Medical Claims Associate What You'll Do
Execute the daily operations of a health plan, including processing medical claims, researching and responding to our members' most complicated questions, tracking your accuracy around core metrics, and troubleshooting the many operational challenges that affect our business
Be part of the team that is continuously adapting to improve efficiency and scalability
Think critically and strategically to continually boost teamwork and communication across offices
Gain additional skills across different areas of our business over time
Develop in-depth industry expertise in the healthcare economy
Cultivate a culture that aligns with our values and incorporates the unique aspects of our team
Reporting to the Manager of Member Claims, this is an essential role on our Customer Experience team
To be successful in this role, you'll need:
Above all, you are driven, curious, and take ownership for everything you do
You can become proficient with a large volume of information quickly
You are a committed team player
You are excited to build and adapt to the adventures of working on a growing team
You are passionate about being a part of a fast-growing company
You have a passion for our mission to transform the health insurance experience for employers and their employees
Nice to have:
Bachelor's degree or 1 or more years of work experience
Compensation: $21.50 per hour
$21.5 hourly 3d ago
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Claims - Field Claims Representative
Cincinnati Financial Corporation 4.4
Claims representative job in Salt Lake City, UT
Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
Build your future with us
Our Field Claims department is currently seeking field claimsrepresentatives to service the territory surrounding: Salt Lake City, Utah. The candidate is required to reside within the territory.
This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
Be ready to:
* complete thorough claim investigations
* interview insureds, claimants, and witnesses
* consult police and hospital records
* evaluate claim facts and policy coverage
* inspect property and auto damages and write repair estimates
* prepare reports of findings and secure settlements with insureds and claimants
* use claims-handling software, company car and mobile applications to adjust loss in a paperless environment
* provide superior and professional customer service
* once eligible, become a certified and active Arbitration Panelist
To be an Entry Level ClaimsRepresentative:
The pay range for this position is $55,000 - $76,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
* be available and communicative during your regular business hours
* a desire to learn about the insurance industry and provide a great customer experience
* the ability to work unsupervised
* excellent verbal and written communication skills
* strong interpersonal skills
* excellent problem-solving, negotiation, organizational and prioritization skills
* preparedness to follow-up with others in a timely manner
* a valid driver's license
Bring education or experience from:
* a bachelor's degree
* AINS, AIC, or CPCU designations preferred
Benefits in addition to compensation include:
* company car
* company stock options, including Restricted Share Units and Incentive based stock options
* paid time off (PTO)
* 401K with 6% company match
To be an Experienced ClaimsRepresentative:
The pay range for this position is $62,000 - $90,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
* be available and communicative during your regular business hours
* multi-line claims experience preferred
* ability to completely assess auto, property, and bodily injury type damages
* capacity to work unsupervised
* excellent verbal and written communication skills
* strong interpersonal skills
* excellent problem-solving, negotiation, organizational, and prioritization skills
* preparedness to follow-up with others in a timely manner
* a valid driver's license
Bring education or experience from:
* one or more years of claims handling experience
* AINS, AIC, or CPCU designations preferred
* bachelor's degree or equivalent experience required
Benefits in addition to compensation include:
* company car
* company stock options, including Restricted Share Units and Incentive based stock options
* paid time off (PTO)
* 401K with 6% company match
Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.
$62k-90k yearly 60d+ ago
Claims Reconciliation Specialist
Odyssey House Inc. 4.1
Claims representative job in Salt Lake City, UT
Job DescriptionDescription:
Odyssey House of Utah is a leading organization dedicated to providing comprehensive and compassionate care to individuals struggling with substance use disorders and behavioral health challenges. Our integrated approach combines evidence-based practices, clinical expertise, and a supportive environment to promote lasting recovery and overall well-being.
Are you ready to embark on a rewarding career journey where you can make a real difference? Your search ends here! We are actively seeking passionate professionals to join our team at multiple locations, offering a multitude of opportunities to support adolescents and adults in both inpatient and outpatient settings.
Compensation: $19.23/Hour
Full-Time Benefits:
$9k per year tuition reimbursement eligible
Opportunities for paid continuing education/training
Monthly incentives and awards
Access to 24/7 EAP program (Employee Assistance Program)
Casual dress and atmosphere
Incredible health insurance (medical, dental, vision, FSA, long and short-term disability)
Immediate eligibility to participate in our 403(b)-retirement plan, Employer 100% match up to 6% after 1 year
35 paid days off (additional PTO accrual after 1 year)
Stay well! If you have sick time left over at the end of the year, we will convert 1/2 of the remainder to vacation
Sabbatical Program - where we pay you to take a vacation after 5 years of service!
On-Demand Pay - Get a portion of your paycheck early for hours already worked! (conditions apply)
UTA free passes available for your work commute
Overview
We are seeking a detail-oriented Claims Reconciliation Specialist to support a targeted initiative focused on denials resolution. This role is critical to accelerating cash flow and improving overall revenue cycle performance. The ideal candidate has hands-on experience with healthcare billing, denial analysis, and can work independently to recover revenue efficiently.
Key Responsibilities
Denial Management (Primary Focus)
Review and analyze denied claims to identify root causes and determine appropriate resolution strategies.
Prepare and submit timely, well-documented appeals in accordance with payer-specific guidelines.
Identify high-volume or high-impact denial trends and recommend corrective actions or process improvements.
Communicate directly with payers to resolve denials and reduce reimbursement delays. Systems & Tools
Utilize payer portals, clearinghouses, and EOBs to research claim status, denial codes, and remittance details.
