Post job

Claims representative jobs in Plymouth, MN - 96 jobs

All
Claims Representative
Claims Adjuster
Claim Specialist
Field Adjuster
Claims Administrator
Senior Claims Representative
Claims Coordinator
Property Claims Adjuster
Senior Claims Specialist
Adjuster
Liability Claims Representative
Auto Claims Adjuster
Senior Claims Analyst
Claim Processor
  • Claims Representative - Edina, MN

    Federated Mutual Insurance Company 4.2company rating

    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 26d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Auto Claim Representative

    The Travelers Companies 4.4company rating

    Claims representative job in Saint Paul, MN

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $55,200.00 - $91,100.00 Target Openings 1 What Is the Opportunity? This position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. This may include applying laws and statutes for multiple state jurisdictions. Claim types include multi-vehicle (2 or more cars) auto damage with unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto, property related damage. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. What Will You Do? * Customer Contacts/Experience: * Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC). * Coverage Analysis: * Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration other issues relevant to the jurisdiction. * Investigation/Evaluation: * Investigates each claim to obtain relevant facts necessary to determine coverage, causation, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, etc.) Takes recorded statements as necessary. * Recognizes and requests appropriate inspection type based on the details of the loss and coordinates the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling. * Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e., Subrogation, SIU, Property, Adverse Subrogation, etc.). * Reserving: * Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner. * Negotiation/Resolution: * Determines settlement amounts based upon appraisal estimate, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants. * May provide support to other parts of Auto Line of Business (e.g. Total Loss, Salvage, etc.) when needed. * Insurance License: * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's degree. * Demonstrated ownership attitude and customer centric response to all assigned tasks. * Ability to work in a high volume, fast paced environment managing multiple priorities. * Attention to detail ensuring accuracy. * Keyboard skills and Windows proficiency, including Excel and Word - Intermediate. * Verbal and written communication skills - Intermediate. * Analytical Thinking- Intermediate. * Judgment/Decision Making- Intermediate. * Negotiation- Intermediate. * Insurance Contract Knowledge-. * Basic. * Principles of Investigation- Intermediate. * Value Determination- Basic. * Settlement Techniques- Basic. What is a Must Have? * High School Diploma or GED. * One year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program. 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 *********************************************************
    $55.2k-91.1k yearly 1d ago
  • Claims Representative - Edina, MN

    Federated Insurance Companies 4.5company rating

    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. We can recommend jobs specifically for you! Click here to get started.
    $63.8k-78k yearly Auto-Apply 37d ago
  • Experienced Catastrophe Claims Representative

    Auto-Owners Insurance Co 4.3company rating

    Claims representative job in Lake Elmo, MN

    may not be available at this time. * There are multiple positions open across the 26 states in which we operate. The current locations for which we are seeking CAT Claim Reps are located in the job posting.* Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated experienced Claims professional to join our team. The position requires the person to: * Be available for frequent travel up to 21 days at a time. Travel is required upon short notice to location of catastrophe, which would most likely be out of state. * Meet the physical demands required for the position including carrying and climbing a ladder. * Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses. * Be familiar with insurance coverage by studying insurance policies, endorsements, and forms. * Work towards the resolution of claims, possibly attending arbitrations, mediations, depositions, or trials as necessary. * Ensure that claims payments are issued in a timely and accurate manner. Desired Skills & Experience * Bachelor's degree or equivalent experience * Minimum of 2 years claims handling experience or comparable experience * Field claims experience with multi-line property and casualty claims and wind/hail * Proficient with Xactimate software * Above average communication skills (written and verbal) * Ability to resolve complex issues * Organize and interpret data * Ability to handle multiple assignments * Possess a valid driver's license * Military experience is considered Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent package. Along with a matched 401(k), fully-funded pension plan (once vested), Auto-Owners offers medical, prescription, dental and vision insurance; associate, spouse and child life insurance; supplemental sick pay; long term disability; health care flexible spending accounts and dependent care flexible spending accounts. Additional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program, a student loan assistance program and a gym membership and fitness class reimbursement program. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Compensation Auto-Owners offers a generous compensation package. For this position, the anticipated annualized starting base pay range is: $50,000.00 - $88,800.00. Other components of the compensation package include benefit dollars used to purchase certain benefits and several bonus opportunities. Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-KC1 #LI-Hybrid
    $50k-88.8k yearly Auto-Apply 4d ago
  • Senior Stop Loss Claims Analyst - HNAS

