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  • Mechanical Claims adjuster

    Insight Global

    Claims representative job in Bridgeton, MO

    Key Responsibilities: The automotive claims adjuster handles inbound calls from dealerships and mechanics, reviewing and deciding on warranty claims. They manage up to 40-60 calls per day. Automotive experience is essential to ensure mechanics adhere to proper procedures. Utilize in-depth knowledge of vehicle mechanics to evaluate, investigate, and process mechanical claims with accuracy and efficiency. Communicate via telephone and email with vehicle contract holders, repair facilities, and other parties, providing exceptional customer service while successfully resolving claim-related requests. Actively listen to callers' questions and concerns, demonstrating empathy and compassion to ensure a positive and reassuring experience. Adhere to all established department processes and utilize company specific computer systems to maintain detailed and accurate electronic claim-related records Collaborate with leaders and other claim analysts to consistently uphold the company's reputation for honesty, fairness, and excellence in all interactions. REQUIRED SKILLS AND EXPERIENCE Qualifications: At least 3 years of proven experience as an automotive mechanic or in a related mechanical field. Prior success in a customer service role including experience resolving complex requests and ensuring outstanding customer satisfaction Technology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone. High school diploma or GED required. ASE certification Automotive degree Additional Considerations: Must be willing to work Saturdays occasionally. A high-speed home internet connection and a quiet at-home workspace is required for remote and hybrid schedules. Must be able to pass background check Must have reliable transportation to and from work
    $45k-55k yearly est. 3d ago
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  • Claims Representative - Overland Park, KS

    Federated Mutual Insurance Company 4.2company rating

    Claims representative job in Overland Park, KS

    Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Overland Park, KS office, located at 6130 Sprint Parkway, Ste 200 Overland Park, KS. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.
    $63.8k-78k yearly Auto-Apply 24d ago
  • Claims - Field Claims Representative

    Cincinnati Financial Corporation 4.4company rating

    Claims representative job in Fayetteville, AR

    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 claims representatives to service the territory surrounding: Fayetteville, Arkansas. 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 Claims Representative: 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 Claims Representative: 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 26d ago
  • Sr. Claim Processing Representative, DentaQuest

    Sun Life 4.6company rating

    Claims representative job in Kansas City, MO

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: The Sr. Claim Processing Representative may specialize in one or more business units and are responsible for consistently processing advanced and complex claims with 99% or greater accuracy using proprietary claim processing software. How you will contribute: Consistently process advanced & complex claim queues with a 99% or greater accuracy rate. Uses business knowledge to resolve advanced claim processing scenarios including, but not limited to, COB (coordination of benefits), ORTHO (orthodontia) cases, TPL (third party liability), and manual pricing. Responsible for adjustments to complex claims, as necessary, to meet corporate goals. Process Direct Member Reimbursement claims, to include calling providers and members for missing information. Serve as back up to Claim administration team by processing adjustments, posting check refunds and completing follow ups Serve as back up to Claim Research and Resolution team by researching and resolving claim issues May serve as back up to Team Lead in daily reporting Successful completion of more complex projects, as assigned Perform other duties as requested What you will bring with you: Associates degree and/or four years of experience in a business environment Strong math skills Previous claim processing experience required Attention to detail, accuracy and organization skills are essential Understanding of general insurance guidelines Ability to efficiently operate computer Strong interpersonal, written and verbal communication skills Self-motivation demonstrated by taking initiative to learn more and assume new challenges Cooperative, professional and effective interaction skills with co-workers, business partners and visitors Ability to work in excess of 40 hours in one week Ability to use Microsoft Office (Word, Excel and Outlook) Able to follow verbal and written instructions Ability to communicate in an active environment Ability to communicate via telephone or computer technology, via written and verbal channels Salary: $47,400 - 64,000 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Claims - Health & Dental Posting End Date: 19/02/2026
    $47.4k-64k yearly Auto-Apply 2d ago
  • Claims Adjuster Rogers AR Regionial

    Cenco Claims 3.8company rating

    Claims representative job in Rogers, AR

    CENCO Claims is seeking a dependable and experienced Daily Property Adjuster to manage residential and commercial property claims in the Rogers, AR area. This field-based role offers steady claim volume, flexible scheduling, and strong support from our internal team. Key Responsibilities: Conduct on-site property inspections to accurately assess damages Develop detailed estimates using Xactimate Capture clear photos and provide thorough written documentation Maintain professional communication with policyholders and insurance carriers Submit complete, accurate, and timely claim files Requirements: Proficiency in Xactimate Strong understanding of property damage assessment and construction practices Excellent time-management and communication abilities Reliable transportation and a valid driver's license Designated home state adjuster license What We Offer: Competitive per-claim compensation Consistent claim assignments in the Rogers region Flexible work schedule Continued support from experienced claims professionals Apply Today
    $42k-50k yearly est. Auto-Apply 53d ago
  • Independent Insurance Claims Adjuster in Fayetteville, Arkansas

    Milehigh Adjusters Houston

    Claims representative job in Fayetteville, AR

    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-51k yearly est. Auto-Apply 60d+ ago
  • Public Adjuster

    The Misch Group

    Claims representative job in Kansas City, KS

    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 23d ago
  • Northland Liability Major Case Claim Specialist

    Travelers Insurance Company 4.4company rating

    Claims representative job in Overland Park, KS

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $104,000.00 - $171,700.00 **Target Openings** 1 **What Is the Opportunity?** Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff. **What Will You Do?** + Directly handle assigned severe claims. + Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value. + Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. + Work with Manager on use of Claim Coverage Counsel as needed. + Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. + Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts. + Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. + Maintain claim files and document claim file activities in accordance with established procedures. + Develop and employ creative resolution strategies. + Responsible for prompt and proper disposition of all claims within delegated authority. + Negotiate disposition of claims with insureds and claimants or their legal representatives. + Recognize and implement alternate means of resolution. + Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. + Utilize evaluation documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. + Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. + Establish and maintain proper indemnity and expense reserves. + Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. + Recommend appropriate cases for discussion at roundtable. + Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. + Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others. + Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance. + Apply litigation management through the selection of counsel, evaluation. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree. + 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims. + Extensive working level knowledge and skill in various business line products. + Excellent negotiation and customer service skills. + Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills. + Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims. + Able to make independent decisions on most assigned cases without involvement of supervisor. + Openness to the ideas and expertise of others and actively solicits input and shares ideas. + Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices. + Demonstrated strong coaching, influence and persuasion skills. + Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. + Can adapt to and support cultural change. + Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. + Analytical Thinking - Advanced. + Judgment/Decision Making - Advanced. + Communication - Advanced. + Negotiation - Advanced. + Insurance Contract Knowledge - Advanced. + Principles of Investigation - Advanced. + Value Determination - Advanced. + Settlement Techniques - Advanced. + Litigation Management - Advanced. + Medical Terminology and Procedural Knowledge - Advanced. **What is a Must Have?** + Four years bodily injury litigation claim handling experience or comparable claim litigation experience. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $52k-70k yearly est. 12d ago
  • Benefit Adjuster I

    AFA American Fidelity Assurance Company

    Claims representative job in Oklahoma City, OK

    * Evaluates and processes claims that require routine judgement and investigation such as Diagnostic Testing, Wellness, Physician Expense, URM, GAP, Hospital Indemnity, Medlink, Dental, Triage/Incomplete or Pregnancy claims in accordance with Company policy terms, insurance laws, regulatory requirements and adjusting guidelines. * Provides appropriate verbal and/or written communication to internal and external Customers in a positive and knowledgeable manner to ensure a high standard of Customer service. Meets standards established in department performance metrics for appropriate handling of Customer phone calls. * Acts as a direct contact and communicates with Customers and medical providers in a positive, knowledgeable and professional manner, providing them with direction and assistance in all facets of insurance coverage and needs. Education & Certification High school diploma or general education degree (GED) Technical Skills & Requirements Prompt and reliable Good medical terminology preferred Possesses General PC Windows-based software knowledge with the ability to learn new applications and work in a paperless environment Good understanding of anatomy and physiology Good contract knowledge Familiarity with CPT and ICD10 coding Possesses good analytical skills and judgment Ability to be flexible in work schedule, including a willingness to work overtime as needed Good oral and written communication skills Ability to handle fast-paced environment Professional attitude Dedicated to providing world-class Customer service Ability to work well within a team environment #AFC
    $40k-54k yearly est. Auto-Apply 14d ago
  • Automotive Claims Specialist

    Ta Resources

    Claims representative job in Missouri

    At TA Resources we have re-imagined traditional staffing and HR consulting with Small to mid-size businesses in mind. Focusing on what makes our clients unique, we match them with the talent they need to continue to grow. We are currently searching for an Automotive Claims Specialist for our client located in the Earth City, MO area. This is a contract position which offers the opportunity to transition into a permanent role for a strong performer. Are you a skilled mechanic looking to shift gears in your career? Our client is seeking an Automotive Claims Specialist to join their expanding customer contact team. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims. This opportunity offers a refreshing change of pace, allowing you to work in the comfort of a modern workspace. If you're ready to take the next step in your career and join a company that will invest in your future, we want to hear from you! Apply today and drive your career forward with us! Key Responsibilities: · Utilize in-depth knowledge of vehicle mechanics to evaluate, investigate, and process mechanical claims with accuracy and efficiency. · Communicate via telephone and email with vehicle contract holders, repair facilities, and other parties, providing exceptional customer service while successfully resolving claim-related requests. · Actively listen to caller's questions and concerns, demonstrating empathy and compassion to ensure a positive and reassuring experience. · Adhere to all established department processes and utilize company specific computer systems to maintain detailed and accurate electronic claim-related records · Collaborate with leaders and other claim analysts to consistently uphold the company's reputation for honesty, fairness, and excellence in all interactions. Qualifications: · At least 3 years of proven experience as an automotive mechanic or in a related mechanical field. · A strong understanding of vehicle repair processes and the talent to clearly discuss elements of the repair process with both mechanical and non-mechanical individuals. · Excellent verbal communication skills with the ability to clearly and effectively articulate information to callers, colleagues, and stakeholders over the phone. · Prior success in a customer service role including experience resolving complex requests and ensuring outstanding customer satisfaction · Technology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone. · Detail-oriented, motivated self-starter with the ability to work efficiently in a fast-paced call center environment with minimal oversight. · Bilingual (Spanish & English) candidates preferred. · High school diploma or GED required. · ASE certification is a plus. Additional Considerations: · Ability to work a hybrid schedule out of our St. Louis, MO office (2 days in office/3 days at home). · Must be willing to work Saturdays occasionally. · A high-speed home internet connection and a quiet at-home workspace is required. Work Location: In person Salary Range: $25-$33 per hour based on experience
    $25-33 hourly 18d ago
  • Claims Service Representative

    Claims Management Resources 4.1company rating

    Claims representative job in Oklahoma City, OK

    Are you looking for a company where you can learn, grow, and advance your career? At Claims Management Resources, we believe in putting our employees first. Come join our team and be part of a fast-growing company with many opportunities for advancement. Claims Management Resources is seeking a charismatic team player for our Downtown OKC office. Applicants must be willing to work onsite, Monday - Friday 8:00 a.m. to 5:00 p.m. Who We Are We are in the business of subrogation - companies trust us to recover payments on damage claims so that the party responsible is the one paying for the damage that was caused. We strive to provide excellent customer service to both our customers and the other parties involved in a claim. In short, we help our customers focus on theirs. Our business is driven by our Core Four principles: Process, Results, Culture, and Experience. Our dedication to practicing these has enabled our current and future success. We're passionate about throwing company events that bring us together and celebrate each other's achievements. We're also big on taking time out to give back to the community and host several volunteer events throughout the year. We believe in a healthy work-life balance. Join our team and thrive in an environment that values both efficiency and effective processes as well as a casual, comfortable atmosphere. Who We're Looking For The Claims Service Representative answers incoming calls in a professional manner and is professional in appearance and demeanor. They are also responsible for processing claim documents and a variety of other clerical duties. This position is based in-office and is not eligible for work from home/remote. On a Typical Day, You'll Greet visitors and applicants in a professional, friendly and hospitable manner; directing them to the right person or department Uphold company security access policy by vetting all visitors to the building via outside monitor system Manage a visitors log and issue security passes Direct callers to the appropriate adjuster or manager to resolve claims File documents to the appropriate database Effectively work and cooperate with co-workers, supervisors and clients Maintain an organized reception area Qualifications Required Skills: Excellent attendance and punctuality Professional in appearance and demeanor Ability to effectively communicate with visitors, employees and supervisors in a professional and courteous manner Excellent listening skills Ability to handle difficult calls professionally Intermediate knowledge of Microsoft Office Suite Accurate data review and data entry skills Organized, thorough and detail oriented Ability to multi task Ability to work independently with minimal supervision Available for 8:00 AM - 5:00 PM shift Monday thru Friday Experience: 1 - 2 years of receptionist experience required 1 - 2 years experience with multi-line phone system required Education: High school diploma or equivalent Okay, But What Are the Perks Full menu of benefits including matched 401K Tiered bonus system based on team accomplishments, paid per pay period in which it is earned Paid time off as well as paid holidays CMR pays $50/month towards your internet service costs CMR is a Oklahoman Top Workplaces winner for the 5th consecutive year in 2024! Pre-employment drug screenings and criminal background checks are mandatory. CMR is an Equal Opportunity Employer
    $29k-33k yearly est. 9d ago
  • Claims Specialist