Maintain access to and proficiency with provider lookup tools and online payer resources. Compliance & Documentation
Ensure all activities comply with HIPAA and applicable federal and state regulations.
Maintain accurate documentation of actions taken and provide timely updates to leadership.
Requirements:
Qualifications
Experience in healthcare revenue cycle management, with a strong emphasis on denial resolution.
Solid understanding of medical billing, insurance reimbursement, and common denial codes.
Familiarity with EHR and revenue cycle systems.
Strong analytical, problem-solving, and communication skills.
Ability to manage priorities independently in a fast-paced, deadline-driven environment.
All employees of Odyssey House are required to adhere to: Odyssey House mission, philosophy, and scope of service; Division of Human Services Code of Conduct and all other relevant service contract requirement standards; ensuring a safe environment for all clients and staff; providing exemplary customer service to both internal and external customers; fostering a positive work environment; ensuring high-quality client care within the scope of the assigned position.
Each employee is expected to clearly understand roles and responsibilities regarding the following: Specific job position, time management, personnel file requirements, client record system, incident reporting, mandatory training requirements, maintaining proper client boundaries, and individual rights of clients and staff.
Pre-Employment Requirements:
Employment offers are contingent upon successful completion of required pre-employment screenings, which may include background checks, fingerprinting, applicable sex offender registry screenings for Adult Residential roles, and other position-related verifications. Roles requiring driving are subject to a Motor Vehicle Record (MVR) review and valid Utah driver's license.
EEOC Statement: Odyssey House is an equal-opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
$19.2 hourly 2d ago
Property Claims Field Adjuster
Bear River Mutual Insurance Company 4.0
Claims representative job in Murray, UT
Job description Responsible for the investigation, negotiation and resolution of property loss claims. This includes assessing damages and writing the estimate of repairs or replacement using Xactimate. Responsible for documenting and organizing claim records to support payment. Must apply the appropriate policy coverage and legal analysis for payment of claims.As an exempt employee, this position is paid to get the job done, which may mean additional hours will need to be worked, depending on the circumstances.The employee customarily and regularly exercises independent judgment and discretion.
Essential Job Functions and basic duties:1. Maintains high standards for customer service relations. This includes prompt contact and follow up to resolve claim issues as well as actively pursuing claim investigation to reach an expedient resolution.2. Conducts a thorough investigation of coverage, liability and damages. Must maintain supporting evidence for payment or denial.3. Inspection and documentation of damages. This may include photos, inventories, scope of damage, diagrams, etc.4. Coordinates repairs or replacement of damaged property, temporary housing, emergency restoration and contents replacement.5. Negotiates claim to a fair resolution.6. Responsible for conducting risk analysis for home safety standards in a report form.7. Prepares cost estimator to establish insurance to value.8. Maintains an adequate claim reserve for anticipated loss and claim expense payments.9. Responsible for managing costs in association with all aspects of recovery (subrogation, salvage and reinsurance), as well as loss adjustment expenses.
Qualifications:Education/Certification: College degree or equivalent training.Required Knowledge:Working knowledge of auto & property damage estimating.Working knowledge of computer related applications.Working knowledge of Home & Auto construction.Understanding of Insurance policy contracts and coverage.Understanding of the Utah Unfair Claim Practices Act.
Experience Required:3+ years prior claims handling or damage repair experience.2+ years prior property loss estimating.
Skills/Abilities:Excellent communication and public relations skills.Well organized and attentive to detail.Excellent negotiation skills.Strong computer skills.Ability to resolve conflict amicably.Clean driving record.Job Type: Full-time Pay: $70,000.00 - $95,000.00 per year
Benefits:Bear River Mutual offers impressive benefits including: 120 hours of PTO for first-year employees, profit sharing up to 8%, a pension after five years of employment, medical and dental plans, HSA employee contributions, company 401k match up to 4%, and a hybrid work schedule. Pays $50,000 - $70,000 based on experience.
About Bear River MutualBear River Mutual, established in 1909, is Utah's oldest and largest personal lines property and casualty insurance company headquartered in Murray, Utah. The company's dedication to the Utah market and focus on high-level service have created loyal customers for over 100 years. Bear River Mutual has been recognized for its success and named one of Utah's Best Companies to Work for by Utah Business Magazine.
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$70k-95k yearly 21d ago
Field Claims Representative
Auto-Owners Insurance 4.3
Claims representative job in Draper, UT
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to:
Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability
Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims
Become familiar with insurance coverage by studying insurance policies, endorsements and forms
Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary
Ensure that claims payments are issued in a timely and accurate manner
Handle investigations by phone, mail and on-site investigations
Desired Skills & Experience
Bachelor's degree or direct equivalent experience handling property and casualty claims
A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims
Field claims handling experience is preferred but not required
Knowledge of Xactimate software is preferred but not required
Above average communication skills (written and verbal)
Ability to resolve complex issues
Organize and interpret data
Ability to handle multiple assignments
Ability to effectively deal with a diverse group individuals
Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage
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 compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
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-DNI #IN-DNI
$36k-45k yearly est. Auto-Apply 43d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Provo, UT
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$41k-50k yearly est. Auto-Apply 37d ago
Independent Insurance Claims Adjuster in Provo, Utah
Milehigh Adjusters Houston
Claims representative job in Provo, UT
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$40k-49k yearly est. Auto-Apply 60d+ ago
Commercial Property Claims Adjuster
The Jonus Group 4.3
Claims representative job in Salt Lake City, UT
Looking for a skilled and motivated Commercial Property Claims Adjuster to join a growing team. This is an excellent opportunity for an experienced professional to handle large-loss commercial property claims while contributing to a collaborative and dynamic work environment.