    Highmark Health 4.5company rating

    Claims representative job in Saint Paul, MN

    This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as needed; provides counseling to clients and assists with client service programs. + Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state regulatory guidelines, and industry standards. + Monitors, reviews and analyzes various complex potential claims with emphasis on controlling losses through effective managed care. This includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. Refers the claim to the cost containment and RxOps departments for review of high dollar charges if applicable. + Determines whether to pend or adjudicate claims following organizational policies and procedures; finalizes and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, brokers, or customers utilizing the appropriate application and/or template. + Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes and update documentation. + Assists leadership with performing client performance evaluations to assess the accuracy of client reports submitted to the organization, efficiency of claim operations, and adequacy of systems and procedures. + Approves claim payments on behalf of multiple clients and provides client counseling and support services. Assists in the client service programs including revising and establishing procedures, protocols and ensuring client satisfaction with the organization. + Maintains accurate claim records. + Other duties as assigned or requested. **EDUCATION** **Required** + High School Diploma/GED **Substitutions** + None **Preferred** + Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively. + Organizational skills + Ability to manage time effectively. + Ability to work independently. + Problem Solving and analytical skills. **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $22.71 **Pay Range Maximum:** $35.18 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273755
    $22.7-35.2 hourly 36d ago
  • Claims Representative - Workers Compensation

    Thesilverlining

    Claims representative job in Minneapolis, MN

    Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities. Job Summary When employees are injured on the job, they need someone who can guide them through the process with care and expertise. As a Workers' Compensation Claims Representative at West Bend, you'll guide injured employees through the recovery process, ensure fair and timely claim resolution, and help businesses stay compliant. If you thrive on problem-solving, negotiation, and making a real impact, this is your opportunity to lead with confidence. Work Location This position offers a hybrid schedule with three in-office collaboration days for team meetings and other events. In certain cases, highly qualified candidates with strong jurisdictional experience may be considered for a remote arrangement. The internal deadline to apply is 2/3/2026. External applications will be accepted on a rolling basis while the position remains open. Responsibilities & Qualifications As a Claims Representative, you will manage claims of varying complexity using current claim technology and best practices. You will conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability. You will negotiate settlements with insureds, claimants, and attorneys while maintaining proactive file management, accurate reserving, and adherence to audit and regulatory standards. This role collaborates closely with internal partners and external stakeholders, with the scope of responsibility (including field work and regional liaison duties) increasing with experience level. Key Responsibilities Investigate and resolve claims within assigned authority Determine coverage, damages, and liability Negotiate settlements with insureds, claimants, and attorneys Maintain accurate documentation and reserving Communicate promptly and professionally with all stakeholders Collaborate with internal teams and external partners Adhere to audit and compliance standards Participate in training and team initiatives Preferred Experience and Skills Prior experience managing claims at the appropriate level of complexity (from low/moderate to high-exposure/complex) Proficiency with computers and current claim technology Interpersonal, oral, and written communication skills with customer-focused professionalism Negotiation, problem-solving, and conflict resolution skills Time management and organizational discipline with proactive file handling Independent decision-making ability (higher levels) and results orientation Technical expertise in coverage analysis, compensability, and damages evaluation (higher levels) Prior experience managing claims across multiple jurisdictions (higher levels) with preferred jurisdictions of Minnesota and Iowa Preferred Education and Training Bachelor's degree in Business, Insurance or related field Associate in General Insurance (AINS) designation Associate in Claims (AIC) designation CPCU coursework or other continuing education Licensure in jurisdictions where required Salary Statement The salary range for this position is $67,000 - $100,000. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate. Benefits West Bend offers a comprehensive benefit plan including but not limited to: Medical & Prescription Insurance Health Savings Account Dental Insurance Vision Insurance Short and Long Term Disability Flexible Spending Accounts Life and Accidental Death & Disability Accident and Critical Illness Insurance Employee Assistance Program 401(k) Plan with Company Match Pet Insurance Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates Bonus eligible based on performance West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. #LI-LW1 EEO West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type 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 by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.
    $31k-42k yearly est. Auto-Apply 1d ago
  • Claims Representative

