 volunteer day per year
* Free AAA Membership
* Continual learning reimbursement up to $5,250 per year
* And MORE! Check out our Benefits Page for more information
ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance.
Job Category:
Insurance
$20-25 hourly Auto-Apply 60d+ ago
Field Property Claims Adjuster
Liberty Mutual 4.5
Claims representative job in Minneapolis, MN
Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner's property. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
The Field Property Claims Adjuster will be traveling locally to insured homes within Minneapolis, MN (55113) and surrounding areas. To be successful within the role, candidates should live within or near this area.
Sign-On Bonus Available! We're offering a sign-on bonus for experienced and actively licensed new hires.
What you'll do
Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage.
Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure.
Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk.
Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services.
May be called upon for catastrophe duty.
Position details
Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience.
Training & support: To set you up for success, you'll participate in a comprehensive 5-month training program, which includes:
Primarily virtual and on-the-job learning.
Two short in-person training sessions (Weeks 4 and 7) at our Lewisville, TX office.
Limited overnight travel for training and team meetings (typically less than 10%).
Mileage Reimbursement: This role offers mileage reimbursement. You may qualify for a company-provided vehicle once mileage requirements are met. Additional details will be provided if you advance in the selection process.
Qualifications
Working knowledge of claims handling procedures and operations.
Proven ability to provide exceptional customer service.
Effective negotiation skills.
Ability to effectively and independently manage workload while exhibiting good judgment.
Strong written/oral communication and interpersonal skills.
Computer skills with the ability to work with multi-faceted systems.
The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience.
Ability to obtain proper licensing as required.
The ability to handle multiple competing priorities and organize your day.
Strong time management and organizational skills.
Demonstrated understanding of building construction principles.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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$52k-62k yearly est. Auto-Apply 3d ago
Claims Specialist
Bell Bank 4.2
Claims representative job in Bloomington, MN
The Claims Specialist position will manage the intake, review, processing, and oversight of multi-line insurance claims. This position provides consulting and advocacy on behalf of our clients throughout the process of a claim and the duration of the loss event. This position will play a vital role in our agency supporting fair and timely claims resolution for our clients.
Responsibilities
Serve as the primary liaison between the client and the insurance carrier during the claims process.
Maintain clear, timely, and professional communication with all stakeholders (clients, carriers, internal teams, legal counsel).
Document all claim activity, communications, and outcomes accurately in the agency's management system.
Adhere to all regulatory, ethical, and internal best practice standards.
Protect operations by keeping claims information confidential.
Receive initial claim information from clients and ensure timely and accurate reporting to the appropriate insurance carrier.
Input new claim data into the claims system, verify information, and maintain high data integrity.
Manage correspondence, create claim files, process documentation, and assist the rest of the team with requests as needed.
Prepare loss runs requests, basic claim status reports, and assist with reporting requirements.
Field general client or carrier inquiries and route complex coverage or resolution issues to experienced colleagues.
Participate in training and mentorship opportunities to develop foundational insurance knowledge, including policy language and industry standards.
Bell Bank Culture, Policy and Accountability Standards:
Know by name and face as many customers and employees as possible, calling them by name as often as possible.
Know and practice LOCBUTN, our Golden Rules, and Bell Bank Customer Service Standards.
Know, understand, and live the company values and bottom line.
Conduct activities consistent with established Bell Bank policies, procedures and systems, the Bell Bank Employee Conduct policies, the Bank Secrecy Act and all applicable state and federal laws and regulations.
All employees are responsible for information security, including compliance with policies and standards which protect sensitive information.
Prompt and reliable attendance.
Perform other duties as assigned.
Education, Experience, and Other Expectations
Bachelor's degree in business administration or related field.
1-2 years of experience handling multi-line claims.
Associate in Claims (AIC) or other related designations is an advantage.
Skills and Knowledge
Extensive knowledge of insurance-related policies and legislation.
Proficient in analytical math.
Excellent conflict resolution and organization skills.
Strong written and oral communication skills.
Accuracy in claim processing and documentation.
A growth mindset and ability to work independently but as part of a team environment.
