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  • Claims Adjuster Associate - WC

    Amerisure Mutual Insurance Company 4.8company rating

    Claims representative job in Farmington Hills, MI

    The Claims Associate provides quality assistance to adjusters at all phases of the claim lifecycle to drive the claim to timely conclusion. Supports the success of the organization through interactions with agencies, policyholders, and employees. Thi Claims, Adjuster, Associate, Insurance, Support
    $49k-59k yearly est. 1d ago
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  • Claims Analyst

    Cherokee Insurance Company

    Claims representative job in Sterling Heights, MI

    Cherokee Insurance Company, a leading casualty insurance provider to the transportation industry is seeking an entry level liability adjuster for our Sterling Heights, MI office. Cherokee Insurance is rated ‘A' (Excellent) by A.M. Best Company. Now is your chance to join a team of trained professionals and enhance your skills. We are seeking detail-oriented individuals with superior customer service and negotiation skills to investigate and process both first- and third-party claims. Liability Adjusters are trained on site and are not required to travel. Based at our Corporate Office, this is an exceptional chance for learning, exposure, and career advancement. Job Responsibilities: Gather accident information and assist the insured to begin the claim process Take and organize detailed notes/information from all involved parties Ensure that all claims information is accurately input to claims system Prepare claim information Meet deadlines while making priority adjustments as needed Confidently and professionally work well with internal and external customers Handle matters according to various state regulatory requirements and respond to issues in a timely, appropriate fashion Stay abreast of and utilize claim handling best practices as directed by management and regulatory/professional organizations Maintain file communications and associated details to ensure that a complete file is available to the company at all times After appropriate training and foundational understanding (3 - 6 months), Liability Adjusters will be responsible for: Determining responsibility, coverages and coverage limits Consulting with all involved vendors and out of state contracted adjusters Reviewing and approving price quotes Settlement negotiation The ideal candidate will possess the following: Exceptional communication skills: listening, reading, writing, speaking Solid organizational, multi-tasking and time-management skills Strong analytical and problem-solving skills Ability to work both independently and in a team-oriented environment Intermediate knowledge of Microsoft Office Suite Strong sense of urgency Willingness to learn and desire for promotion/advancement Bachelor's Degree in business, economics, finance or related field Salary and Benefits: Competitive Salary Medical/dental benefits 401(k) Paid vacation Life Insurance Collaborative environment Opportunity for advancement
    $44k-76k yearly est. 4d ago
  • Michigan Homeowners Claim Representative II

    The Auto Club Group 4.2company rating

    Claims representative job in Chicago, IL

    Michigan Homeowners Claim Representative II - AAA The Auto Club Group Reports to: Claim Manager IWhat you will do: Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims. Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees assigned to the Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update. Supervisory Responsibilities: None How you will benefit: A competitive annual salary between $64,000 - $72,000 ACG offers excellent and comprehensive benefits packages, including: Medical, dental and vision benefits 401k Match Paid parental leave and adoption assistance Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays Paid volunteer day annually Tuition assistance program, professional certification reimbursement program and other professional development opportunities AAA Membership Discounts, perks, and rewards and much more We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience in property adjusting In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: One year of experience or equivalent training in the following: Negotiating claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advance knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Knowledge of building construction and repair techniques Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Research, analyze, and interpret subrogation laws in various states Strong negotiating skills Ability to work outside normal business hours as needed Preferred Qualifications: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Xactimate software experience/training or experience in an equivalent software Claims adjuster experience specifically in home/property claims preferred Experience working within a customer service setting Call center experience or experience handling high volume calls preferred, but not required Excellent communication skills both oral and written Experience working within an insurance or claims-based role for one year or more Full claims cycle experience preferred Work Environment This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $64k-72k yearly 1d ago
  • Automotive Claims Adjuster

