Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)
Remote compensation adjuster job
**Role Overview**Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors-particularly claims adjusters, examiners, and investigators-to execute and evaluate a wide range of P&C insurance tasks.
This project supports the development of AI systems capable of understanding, simulating, and automating complex insurance operations.
It is a short-term, high-impact engagement ideal for professionals with strong technical and compliance knowledge.
**Key Responsibilities** - Execute full-cycle claims tasks including FNOL intake, coverage verification, reserve setting, and liability determination - Simulate real-world workflows using structured tools and mock systems such as Guidewire ClaimCenter and Xactimate - Review and synthesize third-party documentation including police reports, medical records, and vendor estimates - Draft structured outputs such as coverage memos, repair estimates, and liability assessments - Identify inconsistencies or red flags in claim statements and documentation - Evaluate claim compliance, document regulatory deadlines, and assess communication quality - Flag fraud indicators and recommend SIU referrals where applicable - Document all work clearly for auditability and quality review **Ideal Qualifications** - 5+ years handling property, auto, bodily injury, or general liability claims - Familiarity with systems such as Guidewire, Duck Creek, Xactimate, Hyland OnBase, or FileNet - Deep understanding of coverage interpretation, state compliance standards, and claims file documentation - Experience reviewing third-party documentation (e.
g.
, police reports, medical summaries, contractor estimates) - Strong written communication and analytical skills **More About the Opportunity** - Remote and asynchronous - control your own work schedule - **Expected commitment: min 30 hours/week** - **Project duration: ~6 weeks** **Compensation & Contract Terms** - $100-150/hour - Independent contractor arrangement - Paid weekly via Stripe Connect **Application Process** - Submit your resume followed by domain expertise interview and short form **About Mercor** - Mercor is a talent marketplace that connects top experts with leading AI labs and research organizations - Our investors include Benchmark, General Catalyst, Adam D'Angelo, Larry Summers, and Jack Dorsey - Thousands of professionals across domains like insurance, law, engineering, and research partner with Mercor to shape the next era of AI
Workers' Compensation Claims Adjuster - REMOTE
Remote compensation adjuster job
Midwestern Insurance Alliance (MIA) is seeking a full-time Remote Claims Adjuster to join its worker's compensation claims processing team.
MIA is a national workers' compensation program administrator offering custom-tailored worker's compensation insurance programs through its carrier partners. MIA focuses on niche segments such as local and long-haul trucking, parcel and mail delivery, and fuel hauling. MIA's acquisition by San Diego-based K2 Insurance Services in 2012 has enabled MIA to expand its product offerings and product distribution channels.
Claims Adjuster responsibilities include, but are not limited to:
Thoroughly investigating worker's compensation claims by contacting injured workers, medical providers, and employer representatives.
Determining if claims are valid under applicable worker's comp statutes.
Communicating with medical providers to develop and authorize appropriate treatment plans.
Reviewing and analyzing medical bills to confirm charges and treatment are worker's comp injury-related and in accordance with the treatment plan.
Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes.
Calculating and assigning appropriate reserves to claims, and managing reserve adequacy throughout the life of the claim.
Managing claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets.
Preparing required state filings within statutory limits.
Providing information as needed for litigation or settlement negotiations.
The ideal Claims Adjuster will have:
Bachelor's degree preferred, but not required.
At least 33 years' WC claims adjusting experience.
Examiner designation or WC Claims Adjuster license.
Experience with Georgia and Florida WC claims preferred.
Strong verbal and written communication skills.
Strong organizational skills with attention to details.
Ability to work with little supervision.
Ability to manage multiple tasks in a fast-paced environment.
Proficiency in MS Word, Excel, and Outlook.
Salary: 80-85k US per year, depending on experience.
MIA offers the opportunity to join an established company in growth mode. Our benefits package includes medical, dental, vision, disability, and life insurance and 401(k) with employer match. We also offer a business casual work environment and an 8:00-5:00 Monday-Friday work week.
Learn more about MIA at midwesterninsurance.com and K2 Insurance Services at k2ins.com.