Compensation Package
Salary Range: $80,000 - $115,000 annually
Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.
Responsibilities
Adjust large-loss commercial property claims, including those involving fires, hail, floods, and water damage.
Estimate commercial property building damages using the Symbility estimating system (candidates with Xactimate experience will also be considered).
Interpret and apply coverage policies to claims.
Handle approximately 2-3 new claims per week.
Collaborate with other departments to ensure efficient claims processing.
Qualifications/Requirements
Prior experience handling large-loss commercial property claims.
Familiarity with coverage interpretation and claims settlement processes.
Experience with Symbility or Xactimate estimating systems.
Claims-related certifications are a plus.
Strong analytical, communication, and organizational skills.
Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.
#LI-MM10
$80k-115k yearly 60d+ ago
Insurance Claims Specialist
Truhearing 3.9
Claims representative job in Draper, UT
TruHearing is a rewarding, fun and friendly, mission-based organization that makes a real difference towards improving people s lives. Our employees enjoy a positive working environment in a company that has experienced rapid growth. We offer a comprehensive benefits package, educational assistance, and opportunities for advancement.
TruHearing is the market leader and a force for positive change in the hearing healthcare industry. We reconnect people to the richness of life through industry-leading hearing healthcare solutions. We work with insurance companies, hearing aid manufacturers, and healthcare providers to reduce prices and expand access to better hearing care and whole-body health.
TruHearing is part of the WS Audiology Group (WSA), a global leader in the hearing aid industry. Together with our 12,000 colleagues in 130 countries, we invite you to help unlock human potential by bringing back hearing for millions of people around the world. The WSA portfolio of technologies spans the full spectrum of hearing care, from distinct hearing brands and digital platforms to managed care, hearing centers and diagnostics locations.
About the Opportunity:
This role exists to work with patient health plans to coordinate the patients claims and insurance benefits when purchasing hearing aids through a provider in TruHearing s provider network.
What will you be doing?
Confirm patient s insurance coverage, demographic information and other details with health plans via outbound phone calls, web chats, or online portals.
Accurately document patient hearing aid benefit details, and patient information in TruHearing s proprietary data system according to compliance requirements and TruHearing standards.
Demonstrate an understanding of applicable patient claims and insurance benefits by providing specific insurance information to claimants, health plans, and members of the TruHearing insurance department.
Validate patient demographic information with health plan payers (e.g., Medicare, Medicaid, private, and commercial) via outbound phone calls, web chats, or online portals.
Confirm insurance claim payments are paid correctly.
Apply insurance payments to patient accounts through TruHearing s proprietary data system.
Prepare basic insurance claims by transferring data from TruHearing s proprietary data system to the clearinghouse so payers receive timely and accurate claims.
Confirm that payments received from TruHearing s Accounting Department are processed and accounts are reconciled.
Complete a log of submitted claims and track to ensure timely payment from health plan partners.
What skills do you need to bring?
In addition to exhibiting the TruHearing Values of Going Beyond Together, Pioneering for Better Solutions, and Passion for Impact, this role requires the following:
Accountability Operates autonomously in most situations, communicates limits and needs.
Quality Consistently meets quality standards of the organization with limited assistance.
Productivity Consistently meets productivity standards of the organization with limited assistance.
Initiative Acts proactively and independently in common situations, asks appropriate questions, offers appropriate suggestions.
Customer Focus Develops customer relationships over time, provides services and offerings in the right moment.
Teamwork Collaborates with others to accomplish standard, documented processes.
Using Technology Uses basic IT tools or software.
Resilience Maintains energy in the face of occasional strenuous work demands.
What education or experience is required?
Required:
High School Diploma or equivalent.
One (1+) years experience working in the healthcare industry, preferably directly with insurance companies.
Medical Claim submission experience
Medical Prior authorization experience
Medical benefit verification experience
Preferred:
Two (2+) years experience working in the healthcare industry, preferably directly with insurance companies OR one (1+) years experience working as a Level I Insurance Specialist at TruHearing.
Managed Care experience
Fee for Service Claims experience
Knowledge in Availity, TriZetto, Waystar, other clearinghouses
What benefits are offered?
TruHearing offers a generous compensation and benefits package including health coverage, a fully vested 401k match, education assistance, fully paid long and short-term disability, paid time off and paid holidays. We are conveniently located across the street from the Draper FrontRunner station and subsidize the cost of a UTA pass with access to FrontRunner, TRAX and regular bus service employee cost is less than $2 per day. You ll work in an exciting and fun environment and have the opportunity to grow with us.
Equal Opportunity
TruHearing is an Equal Opportunity Employer who encourages diversity in the workplace. All qualified applicants will receive consideration for employment without regards to race, color, national origin, religion, sex, age, disability, citizenship, marital status, sexual orientation, gender identity, military or protected veteran status, or any other characteristic protected by applicable law.
$29k-49k yearly est. 9d ago
Insurance Adjuster- Bodily Injury Claims
Farm Bureau Financial Services 4.5
Claims representative job in Sandy, UT
Will be filled at the appropriate level based on experience* Do you thrive in a work environment where you must multi-task and have strong organizational skills? Are you a go-getter with high initiative and a positive attitude? Do you have past casualty claims experience and a strong customer service mindset? If so, this Insurance Adjuster- Bodily Injury Claims opportunity could be a great fit for you!
Who We Are: At Farm Bureau Financial Services, we make insurance simple so our client/members can feel confident knowing their family, home, cars and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 75-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive.
