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Workers Compensation Claims Adjuster
Insight Global
Remote compensation adjuster job
Insight Global is currently hiring a remote Workers Compensation Claims Adjuster to join a large TPA client of ours. This position will be direct hire with a flexible salary range based on experience and can sit fully remote! Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have some experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals.
Required Skills & Experience
3 or more years of Worker's Compensation Claims experience, specifically in IL, IN, MI, or KY (need experience in at least 2 of the listed states)
Current Adjusters License
$48k-65k yearly est. 5d ago
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Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required)
Ccmsi 4.0
Remote compensation adjuster job
Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required)
Schedule: Monday-Friday, 8:00 AM-4:30 PM PT Salary Range: $80,000-$85,000 annually
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
Job Summary
The Workers' Compensation Claim Consultant is responsible for handling California workers' compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster's License, along with the Self-Insurance Administrator Certificate (SIP). You'll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and CCMSI claim standards.
Important - Please Read Before Applying
This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered.
Responsibilities
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.
Investigate, evaluate, and adjust assigned California workers' compensation claims in compliance with jurisdictional requirements and ADR processes.
Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines.
Review medical, legal, and vendor invoices to confirm accuracy and appropriateness.
Maintain thorough documentation and diary updates in the claim system.
Communicate effectively with clients, claimants, and involved parties throughout the claim process.
Participate in claim reviews, hearings, and mediations as needed.
Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements.
Qualifications
Three or more years of experience adjusting California workers' compensation claims
California Adjuster's License
Self-Insurance Administrator Certificate (SIP)
Strong written and verbal communication skills
Proficiency with Microsoft Office Suite (Word, Excel, Outlook)
Nice to Have
Experience with Alternate Dispute Resolution (ADR) claims
Strong organization, multitasking, and customer service skills
Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.
Why You'll Love Working Here
4 weeks PTO + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team-based work environment
How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
Quality claim handling - thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance - adherence to jurisdictional and client standards
• Timeliness & accuracy - purposeful file movement and dependable execution
• Client partnership - proactive communication and strong follow-through
• Professional judgment - owning outcomes and solving problems with integrity
• Cultural alignment - believing every claim represents a real person and acting accordingly
This is where we shine, and we hire adjusters who want to shine with us.
Compensation & Compliance
The posted hourly rate reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity.
Visa Sponsorship
CCMSI does not provide visa sponsorship for this position.
ADA Accommodations
CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.
Equal Opportunity Employer
CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
Our Core Values
At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:
Lead with transparency We build trust by being open and listening intently in every interaction.
Perform with integrity We choose the right path, even when it is hard.
Chase excellence We set the bar high and measure our success. What gets measured gets done.
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
Win together Our greatest victories come when our clients succeed.
We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
#CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote
$80k-85k yearly Auto-Apply 60d+ ago
Supervisor, Claims | California
EIG Services
Remote compensation adjuster job
Supervisor, Claims - California| 100% Remote (WFH) Opportunity
The Workers' Compensation Claims Supervisor is responsible for leading a team to successfully and proactively analyze and manage work comp claims assigned to the unit. The supervisor monitors and directs team effectiveness, guiding compliance with work comp state statutes within best practices to ensure claims move efficiently to closure. Participates in establishing team goals and objectives, participates in strategic and budgetary planning; monitors team effectiveness and supervises personnel and provides direct oversight on issues exceeding their authority. Successfully supports, coordinates and delegates objectives that support the company's mission and financial success.
Preference given to those candidates with experience in the California
Essential Duties and Responsibilities
Leads, supervises and manages a Workers' Compensation claims team to achieve company objectives and department goals by promoting and ensuring compliance with Company procedures and guidelines.
Demonstrates leadership by creating an environment that fosters teamwork, values diversity, and supports and respects all team and company staff members, internal and external customers, and vendors.
Responsible for managing, developing, coaching, and motivating your work comp claims team. Conducts regular performance reviews.
Communicates effectively and assists with the interpretation and practical implementation of processes, workflows and systems. Provides technical and jurisdictional guidance to the team.
Responsible for monitoring the quality and quantity of work produced and coaching towards improved performance.
Fosters inter-departmental collaboration to build relationships throughout the organization to help drive success through partnership. Works closely with Corporate Claims and Quality Assurance for compliance.
Participates in the recruitment, selection and hiring of team members and facilitates training of new hires.
Exemplifies excellent customer service and models this for the team. Conduct business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality.
Participates in conference calls, meetings with adjusters, insureds, and agents.
Provides superior customer service by addressing inquiries from agents and policyholders.
Reviews and approves reserves, settlements, payments and other assigned tasks within level of authority.
Performs regular claim reviews based upon best practices, procedures and guidelines. Collaborates with the team for proactive claims management.
Other duties as assigned.
Requirements
Must have a minimum of 10 years of technical claims experience in Workers' Compensation to include claim, coverage and compensability investigation, claim reserving, settlement negotiation and litigation management, regulatory compliance, and mentoring, training and developing adjusters.
At least two years of which must have been in a supervisory capacity.
Demonstrated business knowledge including effective communication, customer focus, the ability to collect and analyze information, problem solving and decision making in accordance with policies and regulations.
Demonstrated computer proficiency and comfortable using an internet-based claims system, reports, spreadsheets and databases.
Strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, customers, and other departments within the company.
Previous formal presentation experience.
Demonstrated technical PC skills to include MS Word, Excel, PowerPoint, and Windows, strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, clients, and other departments within the company.
Certification
Active, current California Adjuster license
Insurance designation preferred (WCCP, ARM, AIC, CPCU, etc.) preferred.
Education
Bachelor's Degree preferred or equivalent industry experience
Work Environment:
Remote: This role is remote, and only open to candidates currently located in the United States and able to work without sponsorship.
It requires a suitable space that provides a private and quiet workplace.
Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
Travel: May be required to travel to off-site location(s) to attend meetings, as necessary
Salary Range: $80,000 - $120,000 and a comprehensive benefits package, please follow the link to our benefits page for details! *********************************************************
About EMPLOYERS
As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!
Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!
At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote
$80k-120k yearly 19d ago
Supervisor, Claims | California
Employers Holdings, Inc.
Remote compensation adjuster job
Supervisor, Claims - California| 100% Remote (WFH) Opportunity The Workers' Compensation Claims Supervisor is responsible for leading a team to successfully and proactively analyze and manage work comp claims assigned to the unit. The supervisor monitors and directs team effectiveness, guiding compliance with work comp state statutes within best practices to ensure claims move efficiently to closure. Participates in establishing team goals and objectives, participates in strategic and budgetary planning; monitors team effectiveness and supervises personnel and provides direct oversight on issues exceeding their authority. Successfully supports, coordinates and delegates objectives that support the company's mission and financial success.
Preference given to those candidates with experience in the California
Essential Duties and Responsibilities
* Leads, supervises and manages a Workers' Compensation claims team to achieve company objectives and department goals by promoting and ensuring compliance with Company procedures and guidelines.
* Demonstrates leadership by creating an environment that fosters teamwork, values diversity, and supports and respects all team and company staff members, internal and external customers, and vendors.
* Responsible for managing, developing, coaching, and motivating your work comp claims team. Conducts regular performance reviews.
* Communicates effectively and assists with the interpretation and practical implementation of processes, workflows and systems. Provides technical and jurisdictional guidance to the team.
* Responsible for monitoring the quality and quantity of work produced and coaching towards improved performance.
* Fosters inter-departmental collaboration to build relationships throughout the organization to help drive success through partnership. Works closely with Corporate Claims and Quality Assurance for compliance.
* Participates in the recruitment, selection and hiring of team members and facilitates training of new hires.
* Exemplifies excellent customer service and models this for the team. Conduct business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality.
* Participates in conference calls, meetings with adjusters, insureds, and agents.
* Provides superior customer service by addressing inquiries from agents and policyholders.
* Reviews and approves reserves, settlements, payments and other assigned tasks within level of authority.
* Performs regular claim reviews based upon best practices, procedures and guidelines. Collaborates with the team for proactive claims management.
* Other duties as assigned.
Requirements
* Must have a minimum of 10 years of technical claims experience in Workers' Compensation to include claim, coverage and compensability investigation, claim reserving, settlement negotiation and litigation management, regulatory compliance, and mentoring, training and developing adjusters.
* At least two years of which must have been in a supervisory capacity.
* Demonstrated business knowledge including effective communication, customer focus, the ability to collect and analyze information, problem solving and decision making in accordance with policies and regulations.
* Demonstrated computer proficiency and comfortable using an internet-based claims system, reports, spreadsheets and databases.
* Strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, customers, and other departments within the company.
* Previous formal presentation experience.
* Demonstrated technical PC skills to include MS Word, Excel, PowerPoint, and Windows, strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, clients, and other departments within the company.
Certification
* Active, current California Adjuster license
* Insurance designation preferred (WCCP, ARM, AIC, CPCU, etc.) preferred.
Education
* Bachelor's Degree preferred or equivalent industry experience
Work Environment:
* Remote: This role is remote, and only open to candidates currently located in the United States and able to work without sponsorship.
* It requires a suitable space that provides a private and quiet workplace.
* Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
* Travel: May be required to travel to off-site location(s) to attend meetings, as necessary
Salary Range: $80,000 - $120,000 and a comprehensive benefits package, please follow the link to our benefits page for details! *********************************************************
About EMPLOYERS
As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!
Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!
At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As "America's small business insurance specialist", we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote
$80k-120k yearly 19d ago
Claims Supervisor
Aspire General Insurance Company
Remote compensation adjuster job
Full-time Description
Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service.
Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.
What You'll Do
Under moderate supervision of Management, the Claims Supervisor performs the essential functions of the position, which includes but is not limited to supervising a team of Claims Representatives and Claims Support Specialists. Ensure that the team meets service standards and performs essential functions at or above the quality and service standards of Aspire General Insurance Company.
DUTIES AND RESPONSIBILITIES:
· Review of automobile claim investigations.
· Make handling recommendations and provide directions to subordinates.
· Ensure ongoing adjudication of claims within company standards and industry best practices and regulations.
· Determine, recommend and grant authority for settlement and payment processes.
· Responsible for overall file handling and work product quality of subordinates.
· Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation.
· Assist in the operations of the claims department, including making recommendations and implementing an organizational structure adequate for achieving the department's goals and objectives.
· Maintain a documented system of claims policies, systems, procedures and workflows to ensure smooth operations.
· Provide feedback to Management on process and system improvement initiatives for the department.
· Report to Management as soon as there is an awareness of any issues or concerns which may be detrimental to the department or Company; recommend policies and procedures to Management regarding quality issues that may arise.
· Staff Training-Foster a highly focused training and development environment within the Claims Department.
· Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance Company and partner's policies, procedure and work rules.
· Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality or possible leave related situations.
· Provide timely and thorough documentation for all things related to employee performance, training, recognition and/or coaching.
· Evaluate subordinates' performance and administer personnel actions as required in coordination with human resources department.
Ensure the Department has adequate scheduling, including time-off requests, work shift management, etc
Assist to identify, recruit, hire and develop top talent.
· Ability to achieve targeted performance goals
Maintain that sensitive information regarding employees and the Company is kept confidential
Regular and predictable punctuality and attendance.
· Other duties as necessary.
Requirements
· Three plus years' experience in Property and Casualty insurance industry.
· Must have a clear understanding of insurance industry practices, standards and terminology.
· Experience in handling subrogation, property damage and injury claims required.
· Must be able to pass a background check.
· Must have the ability to work in a high volume, fast-paced environment while managing multiple priorities.
· Must have a disciplined approach to all job-related activities.
· Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills.
· Must have strong keyboard skills as well as proficiency in Windows and MS Office products.
INTER-RELATIONSHIP COMPONENT:
Ability to develop excellent working relationships with Staff, Partners, Clients and outside agencies.
Ability to communicate with others in an effective and friendly manner, one that is conducive to being a conscientious team member, fostering a spirit of goodwill, indicative of a professional environment and atmosphere.
Ability to be a team player and work cohesively with other Aspire General Insurance and Partner Companies' staff to achieve company goals.
Able to represent the Company in a professional manner and contribute to the corporate image.
Able to consistently provide excellent service.
WORKING CONDITIONS:
This is an exempt position which complies with an alternative work schedule when applicable.
This work environment is fast-paced, and accuracy is essential to successful task completion.
The office is that of a highly technical company supporting a paperless environment.
Travel may be required.
Requires extended periods of computer use and sitting.
This is a remote position.
Benefits: Medical, Dental, Vision, HSA*, PTO, 401k, Company observed Holidays
Individuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.
*Dependent on plan selected
Compensation may vary based on several factors, including candidate's individual skills, relevant work experience, location, etc.
Salary Description $80,000-$100,000 Annually
Job Description
As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without unnecessary delay. If you are optimistic, enjoy helping others in times of need, and are compassionate about making positive change in the world, this may be the role for you.
Accountabilities:
This position handles Commercial General Liability, Commercial Trucking, Director's & Officer Liability, Employment Practices Liability, Commercial Auto injuries, Contractor's Pollution Liability, Professional Liability and other Casualty exposures.
Investigates coverage and cause of loss on routine to more complicated claims, which includes but is not limited to policy review, interviewing all parties associated with the loss and gathering and analyzing all necessary investigative documentation.
Handles non-represented, represented and litigated injury and property damage claims including investigating and evaluating those exposures. Identifies exposures with significate severity to triage to the large loss team.
Provides accurate assessments and negotiates fair and efficient claims resolutions while managing costs. Settles losses according to the documented damage, the language of the policy of insurance, pertinent regulatory and statutory considerations and within granted authority.
Prepares written communication, including but not limited to settlement letters, disclaimers of coverage and reservation of rights letters.
Maintains effective claim file documentation and diary system. Monitor diary to achieve timely development of file and timely disposition of the claim.
Recognizes and pursues recovery opportunities and prepares submissions to SIU when indicated.
Assigns and supervises field examiners and vendor resources, including but not limited to independent adjusters, engineers and other experts as needed.
Assumes additional duties as defined.
Required Qualifications:
5 or more years in the handling of Commercial Liability Claims.
Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims towards resolution using best practices.
Ability to take responsibility and work independently in a home-based environment.
Ability to negotiate skillfully in difficult situations.
Willingness to travel periodically.
Recommended Qualifications:
Environmental claim experience is preferred.
Propane Gas Distributors claim experience is preferred
Bachelor's degree preferred
New York, Florida or Texas claims handling license required
If not licensed, willingness to obtain state licensing or certification where required within 30 days of employment
Ability to formulate sound expense, indemnity, and business judgment while supporting loss evaluations and presenting them effectively.
Basic computer skills including Microsoft applications
Perform work related simple and advanced mathematical problems and calculations
Compose written correspondence and factual reports which are well organized and concise, utilizing proper English, grammar, punctuation, and spelling
Strong oral and written communication skills.
Compensation:
$59,400 - $99,000 commensurate with experience, plus bonus eligibility
$65,400 - $109,000 commensurate with experience in CA, CT, MA, NJ, NY, and PA, plus bonus eligibility
Benefits:
We are proud to offer a robust benefits suite that includes:
Competitive base salary plus incentive plans for eligible team members
401(K) retirement plan that includes a company match of up to 6% of your eligible salary
Free basic life and AD&D, long-term disability and short-term disability insurance
Medical, dental and vision plans to meet your unique healthcare needs
Wellness incentives
Generous time off program that includes personal, holiday and volunteer paid time off
Flexible work schedules and hybrid/remote options for eligible positions
Educational assistance
#TMG
$65.4k-109k yearly 4d ago
Commercial Auto Liability Claims Supervisor
CBCS 4.0
Remote compensation adjuster job
Cottingham & Butler Claims Services was built upon driven, ambitious people like yourself. “Better Every Day” is not just a slogan, it is a promise we make to ourselves and our clients. We are looking to add an experienced Claims Supervisor to our team. As a Claims Supervisor, you will be responsible for:
Management - supervising a team of Auto/Liability Adjusters, coordinating their training and development, and ensuring they develop to their fullest capabilities and provide the same high level of service.
Compliance - ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
Claims - investigating, taking statements, estimating damages, determining liability, denying claims, subrogation, litigation, etc.
The ideal candidate for this position will have 5+ years of commercial auto liability adjusting experience and 1-5 years of management experience.
Do you think this might be a fit for you? Send us your resume - we'd love to talk!
Pay & Benefits
Salary - Flexible based on your experience level.
Most Benefits start Day 1
Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/ Defined Contribution (1-year waiting period)
PTO/ Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/ Parental Leave
Company-paid Term Life/ Accidental Death Insurance
About the company
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To ensure we keep that promise, we hold ourselves to a set of principles that we believe position our clients and our company for long-term success. Our Guiding Principles are not just words on paper, they are a promise we make to ourselves and our clients.
These principles have become a driving force of our culture and share many common themes with the values of our clients. First, we hire and develop amazing people that have an insatiable desire to succeed, are committed to learning, and thrive on challenges. Secondly, we pride ourselves on serving our clients' best interests through quality service, innovative solutions, and constantly evaluating our performance. Third, we have embraced and are guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday. Ultimately, we get more energy from the future we are creating for our people, our clients, and our company than from our past success.
As an organization, we are very optimistic about the future and have incredibly high expectations for our people and our performance. We also understand that our growth is fueled by becoming better, not bigger - growth funds investments in new resources to better serve our clients and provide the career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
$64k-98k yearly est. Auto-Apply 31d ago
Claims Executive / Commercial Claims Adjuster - Grand River Services
Client Executive, Personal Lines
Remote compensation adjuster job
As a third-party administrator, Grand River Services specializes in first party property and third-party casualty claims. We work directly with insureds and agencies to provide a level of high touch service rarely found in today's marketplace. We are looking for a Commercial Claims Adjuster who is focused on accountability, exceptionally accurate case reserves, and outstanding agent satisfaction.
What You'll Do
Supports and demonstrates IMA's core values
Values and understands the importance of diversity, equity, and inclusion among all IMA associates
Manages multiple jurisdictions and multiple lines of business
Works directly with insureds and agencies to provide excellent, high touch service
Thinks critically to evaluate coverage, investigate claims, and negotiate settlements
Maintains highly organized and detailed claims files
Communicates a clear, concise action plan for moving cases to conclusion
You Should Have
5-7+ years of claims handling experience
Need to be located in either the Eastern or Central Time Zone
Commercial General Liability experience required
Multi-state experience a plus
Multiple lines a plus
Must be a licensed adjuster with the ability to obtain licenses in other states
Ability to be cross trained to handle other lines of business
Experience in handling bodily injury, med pay, and property damage claims
Ability to handle and negotiate settlements on both non-litigated and litigated claims
Must be comfortable and self-directed to work independently in a remote, virtual office environment
Light to moderate travel to attend training, mediations, trials, and company functions
Bachelor's degree preferred
Valid driver's license required
Strong proficiency with Microsoft products and agency systems
#LI-JS1
If this role is hired in Los Angeles County, CA the following applies:
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prior Criminal history will only be considered after a conditional job offer is made and accepted. Applicants will have the opportunity to explain the circumstances surrounding any convictions, provide mitigating evidence, or challenge the accuracy of the background report.
Salary Range$70,000-$90,000 USD
Compensation & Benefits
Being a part of IMA has its benefits. When you become part of the IMA family, you become eligible to take part in our valuable benefits and rewards package designed to benefit you, your family, and your life. Our plans are cost-effective, convenient and provide progressive ways for staying healthy, protecting loved ones, pursuing financial security and living a full and balanced life. This role is eligible for the following:
Annual Performance Bonus, Stock Purchase, Medical Plans, Prescription Drugs, Dental, Vision, Family Assistance Program, FSA, HSA, Pre-Tax Parking Plan, 401(k), Life/AD&D, Accident, Critical Illness, Hospital Indemnity, Long Term Care, Short-term Disability, Long-term Disability, Business Travel Accident, Identity Theft, Paid Time Off, Flexible Work Options, Paid Holidays, Sabbatical, Gift Matching, Health Club Reimbursement, Personal and Professional Development. In addition to our robust benefits package, the final offer amounts will depend on a variety of factors, including the candidate's geographic location, prior relevant experience, and their knowledge, skills, and abilities.
*These benefits do not apply to internship roles.
Why Join IMA?
We've built a reputation for putting our associates first
What if we told you that you could be an integral part of an entrepreneurial, expanding company, develop lasting relationships, earn competitive benefits, plus claim part ownership? It's this unique ownership business model that makes working at IMA so appealing.
We work in teams. We sell in teams. We win and prosper as a team
We provide support systems and resources that enable each of our associates to focus on what they do best. And as an independent company based in the Midwest, we're big enough to write business all over the world and small enough to implement your ideas quickly.
We are recognized nationally as a leader in our industry
2020-2023 Business Insurance Magazine Best Places to Work in Insurance
2023 Inc. Magazine's Best Workplaces
2023 Denver Business Journal's Best Places to Work
2022-2023 Connecticut Top Work Places
2021-2023 Inc. 5000's List of Fastest Growing Companies
2019-2022 Civic 50 Colorado Honoree Recognizing 50 Most Community-Minded Companies
2022-2023 Kansas City Business Journal's Best Places to Work
2021-2023 Charlotte Business Journal's Best Places to Work
2021-2023 Los Angeles Business Journal's Best Places to Work
2021-2023 The Salt Lake City Tribune Top Work Places
2021-2022 Puget Sound Business Journal's Washington's Best Workplaces
2021-2022 Wichita Business Journal's Best Places to Work, #1 in extra-large category
2021 Dallas Business Journal's Best Places to Work
2021 Alaska Journal of Commerce's Best Workplaces in Alaska
This Job Description is not a complete statement of all duties and responsibilities comprising this position.
The IMA Financial Group, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, The IMA Financial Group, Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.
$70k-90k yearly Auto-Apply 19d ago
Claims Examiner, Liability - MSI
The Baldwin Group 3.9
Remote compensation adjuster job
Why MSI? We thrive on solving challenges.
As a leading MGA, MSI combines deep underwriting expertise with insurer and reinsurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers' unique needs.
We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products - from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property - delivered through agents, brokers, wholesalers and other brand partners.
Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle.
Bring on your challenges and let us show you how we build insurance better.
MSI handles third-party claims involving bodily injury and property damage under various homeowner's insurance policies and renter's insurance policies nationwide. We are looking for an experienced individual to join our Liability Claims Team as a Claims Examiner. The Claims Examiner will be managing insurance claims for our policyholders with low to moderate severity and complexity. The Claims Examiner must have the experience and technical knowledge needed to manage a case load from inception to resolution while providing our customers and business partners superior service at all times. The ability to develop relationships and effectively communicate with others is a key factor to succeeding in this role. Having a strategic vision coupled with tactical execution to achieve results, in accordance with goals and objectives, is also critical to the overall success of this position. The Claims Examiner must be able to work with little to minimal supervision in a fast-paced environment.
PRIMARY RESPONSIBILITIES:
Directly handles third-party bodily injury and property damage claims involving low to moderate complexity from initial assignment through to resolution of claim, including negotiating settlements.
Evaluates and analyzes insurance policies in order to make coverage determinations.
Drafts Reservation of Rights letters and coverage disclaimers as warranted.
Makes prompt contact with policy holders, claimants and other appropriate parties to gather information, take recorded statements, and conduct thorough investigations.
Investigates claims to determine validity and the potential for liability against insureds.
Evaluates damages (both bodily injuries and property damages) to determine potential exposures and sets appropriate reserves.
Works a claim load efficiently and independently with little to no supervision.
Sets timely file reserves in compliance with company's reserving philosophy and continues to evaluate pending reserves throughout the life of the claim.
Manage defense counsel which includes assisting in claim strategy, evaluating potential exposure, reviewing invoices, and attending mediations and settlement conferences as necessary.
Engages experts, as needed, to assist in the evaluation of the claim and monitors experts and vendors' performance while controlling expense costs.
Drafts reports for large losses and reports to Leadership as required.
Evaluates, negotiates and determines settlement values in settlement of claims.
Communicates with all interested parties throughout the life of the claim including proactively discussing coverage decisions, the need for additional information, and settlement amounts with interested parties.
Establishes and maintains an organized diary system to ensure all claims are appropriately handled in a timely manner.
Adheres to all state/local regulations including the NJ/PA Unfair Claims Practices and Guidelines.
Handles all claims in accordance with Best Practices and provides Best-In-Class customer service to insureds, agents, claimants, and business partners.
Responsible for monitoring and completing assigned claims inventory.
Acquires and maintains multiple state adjuster's licenses and maintains continuing education requirements.
Develops and maintains relationships with external and internal stakeholders.
Identifies questionable risks, red flags and fraud indicators and alerts the Special Investigation Unit when applicable.
Identifies opportunities for subrogation and ensures recovery interests are protected.
Acts as a mentor for less experienced Claims Examiners.
Updates and maintains well drafted claim file notes with proper documentation throughout the life of the file.
Assists with special projects when required.
KNOWLEDGE, SKILLS & ABILITIES:
Ability to communicate clearly, professionally, and provide superior customer service over the phone and through written correspondence.
Strong organizational and time management skills.
Strong writing skills.
Excellent analytical, investigative, and negotiation skills.
Proficient with Microsoft Office, Teams, Word, Excel and various other computer skills with the ability to learn and utilize new computer systems and other technologies.
EDUCATION & EXPERIENCE:
Bachelor's degree or equivalent work experience
5+ years of casualty claims adjusting experience
First-Party Property experience is a plus
Insurance designations preferred
Must have a State Adjuster License(s) (California, Florida licenses are desirable) with willingness to expand licenses as needed.
#LI-BM
#LI-REMOTE
Click here for some insight into our culture!
The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.
$42k-67k yearly est. Auto-Apply 9d ago
Physical Damage Adjuster
HDVI
Remote compensation adjuster job
What we do High Definition Vehicle Insurance (HDVI): Technology meets Insurance. HDVI brings telematics, software and data together with commercial trucking insurance, taking transportation insurance and fleet risk management to the next level. Our platform arms fleets with an end-to-end solution that empowers them to save money, mitigate risk, and increase operational efficiencies. Our customers are small to midsize truck fleet operators who benefit from dynamic and transparent pricing - automatically reducing their premiums for safer driving. Leveraging a best-in-class partner ecosystem, HDVI combines magnitude and stability with innovation to revolutionize the commercial trucking insurance space. Why work here HDVI is building the industry defining commercial auto insurance company for the next 100 years. The $50 billion commercial auto industry hasn't seen real innovation for decades and is broken in a number of ways, creating a significant opportunity for HDVI. HDVI is co-founded by a former Esurance co-founder, and has a senior management team with experience building innovative insurance and logistics companies from zero to $1B+ enterprises, and deep expertise in trucking insurance. HDVI is well-funded by leading logistics and mobility-focused venture capital firms and strategic investors including Munich Re, Daimler Trucks and Qualcomm. The HDVI Team is values-driven, data-driven, ambitious, and collaboratively minded with a diverse background of experiences and skills in the insurance and logistics industries. We like challenges and building solutions that improve the quality of life for our customers. We offer generous benefits, including employee stock options, health, dental, vision, 401k, flexible work environment, and unlimited PTO.
About the RoleAs an HDVI Physical Damage Adjuster, you will work closely with HDVI's Claims and Fleet Services Teams. The ideal candidate will have extensive knowledge of handling all aspects of Commercial Heavy Trucking claims inclusive of Third Party Auto Property Damage, First Party Auto Property Damage and Cargo claims. You will be responsible for influencing and providing claim resolution and tactical guidance to both internal and external customers in order to achieve world class claims outcomes. The Physical Damage Adjuster role is an associate level position with senior level growth potential as the company expands. Please note that this is a remote position.What You'll Do
Responsible for the handling of all aspects of first and third party Property Damage claims stemming from accidents involving tractor-trailers
Responsible for the handling of all aspects of Cargo claims
Be adaptable to various business demands and willing to assist with special claims projects and other duties as assigned
Participate in regular claims reviews with both internal and external customers
Maintain current knowledge of insurance contracts and industry trends by proactively maintaining required adjuster license(s)
Provide technical expertise in response to inquiries from internal and external customers
What You Have
Experience with analyzing, determining and applying coverage for Commercial Trucking claims
Ability to work in a rapidly evolving, high-growth environment with the ability to collaborate across and within different levels of the organization
Excellent communication skills (verbal/written) and strong negotiation skills
Strong time management, organizational and problem-solving skills
Ability to adapt, embrace the unknown and shift priorities
Willingness to look outside your day to day to ensure you keep learning and growing in a startup environment
Preferred Skills
1-2 years of Commercial Trucking preferred
Extensive experience across all technical areas of Commercial Auto inclusive of but not limited to Physical Damage, Auto Liability, First Party Medical / Personal Injury Protection, Motor Truck Cargo and Truckers General Liability
College Education
Active Adjusters License - strongly preferred
Strong analytical, critical thinking, and problem-solving skills
Proficiency in Google Suite, Snapsheet, Microsoft Office and Adobe Acrobat
Experience with self-insured retention (SIR), large deductibles and claims involving Independent Owner Operators (IOO)
Benefits
Competitive salary & stock options - we want our success to be yours too
Unlimited PTO with 11 paid holidays each year
Medical, Dental, Vision, Short/Long Term Disability, Basic Life, and AD&D to support you and your well-being
FSA / HSA programs
401(k) retirement plan with company match contribution
Inclusive Parental Leave policy that supports all parents
Wednesdays are standing meeting-free, allowing you to focus on deep work without distractions
Birthday meal reimbursement, because celebrating our employees is part of our company culture
A remote-friendly environment with the opportunity to participate in periodic in-person team offsites
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$49k-69k yearly est. Auto-Apply 58d ago
Adjuster, Claims (Remote)
Molina Talent Acquisition
Remote compensation adjuster job
Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Also monitors and controls backlog and workflow of claims, and ensures that claims are settled in a timely fashion and in accordance with cost-control standards.
Essential Job Duties
• Researches claims tracers, adjustments and resubmissions.
• Assists with defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
• Adjudicates or readjudicates claims in a timely manner.
• Meets claims department quality and production standards.
• Supports claims department initiatives to improve overall claims function efficiency.
• Completes basic claims projects as assigned.
Required Qualifications
• At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience.
• Data entry and research skills.
• Organizational skills and attention to detail.
• Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Customer service experience.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
• Health care claims/billing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
$52k-66k yearly est. Auto-Apply 16d ago
Claims Adjuster
Fetch Pet Insurance
Remote compensation adjuster job
Fetch Pet Insurance, a tech-enabled pet wellness company, has consistently been an innovative leader in the pet insurance industry, offering the most extensive and all-inclusive pet insurance and health advice.
Put simply, Fetch makes vet bills affordable. We offer a comprehensive product that does not have any restrictions based on breed, age, or size. We are believers in helping pets get through their bad days but also focus on extending the good days. How do we do that? - through a wide portfolio of products + offerings, which include Fetch Health Forecast, our pet health and lifestyle blog, The Dig, and our partnerships with Project Street Vet and animal no-kill shelters across North America.
Our business is growing and we are looking for compassionate professionals that want to join a team that works hard and celebrates success! You will have an opportunity to hone your skills and develop new skills as you learn the ins-and-outs of Fetch pet insurance and support our pet parents. Your success is our success!
RESPONSIBILITIES.
Adjudicate assigned claims in accordance with the Terms & Conditions of the individual pet's policy
Review medical records, lab results, invoices, and claims forms for complete and thorough assessment
Process claims determinations to include assessment and payment for submitted claims
Verify claims coverage through in-depth knowledge of policy Terms & Conditions
Consult with treating veterinary practices regarding medical records evaluation and necessary documentation
Maintain an average quality assurance score above department minimums
Complete assigned tasks within compliance deadlines
Maintain an average productivity rate above department minimums
Provide feedback on process opportunities to further strengthen SOPs
REQUIRED SKILLS.
Comprehensive understanding of disease processes and veterinary medical terminology
Ability to read and interpret veterinary medical records and invoices
Ability to identify chronic and acute medical conditions
Adapt quickly in a fast-paced, ever-changing environment and operate multiple computer systems simultaneously
Work independently in a remote capacity, while also fostering teamwork and collaborating with others
Superior communication skills for collaboration with team members and support from managers
Demonstrated problem solving skills and ability to work through complex medical/vet-related scenarios affecting a pet's diagnosis and/or treatment plan
QUALIFICATIONS.
Minimum of five years experience as a veterinary technician
Bachelor's degree in veterinary science OR CVT or equivalent preferred
Property and Casualty Adjuster license in good standing preferred
Complete and pass state adjuster licensing
Be reliable with good attendance
Able to work a minimum of 42 hours per week, with occasional weekends and extra hours as needed
WORK-FROM-HOME SET-UP.
Subscription to reliable high-speed internet connection (minimum of 100 Mbps download and 30 Mbps upload speed)
A quiet, dedicated place to work in your home that is not easily disrupted by background noises or distractions
Office workspace must be large enough to accommodate two 19” dual monitors, laptop, mouse, keyboard, and headset
Ability to set up and connect (with instructions and remote IT team assistance) equipment that is shipped to your home
-ABOUT FETCH-
Fetch is a high-growth, Warburg-Pincus portfolio company. We are a passionate group of 200+ employees and partners across the U.S. and Canada dedicated to helping pets live their best lives. We have two offices (New York City, NY, and Winnipeg, Canada), and we currently provide security to over 360,000 pet parents.
We don't just accept differences - we celebrate it, we support it, and we thrive on it for the benefit of our employees, our products, and our community. We are proud to be an equal opportunity employer. We recruit, hire, pay, grow and promote no matter of gender, race, color, sexual orientation, religion, age, protected veteran status, physical and mental abilities, or any other identities protected by law.
$51k-66k yearly est. 60d+ ago
Remote - Claims Adjuster - Automotive
Reynolds and Reynolds Company 4.3
Remote compensation adjuster job
":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability.
You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues.
Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position.
This includes two computer monitors, a laptop, keyboard and mouse.
","job_category":"Customer Service","job_state":"AZ","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"85001","position_type":"Full-Time","salary_max":"55,000.
00","salary_min":"50,000.
00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family.
We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment.
Reynolds and Reynolds is an equal opportunity employer.
","
$36k-43k yearly est. 11d ago
Alternative Dispute Resolution (ADR) Claim Adjuster
Frontline Homeowners Insurance
Remote compensation adjuster job
Job Description
Alternative Dispute Resolution (ADR) Claim Adjuster
Remote
At Frontline Insurance, we are on a mission to Make Things Better, and our Alternative Dispute Resolution (ADR) Claim Adjuster plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one.
What makes us different? At Frontline Insurance, our core values - Integrity, Patriotism, Family, and Creativity - are at the heart of everything we do. We're committed to making a difference and achieving remarkable things together. If you're looking for a role, as an Alternative Dispute Resolution (ADR) Claim Adjuster, where you can make a meaningful impact and grow your career, your next adventure starts here!
Our Alternative Dispute Resolution (ADR) Claim Adjusters enjoy robust benefits:
Remote work schedule!
Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term).
Financial Security: 401k Retirement Plan with a generous 9% match
Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members.
What you can expect as an Alternative Dispute Resolution (ADR) Claim Adjuster:
Review assigned claims promptly.
Formulate and execute appropriate ADR strategy in compliance with statutory guidelines.
Verify facts of loss and pertinent information to analyze and confirm coverage is appropriately applied.
Handle the complete claim, including collecting and reviewing all loss related facts, performing an analysis under the terms of the insurance policy to make coverage recommendation and issue payments within applicable authority level.
Review and analyze all claim material to determine the facts of loss, the investigation completed and/or needed and position file for appropriate resolution.
What we are looking for as an Alternative Dispute Resolution (ADR) Claim Adjuster:
Bachelor's degree in Business Administration or an industry related field
Minimum of 7 years of experience in claim adjusting and/or training in Property and Casualty or equivalent combination of education and experience
Minimum of 3 years of experience in the appraisal process
Maintain active Florida 5-20 License and obtain licenses in Alabama, North Carolina, South Carolina, Virginia, and Georgia within 30 days of hire
Why work for Frontline Insurance?
At Frontline Insurance, we're more than just a workplace - we're a community of innovators, problem solvers, and dedicated professionals committed to our core values: Integrity, Patriotism, Family, and Creativity. We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive.
Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
$42k-52k yearly est. 4d ago
Claims Adjuster Trainee
TWAY Trustway Services
Remote compensation adjuster job
Our Company:
At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in creating a culture where every associate can learn and grow. We strive to create a work environment to meet associate needs and we are determined to achieve excellence in everything we do.
This is an opportunity to join a dynamic team in a company that is a leader in the minimum limits auto insurance space and functions with a small company, entrepreneurial style. This position will require someone with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen.
Job Summary:
The Claims Adjuster Trainee will complete a series of Self-Study courses, classroom training and On The Job training to prepare for promotion to Adjuster Level 1 position. In addition, the Claims Adjuster Trainee will complete the necessary pre-requisite course work required to take and pass the Georgia Resident Adjuster Property and Casualty examination. The Claims Adjuster Trainee is responsible for investigating, reserving, negotiating and settling assigned property and casualty claims within provided authority. Ensures that all assigned claims are resolved timely and fairly in accordance with the policy contract based on the damages presented. The Claims Adjuster Trainee will work with minimal authority under direct supervision.
Job Responsibilities:
• Complete required training courses with a successful score
• Obtain State of Georgia Resident Adjuster Property and Casualty license and maintain license through completion of state mandated Continuing Education.
• Provide quality service to all parties involved in assigned claims.
• Conduct thorough investigations into coverage, liability and damages for assigned claim in accordance with Claims Best Practices.
Qualifications:
Required
• Bachelor's degree
• Ability to pass State of Georgia Resident Adjuster Property and Casualty licensing exam.
Preferred
• Bilingual (Spanish)
Core Competencies:
• Attention to detail and ability to multi-task.
• Excellent verbal and written communication skills.
• A high degree of motivation and team orientation.
• Strong computer skills.
• Desire to develop new skills and grow in career.
Our Values:
We are direct, results driven, and dedicated to the success of the business and each other. In addition, we operate against these five key values, reflected in how we work with each other every day:
• Honor: We do what is right, even when no one is looking. We play by the rules; integrity is of utmost importance.
• Discipline: We are most efficient and resourceful in how we work… striving to be better than our competition.
• Common Sense: We are relentlessly logical. We value an approach to our business that acknowledges the obvious and errs on the side of simplicity.
• Financial Strength: Fundamental to our prosperity is an ever-vigilant focus on rigorous financial discipline. These practices enable us to navigate through all business cycles.
• Dedication: We demonstrate a deep-seated respect for our Associates and customers. We listen and respond as best we can - for without them, our business would not exist.
This indicates the essential responsibilities of the job. The duties described are not to be interpreted as being all-inclusive to any specific associate. Management reserves the right to add to, modify, or change the work assignments of the position as business needs dictate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. This job description does not represent a contract of employment. Employment with AssuranceAmerica is at-will. The at-will relationship can be terminated at any time
,
with or without reason or notice by either the employer or the associate.
AssuranceAmerica is an Equal Opportunity Employer
$45k-57k yearly est. Auto-Apply 6d ago
General Liability Claims Adjuster
Reserv
Remote compensation adjuster job
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the role
Come join an amazing and collaborative team! We are seeking a highly organized and customer-focused General Liability Adjuster to join our team. The successful candidate will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim.
The ideal candidate has a willingness to work through a design process that supports the quickest claim resolution with the best outcome. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
**While this position may not be open just yet, we are looking ahead. Submit your application to stay on our radar for future roles as we are growing quickly!
Who you are
Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.
Passionate adjuster who cares about the customer and their experience.
Empathetic. You exercise empathy and patience towards everyone you interact with.
Sense of urgency - at all times. That does not mean working at all hours.
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured's best interest.
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.
Anti-status quo. You don't just
wish
things were done differently, you
action
on it.
Communicative. (we'd love to know what this means to you)
And did we mention, you have a sense of humor. Claims are hard enough as it is.
You are collaborative and a team player.
What we need
We need you to do all the things typical to the role:
Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action
Manage an inventory of claims, analyze coverage and identify any potential coverage issues.
Establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
Ability to handle all aspects of general liability claims not limited to but including Slip and Falls, Habitational, Risk Transfer, Construction, and New York Labor Law
Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority
Provide input for continuous development of claims guidelines, best practices, and process improvements
Oversee and direct outside investigative service providers, client counsel and investigative services to resolve the claim while closely with the client.
Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications
Requirements
Bachelor's degree. JD, Professional insurance designations strongly preferred.
Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license
Minimum of 5 years of experience ideally with;
General Liability (Premise, Habitational, Auto, Garagekeepers, BOP's, Dwelling)
Construction Liability.
Employers Liability.
Liquor Liability/Dram Shop.
Complex claims involving litigation.
Policy interpretation. Drafting Reservation of Rights letters, coverage declinations.
Third-party bodily injury.
Third-party litigated bodily injury/property damage.
Willing to obtain all licenses within 45 days, including completing state required testing
Knowledge of state regulations, policy provisions, and standard operating procedures
Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures
Curious and motivated by problem solving and questioning the status quo
Desire to engage in learning opportunities and continuous professional development
Ability to collaborate with colleagues within and outside your department
Willingness to travel for client and claims needs
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
Generous family leave policy after 8 months of continuous work
Work from anywhere to facilitate your work life balance
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
Work toward reducing and eliminating all the administrative work from an adjuster role
Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!
$45k-57k yearly est. Auto-Apply 25d ago
Specialty Claims Adjuster
Hagerty Insurance Agency 4.7
Remote compensation adjuster job
As a Claims Specialty Adjuster, you will provide efficient and effective disposition of assigned claims through timely investigation, evaluation, and negotiation. This adjuster works well under moderate supervision using company best practices. They must execute files within their authority to make appropriate decisions regarding coverage, settlement, and liability. The Specialty Adjuster handles claims involving fire, theft, vandalism, marine, specialty products, coverage, collision (1st and 3rd), various other comprehensive losses and a variety of complex claims. This position investigates coverage, evaluates, and settles damages and effectively resolves claims to conclusion in a timely manner. In this role this adjuster is responsible for taking recorded statements, reviewing policies for coverage, settling claims including total losses and writing Reservation of Rights and Coverage disclaimer letters, when appropriate. The person in this role takes ownership of their personal brand, stays professional and works well individually and within a dynamic team atmosphere.
Ready to get in the driver's seat? Join us!
What you'll do
Makes timely and appropriate contacts with necessary parties, determines, and completes appropriate level of investigation for coverage determination.
Determines exposure, establishes adequate initial reserves, and makes timely adjustment to reserve(s) as required.
Determines settlement value and negotiates proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level.
Pursues subrogation when appropriate.
Handles first party auto property damage losses and occasionally third-party property damage losses.
Demonstrates strong negotiating skills
Controls expenses and expense reserves on storage, towing, appraisals, vendors, or legal counsel
Problem solves complaints or questions
Demonstrating technical learning and skill
Exemplifies strategic agility
Submit timely large loss reports and occasional Large Loss reporting
Authority/Accountability Level:
A Specialty Adjuster is capable of analyzing and determining exposure for fire, theft, vandalism, and a variety of complex claims. This person must exercise discretion to identify and resolve coverage issues, identify potential fraud, and settle losses as appropriate. A Specialty adjuster will process approximately 600-800 lines annually and is responsible for reporting out to various departments within the business.
This Job Is Responsible for Producing the Following Results:
Maintaining stellar customer service tracked through company measurements
Handles claims for fire, vandalism, theft, complex coverage in personal lines
Meets or exceeds individual goals to help the department reach its targets
Making appropriate coverage and/or settlement decisions
Setting timely reserves
Consistently produces quality work product
Completing thorough investigations in order to determine coverage, liability, and settlement
Analyzes facts to justify the assistance of SIU, O&C's, or legal counsel
Ability to take quality recorded statements from many parties
Identifies Red Flags
Ability to write accurate Reservation of Rights letters and Coverage declinations
Manages expenses
Pursues recovery as applicable
Fueling engagement within the team and department
This might describe you
Must be detail oriented and show a high level of accuracy
Excellent verbal and written communication skills
Knowledgeable in insurance products and expertise
Exercise decisiveness and execution within their authority
Must have ability to work individually and as a team
Ability to maintain confidential information
Strong problem-solving skills
Strong time management and organizational ability
Must possess a keen interest in self-development
Needs to be reliable, accountable, and trustworthy
Must be able to motivate and lead others
Demonstrate proficiencies with computer software & multitasking
Must maintain impeccable attendance
Must be licensed and bondable
Familiarity of public company requirements, including Sarbanes Oxley and key regulations, if applicable.
Other things to note
This position is open to U.S. remote work.
Say hello to Hagerty
Hagerty is an automotive enthusiast brand and the world's largest membership organization. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to the Hagerty Drivers Foundation, Garage + Social, Hagerty Drivers Club, Marketplace and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile.
Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for and invest in every single team member.
At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age, or car preference. We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world.
If you reside in the following jurisdictions: Illinois, Colorado, California, District of Columbia, Hawaii, Maryland, Minnesota, Nevada, New York, or Jersey City, New Jersey, Cincinnati or Toledo, Ohio, Rhode Island, Vermont, Washington, British Columbia, Canada please email
**********************
for compensation, comprehensive benefits and the perks that set us apart.
#LI-Remote
EEO/AA
US Benefits Overview
Canada Benefits Overview
UK Benefits Overview
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
$40k-48k yearly est. Auto-Apply 6d ago
PART TIME Remote Claims Adjuster - Bilingual (Spanish)
Responsive Auto Insurance Company
Remote compensation adjuster job
Department: Claims
Schedule: Monday to Friday; 4-6 hours daily
Salary: Commensurate based on experience and qualifications
About Responsive Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents from the most respected insurance agencies to deliver world-class service and claims experiences. Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we deliver through innovation, feedback, and a commitment to excellence.
What You'll Do
As a Claims Adjuster, you'll guide customers through the claims process with empathy and expertise. From investigating coverage to resolving disputes, you'll handle claims from start to finish while maintaining strong relationships with customers and stakeholders. Responsibilities include:
Investigating, evaluating, and resolving insurance claims.
Reviewing policies to verify coverage and address coverage issues.
Managing customer interactions with professionalism and accuracy.
Responding to demands, requests, and questions with clear, well-documented communication.
Collaborating with attorneys, medical providers, and other stakeholders.
Maintaining detailed and timely records.
Ensuring compliance with federal, state, and company regulations.
Other duties as assigned
Requirements
What We're Looking For
Education: Bachelor's degree.
Licensing: Active Florida 6-20 All Lines Adjuster License.
Language Skills: Fluent in Spanish and English (written and verbal proficiency required).
Skills: Strong analytical, problem-solving, and communication skills. Proficiency in Microsoft Office.
Experience: Customer-focused with experience in high-volume environments that require time management and attention to detail. Minimum of 2 years of experience as an auto property damage claims adjuster
Mindset: Self-motivated, team-oriented, and adaptable.
Our Culture
Responsive is a dynamic, inclusive workplace where integrity, innovation, and collaboration thrive. We foster an environment where employees are encouraged to:
Adapt: Embrace change and continuously improve.
Collaborate: Work transparently and respectfully with others.
Engage: Show curiosity and a commitment to serving customers and teammates.
Be Data-Driven: Leverage insights to drive decisions and improvements.
Responsive provides equal employment opportunities (EEO) to all employees and applicants, fostering a diverse and inclusive workplace.
#claimsadjuster
$43k-53k yearly est. 60d+ ago
Commercial Property Claims Supervisor | Remote
King's Insurance Staffing 3.4
Remote compensation adjuster job
Our client, a leading A-rated Insurance Carrier, is seeking to add a Commercial Property Claims Supervisor to oversee a team of Inside Commercial Property Claims Examiners. This individual will be responsible for supervising daily claim operations, providing technical guidance, supporting adjuster development, and ensuring high-quality handling of mid-to-complex Commercial Property losses. The Supervisor will also assist with escalated files, conduct quality audits, and ensure adherence to company best practices. Experience with Xactimate or Symbility is required. This is a remote position!
Supervise a team of Commercial Property Examiners handling mid-to-complex losses from inception to close.
Provide ongoing coaching, mentorship, and technical guidance to adjusters.
Review, analyze, and approve adjuster estimates, coverage recommendations, and settlement proposals.
Manage team performance, conduct file audits, and ensure compliance with department Best Practices.
Assist with escalated claims, complex coverage issues, and high-severity losses as needed.
Oversee workload distribution, monitor productivity, and ensure timely file handling.
Communicate effectively with policyholders, agents, contractors, and internal leadership.
Identify opportunities for cost containment, loss mitigation, and subrogation recovery.
Provide timely and accurate reporting to management regarding team performance and claim activity.
Consistently promote exceptional customer service and support a positive team culture.
Requirements:
7 to 10 years of Commercial Property claims experience
2 - 5+ years in a Team Lead / Supervisor capacity.
Must have experience working directly for an Insurance Carrier handling or overseeing Commercial Property claims.
Proficiency in Xactimate or Symbility.
Strong leadership, communication, organizational, and interpersonal skills.
Bachelor's Degree preferred but not required.
Salary/Benefits:
$110,000 to $150,000 annual base salary plus bonus up to 8 - 12%
Company vehicle provided (Truck/SUV)
Extremely competitive Medical, Dental, Vision, and Life plans
Employer matching 401(k) plan
Generous PTO policy
Clear opportunities for advancement within a growing organization
$29k-38k yearly est. 52d ago
Independent Insurance Claims Adjuster in Springfield, Ohio
Milehigh Adjusters Houston
Compensation adjuster job in Springfield, OH
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
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