$28k-37k yearly est. 22h ago
Claims Examiner - Liability
Imagine Staffing Technology 4.1
Claims representative job in Eden Prairie, MN
Job DescriptionJob Title: Claims Examiner - LiabilityLocation: Eden Prairie, MinnesotaHire Type: ContingentPay Range: $30.50/hour Work Type: Full-time Work Model: Remote (cannot live in CA or NY) Work Schedule: Monday - Friday, 8am - 4:30pm (Preferred to work CST standard) Recruiter Contact: Natalie Dunn, natalie@marykraft.com Sean Craft, sean@marykraft.com Nature & Scope:Positional OverviewThe Imagine Group is recruiting for a Claims Examiner - Liability on behalf of our client, a leading global provider of technology-enabled risk, benefits, and integrated business solutions, delivering claims management, loss control, and employee benefits administration services across a wide range of industries in Eden Prairie, Minnesota. Known for its client-focused approach and data-driven insights, the organization helps businesses navigate complex challenges while improving outcomes for employees and customers alike.In this role, you will be responsible for investigating, evaluating, and managing liability claims from initial intake through resolution, ensuring timely and accurate outcomes. You will analyze coverage, determine liability exposure, negotiate settlements, and maintain compliance with applicable laws, regulations, and best practices while delivering high-quality service to all stakeholders.Role & Responsibility:Tasks That Will Lead to Your Success
Analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Assesses liability and resolves claims within evaluation.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
Prepare necessary state filings within statutory limits.
Manages the litigation process; ensures timely and cost-effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management
Performs other duties as assigned.
Supports the organization's quality program(s).
Travel as required.
Skills & ExperienceQualifications That Will Help You Thrive
Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.
Experience 2-4 years of claims management experience or equivalent combination of education and experience required.
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Good interpersonal skills.
Excellent negotiation skills.
Ability to work in a team environment.
Ability to meet or exceed Service Expectations.
RCM Representative Senior, Third-Party Claims-HB&PB (251131) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County. Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization. SUMMARY:We are currently seeking a RCM Representative Senior to join our Third-Party Claims-HB&PB team. This full-time role will primarily work remotely (Days, M- F). Purpose of this position: Working under general supervision, provides revenue cycle services to incoming and existing patients and their families either in person or by telephone. Is responsible for gathering patient information needed to provide services such as following up on complex claim issues, financial clearance, customer service, or admission. Works will be assigned via a work queue in the electronic health record system Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, WisconsiRESPONSIBILITIES:Gathers information from patients, clients/family members, HCMC clinical areas, government agencies, employers, third party payors, and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility, and/or to identify sources of payment for services Requests, inputs, verifies, and modifies patient's demographic, primary care provider, and payor information Utilizes tools, including computer programs, when indicated Makes appropriate referrals (i.e. Patient Financial Care Specialists, Collections Specialists) as appropriate Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.Answers questions (by phone and in-person) and provides quotes for services (including discounts), identifies financial resources, etc. in accordance with HCMC policies and procedures Utilizes various databases and specialized computer software for financial care activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.Establishes plans (patient liabilities, payment, etc.) and conducts follow up activities related to those plans Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies Works with Claims and Collections (both internally and with collection agencies) in order to assist patients and their families with billing and payment activities in order to increase cash flow Other duties as assigned QUALIFICATIONS:Minimum Qualifications:
2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc.
Bilingual strongly preferred, required in some positions
-OR-
An approved equivalent combination of education and experience
Preferred Qualifications:
Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
Excellent verbal and written communication and interpersonal skills
Ability to work independently with minimal supervision, within a team setting and be supportive of team members
Proficient with Microsoft Office
Ability to analyze issues and make judgments about appropriate steps toward solutions
CRCR (Credentialed Revenue Cycle Representative) preferred
Knowledge/ Skills/ Abilities:
Knowledge of patient billing claims process
Ability to communicate with patients and families under sometimes stressful circumstances
Strong telephone communication skills
Experience with electronic health record or similar software program
Knowledge of payor programs
Knowledge of applicable federal and state regulations
You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer. Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements. Total Rewards Package:We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).For a complete list of our benefits, please visit our career site on why you should work for us. Department: Third-Party Claims-HB&PBPrimary Location: MN-Minneapolis-Downtown Campus Standard Hours/FTE Status: FTE = 1.00 (80 hours per pay period) Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: Union Min: $22.18Max: $28.37 Job Posting: Oct-10-2025
$21k-43k yearly est. Auto-Apply 11h ago
Workers Compensation Senior Claim Representative
The Travelers Companies 4.4
Claims representative job in Saint Paul, MN
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$70,400.00 - $116,200.00
Target Openings
1
What Is the Opportunity?
Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery. The Injured worker is working modified duty and receiving ongoing medical treatment. The injured worker has returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. Independently handles all assigned claims up to and including most complex where injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and job is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered.
What Will You Do?
* Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability.
* Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions.
* Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment in collaboration with internal nurse resources where appropriate.
* Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation).
* Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome
* Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy.
* Prepare necessary letters and state filings within statutory limits. Pursue all offset opportunities, including apportionment, contribution and subrogation.
* Evaluate claims for potential fraud. Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment.
* Proactively manage moderate to complex litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations.
* Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. Apply deep technical expertise to assist in the resolution of highly complex claims. Mentor other Claim Professionals
* Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written. Keep injured worker apprised of claim status
* Act as technical resource to others.
* Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written. Keep injured worker apprised of claim status. Act as technical resource to others. Engage specialty resources as needed.
* Performs other assigned duties which may include: Applies deep technical/subject matter expertise to assist in the resolution of complex claims. Acts as an independent mentor to other Claim Professionals. May be dedicated to and apply skills necessary to manage special account relationships (sensitive or complex). May primarily manage a specialized inventory of Workers' Compensation claims.
* Acts as an independent mentor to other Claim Professionals Applies deep technical/subject matter expertise to assist in the resolution of complex claims
* Acts as an independent mentor to other Claim Professionals
* 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.
* Maintain Continuing Education requirements as required.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Education/Course of Study: Work Experience:
* Analytical Thinking:
* Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.
* Communication:
* Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology.
* Ability to effectively present file resolution to internal and/or external stakeholders.
* Negotiation:
* Advanced evaluation, negotiation and case resolution skills.
* Ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.
* General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract.
* Principles of Investigation: Intermediate investigative skills including the ability to take statements.
* Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss.
* Value Determination: Advanced ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
* Settlement Techniques:
* Advanced ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package.
* Legal Knowledge:
* Thorough knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
* Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
* WC Technical:
* Advanced ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims.
* Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state.
* Advanced knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
* Customer Service:
* Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes.
* Teamwork:
* Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result.
* Planning & Organizing:
* Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals.
What is a Must Have?
* High school diploma or equivalent.
* 2 years Workers Compensation claim handling experience.
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 *********************************************************
$70.4k-116.2k yearly 5d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Minneapolis, MN
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$45k-54k yearly est. Auto-Apply 35d ago
Independent Insurance Claims Adjuster in Minneapolis, Minnesota
Milehigh Adjusters Houston
Claims representative job in Minneapolis, MN
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$44k-53k yearly est. Auto-Apply 60d+ ago
Claims Adjuster
Allegro Home Delivery
Claims representative job in Eagan, MN
Job Description
Claims Adjuster
Allegro Home Delivery is a nationwide third-party logistics company specializing in the final mile delivery and installation of big and bulky items including furniture and appliances. We partner with major retail clients to provide comprehensive delivery solutions ranging from standard delivery to white-glove installation services.
Position Summary
The Claims Adjuster will manage all aspects of damage and loss claims for our final mile delivery and installation operations. This role requires a detail-oriented professional who can investigate claims, determine liability, negotiate settlements, and work cross-functionally to reduce future claim occurrences. The ideal candidate will balance customer satisfaction with cost control while maintaining strong relationships with retail partners and delivery teams.
Key Responsibilities
Claims/Licensure Management
Review, investigate, and adjudicate damage and loss claims from customers, retail partners, and delivery teams
Evaluate claim validity by analyzing delivery documentation, photos, customer statements, and driver reports
Determine liability and appropriate settlement amounts based on contract terms and claim circumstances
Process approved claims efficiently while maintaining accurate documentation in company systems
Manage claim communications with customers, retail partners, insurance carriers, and internal teams
Track claims from initial report through final resolution and payment
Oversee the full lifecycle of state, federal, and trade licenses required for company operations
Verify that employees and contractors hold required trade licenses for assigned work
Coordinate with regulatory agencies to submit applications, updates, and renewals
Monitor changing state and federal regulations to ensure ongoing compliance
Maintain accurate records of all regulatory licenses and ensure timely renewal
Provide leadership with regular reports on licensure status, risks, and upcoming deadlines
Analysis & Investigation
Conduct thorough investigations of high-value or complex claims
Identify patterns in damage types, locations, or delivery partners to inform operational improvements
Analyze root causes of damages occurring during delivery, unpacking, assembly, or installation
Coordinate with delivery partners and installation teams to gather evidence and statements
Review driver training and handling procedures when patterns emerge
Financial Management
Negotiate settlements within established authority limits
Manage claims budget and track expenses against targets
Prepare regular reports on claim volumes, costs, and trends by client, region, and service type
Identify opportunities for cost savings through process improvements or training
Work with finance team on proper accounting and reserve management
Process Improvement
Collaborate with operations teams to implement claim prevention strategies
Recommend changes to packaging, handling procedures, or installation protocols
Develop and update claims handling procedures and documentation requirements
Create training materials for delivery partners on proper damage reporting