What You'll Do: As a Insurance Adjuster- Bodily Injury Claims, you will investigate, evaluate, negotiate and settle assigned claims involving casualty insurance coverage. In this opportunity, you will typically handle auto liability investigation and bodily injury claims. You must investigate the facts of the loss, interpret the policy, and determine whether the loss is covered and if our client member is liable. You will also determine the value of the loss and assist in setting appropriate reserves. In this role, it is very important to have a strong knowledge of tort law and how it relates to specific cases. As a Insurance Adjuster- Bodily Injury Claims, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, doctors, attorneys, and others. You will work out of our Sandy, Utah office.
What It Takes to Join Our Team:
* College degree or equivalent plus 2 years relevant experience is required. Multi-line field experience (specifically casualty claims experience) is preferred.
* Associate in Claims (AIC), Senior Claims Law Associate (SCLA) designation and four parts of the CPCU designation preferred or working towards the designations.
* High attention to detail and strong organizational skills.
* Must be PC literate and able to effectively use our systems. Familiarity with Outlook, Microsoft Word and Excel is preferred.
* A valid driver's license and satisfactory Motor Vehicle Records are required.
* Some travel with overnight stays is required.
* Strong verbal and written communication skills.
* Exceptional customer service skills.
What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. For many positions, even consideration for a hybrid work arrangement. Farm Bureau....where the grass really IS greener!
Work Authorization/Sponsorship
Applicants must be currently authorized to work in the United States on a full-time basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not able to sponsor OPT status.
$42k-50k yearly est. 20d ago
Rec Marine Adjuster
Sedgwick 4.4
Claims representative job in Salt Lake City, UT
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
Rec Marine Adjuster
**PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement.
+ Receives and reviews new claims and maintains data integrity in the claims system.
+ Reviews survey reports and insurance policies to determine insurance coverage.
+ Prepares settlement documents and requests payment for the claim and expenses.
+ Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required.
**Experience**
3 years or more of Marine Adjusting preferred.
**Skills & Knowledge**
+ Strong oral and written communication skills
+ PC literate, including Microsoft Office products
+ Good customer service skills
+ Good organizational skills
+ Demonstrated commitment to timely reporting
+ Ability to work independently and in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:**
+ Must be able to stand and/or walk for long periods of time.
+ Must be able to kneel, squat or bend.
+ Must be able to work outdoors in hot and/or cold weather conditions.
+ Have the ability to climb, crawl, stoop, kneel, reaching/working overhead
+ Be able to lift/carry up to 50 pounds
+ Be able to push/pull up to 100 pounds
+ Be able to drive up to 4 hours per day.
+ Must have continual use of manual dexterity
**Auditory/Visual** **:** Hearing, vision and talking
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**
$50k yearly 41d ago
Senior Claim Examiner II, CA
Amtrust Financial Services, Inc. 4.9
Claims representative job in South Jordan, UT
AmTrust is actively seeking a skilled Resolution Examiner specializing in Workers' Compensation Claims. The primary focus will be on negotiating and settling claims efficiently and at a cost effective value. In this role, you will be entrusted with the independent review and resolution of workers' compensation claims; utilizing your expertise in negotiation and settlement strategies to bring claims to resolution posture. Your ability to effectively interact with insureds, claimants, and their legal representatives will be essential in driving timely settlements while adhering to AmTrust's mission, vision, and values.
Responsibilities
Proactively negotiate settlements for workers' compensation claims, ensuring fair and expedient resolutions that meet the needs of all parties involved.
Conduct thorough investigations by engaging with insured representatives, claimants, and witnesses to gather critical information that supports settlement discussions.
Analyze coverage issues and the applicability of benefits under relevant policies and statutes to facilitate informed negotiation outcomes.
Establish and adjust reserves based on projected claim outcomes, ensuring alignment with corporate standards and settlement strategies.
Collaborate closely with internal Managed Care and Medical resources to ensure that treatment plans and billing are managed effectively during the settlement process.
Collect and evaluate essential documentation, including medical records and incident reports, to strengthen negotiation positions and expedite settlements.
Utilize critical thinking and decision-making skills to assess claims and develop effective negotiation tactics aimed at achieving optimal settlement outcomes.
Maintain clear, concise, and factual documentation in claims files and communications, supporting transparency throughout the settlement process.
Manage time effectively, prioritizing negotiations and settlements in a fast-paced environment to meet deadlines and client expectations.
Build and maintain strong relationships with customers, fostering their trust and confidence throughout the claims settlement process.
Unique Responsibilities:
Conduct compensability analysis based on AOE/COE investigations to identify valid claims and streamline settlement negotiations.
Verify the nature and extent of injuries, adapting settlement strategies based on changes in claim exposure.
Leverage a high level of technical knowledge in workers' compensation claims to facilitate effective and timely settlements.
Exhibit exceptional communication skills, both written and oral, to professionally engage with all stakeholders involved in the claims process.
Adapt to changing circumstances and priorities, demonstrating flexibility in negotiations to achieve the best outcomes.
Qualifications
Bachelor's degree or equivalent experience.
Minimum of 3 years of experience in handling and settling workers' compensation claims.
Preferred experience in negotiating litigated or complex claims.
State licensure as required.
Proficiency with MS Office Suite and claims management software.
Strong negotiation, investigation, and evaluation skills specific to workers' compensation claims.
In-depth knowledge of workers' compensation laws and insurance practices.
Ability to travel, as required for some positions.
Preferred Qualifications:
Multijurisdictional experience may be required.
CPCU, ARM, AIC, or other relevant claims certifications are preferred.
Join Us:
If you are a dedicated claims adjuster with a strong focus on settlements and a passion for achieving optimal resolutions in workers' compensation claims, we invite you to apply today. Become an integral part of AmTrust's commitment to excellence in claims management!