    First Chicago Insurance Company 4.3company rating

    Claims representative job in Oak Brook, IL

    We are First Chicago Insurance Company! We currently have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we have a new Claims office in Oak Brook, IL! If you are an experienced Non-Standard Auto CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL!! We are seeking experienced Non-Standard Auto Liability Claims Specialist to join our new office in Oak Brook! This talented individual must possess previous experience in the investigation, determination of coverage, prompt evaluation of both First- and Third-Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims. DUTIES & RESPONSIBILITIES: Review and determine course of action on each file assigned, utilizing technical knowledge and experience for the purpose of supporting final disposition of a loss Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claim Honor/decline/negotiate first and third-party liability claims upon completion of coverage/policy investigation and analysis of damages and liability Work directly with internal and external customers to develop evidence and establish facts on assigned claims Organize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claims Prepare and present claim evaluations for the appropriate settlement authority Notify the Underwriting Department of any adverse information uncovered in the course of the investigation Familiarity with unfair claim practices in states where we do business Conduct business with vendors in a professional manner while maintaining a reasonable expense factor and upholding the company's reputation for quality service Provide customer service both to internal and external customers Handle other duties as assigned QUALIFICATIONS REQUIRED: Minimum 2-3 years previous auto insurance or other auto related experience A MUST! Non-Standard Auto claims handling experience a plus! Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skills General working knowledge of policies, file procedures, state rules and regulations Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster Preferred: Prior claims experience Ability to use on-line claims system Bi-lingual a plus! First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive: Competitive Salaries Flexible Work Schedules Remote and Hybrid Commitment to your Training & Development Medical and Dental Telemedicine Benefit 401k with a generous company match Paid Time Off and Paid Holidays Tuition Reimbursement Training Programs Wellness Program Fun company sponsored events And so much more!
    $38k-45k yearly est. 1d ago
  • Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Stout 4.2company rating

    Claims representative job in Indianapolis, IN

    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
    $34k-41k yearly est. 2d ago
  • Field Property Claims Representative II - Northern/Northeastern Indiana

    Indiana Farmers Insurance 3.6company rating

    Claims representative job in South Bend, IN

    Full-time Description Indiana Farmers Insurance is currently looking for an experienced Field Property Claims Professional to join our Claims Team. This position is focused on all types of structures, including farm and commercial risks. The ideal candidate will service counties in the Northern/Northeastern portion of the state of Indiana. The right candidate will investigate, assess damages, write structural property estimates, make coverage decisions, and ultimately resolve personal, commercial and farm property claims. As a Field Property Claims Representative II with Indiana Farmers Insurance, you will support our vision by driving prompt and fair claims resolutions. Benefits for the Field Property Claims Representative II: Free Health insurance Free Dental insurance Free Vision insurance Free Life insurance Free Short-Term & Long-Term Disability insurance 2% 401k Company Match 11% 401k Company Contribution Excellent Paid Time Off Generous paid time off Parental Leave Day of Service We promote from within our diverse workforce regularly and offer regular opportunities to learn and grow Several committees to explore, to connect with coworkers and build relationships Two robust Employee Assistance Programs for you and your family Matching funds of up to $100 annually are available from the company for your favorite charitable organization Associate recognition awards, fun gatherings, and opportunities to make friends are part of our culture An on-site fitness center, as well as free and convenient parking right next to our building make life easier Requirements Qualifications and Responsibilities for the Field Property Claims Representative II include: Experience and understanding of farm policies, farm structures and equipment, required Experience and expertise in writing structural property estimates Must be able to climb, access roofs, basements, crawlspaces, etc. Minimum of three years field property claims experience, with an insurance carrier, required College degree, preferred Professional designation (CPCU, CSLA, AIC, etc.), strongly preferred Identifying, investigating, and referring potentially fraudulent claims Ability to read and interpret policies and endorsements Working knowledge of Xactimate an added benefit Strong analytical and problem-solving skills Possess effective and positive interpersonal communication skills and demonstrating a professional, yet friendly demeanor Ability to set customer expectations and meet and/or exceed them Fairly and accurately assessing claims, in a timely good-faith manner, according to policies, procedures, and guidelines Ability to work independently, be self-motivated, and detail-oriented Ability to effectively cope with difficult individuals and situations Valid driver's license with acceptable motor vehicle record Why work for Indiana Farmers Insurance? Imagine working for an employer like this: 95% retention of its associates over the last 5 years Financially stable as shown by our A- (Excellent) rating by AM Best Truly customer focused A strong legacy of excellent performance throughout our 148 years in business! For more information about Indiana Farmers, please go to ********************************************** Indiana Farmers Insurance is an equal opportunity employer!
    $27k-34k yearly est. 60d+ ago
  • Independent Insurance Claims Adjuster in South Bend, Indiana