    JNR Adjustment Co 3.9company rating

    Claims representative job in Minneapolis, MN

    Job Description About the Role: We are seeking a highly motivated and detail-oriented Claims Representative to join our team in Minnesota, MN. As a Remote Claims Representative, you will be responsible for investigating, evaluating, and resolving insurance claims related to property and auto damages. You will work closely with clients, insurance adjusters, and other stakeholders to ensure timely and accurate claims processing. Your goal will be to provide exceptional customer service and achieve positive outcomes for our clients. Minimum Qualifications: 3+ years of experience in insurance claims handling Strong knowledge of property and auto claims processes and regulations Excellent communication and interpersonal skills Ability to work independently and as part of a team Preferred Qualifications: Experience with subrogation and claims resolution Knowledge of personal lines insurance Experience with claims processing software Responsibilities: Investigate and evaluate insurance claims related to property and auto damages Communicate with clients, insurance adjusters, and other stakeholders to gather information and resolve issues Process claims in accordance with company policies and procedures Maintain accurate records of claims and related activities Provide exceptional customer service throughout the claims process Skills: As a Claims Representative, you will use your strong analytical and problem-solving skills to investigate and evaluate insurance claims. You will also need excellent communication and interpersonal skills to effectively communicate with clients, insurance adjusters, and other stakeholders. Your ability to work independently and as part of a team will be crucial in ensuring timely and accurate claims processing. Additionally, your knowledge of property and auto claims processes and regulations, as well as experience with claims processing software, will be essential in performing your daily tasks.
    $29k-37k yearly est. 13d ago
  • Claims Adjuster Trainee

    Progressive 4.4company rating

    Claims representative job in Eagan, MN

    Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. Duties & responsibilities (upon completion of training) * Determine coverage * Determine liability (who's at fault for the damages) * Interview customers, claimants, and witnesses * Partner with appraisers/estimators to manage vehicle repairs * Negotiate with customers and other insurance carriers and resolve claims Must-have qualifications * Three years of work experience OR * Bachelor's degree OR * Two years work experience and an associate degree Schedule: Monday - Friday, 8:30 am - 5:30 pm for the first three weeks during training, then 9:00 am - 6:00 pm. Location: 1715 Yankee Doodle Dr, Ste 200, Eagan, MN 55121 Compensation * Once you complete training and pass any necessary testing requirements, your salary will be $56,500-$60,000/year, however, during training, you'll be paid hourly based on your annual salary. * Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role. Equal Opportunity Employer For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** Share: Email X Facebook LinkedIn Apply Now
    $56.5k-60k yearly 14d ago
  • Northland Specialty Liability Claim Representative

    Travelers 4.8company rating

    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 CategoryClaimCompensation 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$67,000.00 - $110,600.00Target Openings2What Is the Opportunity?The position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims, or first party business property claims of moderate severity, or complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.What Will You Do? Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Takes necessary statements. Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, Salvage and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity and expense reserves. Utilizes evaluation documentation tools in accordance with department guidelines. Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority. Negotiates disposition of claims with insureds and claimants or their representatives. Recognizes and implements alternate means of resolution. Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. May attend depositions, and any other legal proceedings, as needed. Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit. Appropriately deals with information that is considered personal and confidential. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquiries from agents and brokers. Represents the company as a technical resource, attends legal proceedings as needed, act within established professional guidelines as well as applicable state laws. Provides quality customer service and ensures file quality. Shares accountability with business partners to achieve and sustain quality results. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be is 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. Writes denial letters, Reservation of Rights and other complex correspondence. Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. Meets all quality standards and expectations in accordance with the Knowledge Guides. Perform other duties as assigned. What Will Our Ideal Candidate Have? Bachelor's Degree. 2 years business experience. Demonstrated knowledge and ability in claims handling. Advanced level knowledge and skill in claims and litigation. Basic working level knowledge and skill in various business line products. Strong negotiation and customer service skills. Strong verbal and written communication skills. Strong keyboard skills and Windows proficiency, including Excel and Word. Demonstrated good organizational skills with the ability to prioritize and work independently. Demonstrated strong written, verbal and interpersonal communication skills including the ability to convey and receive information effectively. Analytical Thinking- Intermediate. Judgment/Decision Making- Intermediate. Communication- Intermediate. Negotiation- Intermediate. Insurance Contract Knowledge- Intermediate. Principles of Investigation- Intermediate. Value Determination- Intermediate. Settlement Techniques- Intermediate. Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively - Intermediate. Interpersonal and customer service skills - Intermediate. Organizational and time management skills - Intermediate. Ability to work independently - Intermediate. What is a Must Have? One-year bodily injury liability claim handling experience, or one year of liability claim experience, or one year of property claim handling experience, or successful completion of Travelers Claim Representative training program. 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 *********************************************************
    $67k-110.6k yearly Auto-Apply 12d ago
  • Field Adjuster

    W.R. Berkley Corporation 4.2company rating

    Claims representative job in Saint Paul, MN

    Company Details We're a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers. Responsibilities This role is responsible for investigating, evaluating, and resolving claims within a dedicated program in the state of Minnesota. The position primarily supports the central and northern regions of the state and includes handling auto, casualty, and municipal property claims. * Interview insureds, injured parties, witnesses and others as appropriate. * Inspect property damage. * Review factual information to prepare damage estimates. * Investigate assigned losses to determine coverage. * Evaluate loss exposure for various property losses. * Evaluate and negotiate settlements based upon coverage document language. * Determine scope of loss and cost of repairs. * Make recommendations regarding resolution of claims. * Make recommendations regarding litigation. * Prepare reports for Client Company. * Enter reports/file activity into electronic claim processing system. * Accountable for results, customer service, and achieving departmental and unit objectives. May perform other functions as assigned Qualifications * 2 to 4 years of experience in the field or in a related area. * Must maintain a current/valid adjuster's license at all times. * Must have a working knowledge of a variety of subjects including, but not limited to, insurance related laws/regulations, medical terminology, general construction, and automobile repairs. * Must possess a high degree of literacy. * Ability to work independently and be self-directed. * Excellent human relations and customer service skills. * Strong PC skills and a working knowledge of Windows environment. * Must be proficient in analytical tasks. * Must maintain a valid driver's license and carry vehicle insurance coverage. * Must maintain a current Resident Independent Adjuster's license in the state of MN. Education * High school diploma or equivalent Additional Company Details **************************** The Company is an equal employment opportunity employer. We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: • Base Salary Range: $48k-$96k • Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Additional Requirements Travel: Required Sponsorship Details Sponsorship not Offered for this Role Responsibilities This role is responsible for investigating, evaluating, and resolving claims within a dedicated program in the state of Minnesota. The position primarily supports the central and northern regions of the state and includes handling auto, casualty, and municipal property claims. - Interview insureds, injured parties, witnesses and others as appropriate. - Inspect property damage. - Review factual information to prepare damage estimates. - Investigate assigned losses to determine coverage. - Evaluate loss exposure for various property losses. - Evaluate and negotiate settlements based upon coverage document language. - Determine scope of loss and cost of repairs. - Make recommendations regarding resolution of claims. - Make recommendations regarding litigation. - Prepare reports for Client Company. - Enter reports/file activity into electronic claim processing system. - Accountable for results, customer service, and achieving departmental and unit objectives. May perform other functions as assigned
    $48k-96k yearly Auto-Apply 6d ago
  • Restoration Claims Adjuster

    Paul Davis Restoration 4.3company rating

    Claims representative job in Saint Paul, MN

    Basic Functions: Assist estimators in creating scopes, estimates and jobsite sketches as requested. Respond, communicate with adjuster as necessary to assist estimators in meeting estimating timelines. Consistently deliver exceptional customer service to internal and external customers. Basic Requirements: High School Diploma or equivalent Bachelor's degree is preferred Advanced Excel knowledge and ability to create and review complex spreadsheets Ability to operate complex software (specifically Xactimate and CRM tools) Pays close attention to detail with excellent proofreading skills Key Skills Highly Organized Ability to multi-task and prioritize High level Communicator Evaluated On: Quality of overall finished product Performance versus annual and quarterly goals Actual Skill Development versus Annual Skill Development Goals Overall Duties Include: Assist with updating 3rd party programs online to ensure compliance with program service standards Prepare scope of damages and estimate within a very timely manner. Prepare scope of work through estimating software Xactimate & communicate to adjuster. Utilize Matterport 3D imaging software to create estimates. Understand insurance trends in claims and adjusting losses Be knowledgeable in the insurance industry. Keep up on technologies, equipment, processes, etc… Be knowledgeable on building products, new products, building technologies, etc… Communicate with Management and all internal/external Customers. Maintain & obtain additional IICRC certifications, when requested by management. Follow & enforce established safety practices including proper use of PPE, when required. Other related activities as requested by estimating staff High Level Job Duties include: Meet with Supervisor no less than weekly for Goal Setting and Review Attend and actively participate in leadership development trainings such as but not limited to selling, situational leadership, priority management, facilitation, conflict resolution and interviewing Participates in marketing and business development as the need arises Participates in the collection process of payment from customers Complete special assignments as requested by Supervisor Participates in emergency services when an “All hands on deck” scenario arises Participate in on-going problem solving and practicing continuous improvement of the department and company as a whole Participate in Paul Davis social events, Goal Setting and Review, All Team Meetings and as many other opportunities as possible to engage with the rest of the team Hours: Available to work full time Monday through Friday during standard business hours This may occasionally require after hours availability, including weekends, and/or holidays Reward: Compensation is evaluated on a yearly basis effective from the start date of employment of each calendar year. An annual reward planner (ARP) is completed at that time. Promotions and advancement within the position bring progressively greater challenge, learning, responsibility, and compensation. Compensation: $40,000-$70,000 Since 1966, Paul Davis has been an industry leader in the areas of property damage mitigation, reconstruction and remodeling. With more than 370 offices in our franchise network, the company serves residential, institutional, and commercial customers and clients across the United States and Canada. We have built our heritage one project at a time, establishing a reputation for performance, integrity and responsibility among customers and carriers alike. Whether property damage is caused by water, fire, smoke, storms or other disasters, we deliver on our promise to deliver excellence, expertise and a customer experience that is second to none. At Paul Davis, our passion for quality drives everything we do. Our Vision: To Provide Extraordinary Care While Serving People In Their Time Of Need. Our Values: Deliver What You Promise Respect The Individual Have Pride In What You Do Practice Continuous Improvement Our Mission: To provide opportunities for great people to deliver Best in Class results
    $40k-70k yearly Auto-Apply 60d+ ago
  • Daily Claims Adjuster-Minneapolis MN

    Cenco Claims 3.8company rating

    Claims representative job in Minneapolis, MN

    CENCO partners with leading insurance carriers to deliver dependable and accurate residential claims services throughout the Midwest. We are currently seeking Daily Residential Claims Adjusters to support homeowners in the Minneapolis area following losses from severe weather, including hail, wind, tornado activity, flooding, and seasonal storm events. This opportunity is ideal for adjusters looking for steady daily work and the flexibility of independent field assignments. Your Role Conduct on-site inspections of residential properties impacted by storm-related damage Capture detailed photo documentation and complete clear, well-organized reports Prepare accurate estimates using Xactimate or Symbility Communicate professionally with homeowners, contractors, and carrier representatives Manage multiple claim files efficiently while meeting carrier timelines and expectations What You'll Need Active adjuster license valid in applicable Midwest states Working knowledge of Xactimate or Symbility estimating software Reliable transportation, ladder, laptop, and standard adjusting tools Strong organizational and time-management skills Ability to accept assignments promptly and complete reports efficiently Why Work With CENCO Consistent residential claim volume in a high-demand market Competitive per-claim compensation with timely payments Supportive internal team and streamlined workflows If you're seeking reliable daily residential claims work in the Minneapolis region, apply today and join CENCO's trusted claims team.
    $45k-54k yearly est. Auto-Apply 60d+ ago
  • Sr. Claims Specialist, Professional Liability | Medical Malpractice

    Sedgwick 4.4company rating

    Claims representative job in Saint Paul, MN

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice 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. + Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim settlement up to designated authority level. + Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life. + Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement. + Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients. + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents Company in depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with 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. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice 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 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 + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **TAKING CARE OF YOU BY** + We offer a diverse and comprehensive benefits package including: + Three Medical, and two dental plans to choose from. + Tuition reimbursement eligible. + 401K plan that matches 50% on every $ you put in up to the first 6% you save. + 4 weeks PTO your first full year. **NEXT STEPS** If your application is selected to advance to the next round, a recruiter will be in touch. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000 - $110,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $100k-110k yearly 13d ago
  • Claims Specialist / Claims Representative (Minneapolis, MN)

    BNSF Railways 4.2company rating

    Claims representative job in Minneapolis, MN

    Be part of a team that values safety, inclusion, and excellence We are one of the largest U.S. railroads transporting the nation's freight across 28 western states and 3 Canadian provinces. As a member of our team, you will play a role in supporting the movement of essential products and materials that help feed, clothe, supply, and power communities throughout America and the world. We are committed to a culture where all employees are included, belong, and have equal opportunity to achieve their full potential. Come make a difference with us! Learn more about BNSF and our Benefits Job Location: Minneapolis Other Potential Locations: Minneapolis, MN Anticipated Start Date: 03/01/2026 Number of Positions: 1 Salary Range: $68,800 - $100,000 Apply early as this job may be removed or filled prior to the closing date, which is approximately seven (7) days after the posting date. Salary Range: 1+ years of experience: $68,800 - $87,900 3+ years of experience: $77,600 - $100,000 These ranges reflect what BNSF Railway reasonably expects to pay for this position, based on the role's level, scope, and responsibilities. Final compensation and position level will be determined by factors such as job-related skills, experience, and relevant education or training. In addition to base pay and bonus eligibility, BNSF offers a comprehensive benefits package. The BNSF Railway Law and Claims Department provides expert in-house counsel and collaborates with outside counsel to ensure the railroad operates safely and meets all legal and contractual obligations. Our licensed attorneys and legal professionals are dedicated to upholding the highest legal compliance standards. Additionally, our specialized Claims team promotes safety, investigates incidents, and resolves them ethically. This is a full-time position located in Minneapolis, MN. Key responsibilities may include: Implement processes and procedures under direction of leadership Cooperate and coordinate with Claims personnel on adjacent territories. Perform thorough and ethical investigations to resolve exposures in a fair, honest and responsible manner. Assist attorneys and paralegals in preparation and trial of lawsuits. Evaluate settlements of claims and lawsuits within proper authority. Work closely with all BNSF departments to perform incident investigations/analyses and promote the Claims department's vision statement. Engage with a variety of external contacts: local counsel, state, county, and city officials, law enforcement personnel, physicians, medical specialists, and expert consulting witnesses in specialized fields. Observe and review potential liabilities on company property with respective non-claims field personnel. Conduct investigations in various weather conditions. Work irregular hours and available 24/7 for on-call duties, with frequent evening, night, and weekend shifts (including holidays). The duties and responsibilities in this posting are representative categories to be used in deciding whether to apply for this position. This is not an exhaustive list of the position's duties. At BNSF Railway, we encourage individuals from all backgrounds to apply, showcasing their skills, experiences and development. We provide resources and tools to help you reach your full potential, fostering a supportive and inclusive environment. Basic Qualifications: * Able to work now and in the future without BNSF's assistance (whether monetary, through sponsorship, or otherwise) in obtaining, maintaining, or extending employment authorization (including H-1B, STEM OPT/CPT, or TN nonimmigrant status). * Minimum 1 year experience at BNSF or in a related field (railroad claims, railroad, insurance, legal, investigative) or a combination thereof. * Bachelor's degree Preferred Qualifications: * General knowledge of railroad operations and principles and/or insurance claims or related medical/legal field. * Knowledge and understanding of Federal Employers Liability Act (FELA). At BNSF, you will have access to a comprehensive and competitive benefits package including: * An industry-leading 401(k) and renowned Railroad Retirement program. * A range of robust health care options for you and your dependents (including domestic partners), including medical, dental, vision, telemedicine, mental health, cancer support, and high-quality care network options. * Health care spending accounts (HSA) with employer contributions, as well as life and disability insurance, provided at no cost. * Family benefits including parental, pediatric and family building support, adoption and surrogacy reimbursement, and dependent care spending account (with employer match). * Access to discounts on travel, gym memberships, counseling services and wellness support. * Annual bonus (Incentive Compensation Program) * Generous leave / time off policies. * For more information, visit Benefits. Please be aware of potential fraud that can occur when searching for new career opportunities. Please review our FAQ for more information and awareness. All positions require pre-employment background verification, medical review and pre-employment drug screen. You can find more information by reviewing the Hiring Process. Federal authority requires BNSF employees, whose work requires unescorted access to secure areas of port facilities, to obtain a TWIC. More information is available at ************************************* BNSF Railway is an Equal Opportunity Employer, all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. SF: MO | [[mfield5]] | Law | Minneapolis, MN | 55401
    $77.6k-100k yearly 5d ago
  • RCM Representative Senior, Third-Party Claims-HB&PB