The expected salary range for this role is $49/hr-$59.50/hr
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Not ready to apply? Connect with us for general consideration.
$35k-49k yearly est. Auto-Apply 1d ago
Analyst, Claims Research
Molina Healthcare Inc. 4.4
Claims representative job in Salt Lake City, UT
Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution.
Essential Job Duties
* Serves as claims subject matter expert - using analytical skills to conduct research and analysis to address issues, requests, and support high-priority claims inquiries and projects.
* Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams.
* Manages and leads major claims projects of considerable complexity and volume that may be initiated internally, or through provider inquiries/complaints, or legal requests.
* Assists with reducing rework by identifying and remediating claims processing issues.
* Locates and interprets claims-related regulatory and contractual requirements.
* Tailors existing reports and/or available data to meet the needs of claims projects.
* Evaluates claims using standard principles and applicable state-specific regulations to identify claims processing errors.
* Applies claims processing and technical knowledge to appropriately define a path for short/long-term systematic or operational fixes.
* Seeks to improve overall claims performance, and ensure claims are processed accurately and timely.
* Identifies claims requiring reprocessing or readjudication in a timely manner to ensure compliance.
* Works collaboratively with internal/external stakeholders to define claims requirements.
* Recommends updates to claims standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing.
* Fields claims questions from the operations team.
* Interprets, communicates, and presents, clear in-depth analysis of claims research results, root-cause analysis, remediation plans and fixes, overall progress, and status of impacted claims.
* Appropriately conveys claims-related information and tailors communication based on targeted audiences.
* Provides sufficient claims information to internal operations teams that communicate externally with providers and/or members.
* Collaborates with other functional teams on claims-related projects, and completes tasks within designated/accelerated timelines to minimize provider/member impacts and maintain compliance.
* Supports claims department initiatives to improve overall claims function efficiency.
Required Qualifications
* At least 3 years of medical claims processing experience, or equivalent combination of relevant education and experience.
* Medical claims processing experience across multiple states, markets, and claim types.
* Knowledge of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid, and Marketplace government-sponsored programs.
* Data research and analysis skills.
* Organizational skills and attention to detail.
* Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
* Ability to work cross-collaboratively in a highly matrixed organization.
* Customer service skills.
* Effective verbal and written communication skills.
* Microsoft Office suite (including Excel), and applicable software programs proficiency.
Preferred Qualifications
* Health care claims analysis experience.
* Project management experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $22.81 - $46.42 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$24k-34k yearly est. 6d ago
Claims Specialist (Employee Benefits)
Leavitt Group 4.3
Claims representative job in Salt Lake City, UT
GBS Benefits, Inc. is the leader in experience, innovation, and services when it comes to customizing the employee benefits offerings for our clients. GBS Benefits has created a culture of respect, trust, hard work, and fun. When you love your job and the people around you, remarkable things can happen. We carry great excitement in our work, knowing that we have a tremendous positive impact on the larger scale. We partner with over 1,000 companies in building and protecting their dreams and visions. We invite you to investigate this job opportunity at GBS. This will not be all inclusive but is intended to give you a road map and an overview. Come make a difference with us!
Description:
The Advocacy Specialist delivers white-glove healthcare advocacy to members of employer groups that partner with GBS. This is a challenging and deeply rewarding role for someone who enjoys problem-solving, investigation, and helping others navigate complex situations with confidence.
As an Advocacy Specialist, you will act as a trusted guide-owning member issues from start to resolution, advocating on their behalf, and ensuring they feel informed, supported, and cared for throughout the process.
What You'll Do
Serve as a primary point of contact for members needing help navigating healthcare benefits and claims.
Investigate and resolve denied or complex medical and pharmacy claims.
Analyze Explanation of Benefits (EOBs), plan provisions, and coding to determine next steps.
Advocate with insurance carriers, administrators, and providers to achieve fair and timely resolutions.
Clearly communicate plans, timelines, and outcomes while providing reassurance and support.
Build strong relationships with internal teams and external carrier contacts.
Document cases accurately and stay current on evolving healthcare and benefits information.
Essential Duties and Responsibilities:
· A strong investigative and analytical mindset with attention to detail.
· High levels of empathy, professionalism, and emotional intelligence.
· Excellent written and verbal communication skills.
· Ability to manage multiple cases in a fast-paced, constantly changing environment.
· A collaborative, “can-do” attitude with a willingness to jump in and help.
· Comfort seeing both the details and the big picture.
· Prior experience with insurance, claims, benefits, or EOBs is highly preferred.
· Proficiency with Microsoft Office and comfort learning new systems.
Skills and Knowledge:
• Sound reasoning and judgment to decipher a multitude of incoming issues.
• Maintain composure, analyze situations objectively, and provide helpful assistance.
• Strong verbal & written communication.
• Ability to decipher resources for yourself and clients and know when to utilize other GBS departments.
• Must be able to effectively prioritize tickets and meet deadlines.
• Insurance / Claims / EOB knowledge highly recommended.
• Technically savvy and proficient with ongoing improvements in processes.
• Proven use and understanding of Microsoft Office.
Performance Expectations:
• Ability to consistently attend work, meetings and training or staff events.
• Must work with respect and work well with diverse personalities.
• Must meet or exceed team and overall company expectations.
• Must work well independently as well as contribute to a team environment.