    Milehigh Adjusters Houston

    Claims representative job in South Bend, IN

    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.
    $42k-52k yearly est. Auto-Apply 60d+ ago
  • Claims Representative

    Lippert Components 4.6company rating

    Claims representative job in Mishawaka, IN

    Who We Are: Lippert is a leading, global manufacturer and supplier of highly engineered products and customized solutions, dedicated to shaping, growing, and bettering the RV, marine, automotive, commercial vehicle and building products industries. We combine our strategic manufacturing capabilities with the power of our winning team culture to deliver unrivaled customer service, award-winning innovation, and premium products to all our customers. Why We are Different: At Lippert, Everyone Matters. This is not just a tagline or empty promise; it is who we are. We have intentionally created a culture that values and celebrates our team members' unique and varied backgrounds, perspectives, and experiences. We strive to give our team members a deeper sense of purpose at work, and we continue to build a better work environment by aligning our cultural and business strategies with the needs of our team members. What You will Get: * A unique, inclusive, and supportive company culture. * Comprehensive benefit offerings including medical, dental, vision, 401k with employer match, vacation, and more! * Fair and competitive compensation. * Career development and mentoring and opportunities to grow. * Holiday, personal and vacation days. Summary/Objective: We are looking for customer service focused individuals to build a rewarding long-term career with us as a Claims Representative. Our objective is to return our customers to a pre-loss condition of their specialty product while providing a high-level of customer service. We are responsible for processing and approving claims for our Insurance customers at a fair and reason market rate. Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Professionally handle a high volume of inbound/outbound calls daily * Handle, resolve and take ownership of all internal and external customer concerns. * Exceptional organization and attention to detail to manage case load efficiently and effectively. * Part Identification and Supply * Multi-tasking * Call escalation * Data collection and entry * Establish payment agreements with purchase order setup and reconciliations as needed. * Claim follow-up as need to conclude as quickly as possible. * Excellent Customer Service and communication skills * Eagerness to learn about insurance policies and bodily injury claims from the inside out to identify how coverage applies to a particular loss. * Eagerness to learn about insurance policies and claims from the inside out. Our Claims Representatives will: Investigate claims, establishes damages, reports status and negotiates the settlement of assigned claims in a supervised learning environment. Has authority to make payment of assigned claims within prescribed limits or with supervisory review and approval. Use claims handling software and laptop to handle claims and resolve customer concerns. Represent the Company and must always conduct oneself as a member of Management. Use strong customer service skills to negotiate with policyholders to settle claims. Working Conditions: * Primarily working indoors, office environment. * May sit for several hours at a time. * Prolonged exposure to computer screens. * Repetitive use of hands to operate computers, printers, and copiers. Qualifications: High School diploma or equivalent required. Bachelor's degree preferred. Ability to take and pass state adjusters exam to obtain an adjuster's license. Essential Functions: * Provides proactive and extraordinary service to all external and internal customers. This responsibility includes always maintaining a professional and positive attitude. * The ability to track and follow all customer request via phone or email until complete. * The ability to learn new products and their key features. * Communicate with operations teams to provide quick and accurate responses to customer inquiries via phone and email. * Assist with initial contact and setup of new accounts. * Provide daily support to team members as needed. * Identify new Duncan Supply opportunities and build relationships through phone calls and emails. * Understand customer needs and creatively solving customer issues. * Work with appropriate team members to further develop opportunities. * Performs all other responsibilities as may be assigned by management. The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job. Competencies: * Team Player * Organization * Follow-up skills * High personal accountability * Decision making * Initiative * Willingness to work overtime when necessary * Demonstrated high sense of urgency * Time management Supervisory Responsibility: This role does not have supervisory responsibility upon hiring. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position requires sitting and a telephone headset. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Position Type/Expected Hours of Work: This is a full-time position, and the expected work hours are 40 hours per week, Monday through Friday; or as needed. Travel: Travel will be minimal and would be primarily local during the business day for training. Preferred Education and Experience: * High School Diploma or equivalent. Bachelor's degree preferred. * Proficient computer skills * Well-spoken individual who can communicate clearly and respectfully with customer's (internal & external) via phone, email or in person. * Capable of working within a team-based structure. * Positive attitude. * System experience with Microsoft Outlook, Salesforce, Excel and D365 * Ability to work independently, under pressure to meet deadlines/timelines. * Team player, open to change and changing priorities a must. * Demonstrated high sense of urgency, organizational skills, and time management. * Possess a strong ability to multitask and problem solve in a fast passed environment. * Must be able to remain collected in stressful situations * Willing and able to work overtime, when necessary. * Excellent verbal and written communication skills. * Customer service experience, preferably in a retail or sales environment. Additional Eligibility Qualifications: Bilingual candidates are encouraged to apply. Work Authorization/Security Clearance: Must be legally authorized to work in the United States. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the Team Member for this job. Duties, responsibilities, and activities may change at any time with or without notice. Pay Group : AAP/EEO Statement Lippert provides equal employment opportunity to all team members and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, ancestry, age, genetic information, disability, citizen status, protected veteran status, military service, marital status or any other legally protected category as established by federal, state, or local law. This policy governs all employment decisions, including recruitment, hiring, job assignment, compensation, training, promotion, discipline, transfer, leave-of-absence, access to benefits, layoff, recall, termination and other personnel matters. All employment and personnel-related decisions are based solely upon legitimate, job-related factors, such as skill, ability, past performance, and length of service with Lippert. Lippert's strong commitment to equal employment opportunity requires a commitment by each individual team member. Compliance with the letter and spirit of this policy is required of all team members. Violations of this policy should be immediately reported to your leader or to any member of leadership. Team members who violate this policy will be subject to disciplinary action, up to and including termination of employment. Know Your Rights
    $30k-38k yearly est. 15d ago
  • Medicare Supplement Claims Specialist