    Hcmc

    Claims representative job in Minneapolis, MN

    RCM Representative Senior, Third-Party Claims-HB&PB (251131) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County. Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization. SUMMARY:We are currently seeking a RCM Representative Senior to join our Third-Party Claims-HB&PB team. This full-time role will primarily work remotely (Days, M- F). Purpose of this position: Working under general supervision, provides revenue cycle services to incoming and existing patients and their families either in person or by telephone. Is responsible for gathering patient information needed to provide services such as following up on complex claim issues, financial clearance, customer service, or admission. Works will be assigned via a work queue in the electronic health record system Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, WisconsiRESPONSIBILITIES:Gathers information from patients, clients/family members, HCMC clinical areas, government agencies, employers, third party payors, and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility, and/or to identify sources of payment for services Requests, inputs, verifies, and modifies patient's demographic, primary care provider, and payor information Utilizes tools, including computer programs, when indicated Makes appropriate referrals (i.e. Patient Financial Care Specialists, Collections Specialists) as appropriate Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.Answers questions (by phone and in-person) and provides quotes for services (including discounts), identifies financial resources, etc. in accordance with HCMC policies and procedures Utilizes various databases and specialized computer software for financial care activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.Establishes plans (patient liabilities, payment, etc.) and conducts follow up activities related to those plans Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies Works with Claims and Collections (both internally and with collection agencies) in order to assist patients and their families with billing and payment activities in order to increase cash flow Other duties as assigned QUALIFICATIONS:Minimum Qualifications: 2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc. Bilingual strongly preferred, required in some positions -OR- An approved equivalent combination of education and experience Preferred Qualifications: Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria Excellent verbal and written communication and interpersonal skills Ability to work independently with minimal supervision, within a team setting and be supportive of team members Proficient with Microsoft Office Ability to analyze issues and make judgments about appropriate steps toward solutions CRCR (Credentialed Revenue Cycle Representative) preferred Knowledge/ Skills/ Abilities: Knowledge of patient billing claims process Ability to communicate with patients and families under sometimes stressful circumstances Strong telephone communication skills Experience with electronic health record or similar software program Knowledge of payor programs Knowledge of applicable federal and state regulations You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer. Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements. Total Rewards Package:We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).For a complete list of our benefits, please visit our career site on why you should work for us. Department: Third-Party Claims-HB&PBPrimary Location: MN-Minneapolis-Downtown CampusStandard Hours/FTE Status: FTE = 1.00 (80 hours per pay period) Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: UnionMin:$22.18Max: $28.37 Job Posting: Oct-10-2025
    $40k-61k yearly est. Auto-Apply 1d ago
  • Senior Warranty Claims Coordinator