Working Conditions / Essential Functions:
• This position enjoys the benefits and climate control of a quiet office environment. Employees are provided with ergonomically sound workspaces. Work is accomplished at a computer terminal either sitting or standing. Employees must access, input, and retrieve information from the computer system. Comfort and efficiency are considered in employee workspaces. Daily work includes computer interfacing, data entry, communications (electronic and physical), movement throughout the office, attending meetings, etc.
• Physical demands include the ability to lift and move objects (typically 0 - 10 lbs.) and visually monitor information/data on a computer screen.
• The working environment described above provides a detailed representation of what employees might encounter in the workplace while performing the essential duties of the job. Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential duties of the job.
This job description is not designed to cover or to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee.
#LI-SM1
$29k-50k yearly est. Auto-Apply 10d ago
Claims Adjuster - Auto Repair Specialist
Cadence Innovations Group
Claims representative job in South Jordan, UT
Are cars your obsession? Have you turned wrenches as a profession or as a hobby? Are you looking to get off the floor and into an office setting? If you know engines like the back of your hand - we need your expertise - Let's talk!
We offer a fantastic company culture that will foster your professional training and growth - our people come before profits ! If that isn't enough, you'll also get:
Competitive pay - Base of $20-$22.25/hr. (doe) + $1/hr. for bilingual Spanish/English language skills! Up to $4/hr. more for certain active ASE Certifications!
Up to $400 monthly performance bonus! $500 sign-on bonus after 6-months!
Full benefits package (Medical, Dental, Vision, 401k, etc) with generous company contributions
Paid Time Off and Paid Holidays
Tuition Assistance from day one
Monday-Friday schedules - NO WEEKENDS
A state-of-the-art office building with awesome perks
Onsite fitness center
Basketball court
Game room with bowling alley
Ergonomic Workstations
Here's what you'll do:
As Alpha Warranty's Claims Adjuster L1 Repair Specialist, you will use your automotive knowledge to work directly with repair shops across the United States throughout the mechanical repair claim process.
You communicate with the shops by phone and email to ensure a complete understanding of the necessary car repair and if it can be covered under the customer's service contract, while accurately typing notes of the claim in our system. With every interaction we work to provide accurate and efficient claim decisions for our customers, regardless of how complicated the repair may be. Don't worry, we have Sr. Claims Adjusters to handle the complex and high-dollar repair claims.
A veteran owned business since 2002, Alpha Warranty Services is a multi-award-winning, nationally recognized Vehicle Service Contract (VSC) provider. At Alpha Warranty, you'll have the opportunity to connect and collaborate with members of our awesome team for success in your job responsibilities, which, in addition to what we've described above, also include:
Documenting all claim details and decisions using our internal systems, including requesting approved claim payments
Collaborating with repair shops to address claim needs such as part orders, inspections, and communicating final claim decisions
Providing meaningful and innovative solutions to challenging problems, whenever possible
Other responsibilities and projects as assigned by your manager
What you need for success:
Vehicle repair experience, knowledge, and/or interest is a huge plus, but not required
Some customer service experience is required
Call center experience is strongly preferred, but not required
Clear and professional verbal and written English communication skills - bilingual Spanish/English skills are highly valued and paid more, but not required
Comfortable navigating current technology such as computers, phones, internet, and various software
Accurate typing skills with a speed of at least 30+ WPM
Ability to successfully collaborate, problem solve, and listen, with a great attention to details
Capacity to embrace change and new opportunities as we continue to grow
High school diploma or GED equivalent is required
Here's a few more perks:
An exceptionally supportive company culture that places people over profit.
Fair and competitive compensation.
Health insurance options with generous company contributions.
Dental and Vision coverage.
Life and Disability insurance (100% company paid + options for more!)
Competitive 401K matching.
Paid Time Off (PTO) and Paid Holidays.
Paid Volunteerism Time Off (VTO) to support your community.
Legal and Pet insurance options.
Free Roadside Assistance for your personal vehicle.
Tuition Assistance Program with immediate eligibility.
Ongoing professional training and development.
Employee incentive and recognition programs
About Alpha Warranty Services:
Alpha Warranty Services provides a full line of unique and useful vehicle protection products and services. Founded in 2002 on a value system of integrity, dependability, and providing the best service, Alpha Warranty has enjoyed consistent growth and helped forge long-term partnerships with industry-leading auto dealerships across the country. The company takes pride in creating quality product and service innovations and fostering employee development. Because of this, Alpha has received recognition from multiple organizations including the MWCN Utah 100 for Fastest Growing Company, the Salt Lake Tribune for being a Top Workplace, and the American Business Awards for Veteran-Owned Company of the Year. If you want a rewarding and challenging career where you can work hard and play hard, join the Alpha team today.
Learn more about Alpha Warranty and our affiliated companies at ********************** *************** and ************************
U.S. EQUAL EMPLOYMENT OPPORTUNITY/AFFIRMATIVE ACTION INFORMATION
Alpha Warranty Services is an equal opportunity employer. Individuals seeking employment are considered without regard to race, color, religion, national origin, age, sex/gender, sexual orientation, gender identity, ancestry, physical or mental disability, medical condition, genetic information/characteristics, military or veteran status and other basis protected by federal, state, or local law or ordinance or regulation. Reasonable accommodations will be provided to individuals with known disabilities in compliance with the Americans with Disabilities Act. For accommodation information or if you need special accommodations to complete the application process, contact the Human Resources Department at ************.
$20-22.3 hourly Auto-Apply 12d ago
Claims Adjuster - Auto Repair Specialist
Alpha Warranty Services, Inc. 3.7
Claims representative job in South Jordan, UT
Are cars your obsession? Have you turned wrenches as a profession or as a hobby? Are you looking to get off the floor and into an office setting? If you know engines like the back of your hand - we need your expertise - Let's talk!
We offer a fantastic company culture that will foster your professional training and growth - our people come before profits ! If that isn't enough, you'll also get:
Competitive pay - Base of $20-$22.25/hr. (doe) + $1/hr. for bilingual Spanish/English language skills! Up to $4/hr. more for certain active ASE Certifications!
Up to $400 monthly performance bonus! $500 sign-on bonus after 6-months!
Full benefits package (Medical, Dental, Vision, 401k, etc) with generous company contributions
Paid Time Off and Paid Holidays
Tuition Assistance from day one
Monday-Friday schedules - NO WEEKENDS
A state-of-the-art office building with awesome perks
Onsite fitness center
Basketball court
Game room with bowling alley
Ergonomic Workstations
Here's what you'll do:
As Alpha Warranty's Claims Adjuster L1 Repair Specialist, you will use your automotive knowledge to work directly with repair shops across the United States throughout the mechanical repair claim process.
You communicate with the shops by phone and email to ensure a complete understanding of the necessary car repair and if it can be covered under the customer's service contract, while accurately typing notes of the claim in our system. With every interaction we work to provide accurate and efficient claim decisions for our customers, regardless of how complicated the repair may be. Don't worry, we have Sr. Claims Adjusters to handle the complex and high-dollar repair claims.
A veteran owned business since 2002, Alpha Warranty Services is a multi-award-winning, nationally recognized Vehicle Service Contract (VSC) provider. At Alpha Warranty, you'll have the opportunity to connect and collaborate with members of our awesome team for success in your job responsibilities, which, in addition to what we've described above, also include:
Documenting all claim details and decisions using our internal systems, including requesting approved claim payments
Collaborating with repair shops to address claim needs such as part orders, inspections, and communicating final claim decisions
Providing meaningful and innovative solutions to challenging problems, whenever possible
Other responsibilities and projects as assigned by your manager
What you need for success:
Vehicle repair experience, knowledge, and/or interest is a huge plus, but not required
Some customer service experience is required
Call center experience is strongly preferred, but not required
Clear and professional verbal and written English communication skills - bilingual Spanish/English skills are highly valued and paid more, but not required
Comfortable navigating current technology such as computers, phones, internet, and various software
Accurate typing skills with a speed of at least 30+ WPM
Ability to successfully collaborate, problem solve, and listen, with a great attention to details
Capacity to embrace change and new opportunities as we continue to grow
High school diploma or GED equivalent is required
Here's a few more perks:
An exceptionally supportive company culture that places people over profit.
Fair and competitive compensation.
Health insurance options with generous company contributions.
Dental and Vision coverage.
Life and Disability insurance (100% company paid + options for more!)
Competitive 401K matching.
Paid Time Off (PTO) and Paid Holidays.
Paid Volunteerism Time Off (VTO) to support your community.
Legal and Pet insurance options.
Free Roadside Assistance for your personal vehicle.
Tuition Assistance Program with immediate eligibility.
Ongoing professional training and development.
Employee incentive and recognition programs
About Alpha Warranty Services:
Alpha Warranty Services provides a full line of unique and useful vehicle protection products and services. Founded in 2002 on a value system of integrity, dependability, and providing the best service, Alpha Warranty has enjoyed consistent growth and helped forge long-term partnerships with industry-leading auto dealerships across the country. The company takes pride in creating quality product and service innovations and fostering employee development. Because of this, Alpha has received recognition from multiple organizations including the MWCN Utah 100 for Fastest Growing Company, the Salt Lake Tribune for being a Top Workplace, and the American Business Awards for Veteran-Owned Company of the Year. If you want a rewarding and challenging career where you can work hard and play hard, join the Alpha team today.
Learn more about Alpha Warranty and our affiliated companies at ********************** *************** and ************************
U.S. EQUAL EMPLOYMENT OPPORTUNITY/AFFIRMATIVE ACTION INFORMATION
Alpha Warranty Services is an equal opportunity employer. Individuals seeking employment are considered without regard to race, color, religion, national origin, age, sex/gender, sexual orientation, gender identity, ancestry, physical or mental disability, medical condition, genetic information/characteristics, military or veteran status and other basis protected by federal, state, or local law or ordinance or regulation. Reasonable accommodations will be provided to individuals with known disabilities in compliance with the Americans with Disabilities Act. For accommodation information or if you need special accommodations to complete the application process, contact the Human Resources Department at ************.
$20-22.3 hourly Auto-Apply 12d ago
Pre-Claim Coordination Specialist
Larry H. Miller Senior Health 4.6
Claims representative job in Sandy, UT
Full-time Description
We are seeking a detail-oriented and highly organized Pre-Claim Coordination Specialist to join our team. Pre-Claim Coordination
Specialist play a crucial role in the Home Health and Hospice claims process and are essential to ensuring claims are ready for billing submission. The Pre-Claim Coordination Specialist will conduct daily reviews of holds in various areas, collaborating closely with agencies and the billing team to resolve issues efficiently, prevent billing delays, and support timely and compliant claim submission.