    Everence 3.7company rating

    Claims representative job in Goshen, IN

    Review health claims for the Medicare Supplement line of business. Interact with internal and external customers to answer questions, resolve issues, and address concerns while maintaining a professional image through excellent telephone etiquette and top-notch customer service. RESPONSIBILITIES AND DUTIES Approve or reject health claims according to Everence's policy and certificate guidelines. Complete data entry into Group+ to adjudicate claims charges. Perform appropriate correspondence via letter or telephone for claim completion. Answer inquiries regarding eligibility and confirmation of benefits for coverage of proposed services for Medicare Supplement plans. Answer inquiries regarding the status of claims payment for Medicare Supplement plans. Document all customer service contacts. Perform other duties and assignments as requested by the manager. QUALIFICATIONS Education: High School graduate preferred Experience: Medical or insurance background is desirable Skills and Abilities: Excellent verbal and written interpersonal and communication skills, including advanced listening skills. Customer-focused with the ability to adapt and respond sensitively to various customer types Demonstrates positive leadership skills and takes initiative Ability to make quick and appropriate decisions despite interruptions Flexibility in adapting to changing work patterns and fluctuating workloads Excel at problem solving Strong attention to detail with the ability to multitask and prioritize while managing time efficiently Skilled in using Microsoft Office software Ability to cultivate and sustain a strong sense of teamwork SUPERVISORY RESPONSIBILITIES: None SCHEDULE: Full-time
    $51k-89k yearly est. Auto-Apply 16d ago
  • Public Adjuster