Support implementation of quality control measures to reduce claim frequency
Partner & Customer Relations
Maintain professional communication with retail partners regarding their customer claims
Manage expectations and provide timely updates throughout the claims process
Handle escalated customer situations with empathy and problem-solving
Build collaborative relationships with delivery partner teams
Represent the company professionally in all claim-related interactions
Required Qualifications
Education & Experience
Bachelor's degree in Business, Risk Management, or related field, or equivalent experience
3+ years of claims adjusting experience, preferably in logistics, transportation, or retail
Experience with final mile delivery, furniture, appliances, or high-value goods preferred
Knowledge of liability determination and insurance principles
Technical Skills
Proficient in claims management software and Microsoft Office Suite, Mercury Gate
Experience with photo documentation and digital evidence review
Strong data analysis skills with ability to create meaningful reports
Comfortable learning new technology systems and tools
Experience with Salesforce or similar CRM systems preferred
Core Competencies
Excellent investigative and analytical skills
Strong negotiation abilities with balanced approach to settlements
Detail-oriented with exceptional organizational skills
Effective written and verbal communication
Ability to make sound decisions under pressure
Customer service mindset with professional demeanor
Understanding of logistics operations and supply chain
Key Performance Indicators
Average claim resolution time
Claim settlement accuracy rate
Cost per claim and total claims expense management
Customer and partner satisfaction scores
Claim volume trends and reduction initiatives
Documentation quality and compliance rates
Physical Requirements & Working Conditions
Office environment with standard computer workstation setup
Occasional travel to distribution centers or client locations may be required
Ability to review and analyze photographic evidence of damaged goods
Standard business hours with occasional flexibility needed for urgent escalations
May require occasional weekend or evening work during peak seasons
Compensation & Benefits
Competitive salary commensurate with experience
Comprehensive health, dental, and vision insurance
401(k) retirement plan with company match
Paid time off and holidays
Professional development opportunities
About Allegro Home Delivery:
We are a fast-growing nationwide logistics and transportation company with a focus in the middle and final mile home delivery market. Our methodology is taking ownership of the product from origination until it is in the customer's home. Retailers, distributors, and manufacturers rely on us to orchestrate the fastest deliveries, with the most comprehensive in-home experience.
AllegroHome Delivery provides equal employment opportunities to all employees andapplicants for employment and prohibits discrimination and harassment of anytype without regard to race, color, religion, age, sex, national origin,disability status, genetics, protected veteran status, sexual orientation,gender identity or expression, or any other characteristic protected byfederal, state or local laws.
Thispolicy applies to all terms and conditions of employment, including recruiting,hiring, placement, promotion, termination, layoff, recall, transfer, leaves ofabsence, compensation and training.
$44k-53k yearly est. 24d ago
Field Property Claims Adjuster
Liberty Mutual 4.5
Claims representative job in Minneapolis, MN
Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner's property. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
The Field Property Claims Adjuster will be traveling locally to insured homes within Minneapolis, MN (55113) and surrounding areas. To be successful within the role, candidates should live within or near this area.
Sign-On Bonus Available! We're offering a sign-on bonus for experienced and actively licensed new hires.
What you'll do
* Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage.
* Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure.
* Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk.
* Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
* Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services.
* May be called upon for catastrophe duty.
Position details
* Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience.
* Training & support: To set you up for success, you'll participate in a comprehensive 5-month training program, which includes:
* Primarily virtual and on-the-job learning.
* Two short in-person training sessions (Weeks 4 and 7) at our Lewisville, TX office.
* Limited overnight travel for training and team meetings (typically less than 10%).
* Mileage Reimbursement: This role offers mileage reimbursement. You may qualify for a company-provided vehicle once mileage requirements are met. Additional details will be provided if you advance in the selection process.
Qualifications
* Working knowledge of claims handling procedures and operations.
* Proven ability to provide exceptional customer service.
* Effective negotiation skills.
* Ability to effectively and independently manage workload while exhibiting good judgment.
* Strong written/oral communication and interpersonal skills.
* Computer skills with the ability to work with multi-faceted systems.
* The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience.
* Ability to obtain proper licensing as required.
* The ability to handle multiple competing priorities and organize your day.
* Strong time management and organizational skills.
* Demonstrated understanding of building construction principles.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
$52k-62k yearly est. Auto-Apply 3d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Bloomington, MN
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$45k-54k yearly est. Auto-Apply 35d ago
Independent Insurance Claims Adjuster in River Falls, Wisconsin
Milehigh Adjusters Houston
Claims representative job in River Falls, WI
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
How much does a claims representative earn in New Brighton, MN?
The average claims representative in New Brighton, MN earns between $27,000 and $48,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.
Average claims representative salary in New Brighton, MN
$36,000
What are the biggest employers of Claims Representatives in New Brighton, MN?
The biggest employers of Claims Representatives in New Brighton, MN are: