Explore jobs
Find specific jobs
Explore careers
Explore professions
Best companies
Explore companies
Senior Claims Adjuster jobs at FCCI - 22 jobs
Claims Innovation - Senior Analyst - Casualty or Commercial PD
Geico Insurance
Tampa, FL jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. About GEICO The Government Employees Insurance Company (GEICO) is a private American auto insurance company with headquarters in Chevy Chase, Maryland. GEICO is a wholly owned subsidiary of Berkshire Hathaway and is the third largest auto insurer in the United States. In 2023, GEICO earned premiums worth over $40 billion U.S. dollars. GEICO is going through a massive digital transformation to re-platform the Insurance industry, removing friction across Customers, Partners, Marketplace, Segments, Channels, and Experiences as we grow our reach and market share. About The Role GEICO is hiring a Innovation Analyst to join their Claims Innovation team. As an Innovation Analyst, you will support GEICO's Claims Innovation team in identifying, analyzing, and implementing opportunities to improve processes and technology. This role partners with cross-functional teams to deliver innovative solutions that enhance efficiency, accuracy, and customer experience. Responsibilities: * Evaluate and analyze existing claims processes, data, and performance metrics to identify areas of opportunity for efficiency, effectiveness, or accuracy * Gather and analyze data to provide insights into claims processes and performance metrics * Support the development of actionable strategies and assist in implementing process and technology enhancements. * Assist the Director, Claims Innovation in establishing priorities, goals, and objectives * Collaborate with Operations, Product, AI/ML, and Engineering teams to define and prioritize requirements. * Prepare reports and presentations summarizing findings, recommendations, and project progress. * Contribute to and/or lead pilot programs, POC's, or A/B testing and reporting on performance and progress * Participate in innovation workshops, ideation sessions, and design sprints. * Monitor project risks, benefits, and performance metrics; escalate issues as needed. * Stay informed on industry trends, emerging technologies, and best practices. About You Skills & experiences: * 3+ years of experience in business process optimization, business analysis, consulting, innovation, or process engineering. * Leadership experience in P&C insurance claims * Bachelor's degree in Business, Finance, Economics, Statistics, or related field. * Knowledge of innovation methodologies, processes, and principles * Strong analytical skills and ability to interpret data for decision-making. * Effective communicator with strong collaboration skills. * Demonstrated ability to adapt and learn in a fast-paced environment. * Commitment to diversity, equity, and inclusion. Leadership qualities: * Leads from the front and isn't shy about using their voice * Ability to lead and influence with empathy and humility * Ability to navigate and lead through complexity * Curiosity, critical thinking skills; a lifelong learner who sees situations through multiple lenses * Exceptional character and an ability to instill confidence and build trust. Someone who possesses high emotional intelligence, and is an attentive, empathetic listener Location: Remote, or available office #LI-HB1 Annual Salary $82,000.00 - $172,200.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. * Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. * Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. * Access to additional benefits like mental healthcare as well as fertility and adoption assistance. * Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.$82k-172.2k yearly Auto-Apply 51d agoESIS Senior Claims Representative, AGL
Chubb
Tampa, FL jobs
Seeking an experienced professional with strong bodily injury claims expertise, based in Tampa, Florida, and able to commute to our Tampa Branch. Duties include, but are not limited to: Work under limited supervision to review claim and policy information, providing background for investigations and determining policy obligations. Contact, interview, and obtain statements (recorded or in person) from insured individuals, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties to gather necessary claim information. Inspect and appraise damage for property losses or arrange for such appraisal, depending on the line of business. Evaluate facts from investigations to determine liability and the company's obligation under the policy contract. Prepare reports on investigations, settlements, claim denials, and individual evaluations. Set reserves within authority limits and recommend reserve changes to the Team Leader. Review the progress and status of claims with the Team Leader, discussing challenges and recommending solutions. Prepare and submit unusual or potentially undesirable exposures to the Team Leader. Assist the Team Leader in developing improved methods for handling claims. Settle claims promptly and equitably. Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim payments At least 5 years of experience handling claims in Auto and General Liability. Experience working in a Third Party Administrator (TPA) environment is strongly preferred. Must obtain and maintain all required state licenses. Strong knowledge of insurance coverages and relevant legal principles. Familiarity with auto liability cost containment programs and demonstrated account management skills. Excellent communication, negotiation, and interpersonal skills for effective interaction with all internal and external stakeholders. Strong analytical and problem-solving skills. Proven commitment to delivering consistent, high-quality customer service. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam. The pay range for the role is $76,000 to $109,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.$76k-109k yearly Auto-Apply 22d agoESIS Senior Claims Representative, AGL