    The Misch Group

    Claims representative job in Chicago, IL

    Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Location: Primary Locations: KS City, Des Moines IA, State of CO, State of CA, St. Louis, State of IL with emphasis on ChicagoCompensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK FACTS: Must have Public Adjuster License Must have experience with Xactimate Must have network of Condo, Apartment, Property Management partners Must be able to physically examine all buildings top to bottom (roofs as well) About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth. Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment. Key ResponsibilitiesKey Responsibilities: Identify and pursue new business opportunities with homeowners, contractors, and referral partners. Educate prospective clients on our services and guide them through the insurance claims process. Develop and maintain a pipeline of leads through prospecting and networking efforts. Conduct presentations and training sessions to build brand awareness and establish partnerships. Provide exceptional customer service to existing clients, ensuring their satisfaction and retention. Work closely with internal teams to optimize the sales process and improve closing rates. Maintain accurate records of sales activities and client interactions. Skills, Knowledge and ExpertiseQualifications & Experience: 3+ years of proven sales experience as a licensed Public Adjuster Strong ability to generate leads, manage relationships, and close deals. Bachelor's degree in Business, Marketing, Communications, or equivalent experience. Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms. Highly organized with strong follow-through skills in a fast-paced environment. Public Adjuster license BenefitsWhat We Offer: Extensive training and support to help you succeed. Flexible work environment with opportunities for growth and career advancement. A team-oriented culture with strong leadership and professional development opportunities. If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
    $75k-100k yearly 16d ago
  • Claims Adjuster Trainee

    Progressive 4.4company rating

    Claims representative job in Granger, IN

    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: Training: Monday-Friday, 8:30am-5:30pm; Onboarding: Monday-Friday, 8:30am-5:30pm; Work Schedule after onboarding: Monday-Friday, 9-6pm, based on business need Location: 221 Florence Ave, Ste H6, Granger, Indiana 46530 Compensation * Once you complete training and pass any necessary testing requirements, your salary range will be $54,000 to $57,500/year, however, during training, you'll be paid hourly based on your annual salary * Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Equal Opportunity Employer For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** Share: Email X Facebook LinkedIn Apply Now
    $54k-57.5k yearly 6d ago
  • Bodily Injury Claims Specialist

    Auto-Owners Insurance Co 4.3company rating

    Claims representative job in Mishawaka, IN

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: * Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. 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
    $49k-65k yearly est. Auto-Apply 60d+ ago
  • Daily Scope Only Property Field Adjuster

    Alacrity Solutions

    Claims representative job in South Bend, IN

    Job Description Alacrity Solutions Independent Contractor Daily Scope Only Property Field Adjuster Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit ************************** The objective of a Daily Property Field Adjuster is to provide excellent claim handling services for our clients regarding daily claim work within your area which can include multiple perils. Contract Requirements Include: A contract will be issued within 24 hours of accepting your first claim assignment with Alacrity. This IA contract will include pay details and other pertinent information regarding your work as an independent contract with Alacrity. A completed contract is required to issue pay. Skills & Requirements/Licensure: MUST live within 50-100 miles of posted location and willing to travel to location. Minimum 2-3 years property field adjusting experience. Independent adjusting license in your home state (area of work), or a designated home state license if residing in a non-licensing state. Experienced in wind, hail, theft, fire, water losses and other perils preferred. Have reliable transportation, computer, digital camera, ladder, and other miscellaneous items necessary to perform adjuster responsibilities. Willing and able to climb roofs. Computer and Phone System Requirements: Smart Cell Phone able to access to internet. Xactimate and/or Symbility proficient with current subscription Working Laptop computer with reliable high-speed internet Digital camera and other miscellaneous items necessary to perform adjuster responsibilities. Working Conditions / Physical & Mental Demands: The physical demands described here are representative and must be met by the independent contractor to successfully perform this job. 100% travel is required within designated working territory based on the location of assignments received. Normal office or field claims environment. Ability to operate a motor vehicle for up to 8 hours daily, repeatedly entering and exiting the vehicle. Must be able to make physical inspections of auto loss sites. Must be able to work outdoors in all types of weather. Available to work catastrophic loss events. A willingness to work irregular hours and to travel with possible overnight requirements a plus. Why Choose Alacrity? Flexibility: Self-determined Scheduling Diversity Statement Alacrity is an equal opportunity employer and is committed to providing employees with a work environment free of discrimination and harassment. All decisions pertaining to an employee's employment are made without regard to race, color, religion, sex (including sexual orientation, pregnancy, childbirth), gender, gender identity or expression, age, national origin, ancestry, physical or mental disability, medical condition, reproductive health decisions, veteran's status, genetic information, creed, marital status, disability, citizenship status, or any other characteristic protected by applicable law. How Long We Retain Personal Information: We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws. Powered by JazzHR dXYHkHCVHw
    $43k-59k yearly est. 14d ago
  • Corporate Claims Administrator

