Claim Specialist jobs at CNA Insurance - 2050 jobs
Substance Abuse Specialist
VNS Health 4.1
New York, NY jobs
Licensed Behavioral Health Clinicians provide supportive counseling, advocacy, education, and care management to help patients and their families navigate mental illness, access community resources, and manage symptoms to help them remain safely in the community This is a senior, master's level, licensed social services role that provides direct care as part of a team. Join us in building on our 130-year history and become a part of the Future of Care that is strengthening communities with high quality, integrated behavioral health programs. VNS Health Behavioral Health team members provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional.
What We Provide
Attractive sign-on bonus and referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, CEU credits, and advancement opportunities
Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals
What You Will Do
Utilizes approved assessments to identify clients/members needs and family needs; develops initial and ongoing clinical plan of care. Updates plan at specified intervals, and as needed based on changes in client/member condition or circumstances
Performs and maintains effective care management for assigned caseload of clients/members. Leads the care coordination for complex psychiatric clinical cases. Tracks and monitors progress; maintains detailed, accurate and timely progress notes and other documentation
Provides supportive counseling and/or supportive therapy as well as ongoing mental health services
Collaborates and refers to appropriate agencies as required. Addresses any client/member concerns to ensure satisfaction with overall services provided and uses motivational interviewing techniques to foster behavioral changes
Develops inventory of resources that meet the clients/members needs as identified in the assessment
Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members
Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility of entitlements and community services. Arranges transportation and accompanies clients/members to appointments as necessary
Assists clients/members and/or families in the development of a sustainable network of community-based supports, utilizing identified strengths and tools designed to prevent future participant crises and/or reduce the negative impact if a crisis does occur
Participates in initial and ongoing trainings as necessary to maintain and enhance clinical and professional skills
Maintains updated case records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements
Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge
Participates in 24/7 on-call coverage schedule and performs on-call duties, as required
Acts as liaison with other community agencies
Provides short term counseling (coping skills, trauma informed, decision making) and Risk Health Assessment/Safety Planning
Collects and reports data, as required while adhering to productivity standards
Leads and participates in “Network Meetings” with client, client/ member's personal support network and other team members using the Open Dialogue Model
Qualifications
Master's Degree in Social Work, Psychology, Mental Health Counseling, Family Therapy or related degree
Minimum of two years of mental health work experience providing direct services to clients/members with Serious Mental Illness (SMI), developmental disabilities, substance use disorders and/or chronic medical conditions required
Effective oral/written/interpersonal communication skills required
Bilingual skills may be required as determined by operational needs
License and current registration to practice as a Mental Health Counselor, Marriage and Family Therapist , Social Worker, Clinical Social Worker or related license in New York State
Valid NYS ID or NYS driver's license may be required as determined by operational needs.
Pay Range
USD $63,800.00 - USD $79,800.00 /Yr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
$63.8k-79.8k yearly Auto-Apply 4d ago
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Experienced Claims Specialist
Geico 4.1
Saint Petersburg, FL jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
What Makes This Opportunity Exciting?
Are you a seasoned professional with a track record in insurance claims? As an Experienced ClaimsSpecialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence.
Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures.
Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims.
Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud.
Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction.
Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility.
Professional Growth: Access GEICO's industry-leading training programs and development opportunities:
Continuing education at no cost to you.
Leadership development programs and hundreds of eLearning courses to enhance your skills.
Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career.
Incentives and Recognition:
Pay Transparency: The starting salary for an Experienced ClaimsSpecialist is between $31.62 per hour / $63,714 annually and $36.12 per hour / $72,782 annually.
Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20).
Evening Shift Differentials: Earn a +10% pay differential for eligible shifts.
Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts.
Additional Perks:
Health & Wellness: Comprehensive healthcare and well-being support available on Day 1.
401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately.
What We're Looking For:
A passion for providing outstanding customer service.
Strong interpersonal, communication, and problem-solving skills.
Adaptability and attention to detail in a dynamic environment.
2+ years of prior claims experience in the insurance industry.
Active Florida All-Lines Adjuster License (6-20) required.
High School Diploma required, College degree (2-4 year) preferred.
Ability to prioritize and multi-task, while navigating through multiple business applications.
Computer proficiency, including familiarity with Microsoft Office Suite.
Flexibility to work evenings, weekends, and holidays as needed.
#geico600
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$63.7k-72.8k yearly 19h ago
Experienced Claims Specialist
Geico 4.1
Brandon, FL jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
What Makes This Opportunity Exciting?
Are you a seasoned professional with a track record in insurance claims? As an Experienced ClaimsSpecialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence.
Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures.
Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims.
Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud.
Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction.
Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility.
Professional Growth: Access GEICO's industry-leading training programs and development opportunities:
Continuing education at no cost to you.
Leadership development programs and hundreds of eLearning courses to enhance your skills.
Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career.
Incentives and Recognition:
Pay Transparency: The starting salary for an Experienced ClaimsSpecialist is between $31.62 per hour / $63,714 annually and $36.12 per hour / $72,782 annually.
Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20).
Evening Shift Differentials: Earn a +10% pay differential for eligible shifts.
Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts.
Additional Perks:
Health & Wellness: Comprehensive healthcare and well-being support available on Day 1.
401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately.
What We're Looking For:
A passion for providing outstanding customer service.
Strong interpersonal, communication, and problem-solving skills.
Adaptability and attention to detail in a dynamic environment.
2+ years of prior claims experience in the insurance industry.
Active Florida All-Lines Adjuster License (6-20) required.
High School Diploma required, College degree (2-4 year) preferred.
Ability to prioritize and multi-task, while navigating through multiple business applications.
Computer proficiency, including familiarity with Microsoft Office Suite.
Flexibility to work evenings, weekends, and holidays as needed.
#geico600
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$63.7k-72.8k yearly 19h ago
Automotive Claims Representative - Training Provided!
Plymouth Rock Assurance 4.7
Boston, MA jobs
At Plymouth Rock Assurance, our Claims team embodies the traits of Understanding, Engaging, and Energetic, serving as the first point of contact for our policyholders who have experienced an automobile incident.
As a Claims Representative, you will become part of a fast paced, rewarding, and diverse team that appreciates the importance of a healthy work/life balance. We are looking for high potential individuals to join our fast-track claims unit with an in-depth training program, so no prior insurance experience is needed for this role. Many of our Claims Representatives have benefited from internal growth opportunities and have secured more senior Claims or Supervisor level roles within our company. Apply now and start your career at Plymouth Rock!
We are currently a Hybrid work environment- 4 days in the Boston office and 1 day work from home.
Here Is What You Will Do
Customer-centric employee: Conveying a calm, caring attitude, you will provide best-in-class service to customers while processing new claims.
Understanding and providing Empathy is key to this role.
Collaborative partner: Working with internal and external partners, you'll support policyholders while their claims are being processed.
Energetic worker: In our fast-paced environment, you will handle customers' needs-quickly, effectively and in a friendly, caring manner.
Problem solver: No day is predictable; you'll utilize out-of-the-box, creative thinking to resolve a wide variety of claims challenges and customer issues.
Clear communicator: You'll provide policyholders with the information they need by clearly setting expectations and outlining next steps.
Accessibility: Being available for customers via email, text, or phone to walk them step-by-step through the auto claim process and explain existing coverage.
Here Is What You Will Bring To The Table
A history of working customer service facing roles, hospitality, or retail, with previous call center experience a plus.
Being on the phone consistently throughout the day is a requirement of the role.
Excellent organizational and time management skills.
Being able to pivot through different applications throughout the day.
Prioritizing your day and staying organized is key.
An associate or bachelor's degree preferred.
Willingness to continue learning about products, procedures, and technical systems as you grow in this role.
Why work for us
Grow personally and professionally through our collaborative team environment
Gain support and guidance to expedite proficiency through our mentor program
4 weeks accrued paid time off + 9 paid national holidays per year
Onsite Free Parking
LinkedIn Learning Courses
12-week Training Program
Tuition Reimbursement
Low cost and excellent coverage health insurance options (medical, dental, vision)
Robust health and wellness program and fitness reimbursements
Auto and home insurance discounts
2:1 Matching gift opportunities
Annual 401(k) Employer Contribution (up to 7.5% of your base salary)
Company sponsored social events
Various Paid Family leave options including Paid Parental Leave
Salary Range: The pay range for this position is $45,000 to $50,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
About The Company
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$45k-50.5k yearly 2d ago
Bilingual Claims Specialist
Geico 4.1
Waller, TX jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Bilingual Claims Service Specialist - Katy, Tx
Salary: $24.62-$30.77 per hour / $49,609.30-$62,001.55 annually
+10% additional differential for bilingual skillset
+10% evening differential for applicable shifts
Hybrid role: Training 100% in-office (6-9 months); post training 4 days a week in office and work from home 1 day a week
Have an active Adjusters insurance license?
You will be eligible for a $1,500 sign-on bonus! Ask your recruiter for more details!
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Avanza profesionalmente con una compañía que valora la diversidad y la inclusión.
Esta oportunidad es ideal para estudiantes, futuros estudiantes y aspirantes que valoran el aprendizaje continuo, ya que nuestros Representantes de Reclamos tienen el desafío constante de aprender y expandir su conocimiento de la industria de seguros y nuestra compañía. Además, GEICO favorece la cultura de “ascensos dentro de la empresa”, así que abundan las oportunidades para que avances profesionalmente y seas recompensado por el trabajo duro y la perseverancia.
¡Prepara tu pasión para ayudar a los demás, y marcar la diferencia y comienza una trayectoria laboral gratificante con GEICO hoy!
Many associates see a base salary increase of 10% within their first year as a Bilingual Claims Service Specialist.
Qualifications & Skills:
Excellent verbal and written communication skills in English and Spanish
12 months+ of relevant customer service and/or transaction processing experience
Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction
Solid computer multitasking skills
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Ability to work comfortably and grow in a fast-paced, high-volume call center environment
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
Eagerness to explore new skills and openness to different career path
Education/Certifications:
An associate's degree or higher (preferred)
Active Adjusters insurance license (preferred)
#geico600
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$49.6k-62k yearly 19h ago
Bilingual Claims Specialist
Geico 4.1
Lockney, TX jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Bilingual Claims Service Specialist - Katy, Tx
Salary: $24.62-$30.77 per hour / $49,609.30-$62,001.55 annually
+10% additional differential for bilingual skillset
+10% evening differential for applicable shifts
Hybrid role: Training 100% in-office (6-9 months); post training 4 days a week in office and work from home 1 day a week
Have an active Adjusters insurance license?
You will be eligible for a $1,500 sign-on bonus! Ask your recruiter for more details!
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Avanza profesionalmente con una compañía que valora la diversidad y la inclusión.
Esta oportunidad es ideal para estudiantes, futuros estudiantes y aspirantes que valoran el aprendizaje continuo, ya que nuestros Representantes de Reclamos tienen el desafío constante de aprender y expandir su conocimiento de la industria de seguros y nuestra compañía. Además, GEICO favorece la cultura de “ascensos dentro de la empresa”, así que abundan las oportunidades para que avances profesionalmente y seas recompensado por el trabajo duro y la perseverancia.
¡Prepara tu pasión para ayudar a los demás, y marcar la diferencia y comienza una trayectoria laboral gratificante con GEICO hoy!
Many associates see a base salary increase of 10% within their first year as a Bilingual Claims Service Specialist.
Qualifications & Skills:
Excellent verbal and written communication skills in English and Spanish
12 months+ of relevant customer service and/or transaction processing experience
Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction
Solid computer multitasking skills
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Ability to work comfortably and grow in a fast-paced, high-volume call center environment
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
Eagerness to explore new skills and openness to different career path
Education/Certifications:
An associate's degree or higher (preferred)
Active Adjusters insurance license (preferred)
#geico600
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$49.6k-62k yearly 19h ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Farmingdale, NY jobs
Network Adjusters is seeking experienced General Liability and/or Construction Defect Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Construction Defect Claims Adjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties.
Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses
Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders
Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits
Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts
Effectively manage litigated claims, including coordination with defense and coverage counsel
Establish, document, and maintain appropriate claim and expense reserves in a timely manner
Develop and execute plans of action for claim resolution, including diary management and timely follow-up
Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence
Identify and pursue subrogation opportunities when applicable
Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling
Document all claim activity in accordance with established procedures and Best Practices
Ensure compliance with all state-specific regulatory requirements and quality standards
Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution
Qualifications
2-5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect
College or technical degree, or equivalent relevant business experience
Ability to obtain and maintain required adjuster licenses, including completion of continuing education
Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively
Excellent verbal and written communication skills, with a customer-focused and empathetic approach
Strong organizational and time management skills with the ability to multitask in a fast-paced environment
High attention to detail, accuracy, confidentiality, and sound judgment
Proficiency in MS Word, Outlook, Excel, and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $75,000-$100,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Farmingdale, NY (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$75k-100k yearly 4d ago
Disability Claims Specialist (Part Time 20 hours+)
Hays 4.8
Tampa, FL jobs
We seek to make a meaningful impact in the lives of our customers and our communities. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills.
Essential Business Experience and Technical Skills:
Required:
**3+ years of LTD/IDI Insurance Claims experience
•Prior experience with independent judgement and decision making while relying on the available facts
•Be able to demonstrate the use of critical thinking and analysis when reviewing the information
•Creative problem-solving abilities and the ability to think outside the box
•Excellent interpersonal and communication skills in both verbal and written form
•Excellent customer service skills proven through internal and external customer interactions
•Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively
•Organizational and time management skills
• Bachelor's degree
Key Responsibilities:
•Effectively manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators
•Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations
• Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills
•Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations
•Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available
•Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
•Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed
•Proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, and Rehab Return to Work benefits, and other non-routine payments
•Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination.
•Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.
$56k-88k yearly est. 4d ago
General Liability Claims Supervisor
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking an experienced General Liability and/or Construction Defect Claims Supervisor to join our third-party administrative insurance handling team. This leadership role is ideal for professionals who thrive in fast-paced claims environments and are passionate about team development, technical excellence, and delivering strong customer service outcomes.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
General Liability Claims Supervisors oversee the full lifecycle of claims handling while ensuring compliance, service standards, and industry best practices are consistently met. In this role, you will hire, onboard, train, and develop a team of adjusters specializing in general liability and construction defect claims, providing both strategic and technical guidance throughout the claims process.
You will play a key role in maintaining departmental protocols, supporting complex claim resolution, and delivering strong customer service outcomes for carriers, clients, and internal stakeholders. This is a desk-based role.
Responsibilities
Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional development
Hire, onboard, train, and develop staff as needed
Review and analyze coverage, policies, claim forms, and supporting documentation to ensure accurate and compliant claim handling
Oversee the full claims lifecycle, including damage evaluation, loss determination, settlement negotiations, and resolution
Ensure compliance with all regulatory requirements, company guidelines, and industry Best Practices
Implement and monitor quality control standards and QA/QC measures to ensure consistency, accuracy, and efficiency in claims handling
Collaborate with carriers, attorneys, claimants, and internal stakeholders to resolve disputes and provide a positive claims experience
Track and analyze team and departmental performance metrics, establish targets, and implement strategies to meet or exceed goals
Prepare and present reports to senior management and clients, highlighting performance trends, risks, and improvement opportunities
Stay current on industry regulations, case law, statutes, and evolving claims best practices
Qualifications
Minimum 5 years of claims handling experience in General Liability or Construction Defect claims
Minimum 3 years of supervisory or managerial experience, preferably within insurance claims
Strong leadership skills with the ability to mentor, motivate, and develop a team
Superior knowledge of case law, statutes, and procedures impacting claim handling and valuation
Excellent analytical, evaluation, strategic, and negotiation skills
Ability to prioritize workload and manage multiple tasks effectively in a fast-paced environment
Strong problem-solving skills with keen attention to detail
Proficiency in MS Office Suite and other standard business software
Polished written and verbal communication skills
Bachelor's degree in a relevant field or equivalent work experience
Compensation & Benefits
Salary: $110,000-$140,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$110k-140k yearly 4d ago
Claims Representative, Auto Total Loss
Plymouth Rock Assurance 4.7
Boston, MA jobs
The Total Loss Unit within our Auto Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants. The Total Loss Claims Representative processes payments and is responsible for the documentation of assigned claims as well as coordinating disposition of the total loss salvage vehicle. He or she is responsible for controlling total loss expenses and salvage recoveries on all total losses assigned.
Perks:
4 weeks accrued paid time off + 9 paid national holidays per year
Robust wellness & health and fitness reimbursement programs
401(k) bonus program
Tuition reimbursement
Auto and home insurance discounts
Volunteer opportunities
2:1 donation matching program
Company-paid life and disability insurance plans
Optional medical, dental, vision, legal, pet insurance, FSA and identity theft protection plans
Responsibilities:
Negotiates and communicates all total loss and diminished value settlements per company and state guidelines. Multi jurisdictions, including MA, NH, CT, NY, and others as required
Understands the total loss evaluation methodology processes with the ability to effectively communicate these to vehicle owners.
Has a basic understanding of vehicle financing / leasing.
Reviews damage estimates to confirm vehicles are total losses.
Documents all settlements and actions in the claim file system.
Works directly with salvage vendor to move vehicles and obtains salvage bids where necessary
Negotiates and settles claims within his/her individual authority. Submits claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate.
Escalates claims to supervisor that are not moving in a positive direction.
Maintains an effective diary system on pending files. Prioritize and handle multiple tasks simultaneously.
Quickly adjusts to fluctuating workload and responsibilities.
Keeps involved parties and agents updated on the status of the claim and emerging issues.
Ensures that service, loss and expense control are maintained at all times.
Adheres to privacy guidelines, law and regulations pertaining to claims handling.
Prepares payments to vehicle owners, banks and lease companies.
This role will report in person to our Boston office, located directly across from South Station.
Knowledge/Skills:
Property and casualty claims handling experience desired
Ability to work independently and in a team environment
Excellent oral and written communication skills
Excellent organizational skills
Solid problem solving skills
Proficient in Word, Excel, MS Outlook
Educational Requirements:
Bachelor's degree from four-year college or university or commensurate work experience preferred
Previous auto claims handling
State Adjusting licenses or the ability to obtain them within 6 months of employment
Salary Range: The pay range for this position is $50,000 to $73,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 2,000 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$50k-73.5k yearly 2d ago
Hybrid Tech PM - Claims AI Delivery
Liberty Mutual Insurance 4.5
Boston, MA jobs
A leading insurance provider is seeking a Technology Project Manager to drive complex, cross-team initiatives within the Claims Experience Technology team. This role involves orchestrating delivery across various products and teams, ensuring efficient and timely claims processing through innovative technology. Candidates should possess significant IT and program management experience, especially in Agile environments. The role offers a hybrid work schedule, fostering collaboration and growth while allowing flexibility for remote tasks.
#J-18808-Ljbffr
$39k-47k yearly est. 2d ago
Hybrid Tech PM - Claims AI Delivery
The Liberty Mutual Foundation 4.5
Boston, MA jobs
A major insurance provider is seeking a Technology Project Manager in Boston or Plano to lead cross-team initiatives within Claims Technology. This role involves managing complex projects, fostering collaboration, and driving agile practices. A Bachelor's degree and 6+ years of IT program management experience are required. The position offers a hybrid work environment to encourage both in-person collaboration and remote focus, ensuring flexibility while maximizing team engagement and innovation.
#J-18808-Ljbffr
$39k-47k yearly est. 3d ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced General Liability and/or Construction Defect Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Construction Defect Claims Adjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties.
Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses
Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders
Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits
Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts
Effectively manage litigated claims, including coordination with defense and coverage counsel
Establish, document, and maintain appropriate claim and expense reserves in a timely manner
Develop and execute plans of action for claim resolution, including diary management and timely follow-up
Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence
Identify and pursue subrogation opportunities when applicable
Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling
Document all claim activity in accordance with established procedures and Best Practices
Ensure compliance with all state-specific regulatory requirements and quality standards
Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution
Qualifications
2-5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect
College or technical degree, or equivalent relevant business experience
Ability to obtain and maintain required adjuster licenses, including completion of continuing education
Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively
Excellent verbal and written communication skills, with a customer-focused and empathetic approach
Strong organizational and time management skills with the ability to multitask in a fast-paced environment
High attention to detail, accuracy, confidentiality, and sound judgment
Proficiency in MS Word, Outlook, Excel, and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $75,000-$100,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$75k-100k yearly 4d ago
Claims Adjuster/Examiner
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced Claims Adjusters to join our third-party administrative insurance handling team in a file review role. This is a high-visibility position reporting directly to executive management, ideal for professionals who thrive on complex claims, strategic problem-solving, and driving resolution.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Disposition Analysts supports two key initiatives:
Assisting with onboarding triage and review of new claim programs
Reviewing existing claim files for closure with current carrier partners
You'll work in a fast-paced environment reviewing high-exposure, complex claims, identifying resolution opportunities, and providing actionable feedback to leadership - all while ensuring compliance and service standards are met.
Claims may include Commercial General Liability, Auto, Property Damage, Construction Bodily Injury, Construction Defect, D&O, Cyber, and Builder's Risk. Experience across all lines is not required; adaptability and a willingness to learn are essential. This is a desk-based role.
Responsibilities
Analyze coverage by reviewing policies, claim forms, and supporting documentation
Handle complex commercial and bodily injury claims, including in-depth file reviews, damage evaluation, settlement negotiation, and driving claims to resolution
Communicate and collaborate with carriers, attorneys, claimants, and internal stakeholders throughout the claims lifecycle
Prepare management and client reports, identifying claim trends and opportunities for improvement
Ensure compliance with regulatory requirements and industry best practices
Qualifications
3+ years of commercial bodily injury claims handling experience, including litigation
Strong working knowledge of case law, statutes, and claims procedures
Excellent analytical, evaluation, negotiation, and strategic decision-making skills
Ability to manage multiple priorities in a fast-paced, high-volume environment
Confident communicator with polished written and verbal communication skills
College or technical degree, or equivalent relevant business experience
Active Texas or Florida P&C Adjusting License (or ability to obtain within 90 days); ability to obtain New York P&C Adjusting License within 90 days
Proficiency in MS Office and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $70,000-$90,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$70k-90k yearly 4d ago
Claims Representative, Total Loss
Plymouth Rock Assurance 4.7
Parsippany-Troy Hills, NJ jobs
The Total Loss Unit within our Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants. The Total Loss Claim Representative processes payments and is responsible for the documentation of assigned claims as well as coordinate disposition of the total loss salvage vehicle. He/she is responsible for controlling total loss expenses and salvage recoveries on all total losses assigned.
Responsibilities:
Negotiates and communicates all total loss and diminished value settlements per company and state guidelines. Multi jurisdictions, including MA, NH, CT, NY, and others as required
Understands the total loss evaluation methodology processes with the ability to effectively communicate these to vehicle owners.
Has a basic understanding of vehicle financing / leasing.
Reviews damage estimates to confirm vehicles are total losses.
Documents all settlements and actions in the claim file system.
Works directly with salvage vendor to move vehicles and obtains salvage bids where necessary
Negotiates and settles claims within his/her individual authority. Submits claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate.
Escalates claims to supervisor that are not moving in a positive direction.
Maintains an effective diary system on pending files. Prioritize and handle multiple tasks simultaneously.
Quickly adjusts to fluctuating workload and responsibilities.
Keeps involved parties and agents updated on the status of the claim and emerging issues.
Ensures that service, loss and expense control are maintained at all times.
Adheres to privacy guidelines, law and regulations pertaining to claims handling.
Prepares payments to vehicle owners, banks and lease companies.
This role will report in person to our Boston office, located directly across from South Station.
Qualifications:
Property and casualty claims handling experience desired
Ability to work independently and in a team environment
Excellent oral and written communication skills
Excellent organizational skills
Solid problem solving skills
Proficient in Word, Excel, MS Outlook
Salary Range: The pay range for this position is $48,000 to $73,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
Perks and Benefits:
4 weeks accrued paid time off + 9 paid national holidays per year
Robust wellness & health and fitness reimbursement programs
401(k) bonus program
Tuition reimbursement
Auto and home insurance discounts
Volunteer opportunities
2:1 donation matching program
Company-paid life and disability insurance plans
Optional medical, dental, vision, legal, pet insurance, FSA and identity theft protection plans
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$48k-73.5k yearly 2d ago
Professional Liability Claims Lead
BCS Financial Corporation 4.2
Oakbrook Terrace, IL jobs
P&C Claims Lead
Full Time
Oakbrook Terrace, IL, US
Salary Range:$107,000.00 To $134,000.00 Annually
BCS Financial is seeking an experienced claims leader to oversee Specialty Risk Solutions claim operations and strategy for Agent E&O, commercial cyber, excess cyber, and other complex products. This role is responsible for managing day-to-day claims functions, driving process improvement, and collaborating across departments to ensure optimal claim outcomes and compliance.
Essential Elements
Adjudicate claims from end to end including assessing coverage, establishing reserves, communicating with Insureds, TPAs, coverage counsel and reinsurers, establishing reserves and negotiating settlements.
Establish and maintain early warning system to track and monitor Open claims (high-dollar, high risk exposure situations)
Facilitate Claims Committee, consisting of cross-functional areas with shared responsibility for positive claim outcomes and accurate financial reporting
Establish and report on key metrics (KPI and SLA performance management)
Analyze and report significant claim trends across programs (insourced and outsourced programs)
Coordinate and lead interdepartmental workflows and resources related to continuous process improvement efforts
Collaborate with underwriters to support policy construction and drafting, reporting claim trends, data analysis, and risk assessments
Participate and/or facilitate TPA audits, identify risks and work closely with Enterprise Risk Management and other internal teams to mitigate risks
Monitor reserves
Ensure great customer service experience for our Insureds
Perform similar work-related duties as assigned
Requirements
Education and Certifications
Bachelor's degree required; advanced degree or industry certifications (AIC, CPCU, RPLU) preferred.
Experience
10+ years of claims handling experience, with a focus on Agent E&O and Commercial Cyber claims.
Strong analytical, organizational, and process improvement skills.
Excellent verbal and written communication; able to present to senior management and in group settings.
Experience with claims management systems (e.g., Guidewire, ClaimCenter), data analytics, and reporting tools.
Knowledge of insurance industry claims process, legal/regulatory environment, and litigation/arbitration/trial processes.
Collaborative mindset and ability to influence others.
Travel Required
Local travel to main office
$107k-134k yearly 3d ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced Bodily Injury and Property Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of moderate to complex commercial bodily injury claims while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Bodily Injury and/or Property Claims Adjusters are responsible for managing commercial bodily injury and/or property damage claims from inception through closure. Claims may include commercial auto and general liability exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, negotiate settlements, and handle litigated matters while maintaining clear, professional communication with all involved parties.
Adjusters routinely take statements, review medical records and police reports, collaborate with legal counsel when necessary, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Handle Commercial Auto and General Liability bodily injury and/or property damage claims of varying complexity and severity
Investigate, evaluate, negotiate, and manage claims in compliance with state regulations and Network Adjusters' Best Claims Practices
Provide exceptional customer service to insureds, claimants, carrier clients, and internal stakeholders, using empathy and conflict-resolution skills
Conduct interviews and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies
Analyze insurance contracts and policy language to determine coverage applicability
Review medical records, police reports, and related documentation to evaluate injuries and liability
Establish, monitor, and adjust reserves throughout the life of the claim
Determine settlement values using independent judgment, applicable limits, and deductibles, collaborating with legal counsel when appropriate
Handle litigated matters and negotiate settlements within assigned authority
Maintain accurate claim files, diaries, and documentation
Communicate claim decisions and key developments to policyholders, claimants, attorneys, and other involved parties
Qualifications
Minimum 1 year of bodily injury and/or property claims handling experience
Strong verbal and written communication skills
Proficiency in MS Word, Outlook, Excel, and standard business software
Demonstrated customer service skills with empathy and professionalism
Strong analytical, investigative, and decision-making skills
Excellent negotiation and conflict-management abilities
Strong organizational and time management skills, with the ability to multitask in a dynamic environment
High attention to detail and commitment to accuracy
Ability to maintain confidentiality
College or technical degree, or equivalent business experience preferred
Ability to obtain and maintain required adjuster licenses, including continuing education
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: Starting from $70,000+ annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$70k yearly 4d ago
Claims Adjuster
BBSI 3.6
Santa Clarita, CA jobs
JOB TITLE:Claims Advocate FLSA CLASSIFICATION:Salaried - Exempt
The Claims Advocate plays an essential role in mitigating BBSI's risk related to workers' compensation claims. This role requires exceptional business and customer service acumen and significant experience in workers' compensation claims, including claims handling.
This role will coordinate the essential duties related to the claims advocacy program. Duties and related issues by assisting in the monitoring of new loss intake to confirm an appropriate beginning to each claim, assisting injured workers in navigating the claims process and communicating with external client customers and internal personnel.
REPORTING RELATIONSHIPS: This position reports to the Corporate Claims Manager and interacts with the Corporate Claims team and local branch personnel.
DUTIES AND RESPONSIBILITIES:
Maintain clear focus on mitigating BBSI's financial risk associated with workers' compensation claims.
Understand and articulate BBSI's business objectives internally and with key partners
Written communication with injured workers when new claims are received.
value workers compensation claims.
Serve as a resource responding to questions and concerns from internal and external customers, vendor partners, and injured workers.
Serve as back up to Claim Consultants
members.
activity. Approve reserve activity within authority.
workers compensation claims, including status of the claims. Provide claims
information for the coordination of human resource and safety efforts and
requirements.
relative to workers compensation.
by third parties administrators
CORE TRAITS/COMPETENCIES:
Exceptional business acumen
Customer service acumen
Flexibility and adaptability
Innately curious
Highly developed interpersonal and communication skills
QUALIFICATIONS:
Four-year college degree is preferred, as well as 2-5 years of directly relevant claims experience
Customer service acumen
Bi-lingual (Spanish) would be preferred or familiarity with translation vendors
Multi-Jurisdictional Workers' Compensation experience preferred
Salary and Other Compensation:
The starting hourly rate for this position is between 87,500-95,000. Factors which may affect starting pay within this range may include geography, skills, education, experience, certifications, and other qualifications of the candidate.
This position is also eligible for annual incentive pay equal to 8% of annual regular pay, prorated in the first year, in accordance with the terms of the Company's plan.
Benefits: The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, health savings account, flexible savings account, dental insurance, vision insurance, 401(k) retirement plan, accidental death and dismemberment, life insurance, voluntary life insurance, voluntary disability insurance, voluntary accident, voluntary critical care, voluntary hospital indemnity, legal, identity & fraud protection, commuter benefits, pet insurance, employee stock purchase program, and an employee assistance program.
Paid Time Off: Accrued sick leave of 1 hour for every 40 hours of work, with maximum based on state or regional requirements; vacation accrues up to 80 hours in the first year, up to 120 hours in years 2-4, and up to 160 hours in the fifth year; 6 paid holidays annually, 4 paid volunteer days annually.
Diversity and Inclusion are critical parts of our corporate culture. BBSI strives to create a workplace where everyone feels included and empowered to bring their full, authentic selves to work, and is treated fairly. BBSI is an equal opportunity employer and makes employment decisions on the basis of merit.
If you meet the above requirements, we welcome the opportunity to learn more about you. For more information, visit us at www. bbsi.com Please apply via this posting and not by contacting our local or corporate offices.
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$54k-66k yearly est. 1d ago
Claims Adjuster Trainee
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking motivated Claims Adjuster Trainees to join our third-party administrative insurance handling team. We support clients across a wide range of industries, including transportation, inland marine, ocean marine, cannabis, construction, security, and technology.
As a Claims Adjuster Trainee, you will begin your career learning to investigate and manage insurance claims from initial investigation through final disposition. Your day-to-day work will include policy interpretation, evaluation of damages, and collaboration with internal and external partners to achieve fair and timely claim resolution.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
The Claims Adjuster Trainee role is designed to build foundational claims-handling skills through hands-on experience and structured support. In this position, you will develop technical expertise and professional judgment by investigating claims, evaluating coverage, assessing damages, and working toward amicable settlements.
Network Adjusters is committed to advancing the careers of team members at an accelerated pace through mentorship, education, and dedicated support focused on rapid professional development. This is a desk-based role.
Responsibilities
Lead claim investigations, including securing testimony from involved parties and coordinating experts such as engineers, forensic analysts, and attorneys to determine liability and claim value
Evaluate claims against insurance contracts to interpret policy application and prepare professional correspondence summarizing coverage and liability analysis
Utilize conflict resolution and customer service skills to communicate claim decisions with empathy and confidence
Work independently on claim investigations while collaborating with team members to support knowledge-sharing and continued growth
Negotiate settlements within assigned authority
Qualifications
Strong interest in building a career in insurance claims handling
Ability to learn and apply policy interpretation and claims investigation principles
Strong verbal and written communication skills
Customer-focused mindset with the ability to communicate confidently and professionally
Solid organizational skills with attention to detail and accuracy
Ability to work independently while collaborating effectively within a team environment
Proficiency with standard business software and office technology preferred
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: Starting from $57,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$57k yearly 3d ago
Insurance Analytics Specialist (Actuary)- Tec...
Lockton Companies 4.5
San Francisco, CA jobs
Insurance Analytics Specialist (Actuary)- Technology Ris...
San Francisco, California, United States of America
Insurance Analytics Specialist (Actuary)- Technology Ris...
San Francisco, California, United States of America
At Lockton, we're passionate about helping our people achieve their ultimate potential. Our people are curious, action-oriented and always striving to make ourselves and those around us better. We're active listeners working to ensure understanding and problem solvers developing innovative solutions. If you can see yourself delivering excellent service to clients, giving back to our communities and being a part of our caring culture, you belong here.
About the Position
Lockton is a global professional services firm with 6,500 Associates who advise clients on protecting their people, property and reputations. Lockton has grown to become the world's largest privately held, independent insurance broker by helping clients achieve their business objectives. To see the latest insights from Lockton's experts, check Lockton Market Update .
A few of the reasons Associates love working at Lockton include:
Opportunities for growth and advancement, including paid training and professional development
12-week paid parental leave
A huge emphasis on community involvement
Frequent athletic and wellness events
Incredibly generous rewards; US Associates receive a Rolex for their 10 year anniversary!
We seek an experienced Insurance Analytics Specialist/Actuary to join our team. In this role, you will be part of an engaging and dynamic brokering team building insurance products that uses creative analytics solutions to advocate for our clients. You will also serve as the daily liaison between our account team and our internal analytics partners, ensuring data completeness and quality, as well as managing workflow and work quality. The ideal candidate will have a strong foundation in insurance analytics, a solid understanding of fundamental insurance concepts, and the ability to transform complex data into actionable insights.
Key Responsibilities
Advanced Analytics for Bespoke Analysis
• Perform sophisticated analytical research on specialized insurance topics, including innovative initiatives in autonomy and actuarial research
• Design and implement analytical models to evaluate risk factors, pricing implications, and coverage considerations for specialized insurance scenarios
• Translate complex insurance data into meaningful insights that drive strategic decision-making
• Develop data visualization tools to communicate analytical findings to stakeholders at various levels effectively
• Research industry trends and emerging risks to provide proactive recommendations on underwriting approaches
• Support internal analytics initiatives by applying statistical techniques to uncover patterns and relationships within insurance data
Data Review and Workload Management with our internal Analytics partners
• Serve as the primary liaison between our team and internal analytics partners, anticipating their data requirements and questions
• Conduct comprehensive data validation checks to ensure completeness and accuracy
• Identify and resolve data discrepancies or missing elements independently
• Develop and implement standardized data preparation procedures to ensure efficient workload management, streamline the review process, and minimize delays
Qualifications
Required Qualifications
• Bachelor's degree in Analytics, Statistics, Actuarial Science, Finance, Economics, Insurance, or related field
• At least 4-6 years of experience in insurance analytics, data analysis, or a related role within the insurance industry
• Demonstrated understanding of fundamental insurance concepts, including supply/demand dynamics, loss components, and their interrelationships
• Proficiency in data analysis tools such as Excel, SQL, and Python
• Experience with data quality assurance processes and validation methodologies
• Strong analytical skills with the ability to interpret complex datasets and identify meaningful patterns
Preferred Qualifications
• Insurance industry certifications such as ACAS, CPCU, or ARM
• Experience working with claims data, policy information, and underwriting systems
• Background in predictive modeling or machine learning applications in insurance
• Knowledge of the forefront of technology innovations and related insurance implications
• Experience with data visualization tools like Tableau or Power BI
Skills and Competencies
• Exceptional attention to detail and commitment to data accuracy and integrity
• Strong critical thinking and problem-solving abilities to address complex analytical challenges
• Collaborate effectively across internal teams and external partners by understanding diverse stakeholder priorities and delivering solutions that align technical requirements with organizational objectives
• Excellent communication skills to adapt communication approaches and translate technical findings into business insights
• Self-motivation and the ability to work independently while managing multiple priorities
• Collaborative mindset with the ability to work effectively with cross-functional teams
• Advanced knowledge of insurance industry terminology, products, and regulatory considerations
Working Conditions
This full-time position primarily operates in an office environment. The role may require occasional travel to meet with partners or attend industry events. Some flexibility in work scheduling may be necessary to meet project deadlines.
Equal Opportunity Statement
Lockton Companies is proud to provide everyone anequal opportunity to grow and advance. We are committed to an inclusive culture and environment where our people, clients and communities are treated with respect and dignity.
At Lockton, supporting diversity, equity and inclusion is ingrained in our values, and we believe that we are at our best when we fully embrace everyone. We strive to cultivate a caring culture that learnsfrom, celebrates and thrives because of ourbreadth of differences. As such, we recognize that recruiting, developing and retaining people with diverse backgrounds and experiences is vital and enabling our people to thrive personally and professionally is critical to our long-term success.
About Lockton
Lockton is the largest privately held independent insurance brokerage in the world. Since 1966, our independence has allowed us to serve our clients, take care of our people and give back to our communities. As such, our 12,500+ Associates doing business in over 140 countries are empowered to do what's right every day.
At Lockton, we believe in the power of all people. You belong at Lockton.
How We Will Support You
At Lockton, we empower you to be true to yourself in all that you do. Your success is our success, and we provide opportunities to help you grow and create a rewarding career path, however you envision it.
We are ready to meet you where you are today, and as your needs change over time. In addition to industry-leading health insurance, we offer additional options to support your overall health and wellbeing.
Any Employment Agency, person or entity that submits an unsolicited resume to this site does so with the understanding that the applicant's resume will become the property of Lockton Companies, Inc. Lockton Companies will have the right to hire that applicant at its discretion and without any fee owed to the submitting Employment Agency, person or entity. Employment Agencies, who have fee Agreements with Lockton Companies must submit applicants to the designated Lockton Companies Employment Coordinator to be eligible for placement fees.
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