    State of Kansas

    Claims representative job in Shawnee, KS

    Job Posting Important Recruitment Information for this vacancy: * Job Posting closes: February 3, 2026 Agency Information: Kansas State Service Agency | Kansas Department of Administration Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9. While the Department of Administration (D of A) welcomes all candidates legally eligible to work in the United States, D of A does not provide sponsorships for this position. E-Verify: Kansas Department of Administration (D of A) participates in E-Verify and will provide the federal government with your I-9 information to confirm that you are authorized to work in the U.S. For additional information regarding E-Verify, please click here. For additional information regarding Immigrant and Employee Rights (IER) please click here. About the Position * Who can apply: Anyone * Classified/Unclassified Service: Unclassified * Full-Time/Part-Time: Full-Time * Regular/Temporary: Regular * Work Schedule: Monday - Friday, 8am - 5pm * Eligible to Receive Benefits: Yes * Veterans' Preference Eligible: Yes * Application Deadline: February 3, 2026 Compensation: * Hourly Pay Range: $25.02 - $26.28 * Note: Salary can vary depending upon education, experience, or qualifications. Employment Benefits: * Comprehensive medical, mental, dental, vision, and additional coverage * Sick & Vacation leave * Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave * Paid State Holidays (designated by the Governor annually) * Fitness Centers in select locations * Employee discounts with the STAR Program * Retirement and deferred compensation programs Visit the Employee Benefits page for more information Position Description: The Claims Specialist position is in the State Self Insurance Fund (SSIF) of the State Employee Health Benefits Plan (SEHBP) and reports to the Claims Supervisor. Job Responsibilities: * Complex Adjudication: Determine claim compensability by evaluating case facts with the Kansas Workers Compensation Act, administrative rules, and established case law. * Financial Stewardship: Calculate and execute precise indemnity payments including child support withholdings. Research and negotiate settlements for functional disabilities within SSIF authority limits. * Medical & Expense Oversight: Audit medical invoices for necessity and reasonableness; verify and process reimbursements for mileage, per-diem, and out-of-pocket expenses. * Strategic Communication: Act as the primary point of contact for injured workers, medical providers, agency personnel and legal counsel. Provide expert guidance to claimants regarding their rights and benefits under the Act. * Compliance & Documentation: Ensure all statutory notifications - including denials of compensability - are issued accurately and within mandatory timeframes to mitigate fund liability. Return-to-Work & Collaborative Case Management * Proactive Case Resolution: Lead multi-disciplinary collaborations with medical providers, legal counsel, and agency stakeholders to facilitate early Return-to-Work (RTW) outcomes, minimizing indemnity exposure and supporting worker recovery. * RTW Advocacy: Strategically initiate and lead RTW discussions; coordinate technical job site or vocational rehabilitation evaluations to bridge the gap between medical restrictions and operational needs. * Integrated Benefit Guidance: Serve as a subject matter expert on the intersection of Workers' Compensation, FMLA, and state leave policies (sick/vacation), ensuring both the agency and the employee navigate concurrent benefits accurately. * Continuous Professional Excellence: Maintain mastery of evolving Kansas statutes by attending the annual DOL Workers Compensation Seminar and completing advanced technical training as directed. Dispute Resolution & Litigation Management * Alternative Dispute Resolution: Mediate complex conflicts between parties to achieve early resolution and minimize costly litigation. * Legal Strategy & Advocacy: For cases requiring formal defense, prepare comprehensive legal summaries and defense theories. Employee will collaborate with defense counsel to prepare defenses strategy on compensability in preliminary, regular, and review/modification settings. * Claims Authority: Retain full management and decision-making authority over claims, including collaboration with legal counsel on defense measures and structuring settlement frameworks for executive authorization. * Discovery Compliance: Manage the timely and accurate delivery of records and evidence to claimant's counsel in accordance with legal discovery mandates. Investigation & Analysis * High-Threshold Investigations: Conduct end-to-end investigations for claims with exposure up to $60,000. This includes performing forensic interviews of claimants, supervisors, and witnesses to establish a definitive "Findings of Fact." * Fraud & Abuse Detection: Identify and refer potential cases of fraud or abuse to the Assistant Attorney General. You will serve