    Patrick Industries 4.9company rating

    Claims representative job in Elkhart, IN

    Patrick Industries, a publicly traded company headquartered in Elkhart, Indiana, invites you to join a team of dedicated Team Members who are passionate about delivering high-quality products and exceptional customer service. As a leading solutions provider serving a diverse range of markets across the United States, our commitment to innovation, quality, and sustainability has positioned us as a high growth, diversified and empowered Team of more than 10,000! Your adventure awaits! We are seeking a Corporate Claims Administrator in our Legal & Risk Management Department. This position plays a critical role in managing and processing insurance claims within the organization. This position supports the company by coordinating claim investigations, maintaining accurate records, liaising with internal departments and external stakeholders, and ensuring timely resolution of claims in coordination with the company's insurance brokers and carriers. Responsibilities & Duties: * Receive, review, and process incoming insurance claims (e.g., general liability, property damage, employment, product liability, etc.). * Maintain and update claim files, databases, and documentation with high accuracy and confidentiality. * Coordinate with internal departments (HR, Legal & Risk Management, Finance) and external parties (insurance brokers, insurers, claimants). * Monitor claim status and ensure timely follow-up and resolution. * Assist legal counsel in preparing documentation for litigation, arbitration, or settlement negotiations. * Analyze claim trends and prepare periodic reports for senior management. * Ensure compliance with company policies, legal standards, and regulatory requirements. * Support audits and investigations related to claims activity. * Respond to inquiries and provide updates to stakeholders regarding claim status. * Exercise independent judgement on important business matters related to claims resolution. Qualifications and Skills: * Bachelor's degree in business administration, risk management, insurance, Legal Studies, or related field * 3+ years of experience in claims administration, legal support, or insurance * Familiarity with legal terminology and claims processes * Strong organizational and time-management skills * Excellent written and verbal communication * Proficiency in Microsoft Office and claims management software * Ability to handle sensitive information with discretion * Knowledge of insurance policies and coverage types * Understanding of litigation and dispute resolution processes * Certification in claims management or paralegal studies is a plus At Patrick Industries, BETTER Together is our commitment to being our best while striving to bring out the best in one another as we join forces Individually, as Teams, with our Business Units, with our Customers, our Communities and within our entire Patrick family. Patrick is an Equal Opportunity Employer. Location:
    $33k-38k yearly est. 60d+ ago
  • Bassoon Adjustor

    Fox Products Corp 3.7company rating

    Claims representative job in South Whitley, IN

    Position Overview: Aid in the manufacturing of Fox Products double reed instruments by assessing the strengths and weaknesses of all Fox Products bassoons, adjust a fully padded instrument, and assist in the development of final assembly personnel in the Bassoon Finishing Department. Responsibilities & Duties Adjust padded bassoons to current specifications Ensure pads are seated and create a proper seal Ensure connections, key fits, and spring tensions meet current specifications Participate in cross-functional team to help define best practices Represent Fox Products positively to the music community Clearly understand and communicate outside feedback to the department supervisor Ability to visualize an assembly and understand how the components fit together Experience working with light machinery, drill motors, reamers, sanders and buffers Experience using small hand and power tools Experience using measuring tools, calipers and scale. Knowledge on how to read fractions and decimals preferred Ability to solder small metal parts using a brazing method with small flame torch Competency at performing focused work on small parts with a high level of attention to detail and quality Ability to work with small intricate metal parts. Ability to grind, bend, shape and fit metal parts Good manual dexterity & ability to assemble small components Leader within the department. Assist department supervisor with moving the business forward through positive change Perform other tasks and duties as requested by supervisor Qualifications Bachelor of Music or higher. Bassoon Performance preferred Ability to play the bassoon at a high level Strong mechanical knowledge Demonstrate knowledge of policies, standards, operations, cleaning and maintenance techniques Show initiative and make suggestions on operational procedure and conditions Ability to communicate clearly and effectively in many mediums Disciplined, detail oriented, punctual, and quality minded Empathetic and positive attitude Organized and results-driven with great problem-solving skills Self-motivated with ability to multitask and thrive in a timeline-driven environment Collaborative and team-oriented personality Ability to follow all safety regulations Employee Benefits: Flexible Work schedule allowed once trained. Work 5, 8 hours day or 4, 10 hour days with flexible start and end times Benefits provided 1st of the month following start date.
    $37k-46k yearly est. Auto-Apply 60d+ ago
  • Claims Specialist (CA)