Responsibilities and Duties:
Monitor and resolve pre-claim holds to prevent billing delays
Manage assigned tasks through the ticketing/workflow system and ensure timely completion
Communicate with agency staff and the billing team to obtain needed follow-up and resolve issues
Maintain accurate documentation and updates within the ticketing system
Establish and maintain positive working relationships with agency staff and coworkers
Support organizational culture by promoting a Friendly, Positive, and Excellence-Focused environment
Perform other duties as assigned
Requirements
Competencies:
To perform the essential functions of this position successfully, an individual must demonstrate the following competencies:
Proficiency in verbal, written, and computer skills
Excellent communication, organization, and follow-up abilities
Ability to manage multiple assignments simultaneously
Strong attention to detail and the ability to work independently
Job Qualifications:
Minimum of one (1) year of medical office experience required
Knowledge of home health and/or hospice operations preferred
Physical Requirements:
Regularly required to walk, sit, stand, bend, reach, lift, and move about
Ability to communicate effectively, both orally and in writing
Schedule:
• Full-Time
• 8 Hour Shifts
• Monday - Friday
Salary Description $18 per hour
$18 hourly 9d ago
Inside Property Claims Adjuster
Bear River Mutual Insurance Company 4.0
Claims representative job in Murray, UT
Job description
Responsible for the investigation, negotiation and resolution of Property Loss claims. This includes review of written estimate of repairs or replacement using computerized estimating software.
Responsible for documenting and organizing claim records to support payment. Must investigate and apply the appropriate policy coverage and legal analysis for payment of claims as well as third party liability. Projects the Company's professional image.
As an exempt employee, this position is paid to get the job done, which may mean additional hours will need to be worked, depending on the circumstances.
The employee customarily and regularly exercises independent judgment and discretion.
Essential Job Functions and basic duties:
Maintains high standards for customer service relations. This includes prompt contact and follow up to resolve claim issues as well as actively pursuing claim investigation to reach an expedient resolution.
Conducts a thorough investigation of coverage, liability and damages. Must maintain supporting evidence for payment or denial.
Audits mitigation and repair estimates with documentation of damages from the desk. This may include reviewing photos, inventories, scope of damage, diagrams, etc.
Coordinates repairs or replacement of damaged property, temporary housing, emergency restoration and contents replacement.
Negotiates claim to a fair resolution.
Responsible for conducting risk analysis for home safety standards.
Prepares cost estimator to establish insurance to value.
Maintains an adequate claim reserve for anticipated loss and claim expense payments.
Responsible for managing costs in association with all aspects of recovery (subro, salvage and reinsurance) as well as loss adjustment expenses.
Understanding of and compliance with Utah Unfair Claim Practices Act.
Manages claims involving Public Adjusters.
Manages claims involving attorney repped clients and litigation.
Manages claims of high complexity, involving high authority and loss costs.
We will train candidates as needed.
Other Job Functions:
Occasional onsite damage assessment or accident scene investigations, including measurements, photographs and witness contact.
Other duties as assigned.
Qualifications:
Education/Certification: College degree or equivalent training.
Required Knowledge:
Working knowledge of property damage estimating.
Knowledge of computer related applications.
Working knowledge of Home construction.
Understanding of Insurance policy contracts and coverage.
Understanding of the Utah Unfair Claim Practices Act.
Experience Required:
5 years prior property claims handling experience.
2 years prior property loss estimating.
Experience working with Public Adjusters and litigation experience is preferred.
Skills/Abilities:
Excellent communication and public relations skills.
Well organized and attentive to detail.
Excellent negotiation skills.
Good computer skills.
Ability to problem solve and resolve conflict amicably.
Clean driving record.
Benefits: Bear River Mutual offers impressive benefits including: 120 hours of PTO for first-year employees, profit sharing up to 8%, a pension after five years of employment, medical and dental plans, HSA employee contributions, company 401k match up to 4%, and a hybrid work schedule. Pays $45,000 - $70,000 based on experience.
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$45k-70k yearly 15d ago
Independent Insurance Claims Adjuster in Salt Lake City, Utah
Milehigh Adjusters Houston
Claims representative job in Salt Lake City, UT
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$40k-49k yearly est. Auto-Apply 60d+ ago
Claims Service Representative
Farm Bureau Financial Services 4.5
Claims representative job in Sandy, UT
Will be filled at the appropriate level based on experience Do you thrive in a work environment where you must multi-task and have strong organization skills? Are you a go-getter with high initiative and a positive attitude? Do you have strong customer service and time management skills? If so, this Claims Service Representative opportunity could be a great fit for you!
Who We Are: With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive.
What You'll Do: As a Claims Service Representative, you will review, investigate, evaluate, negotiate and settle assigned claims involving multi-line insurance coverage that do not require field investigation. You must investigate the facts of the loss, interpret the policy, and determine whether the loss is covered and if our client member is liable. You will also determine the value of lost property and assist in setting reasonable reserves. While handling the claim, you will prepare detailed and organized running notes, written reports and documentation in accordance with established procedures. As a Claims Service Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, doctors, attorneys, and others.
What It Takes to Join Our Team:
* Associates degree or equivalent experience required.
* High attention to detail and strong organizational skills.
* Have the ability to exercise independent judgment and arrive at decisions through sound, logical reasoning in order to handle more complex claims.
* Excellent phone skills required as approximately 50% of time will be spent on the phone.
* Must be PC literate and able to effectively use our systems. Familiarity with Outlook, Microsoft Word and Excel is preferred.
* Strong verbal and written communication skills.
What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. Add to that an onsite wellness facility with fitness classes and programs, a daycare center, a cafeteria, and for many positions, even consideration for a hybrid work arrangement. Farm Bureau....where the grass really IS greener!
If you're interested in joining a company that appreciates employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today!
Work Authorization/Sponsorship: At this time, we are not considering candidates that need any type of immigration sponsorship now or in the future, such as additional or permanent work authorization. Applicants must be currently authorized to work in the United States on a full-time, permanent basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not considering candidates with OPT status.
How much does a claims representative earn in Provo, UT?
The average claims representative in Provo, UT earns between $28,000 and $48,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.