Auto-ApplyNY Workers' Compensation Claims Adjuster | Remote
Remote compensation adjuster job
Job DescriptionOur client, a recognized leader in the Workers' Compensation Insurance Industry, is seeking to add (2) New York Workers' Compensation Claims Adjusters to their Northeast team due to continued growth. You will be responsible for managing and resolving New York Workers' Compensation claims from initial report through final settlement. This role requires an experienced claims professional with strong technical expertise in New York Workers' Compensation Law, attention to detail, and the ability to handle a caseload efficiently while maintaining a high standard of quality. This position will allow the candidate to work fully remote!
Key Responsibilities:
Investigate, evaluate, and manage New York Workers' Compensation claims from start to resolution.
Maintain a caseload of approximately 80-100 lost-time claims.
Negotiate settlements and authorize payments within delegated authority.
Ensure full compliance with state regulations, company policies, and best practices.
Communicate effectively with policyholders, employers, medical providers, and attorneys to gather details and resolve claims promptly.
Maintain timely and accurate claim documentation, reserve analysis, and file notes.
Monitor and update claim diaries on an ongoing basis to ensure proper claim handling and follow-up.
Qualifications:
3 - 10+ years of experience handling New York Workers' Compensation claims.
Must hold an active New York Adjusters' License.
Experience handling New Jersey or Pennsylvania Workers' Compensation claims is a plus but not required.
Experience working for an insurance carrier or TPA is required.
Prior experience handling Self-Insured or Large Deductible accounts is a plus.
Strong organizational and analytical skills with the ability to work independently.
Compensation & Benefits:
Base Salary: $80,000 - $110,000+ (based on experience) plus annual bonus.
401(k) with employer match.
Competitive Medical, Dental, Vision, and Life insurance plans.
Employer contribution to HSA.
Generous PTO and paid holidays.
Long-term incentive programs.
Flexible work schedule and the ability to work from home.
Worker Compensation Claims Adjuster 2
Remote compensation adjuster job
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.
Be part of a team that makes a real difference.
This is a full-time remote position that can be located anywhere in the U.S.
Must be able to work EST timezone
* Investigates, evaluates, and resolves assigned Workers' Compensation claims of a more complex or litigated nature in a timely manner in accordance with legal statutes, policy provisions, and company guidelines.
* Evaluate claimant eligibility; communicate with attending physician, employer and injured worker.
* Work with both the claimant and their physician to medically manage the claim, from initial medical treatment to reviewing and evaluating ongoing treatment and related information.
* Work directly with employers to facilitate a return to work, either on a full-time or modified duty basis.
* Confirm coverage and applicable insurance policy or coverage document and statutory requirements.
* Identify potential for third party recovery, including subrogation, Second Injury Fund or other fund involvement (when applicable) and excess or reinsurance reimbursement. Pursue the process of reimbursement and complete posting of recovery to the claim file, where appropriate.
* Identify potential for disability or pension credits or offsets and apply same where appropriate.
* Ensure timely denial or payment of benefits in accordance with jurisdictional requirements.
* Establish claim reserve levels by estimating the potential exposure of each assigned claim, establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure.
* Establish compensability status through case investigation and evaluation and application of jurisdictional statutes and laws.
* Manage diary in accordance with Best Practices and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
* Where litigation is filed, evaluate exposure and work with defense counsel to establish strong defenses, prepare litigation plan of action, set legal reserve and manage litigation over life of claim.
* Close all files as appropriate in a timely and complete manner.
* Maintain closing ratio as directed by management team.
* Oversee and coordinate medical treatment for injured employees and provide information to treating physicians regarding employees' medical history, health issues, and job requirements; provide direction to assigned nurse case manager where applicable.
* Complete PARs (payment authorization request) when applicable.
* Comply with all excess and reinsurance reporting requirements; manage self-insured retention reporting.
Qualifications
* High School diploma required.
* Associate's or Bachelor's degree preferred.
* 2 years of experience handling workers' compensation claims.
* Completion of Workers' Compensation training courses internally and/or externally in all significant areas affecting Workers' Compensation claims handling and practices.
* Workers' Compensation licenses, certifications, awards preferred.
Benefits
We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $20.96 - $24.03 hourly, and will be based on a number of additional factors including skills, experience, and education.
The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
#LI-FP1
#LI-Remote
Commercial Trucking Liability Claim Adjuster - Remote (Multi-Line)
Remote compensation adjuster job
Overview Multi-Line Claim Representative I or II - Remote (Commercial Trucking)
Schedule: Monday-Friday, 8:00 AM-4:30 PM (local time) Salary Range: $60,000 to $75,000 annually, depending on experience Reports To: Claim Supervisor
Caseload: Approximately 100 active files
Client: Single, dedicated commercial trucking account
Build Your Career With Purpose at CCMSI
At CCMSI, we don't just process claims-we support people. As a leading Third Party Administrator and a certified
Great Place to Work
, we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact every day.
Job Summary
We are seeking an experienced Multi-Line Claim Representative II to manage commercial trucking liability claims for a single, dedicated client. This remote position is ideal for a self-motivated professional who takes pride in thorough investigation, clear communication, and delivering high-quality service. You will handle claims from start to finish, ensuring fair and timely resolutions while adhering to CCMSI's corporate claim standards and client-specific service expectations.
Responsibilities
Investigate, evaluate, and adjust commercial trucking liability claims in accordance with established guidelines and jurisdictional regulations.
Review claim documentation, legal correspondence, and invoices to determine coverage, liability, and damages.
Authorize and process claim payments within settlement authority.
Negotiate settlements with claimants, attorneys, and other parties as appropriate.
Oversee litigation strategy and collaborate with defense counsel.
Identify and pursue subrogation opportunities.
Prepare detailed claim summaries, reserve updates, and client reports.
Maintain accurate and timely documentation in the claim management system.
Ensure compliance with service commitments, quality standards, and client-specific requirements.
Qualifications Required:
5+ years of experience handling commercial trucking or multi-line liability claims.
Active adjuster's license (in applicable jurisdictions).
Strong written and verbal communication skills.
Ability to work independently, prioritize effectively, and maintain confidentiality.
Proficiency with Microsoft Office (Word, Excel, Outlook).
Nice to Have:
Experience managing claims for national commercial trucking clients.
Knowledge of federal transportation regulations and industry best practices.
Performance Metrics
Performance is evaluated through annual reviews based on claim quality, timeliness, communication, and adherence to CCMSI's corporate and client standards.
What We Offer
• 4 weeks PTO + 10 paid holidays in your first year
• Medical, Dental, Vision, Life, and Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)
• Internal training and advancement opportunities
• A supportive, team-based work environment
Compensation & Compliance
The posted salary 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. This role may also qualify for bonuses or additional forms of pay.
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.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
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:
• Act with integrity
• Deliver service with passion and accountability
• Embrace collaboration and change
• Seek better ways to serve
• Build up others through respect, trust, and communication
• Lead by example-no matter their title
We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
#NowHiring #ClaimsJobs #InsuranceCareers #TruckingIndustry #LiabilityClaims #ClaimsAdjuster #RemoteJobs #CareerGrowth #HiringNow #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote
Auto-ApplyWorkers' Compensation Claims Adjuster - REMOTE
Remote compensation adjuster job
Midwestern Insurance Alliance (MIA) is seeking a full-time Remote Claims Adjuster to join its worker's compensation claims processing team.
MIA is a national workers' compensation program administrator offering custom-tailored worker's compensation insurance programs through its carrier partners. MIA focuses on niche segments such as local and long-haul trucking, parcel and mail delivery, and fuel hauling. MIA's acquisition by San Diego-based K2 Insurance Services in 2012 has enabled MIA to expand its product offerings and product distribution channels.
Claims Adjuster responsibilities include, but are not limited to:
Thoroughly investigating worker's compensation claims by contacting injured workers, medical providers, and employer representatives.
Determining if claims are valid under applicable worker's comp statutes.
Communicating with medical providers to develop and authorize appropriate treatment plans.
Reviewing and analyzing medical bills to confirm charges and treatment are worker's comp injury-related and in accordance with the treatment plan.
Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes.
Calculating and assigning appropriate reserves to claims, and managing reserve adequacy throughout the life of the claim.
Managing claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets.
Preparing required state filings within statutory limits.
Providing information as needed for litigation or settlement negotiations.
The ideal Claims Adjuster will have:
Bachelor's degree preferred, but not required.
At least 33 years' WC claims adjusting experience.
Examiner designation or WC Claims Adjuster license.
Experience with Georgia and Florida WC claims preferred.
Strong verbal and written communication skills.
Strong organizational skills with attention to details.
Ability to work with little supervision.
Ability to manage multiple tasks in a fast-paced environment.
Proficiency in MS Word, Excel, and Outlook.
Salary: 80-85k US per year, depending on experience.
MIA offers the opportunity to join an established company in growth mode. Our benefits package includes medical, dental, vision, disability, and life insurance and 401(k) with employer match. We also offer a business casual work environment and an 8:00-5:00 Monday-Friday work week.
Learn more about MIA at midwesterninsurance.com and K2 Insurance Services at k2ins.com.
Auto-ApplyClaims Supervisor
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
Commercial Bodily Injury Claims Supervisor
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/Bodily Injury 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 bodily injury 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.
Auto-ApplySupervisor Claims
Remote compensation adjuster job
Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.
We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.
Pets Best is seeking a Supervisor, Claims Processing who will report to the Manager, Claims. The Supervisor, Claims Processing is responsible for leading a team of non-exempts for the Claims Processor group. Providing leadership, coaching and development. You will own full supervisory and administrative responsibilities for the team members, and also share with other leaders the responsibility overall for a positive, friendly culture in the department that is customer-centric, productive, and contributes to the growth of the business.
Job Location: Remote - USA
Main Responsibilities:
Directly responsible for leading your team to success - driving performance management, ensure accuracy of claims processes, and ensuring your team is equipped to provide a positive customer/client experience
Ensure appropriate risk for the business - ensuring your team is familiar with and understands the importance of following operating instructions including compliance requirements
Drive results by ensuring that your team is meeting or exceeding performance targets via OKR/KPI coaching and leadership
Inspiring and connecting with each team member - cultivating an environment of trust, teamwork and personal ownership. Partnering with each team member to understand and help support their personal development
Project management - initiating, planning and executing on key business initiatives
Be a business partner - ability to understand and relate to the business objectives and provide strategic vision and a high-quality solutions.
Learning, staying abreast and complying with all claim's compliance laws, rules and regulations.
Assists with claims processing function duties as needed to maintain daily turnaround time
Performs other duties as assigned.
Basic Qualifications:
Bachelor's degree or in lieu of a Bachelor Degree, a High School Diploma/GED and a minimum of 3 years experience in a veterinary clinic or like setting; such as a practice manager, Lead Veterinary Technician, Animal Science Research, etc.
3+ years clinical veterinary experience with a proficiency in medical terminology.
Leadership experience - Minimum of 2 years of proven experience leading a team - Be prepared to share with us some specific examples of how you've inspired your team and driven performance using qualitative and quantitative results
Flexible - The hours for this role are between 6 AM & 9 PM EST with a weekend rotation each quarter as manager on duty (comp day provided M-F the week prior). This role could include some weekend shift as well as work on holidays.1-year relevant experience and/or claims experience within a clinic or hospital
Expected Hours of Work:
This is a full-time position: Days and hours to be determined by needs of business. Hours to be determined between employee and director
#li-Remote
#petsbest
All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:
Comprehensive full medical, dental and vision Insurance
Basic Life Insurance at no cost to the employee
Company paid short-term and long-term disability
12 weeks of 100% paid Parental Leave
Health Savings Account (HSA)
Flexible Spending Accounts (FSA)
Retirement savings plan
Personal Paid Time Off
Paid holidays and company-wide Wellness Day off
Paid time off to volunteer at nonprofit organizations
Pet friendly office environment
Commuter Benefits
Group Pet Insurance
On the job training and skills development
Employee Assistance Program (EAP)
Auto-ApplyProfessional Liability Senior Claims Analyst
Remote compensation adjuster job
OMS National Insurance Co. is a nationwide company in search of nationwide talent.
We have one simple mission at OMSNIC - We are dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals nationwide.
If you are an experienced medical malpractice claims professional based in the U.S, and would like to join us in our mission, we invite you to apply for this remote opportunity.
Our claims analysts have direct contact with our policyholders and are regarded as trusted partners, managing an assigned caseload of claims. This includes the investigation, evaluation, and resolution of both pre-litigation and litigated matters.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Evaluate coverage
Assign, collaborate with, and oversee outside defense counsel
Review and analyze medical records
Investigate and evaluate issues of liability, causation, and damages, proactively moving the files toward resolution
Participate in the formulation of case strategy
Negotiate claims in a settlement posture
Evaluate indemnity and expense reserves
Prepare comprehensive claims reports
Present claims to management and for internal review
Regularly communicate with policyholders, keeping them informed of status and strategies
Timely and accurately document claim files
Help maintain claim file data for accurate reporting
Review and approve invoices
General:
Contribute to departmental and company goals, initiatives and projects
May attend or participate in training and development programs
Planning and participation in Risk Management and Defense Counsel Seminars
May participate in the training and development of new hires
May participate in planning, development, and testing of technology solutions
Competencies:
Strong organizational and time management skills, ability to meet deadlines
Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with a variety of stakeholders
Effective analytical and critical thinking skills to analyze facts and draw conclusions to make recommendations and resolve issues
Ability to prepare robust reporting yet provide a broad scope overview and summary, when appropriate
Superior customer service skills and ability to actively listen
Strong interpersonal skills with ability to interact with policyholders, legal professionals, management, co-workers, agents, committee and board members, and external vendors
Strong mediation and negotiation skills
Microsoft Office Suite proficiency with emphasis on Word, Excel, and PowerPoint
Education and Experience:
Bachelor's Degree required
JD preferred but not required
Minimum 5 years' experience in medical professional liability claims management field
Work Environment:
Fully remote
Travel required as needed
Salary : $100,000-$140,000
The salary range represents the entirety of the pay grade for this role. Specific salaries will be determined using a variety of factors, including specific skills, years of experience, location, and comparison to team members already in this role
Benefits:
Medical, Dental, and Vision Insurance
401(k)
Short and Long-term disability
Life Insurance
Employee Assistance Program
Long-term incentive plan
Educational Assistance and rewards program
Paid Time Off
Paid Holidays
Paid parental leave
Home office stipend
#LI-Remote
Auto-ApplyWorkers' Compensation Claims Adjuster - Remote Southern California
Remote compensation adjuster job
Charles Taylor is a highly successful global provider of professional services to the insurance industry. We are seeking a seasoned workers' compensation adjuster to join our Third-Party Administration team. This is a remote role, open to candidates who live in Orange or Los Angeles County. Team meetings and training sessions are held in person at our Long Beach office a few times each year.
Job Summary
The Workers Compensation Claims Adjuster is responsible for managing all aspects of a workers compensation claim which includes determining compensability, verifying coverage, administering disability and medical benefits, skillfully negotiating claim resolutions, troubleshooting and assisting injured employees, employers and medical/legal professionals with any service needs throughout the lifespan of a claim.
Essential Functions
* Receives newly reported claims
* Maintains and updates claim notes throughout lifespan of claim
* Records claim information in electronic database
* Interviews claimants, insureds, medical professionals and witnesses to determine claim validity
* Communicates claim compensability decisions to claimant, employer and medical provider
* Sets appropriate reserves based on nature/extent of injury
* Calculates lost time wages, makes disability payments directly to claimants and diaries future payments as appropriate
* Orders independent medical examination as necessary and prepares all relevant documentation for physician review
* Maintains regular correspondence with claimants, insureds, and nurse case manager to include claim updates, medical appointments, or issues with disability payments
* Reviews and processes medical bills through third-party vendor for additional discount opportunities
* Aggressively collaborates with claimants and insureds to ensure early return-to-work is pursued
* Works in partnership with legal counsel to warrant that insured's interests are protected on litigated claims which includes providing all relevant claim documentation needed for defense counsel to successfully defend claim and evaluate ultimate claim exposure
* Attends settlement conferences, mediations, and hearings on behalf of the insurance company/insured
* Reviews and approves defense attorney bills within authority
* Works with underwriting to help provide relevant information on losses for renewal rates as well as Risk Management to identify trends and may interact with agents for insureds on losses
* Responds to State requests for health cost disputes, applications for hearings and penalty assessment letters
* Identifies subrogation potential and pursues recovery
* Leads claim reviews with clients as requested
* Other duties as assigned
Requirements
* 10 years of experience adjusting Workers Compensation Claims in California required
* SIP Certification required
* Bilingual (Spanish/English) required
* Must be current with CEU's
* Proficiency in entire Microsoft Office suite
* Knowledge of relevant workers compensation laws
* Strong grasp of medical terminology
* Familiarity with medical cases and how treatment typically progresses
* Excellent oral and written communication abilities
* Attention to detail and good organization skills
* Ability to negotiate issues and settlements
* Strong focus on customer service which includes timely response to requests/inquiries
* Ability to adapt to changing technologies and learn functionality of new equipment and systems
* Ability to establish and maintain effective working relationships with others
Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you.
Values
At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration.
Equal Opportunity Employer
Here at Charles Taylor, we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation.
Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.
About Charles Taylor
Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers' compensation, and auto/liability. We offer complex loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.
Claims Adjuster
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.
Marine Claims Adjuster
Remote compensation adjuster job
TITLE: Marine Claims Consultant
DEPARTMENT: EIMC
REPORTS TO: Team Leader or Director of Marine Claims
STATUS: Regular, full-time; exempt
SUMMARY OF JOB PURPOSE
EIMC, an Engle Martin company, is an independent marine consulting services company providing supply chain loss control and claims investigation expertise to insurers, brokers, 3PLs and industrial partners. The Marine Consultant effectively determines and communicates the extent of loss or damage associated with ocean marine claims in a variety of business classes.
PRIMARY JOB RESPONSIBILITIES
Independently opens and handles assigned cases within basic limits of complexity.
Identifies, recommends, and pursues appropriate mitigation strategy with supervisory oversight as necessary.
Expands knowledge base to include broader analysis of terms, clauses, and coverage.
Independently selects appropriate company templates as required based on independent recognition of client requirements.
Routinely produces clear, concise, and grammatically correct reports which require minimal review/editing; defers to senior level team members for assistance.
Engages in peer review with others as directed.
Reviews time and expenses with attention paid to estimates and client intent.
Pursues and completes Lloyds Agency Module 3: Cargo Claims & Recoveries credentialing.
Develops a higher-level understanding of market levers and influences.
Granted supervised authority to communicate with clients beyond routine case correspondence; demonstrates timely reliability to clients.
Attends company meetings and trainings with enthusiasm.
Identifies potentially valuable case studies from personal field experience and works with management to share those cases through supervised contributions to presentations.
Establishes and maintains positive working relationships with other members of the organization across departments, divisions, and locations.
Maintains the confidentiality of proprietary and sensitive information, exercising sound judgment and discretion in any disclosure of information related to EM, EIMC, and its endeavors.
Adheres to all applicable State Insurance Regulation requirements and other applicable laws, regulations, and standards.
REQUIRED EDUCATION & EXPERIENCE
Bachelor's degree preferred
Prior experience in ocean marine claim adjusting or other insurance-related work preferred
DESIRED KNOWLEDGE, SKILLS & ABILITIES
Ability to understand claims adjudication process
Excellent written and verbal communication skills
Ability to manage multiple priorities and meet deadlines
Passionate about providing exceptional customer service
Skilled in analyzing, interpreting, and reporting pertinent information, discerning the essential from the non-essential
Strong research and investigative skills
Conflict resolution and persuasion abilities
Organized and detail oriented
Excellent problem solving and critical thinking skills
Ability to work both independently and as part of a team
WORKING CONDITIONS
Work is conducted primarily in a remote location or in an indoor office environment with protection from weather conditions and with exposure to noise typical of an office or administrative setting.
PHYSICAL ACTIVITIES AND REQUIREMENTS
Work requires light lifting (10 - 20 lbs.), standing, walking, stooping, kneeling, reaching, fingering (keyboarding) and repetitive hand motion, grasping, talking, and hearing at normal speaking levels. Work requires visual acuity to read and prepare data and figures, type words and numbers, view information on a computer terminal, read, operate office machines, and determine the accuracy and thoroughness of work.
Auto-ApplyGeneral Liability Claims Adjuster
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.
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!
Auto-ApplyMedical Only Claims Adjuster | California
Remote compensation adjuster job
Medical Only Workers' Compensation Claims Adjuster | 100% Remote Opportunity - California Must have experience in California Using claims system automation and capabilities, the Medical Only workers' compensation Claims Adjuster is responsible for timely and accurate management of a high volume of workers' compensation claims requiring minor or simple medical treatment and escalating them or moving them efficiently to closure.
Essential Duties and Responsibilities
* Receives and reviews information related to new work comp insurance claims involving no or minimal lost time from work. Under direct supervision, may handle a small amount of fast-track indemnity claims that have low exposure or complexity.
* Communicates with injured workers, employers, and medical providers to obtain necessary additional information and evaluate claims for exceptions or escalations.
* Confirms or determines coverage and compensability as needed within state statutes and claims best practices.
* Reviews and responds to mail, emails, telephone calls and faxes from employers, providers, and injured workers within 24 hours.
* Reviews and responds to mail, emails, telephone calls and faxes from employers, providers and injured workers. Takes action to handle communication within established best practices and statutory requirements. Maintains ongoing professional communications with all internal and external customers.
* Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed.
* Manages or coordinates medical treatment and communicates with providers in a timely manner to continue to move the claim forward. Reviews medical bills and makes appropriate determinations.
* Reviews case facts to identify and report possible fraud or abuse throughout course of claim.
* Reviews claims for closure and proactively takes action to guide claims in that direction.
Requirements
* Minimum of 1 year general office experience or equivalent combination of education and experience.
* Excellent written and oral communication, customer service and telephone skills.
* Knowledge of MS Office software and an imaged environment.
* Demonstrated ability to understand and adhere to statutes, regulations and company policies and practices.
* Demonstrated skills in multi-tasking and prioritizing, adhering to deadlines and completing assignments.
* Conducts business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality.
* Claims industry experience preferred.
* Working knowledge of medical or insurance terminology preferred.
Education:
* High school diploma or equivalent required.
Certification
* If State certification or license is required, must meet certification within
Work Environment:
* Remote: This role is a remote (work from home (WFH) opportunity, 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: $20.00 - $26.00/hr 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
Medical Only Work Comp Claims Adjuster | NV, TX, AZ, OK
Remote compensation adjuster job
Medical Only Work Comp Claims Adjuster | 100% Remote Opportunity
Must have experience in one or more of the following states: Nevada, Texas, Arizona, Oklahoma
Using claims system automation and capabilities, the Medical Only workers' compensation Claims Adjuster is responsible for timely and accurate management of a high volume of workers' compensation claims requiring minor or simple medical treatment and escalating them or moving them efficiently to closure.
Essential Duties and Responsibilities
Receives and reviews information related to new work comp insurance claims involving no or minimal lost time from work. Under direct supervision, may handle a small amount of fast-track indemnity claims that have low exposure or complexity.
Communicates with injured workers, employers, and medical providers to obtain necessary additional information and evaluate claims for exceptions or escalations.
Confirms or determines coverage and compensability as needed within state statutes and claims best practices.
Reviews and responds to mail, emails, telephone calls and faxes from employers, providers, and injured workers within 24 hours.
Reviews and responds to mail, emails, telephone calls and faxes from employers, providers and injured workers. Takes action to handle communication within established best practices and statutory requirements. Maintains ongoing professional communications with all internal and external customers.
Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed.
Manages or coordinates medical treatment and communicates with providers in a timely manner to continue to move the claim forward. Reviews medical bills and makes appropriate determinations.
Reviews case facts to identify and report possible fraud or abuse throughout course of claim.
Reviews claims for closure and proactively takes action to guide claims in that direction.
Requirements
Minimum of 1 year general office experience or equivalent combination of education and experience.
Excellent written and oral communication, customer service and telephone skills.
Knowledge of MS Office software and an imaged environment.
Demonstrated ability to understand and adhere to statutes, regulations and company policies and practices.
Demonstrated skills in multi-tasking and prioritizing, adhering to deadlines and completing assignments.
Conducts business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality.
Claims industry experience preferred.
Working knowledge of medical or insurance terminology preferred.
Education:
High school diploma or equivalent required.
Certification
If State certification or license is required, must meet certification within
Work Environment:
Remote: This role is a remote (work from home (WFH) opportunity, 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: $20.00 - $26.00/hr 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
Field Claims Adjuster
Compensation adjuster job in Columbus, OH
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Claims Fast Track Adjuster
Remote compensation adjuster job
As a Claims Fast Track Adjuster, you must provide efficient and effective adjudication of claims through timely investigation, evaluation, and negotiation. Under moderate supervision using company guidelines, makes appropriate decisions regarding coverage and settlement. The adjuster in this role will provide exemplary customer service. The person in this role takes ownership of their personal brand, stays professional and works well individually within a dynamic team atmosphere.
Ready to get in the driver's seat? Join us!
What you'll do
Maintains high availability for insureds and colleagues
Manges their workflow and jumps in to help the team as needed
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 adjustments 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.
Completes appropriate level of investigation to determine coverage
Takes recorded statements from 1st party claimants
Writes coverage letters
Pursues subrogation when appropriate.
Handles first party auto property damage losses
Provide backup assistance to claim representatives handling calls in the phone queue.
Demonstrates stellar attitude & performance
Must be able to put in extra time if/as needed
Maintaining excellent customer service tracked through Company measurements
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
Pursues recovery as applicable
Fuels engagement within the team and department
Quick cycle time and efficient pending management
NPS targets
Quality audit scores
This might describe you
Must already be licensed in your Resident State/Designated State and NY
Must be detail oriented and show an elevated 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 stay motivated and positive within a high production role
Demonstrate proficiencies with computer software & multitasking
Must maintain impeccable attendance
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!
Auto-ApplyMechanical Claims Adjuster
Compensation adjuster job in Westerville, OH
At APCO Holdings, home to trusted brands like EasyCare, GWC Warranty, and National Auto Care, we're redefining the automotive protection industry through trusted products, exceptional service, and people who care deeply about doing what's right. Our Mechanical Claims Adjusters are the engine that keeps our promise of service excellence running. In this role, you'll combine your mechanical know-how and customer service skills to help drivers get back on the road quickly, delivering the peace of mind our partners and customers expect.
What You'll Do
* Review and verify automotive mechanical breakdown claims for coverage, service history, and eligibility.
* Collaborate with repair facilities to approve covered repairs and negotiate fair parts and labor costs.
* Apply contract terms and make accurate repair cost calculations.
* Communicate decisions clearly, ensuring every customer interaction is handled with care, empathy, and professionalism.
* Manage your call queue efficiently while maintaining detailed and accurate claim documentation.
What You'll Bring
* High school diploma or equivalent (ASE or Manufacturer Certification is a plus!).
* Solid understanding of vehicle mechanical systems, repairs, and diagnostics.
* Strong communication and problem-solving skills.
* Computer proficiency and comfort working in a fast-paced environment.
* A caring, authentic approach that puts the customer first, always.
Why You'll Love Working Here
At APCO, we move with velocity, passion, and purpose. Our team lives by our core values:
* Invested - We believe in our mission, our team, and your growth.
* Authentic - We bring honesty and transparency to every interaction.
* Principled - We do the right thing, even when no one's watching.
* Caring - We act with empathy and respect for our customers and each other.
* Open - We embrace change and value every voice.
When you join APCO Holdings, you're not just taking a job, you're starting a career where your expertise, integrity, and drive make a real impact.
What We Offer
* Competitive compensation and career advancement opportunities.
* Comprehensive benefits package.
* Supportive, team-oriented culture.
* The opportunity to work with industry-leading automotive protection brands.
Join us and help shape the future of automotive protection, one claim, one customer, and one trusted interaction at a time.
Apply today to start your journey with APCO Holdings.
Independent Insurance Claims Adjuster in Springfield, Ohio
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
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-Apply