    GT Independence Careers 3.8company rating

    Claims representative job in Sturgis, MI

    The GT Self Determination Claims Specialist maintains a core understanding of the company and of Operations. The GT Self Determination Claims Specialist is expected to follow departmental procedures and adhere to GT and agency guidelines to ensure work is completed accurately and efficiently. The GT Self Determination Claims Specialist maintains knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies in which GT Independence holds a contract. All GT Self Determination Claims Specialists must maintain a core understanding of the company and of Operations. RESPONSIBILITIES AND DUTIES · Preparation of billing data to be used in the billing of payers · Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports · Submit invoices to agencies · Applies payments · Collects on unpaid claims · Prepares advance reconciliations and applies payments to the general ledger · Enters information into computer databases for effective record keeping · Collaborates with other staff members to optimize delivery of services · Ensures all compliance standards are met for audit purposes · Maintains confidentiality of records relating to clients · Identifies opportunities to improve our processes · Upholds company values and mission · Other duties as assigned EDUCATION High School Diploma or GED required Associate degree preferred EXPERIENCE AND QUALIFICATIONS · 2 years of experience relevant to the work performed · Experience with Microsoft Office products is necessary, specifically Microsoft Excel · Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology · Excellent written and oral communication skills · Ability to plan and organize daily work to meet strict deadlines · Strong attention to detail · Able to work with numbers and apply basic math skills to daily tasks · Strong ability to participate on a highly effective team WORK ENVIRONMENT Work is performed in a typical office setting or from a home office.
    $29k-38k yearly est. 13d ago
  • Engine Adjuster - 2nd Shift

    Echoorporated

    Claims representative job in Lake Zurich, IL

    ECHO Incorporated is an industry leader in developing and manufacturing high-performance, professional-grade, handheld outdoor power equipment. With distributors and thousands of dealers across North and South America, ECHO is constantly anticipating the future of the outdoor power equipment industry and the need for environmental sustainability. Working for ECHO means joining a team of people who are committed to collaboration, innovation, creativity, and high-quality products that make us a globally competitive brand. ECHO is hiring Engine Adjusters for our cutting-edge, climate-controlled facility located in Lake Zurich! The Engine Adjuster is responsible for adjusting 2-stroke engines to engineering specifications in accordance with written procedures. 2nd Shift M-F 3:15pm-11:30pm! $18/HR +1 SD = $19/HR ECHO's benefits include: 11 paid holidays Extremely affordable medical, dental, and vision insurance PTO (Paid Time Off) 5% 401K match Tuition reimbursement Career advancement growth opportunities Eligible for a $300 sign-on bonus after 90 days of employment if all qualifications are satisfied Eligible for a $300 referral bonus upon referring an employee who successfully completes 90 days of employment Duties/Responsibilities: Adjusting 2-stroke internal combustion engines to engineering specifications. Evaluating engine performance and reporting irregularities to the Supervisor. Regularly checking equipment to ensure tolerances are maintained. Maintaining tools, fixtures, and benches in a neat and orderly condition. Recording required data. Performing various other duties and assignments as requested to support the department and company's overall functioning. Qualifications: Working knowledge of 2-stroke engine operations preferred. Ability to tolerate loud noises even with protective hearing equipment. Perform high-quality inspection and calibration of engine. Bilingual Spanish preferred. Equal Opportunity Employment: We are an equal opportunity employer. We welcome all applicants. E-Verification: In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.
    $18 hourly 4d ago
  • Collision Desk Adjuster - Fleet Management