    Graco 4.7company rating

    Claims representative job in Dayton, MN

    Graco manufactures and markets premium equipment to move, measure, control, dispense and spray a wide variety of fluid and powder materials. What does that mean? Well, we pump peanut butter into your jar, and the oil in your car. We glue the soles of your shoes, the glass in your windows and the screen on your phone. We spray the finish on your vehicle, coatings on your pills, the paint on your house and texture on your walls. Graco is part of your daily life. The Senior Warranty Claims Coordinator will lead the processing of warranty claims and returns with precision and efficiency, ensuring strict compliance with company policies and maintaining the highest standards of accuracy. This senior role will proactively collaborate with regional teams to address complex challenges in diverse markets, leveraging expertise to implement effective solutions. Additionally, the Senior Coordinator will play a pivotal role in enhancing customer support, ensuring a seamless and superior experience throughout the claims and returns process. What You Will Do at Graco Warranty Claims Processing Oversee accurate and timely entry, validation, and reconciliation of warranty claims across CRM, WOW, ERP, and logistics systems (Precision and/or Brigg). Analyze claims that fall outside published policies, determine root causes, and recommend appropriate resolutions or policy clarifications. Ensure accurate matching of warranty RGAs (WRAs) to returned products and validate disposition outcomes. Direct coordination of returned product flow to engineering, vendors, quality, or used equipment programs, ensuring proper documentation and traceability. Customer and Distributor Interaction Respond to customer and distributor inquiries and disputes Clearly communicate warranty policy and any references to policy to both internal teams and external customers and distributors. Collaborate closely with Sales, Engineering, Quality, Logistics, Finance, and regional teams to drive timely resolution and alignment. Influence stakeholder decisions by providing data-driven insights and expert recommendations. Documentation and Reporting Ensure integrity, accuracy, completeness and up-to-date warranty claim files and databases. Analyze warranty data and trends to identify risks, recurring issues, and opportunities for cost reduction and performance improvement. Develop and report on key warranty metrics, supporting leadership decision-making and continuous improvement initiatives. Contribute to forecasting and strategic planning related to warranty exposure and program effectiveness. Process Improvement Support continuous improvement initiatives to enhance warranty processes, controls, and customer experience. Champion customer adoption of online warranty claim submission tools. Support change management efforts by documenting best practices, training materials, and process updates. Additional Responsibilities Generate and implement plans to increase customer participation in online warranty claim generation. Coordinate continual improvement initiatives for warranty processes. Define, implement, and monitor enhancements to warranty systems and policies. Other duties as assigned. What You Will Bring to Graco 2 year degree post-secondary education in business, accounting or other related field, or equivalent education and experience. 4+ years of experience in a high-volume customer service environment or equivalent. Advanced proficiency with PC tools, including word processing, spreadsheets, and database applications, with a focus on optimizing workflows. Exceptional oral, written, and telephone communication skills, with the ability to convey complex information clearly and effectively. Proven expertise in negotiation, problem-solving, and high-stakes decision-making. Superior organizational skills with the ability to prioritize and manage multiple, competing issues in a dynamic environment. Extensive product knowledge and technical proficiency to address warranty claims and product return inquiries, supported by at least four years of hands-on experience with products and parts. Accelerators Global industrial manufacturing experience and knowledge. Multilingual skills, with a preference for Spanish. #LI-AI1 #LI-Hybrid Applicants must be legally authorized to work in the United States. This role is not eligible for immigration sponsorship now or in the future (e.g., H-1B, TN, F-1 OPT). At Graco, you truly make a difference. Your unique talents contribute to our organizational growth and future. Not only do you make a difference, but Graco's culture empowers employees to create their own career path. Whether you choose to advance within your current department or explore new opportunities in different divisions, you have the ability to build your future. Our managers are here to provide support and guidance as you continue to grow within your career. Graco has excellent opportunities available to individuals who want to be part of a fast-moving, growing company that is committed to quality, innovation and solving fluid handling problems for our customers. Graco is proud to be named a Best Place to Work by Fortune Magazine in 2016, 2018, 2019, 2021 & 2022. Graco offers attractive compensation, benefits and career development opportunities. Graco's comprehensive benefits include medical, dental, stock purchase plan, 401(k), tuition reimbursement and more. Our company uses E-Verify to confirm the employment and eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit ********************* The base pay range for this position is listed below, exclusive of fringe benefits or other compensation. If you are hired, your final base hourly rate will be determined based on factors such as geographic location, skills, competencies, education, and/or experience. In addition to those factors, we will also consider internal equity of our current employees. Please keep in mind that the range provided is the full base salary range for the role. Hiring at or near the maximum of the range would not be typical to allow for future and continued salary growth. $21.35 - $37.40
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    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 7d 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. 7d ago
  • Complex Claims Specialist

    Lockton 4.5company rating

    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. 27d ago

Learn more about claims representative jobs

How much does a claims representative earn in Plymouth, MN?

The average claims representative in Plymouth, 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 Plymouth, MN

$36,000

What are the biggest employers of Claims Representatives in Plymouth, MN?

The biggest employers of Claims Representatives in Plymouth, MN are:
  1. JNR Adjustment
  2. Federated Life Insurance Company
  3. Federated Insurance
  4. Thesilverlining
  5. Western National Group & Umialik Insurance
Job type you want
Full Time
Part Time
Internship
Temporary