as a key witness and resource for the prosecution of fraudulent activity by claimants, providers, or legal counsel. * Evidence Review: Analyze a diverse range of evidence-including personnel files, medical records, and wage statements-to produce clear, concise conclusions on compensability. Financial Recovery & System Integrity * Subrogation & Recovery: Identify and pursue opportunities for financial recovery from negligent third parties, product liability claims, and the Kansas Workers Compensation Second Injury Fund. * Data Stewardship: Maintain high-integrity electronic files within the claims management system, ensuring all scanned documents and data points are triaged and acted upon within strict best-practice timelines. * Workload Optimization: To maintain the industry benchmark of 80-150 cases per adjuster, this position is essential for distributing the annual volume of 2,000-3,000 new claims. This prevents "caseload creep," which is a primary driver of reporting errors and statutory penalties. * Medical Cost Containment: This role ensures that medical authorizations are both "reasonable and necessary" and issued promptly. By directing quality care and ensuring timely payments, this position minimizes litigation risk and improves return-to-work timelines. * Mission-Critical Support: This position provides the "significant effort" required to oversee medical care delivery, ensuring the State Self-Insurance Fund remains a leader in workers' compensation program success. Minimum Qualifications * High school diploma/GED. * Two years of experience interacting with clients, customers, or the public in a social service, customer service, or problem resolution setting. Education may be substituted for experience as determined relevant by the agency. * A valid driver's license is required. * The incumbent will receive training in the provision of the HIPAA Privacy Regulations and HIPAA Security Regulations as they relate to the duties of this position and is required to sign a confidentiality agreement. Preferred Qualifications * Previous experience handling insurance claims. * Case management experience. * Data collection and management skills. * Recording keeping abilities. * Previous experience with Worker's Compensation. * Knowledge of State of Kansas statutes, laws, regulations, and policies. * Time management skills. * Previous experience and understanding of HIPAA. * Medical knowledge. * Customer service experience. * Communications skills, both verbal and written. Post Offer Requirement: Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. Please be encouraged if you have a missing tax return(s) or you owe taxes to the State of Kansas, the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at ************. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions Recruiter Contact Information: Name: Ashley Webb Email: ******************** Mailing Address: Department of Administration Office of Personnel Service 915 SW Harrison, Suite 260, Topeka, KS 66612 Job Application Process: * First Sign in or register as a New User. * Complete or update your contact information on the Careers> My Contact Information page. *This information is included on all your job applications. * Upload required documents listed below for the Careers> My Job Applications page. * Start your draft job application, upload other required documents, and Submit when it is complete. * Manage your draft and submitted applications on the Careers> My Job Applications page. * Check your email and My Job Notifications for written communications from the Recruiter. * Email - sent to the Preferred email on the My Contact Information page * Notifications - view the Careers> My Job Notifications page Helpful Resources at jobs.ks.gov: "How to Apply for a Job - Instructions" and "How to Search for a Job - Instructions" Required Documents for this Application to be Complete: Upload these on the Careers - My Job Applications page * DD FM 214 (if you are claiming Veteran's Preference) Upload these on the Attachments step in your Job Application * Resume * Letter of Interest / Cover Letter How to Claim Veterans Preference: Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager. Learn more about claiming Veteran's Preference How to Claim Disability Hiring Preference Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager. Learn more about claiming Disability Hiring Preference PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be sent either by fax to *************, scanned and emailed to *************************, or can be mailed/delivered in person to: ATTN: Disability Hiring Preference Coordinator Office of Personnel Services Docking State Office Building 915 SW Harrison, Ste 260 Topeka, KS 66612 Equal Employment Opportunity: The State of Kansas is an Equal Opportunity Employer. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job. If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.
    $25-26.3 hourly 8d ago
  • Weekend Claims Intake Representative I(Nights)

    J.B. Hunt Transport 4.3company rating

    Claims representative job in Lowell, AR

    **Job Title:** Weekend Claims Intake Representative I(Nights) **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part Time:** Full time Under general supervision, this position is responsible for the recording and triage process of all safety-related events pertaining to Casualty, Workers' Compensation, and Final Mile. The role serves as the initial point of contact for all parties involved in an event, gathering and verifying claim details, initiating appropriate actions, and ensuring accurate documentation in alignment with company policies and regulatory requirements. The incumbent supports timely claim resolution, collaborates with internal and external stakeholders, and contributes to risk mitigation efforts through early identification of claims potential exposure. **:** **Key Responsibilities:** + Utilize experience and established procedure to field and process all incoming calls, email, and other various notification methods related to safety events to create an accurate record of the event and assess initial financial exposure to the company; maintain an organized workflow, coordinate initial claim assessments, and prioritize cases based on urgency and severity + Utilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and escalating complex issues to the appropriate internal parties + Ensure accurate, timely, and complete documentation of safety events with attention to the direct effects on business units' financial performance, the company's overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Leverage strong verbal and written communication skills to coordinate effectively with claimants, internal and external stakeholders, law enforcement and legal representatives. Facilitate the verification of claims by ensuring timely and accurate information exchange, resolving discrepancies, and advancing incident resolution + Utilize independent knowledge and experience to identify events with potential exposure after a short investigative period and pursue early resolution of claims through established financial authority levels or escalation to senior team members for the extension of increased authority with the goal of avoiding or reducing financial exposure from protracted claims and litigation. Actively provide continued investigative support to claims examiners + At the direction of counsel, actively begin the litigation preservation process through the location, assessment and storage of collision mitigation and GPS data, onboard video data, and other documentation on all events which meet pre-defined criteria. This will often include detailed searches of media and social media reports, law enforcement websites, and other public databases, as well as reviewing additional videos to confirm involvement in alleged events + Participate in training and development to stay updated on industry changes, company policy updates, and improvement of processing techniques + Serve as a liaison between claimants, adjusters, and legal teams to support collaborative decision-making and maintain transparency throughout the claims process; utilize strong interpersonal, professional, and empathetic skills to de-escalate emotional and sometimes complex situations and provide timely solutions and resolutions for involved parties + Provide process or system feedback to assist with improvement of information capture, ensuring program issues are addressed in a timely manner, and assist others with workarounds and alternative solutions **Qualifications:** **Minimum Qualifications:** + High School Diploma/GED with up to 1 year of experience in Human Resources, Claims, Insurance, Customer Service, or related field **Preferred Qualifications:** + Experience in a call center, particularly within the Insurance industry + Ability to uphold a professional demeanor in all customer interactions, demonstrating empathy and patience in the face of challenging situations + Knowledge of problem reporting and escalation practices + Ability to accurately analyze situations and reach productive decisions based on informed judgment + Ability to maintain composure under pressure + Ability to adapt to a dynamic work environment and shifting priorities and directives + Ability to effectively transmit, receive, and accurately interpret ideas through various mediums + Ability to work with a variety of individuals and groups in a constructive and collaborative manner + Ability to capture and document relevant business information in an auditable, organized, and easily retrievable manner + Ability to process information with high levels of accuracy with attention to detail. + Ability to type at least 40 words-per-minute This position is not eligible for employment-based sponsorship. **Compensation:** Factors which may affect starting pay within this range may include skills, education, experience, geography, and other qualifications of the successful candidate. This position may be eligible for annual bonus and incentives based on profitability or volumes in accordance with the terms of the Company's bonus and incentive plans, as applicable and in effect from time to time. **Benefits:** The Company offers the following benefits for full-time positions, subject to applicable eligibility requirements, as may be in effect from time to time: medical benefit, dental benefit, vision benefit, 401(k) retirement plan, life insurance, short-term and long-term disability coverage, paid time off commensurate with tenure (includes vacation and sick time), six weeks of paid maternity leave along with two weeks of paid parental leave, and six paid holidays annually. **Education:** GED (Required), High School (Required) **Work Experience:** Customer Service/Account Manager, Transportation/Logistics **Job Opening ID:** 00609049 Weekend Claims Intake Representative I(Nights) (Open) **_"This job description has been designed to indicate the general nature and level of work performed by employees within this_** **_classification._** **_It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job._** **_To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements 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."_** **_J.B. Hunt Transport, Inc. is committed to basing employment decisions on the principles of equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, persons with disabilities, protected veterans or other bases by applicable law._** **Fortune 500 experience. Career advancement. Nationwide relocation possibilities.** Headquartered in Northwest Arkansas, J.B. Hunt is a dominant force in transportation and logistics, offering exciting career opportunities both at corporate and at field locations across the country. There are a variety of job types that support our business, so no matter your passion, J.B. Hunt is the place to jumpstart your career. **Why J.B. Hunt?** J.B. Hunt is a leading transportation and logistics company for one simple reason - our people. The career possibilities and benefits of working at J.B. Hunt are endless. From competitive salary and benefits packages, to defined career paths and growth opportunities, we take care of our people and take great pride in our efforts to build and sustain an inclusive workplace for all employees. **What are we looking for?** J.B. Hunt welcomes high-energy, forward-thinking people of all backgrounds and experience levels to join our team. We offer full-time, entry level, professional and management opportunities across all departments. Whether you are fresh out of school or bring years of industry experience, a role at J.B. Hunt could take your career to the next level. J.B. Hunt is proud to serve individuals of all abilities. If you need assistance completing your application, please contact us at ************************* . J.B. Hunt Transport, Inc. affirms its belief in equal employment opportunity for all employees and applicants for employment in all terms and conditions of employment. J.B. Hunt is committed to both the spirit and the letter of affirmative action law and continues its good-faith efforts to comply with all applicable government laws and regulations. The company is committed to basing employment decisions on the principles of equal employment opportunity. J.B. Hunt will recruit, hire, compensate, offer benefits to, upgrade, train, layoff, terminate, and/or promote individuals without discrimination in regards to race, color, religion, sex, national origin, age, sexual orientation, gender identity, status as a qualified individual with a disability, status as a protected veteran, or other bases by applicable law. J.B. Hunt Transport, Inc. offers reasonable accommodation in the employment process for individuals with disabilities. If you need assistance in the application process due to a disability, you may request accommodation at any time by calling **************.
    $29k-36k yearly est. 60d+ ago
  • Insurance Claims/Restoration Specialists

    Classic Contracting

    Claims representative job in Missouri

    Rapidly growing Insurance Restoration Company seeking qualified candidates for the position of Sales Representative. The Sales Representative will sell roofing product lines / systems and generate new growth and profitability through business networking, contacts, telephoning, door knocking, and the like to obtain inspections for potential weather related structural property damage and consultations for cosmetic/structural replacements, upgrades and remodels. You will also be provided with occasional company generated leads. Our ideal candidates will have in-home sales experience or come from the residential real estate, window/siding/roofing, home inspection, or home improvement industries. You MUST have verifiable and STABLE sales experience. Construction experience and knowledge is a definite plus. The ideal candidate must also have strong listening, follow-up, and closing skills. You must be proficient working with computer software and be detail oriented, focused, and a team player. Most importantly, you MUST have strong ethics and high integrity and be committed to ALWAYS putting the customer first. We also ask that you are outgoing, with a positive personality, have a professional and respectable demeanor, clean cut and professional appearance, are self-motivated, eager to succeed, possess excellent communication skills, have the ability to multitask and manage time effectively, are positive and energetic, have the ability & willingness to learn and implement today's top marketing and selling techniques, and be willing to work some weekends to go above and beyond. Team Players will thrive in our environment. We build our jobs promptly! Requires ability to climb on roofs and transport a ladder. W2 & 1099 Positions. If interested please call ************ to schedule your interview today! Qualifications Would prefer prior sales experience Additional Information All your information will be kept confidential according to EEO guidelines.
    $31k-51k yearly est. 1d ago
  • Claims Specialist

    Acertus 3.7company rating

    Claims representative job in Overland Park, KS

    As a Claims Specialist, you will review and analyze claims and expenses, process new claims and complete old ones, and work with internal teams. Schedule: Monday-Friday (8:00am -5:00pm) Pay: $22 - $25/hr. Based on Experience What will you be doing? Collect and analyze required documentation needed for claim resolution. Communicate with Transportation Carriers/Insurers/Customers to gather necessary information. Assist with claims resolution and collection of payments on Claims. Manage customer claims portals and monthly reports. Interact with external parties like 3rd party claims management and/or insurance providers. Collect payment for damages caused by the carrier. Personal responsibility to manage change. Run weekly data to capture any trending Drivers and Customers. Review data to pinpoint damage trends for call out and executive action. Assist with preventative measures to reduce claims. Claim mitigation start to finish. End of Month close auditing and balancing checks. Must be willing and able to perform all other duties as assigned by management. What are we looking for? This position requires a minimum of a High School Diploma or equivalent. Must have one to two years of experience in claims resolution. Must have working knowledge with Windows computer system and Microsoft Office Programs (Word, Excel, Outlook, etc.). Great oral and written communication skills. Ability to effectively organize and prioritize work as well as concentrate on multiple tasks simultaneously. Creative, can think outside of the box to resolve problems. Excellent customer service skills. Previous Transportation or Automotive Industry knowledge a plus. Personal responsibility to manage change. Critical thinking / ability to think outside of the box to resolve issue at hand. Benefits At ACERTUS we believe that our employees are our greatest asset. Our benefits include: Medical, Dental and Vision Insurance benefits start on the 1 st day of the month following your start date. Company Paid Time Off 8 Company Paid Holidays 401(k) with auto-enrollment at 3% starts on the 1 st day of the month following your start date. Casual Dress Code About ACERTUS ACERTUS is an automotive logistics company specializing in vehicle lifecycle solutions. Our client centric model is enabled by our people, processes and innovative technology that are a differentiator in the industry. Our comprehensive portfolio of services is designed to provide solutions throughout the lifecycle of a vehicle. We offer a full suite of vehicle transportation services, customizable technology, a national title and registration platform plus compliance services, and a growing vehicle storage footprint throughout North America. ACERTUS - Relentless Drive to Deliver! ACERTUS is committed to employing a diverse workforce. Qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, gender expression, veteran status, or disability.
    $22-25 hourly 18d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Eureka Springs, AR

    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.
    $42k-50k yearly est. Auto-Apply 6d ago
  • Claims Denial Specialist

    Medical Assets Holding Company LLC

    Claims representative job in Russellville, AR

    The Claims Denial Specialist works within the organization's revenue cycle to investigate, resolve, and appeal denied insurance claims. By identifying the root causes of denials, correcting errors, and communicating with insurance companies, they help prevent revenue loss and secure proper reimbursement for services. Core responsibilities Denial analysis and resolution: Research denied or rejected claims by reviewing insurance correspondence, billing and coding documentation, and patient medical records. Appeals processing: Prepare and submit detailed, well-argued appeals to insurance payers, often citing clinical documentation, payer-specific policies, and contractual language. Investigative follow-up: Follow up on appeals and resubmitted claims with insurance companies, typically by phone or through payer portals, to resolve outstanding issues and ensure timely reimbursement. Process improvement: Identify trends and patterns in claim denials to help prevent future errors. This often involves collaborating with other departments, such as billing and coding, to improve processes. Documentation and reporting: Accurately document all communication and actions taken on a claim within the patient accounting system. Create and deliver reports to management on denial trends and recovery efforts. Compliance monitoring: Stay up-to-date with changing regulations, payer guidelines, and billing rules for government programs (like Medicare and Medicaid) and commercial insurance. Essential qualifications and skills Healthcare knowledge: A strong understanding of the healthcare revenue cycle, medical terminology, and medical coding systems. Experience with electronic health record (EHR) systems and billing software. The ability to conduct root-cause analysis, recognize patterns in denial data, and use critical thinking to build effective appeal strategies. Excellent written communication for drafting persuasive appeal letters and verbal communication for interacting with payers, providers, and patients. Professional certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are often preferred or required. Meticulous attention to detail is necessary to review complex documentation, catch errors, and ensure all resubmissions are accurate and compliant.
    $30k-51k yearly est. Auto-Apply 60d+ ago
  • Mechanical Claims Adjuster

    Insight Global

    Claims representative job in Bridgeton, MO

    Mechanical Claims Adjuster Pay Range: $25/hr -$30/hr Responsibilities: Apply deep knowledge of vehicle mechanics to accurately evaluate, investigate, and resolve mechanical claims in a timely and efficient manner. Serve as a primary point of contact for vehicle service contract holders, repair facilities, and internal partners through professional telephone and email communication. Deliver a high level of customer care by actively listening to client questions and concerns, responding with empathy, clarity, and confidence to ensure a positive experience. Consistently follow established department procedures and leverage company-specific systems to maintain precise and thorough electronic claim documentation. Partner closely with leadership and fellow claims analysts to uphold the organization's standards of integrity, fairness, and excellence in every client interaction. Requirements: 3+ years of hands-on experience in automotive mechanics or a related mechanical field Strong understanding of vehicle repair processes with the ability to explain technical details clearly to all audiences Clear, professional verbal communication skills with a customer-first approach Proven success in customer service, including resolving complex issues and delivering high satisfaction Comfortable using Microsoft Office and claims-processing systems while navigating multiple tools during live calls Detail-oriented, self-motivated, and effective in a fast-paced environment High school diploma or GED required ASE certification preferred
    $25 hourly 3d ago
  • Northland Liability Major Case Claim Specialist

    The Travelers Companies 4.4company rating

    Claims representative job in Overland Park, KS

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $104,000.00 - $171,700.00 Target Openings 1 What Is the Opportunity? Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff. What Will You Do? * Directly handle assigned severe claims. * Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value. * Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. * Work with Manager on use of Claim Coverage Counsel as needed. * Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. * Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. * Complete outside investigation as needed per case specifics. * Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts. * Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. * Maintain claim files and document claim file activities in accordance with established procedures. * Develop and employ creative resolution strategies. * Responsible for prompt and proper disposition of all claims within delegated authority. * Negotiate disposition of claims with insureds and claimants or their legal representatives. * Recognize and implement alternate means of resolution. * Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. * Utilize evaluation documentation tools in accordance with department guidelines. * Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. * Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. * Establish and maintain proper indemnity and expense reserves. * Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. * Recommend appropriate cases for discussion at roundtable. * Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. * Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others. * Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance. * Apply litigation management through the selection of counsel, evaluation. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree. * 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims. * Extensive working level knowledge and skill in various business line products. * Excellent negotiation and customer service skills. * Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills. * Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims. * Able to make independent decisions on most assigned cases without involvement of supervisor. * Openness to the ideas and expertise of others and actively solicits input and shares ideas. * Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices. * Demonstrated strong coaching, influence and persuasion skills. * Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. * Can adapt to and support cultural change. * Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. * Analytical Thinking - Advanced. * Judgment/Decision Making - Advanced. * Communication - Advanced. * Negotiation - Advanced. * Insurance Contract Knowledge - Advanced. * Principles of Investigation - Advanced. * Value Determination - Advanced. * Settlement Techniques - Advanced. * Litigation Management - Advanced. * Medical Terminology and Procedural Knowledge - Advanced. What is a Must Have? * Four years bodily injury litigation claim handling experience or comparable claim litigation experience. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $52k-70k yearly est. 12d ago
  • Public Adjuster

    The Misch Group

    Claims representative job in Saint Louis, OK

    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 23d ago

Learn more about claims representative jobs

How much does a claims representative earn in Springdale, AR?

The average claims representative in Springdale, AR earns between $28,000 and $51,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Springdale, AR

$38,000

What are the biggest employers of Claims Representatives in Springdale, AR?

The biggest employers of Claims Representatives in Springdale, AR are:
  1. J.B. Hunt Transport Services
  2. The Cincinnati Insurance Companies
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