    Innovation Group 4.0company rating

    Claims representative job in Rolling Meadows, IL

    Join Innovation Group's commitment to #GoingBeyond Innovation Group provides comprehensive operational support and a range of expert services to the world's leading insurers, brokers, fleet managers and automotive manufacturers. Our 3,300 employees across ten countries deliver exceptional standards on a large scale for over 1,200 clients, saving our global clients tens of millions of dollars annually. Innovation Group helps put their lives back on track. It takes empathy, it takes going above and beyond, it takes building the right relationships and it takes people who want a career. We look to do things differently and we're always searching for people who are up for making an impact. Innovation Group is seeking a Auto/Collision Desk Adjuster to join our Fleet Management quality and compliance team in Rolling Meadows, Illinois. You will have the opportunity to: Complete reviews of adjuster estimates against carrier guidelines and make appropriate suggestions for changes. Build solid and long lasting relationships with Vendors and Independent Contractors. Ensure that all services within the Innovation auto division are provided with high quality statistical auditing services highly focused on quality assurance of estimates. Provide statistical auditing for claims by client and individuals in order to analyze, operational improvements and adherence to client specific estimating guidelines. Handle all escalation issues related to the quality of the work provided. What we're looking for: 5 -7 years Auto or Collision experience required. 3 - 5 years Customer Service experience Collision Industry experience Previous estimating experience Account Management experience Estimating software experience required Negotiating Skills Excellent Verbal and Written Communication Skills At Innovation Group, we value the contributions of our employees. We provide a robust benefits package that includes: Medical, dental, and vision insurance Life insurance Short-term and long-term disability insurance Flexible spending account options Health and dependent care saving accounts 17 days of paid time-off per year Paid sick leave 8 paid holidays 401(k) investment options Employee assistance programs
    $34k-44k yearly est. Auto-Apply 60d+ ago
  • Michigan Homeowners Claim Representative II

    The Auto Club Group 4.2company rating

    Claims representative job in Fort Wayne, IN

    Michigan Homeowners Claim Representative II - AAA The Auto Club Group Reports to: Claim Manager IWhat you will do: Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims. Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees assigned to the Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update. Supervisory Responsibilities: None How you will benefit: A competitive annual salary between $64,000 - $72,000 ACG offers excellent and comprehensive benefits packages, including: Medical, dental and vision benefits 401k Match Paid parental leave and adoption assistance Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays Paid volunteer day annually Tuition assistance program, professional certification reimbursement program and other professional development opportunities AAA Membership Discounts, perks, and rewards and much more We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience in property adjusting In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: One year of experience or equivalent training in the following: Negotiating claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advance knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Knowledge of building construction and repair techniques Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Research, analyze, and interpret subrogation laws in various states Strong negotiating skills Ability to work outside normal business hours as needed Preferred Qualifications: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Xactimate software experience/training or experience in an equivalent software Claims adjuster experience specifically in home/property claims preferred Experience working within a customer service setting Call center experience or experience handling high volume calls preferred, but not required Excellent communication skills both oral and written Experience working within an insurance or claims-based role for one year or more Full claims cycle experience preferred Work Environment This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $26k-31k yearly est. 1d ago
  • Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Stout 4.2company rating

    Claims representative job in Chicago, IL

    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
    $30k-37k yearly est. 2d ago

Learn more about claims representative jobs

How much does a claims representative earn in South Bend, IN?

The average claims representative in South Bend, IN earns between $24,000 and $47,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in South Bend, IN

$33,000

What are the biggest employers of Claims Representatives in South Bend, IN?

The biggest employers of Claims Representatives in South Bend, IN are:
  1. Indiana Farmers Insurance
  2. Lippert Components
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