Chubb
Tampa, FL jobs
ESIS Claims Representative, AGL ESIS is seeking an experienced professional with strong expertise in bodily injury claims to join our Tampa team. Key Responsibilities: * Independently review claim and policy information to support investigations and determine policy obligations. * Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties. * Inspect and appraise property damage or coordinate appraisals as needed, based on the line of business. * Analyze investigative findings to determine liability and the company's obligations under policy contracts. * Prepare thorough reports on investigations, settlements, claim denials, and individual claim evaluations. * Set and recommend changes to claim reserves within established authority limits. * Review claim progress and status with the Team Leader, discussing challenges and proposing solutions. * Identify and escalate unusual or high-exposure claims to the Team Leader. * Collaborate with the Team Leader to develop and implement improved claims handling methods. * Settle claims promptly and fairly, ensuring equitable outcomes. * Obtain necessary releases, proofs of loss, or compensation agreements and issue claim payments. * Minimum 5 years of experience handling Auto and General Liability claims. * Experience in a Third Party Administrator (TPA) environment strongly preferred. * Must obtain and maintain all required state adjuster licenses. * Strong knowledge of insurance coverages and relevant legal principles. * Familiarity with auto liability cost containment programs and account management. * Excellent communication, negotiation, and interpersonal skills for effective interaction with all stakeholders. * Strong analytical and problem-solving abilities. * Proven commitment to delivering consistent, high-quality customer service. Note: An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Those who do not fulfill the licensing requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study and allows up to 4 months to pass the adjuster licensing exam.$56k-90k yearly est. Auto-Apply 22d agoESIS Senior Claims Representative, AGL
Chubb
Tampa, FL jobs
ESIS Claims Representative, AGL ESIS is seeking an experienced professional with strong expertise in bodily injury claims to join our Tampa team. Key Responsibilities: Independently review claim and policy information to support investigations and determine policy obligations. Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties. Inspect and appraise property damage or coordinate appraisals as needed, based on the line of business. Analyze investigative findings to determine liability and the company's obligations under policy contracts. Prepare thorough reports on investigations, settlements, claim denials, and individual claim evaluations. Set and recommend changes to claim reserves within established authority limits. Review claim progress and status with the Team Leader, discussing challenges and proposing solutions. Identify and escalate unusual or high-exposure claims to the Team Leader. Collaborate with the Team Leader to develop and implement improved claims handling methods. Settle claims promptly and fairly, ensuring equitable outcomes. Obtain necessary releases, proofs of loss, or compensation agreements and issue claim payments. QUALIFICATIONS ABOUT US Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.$56k-90k yearly est. 5d agoESIS Claims Representative, WC
Chubb
Tampa, FL jobs
Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! Under direct supervision initially, performs customer service and/or claims functions while training to become a claims representative. Gains exposure to all facets of a professional claims representative position through classroom and hands on learning. Will be assigned a caseload as training progresses. Duties may include but are not limited to: Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process. Investigation: Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability. Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws. Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system. Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained. Compliance: Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements. Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status. Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes. Experiences: A minimum of 2 years' experience in handling workers' compensation claims in Florida is preferred, with prior experience at ESIS or similar third-party administrators being advantageous, and/or Bachelor's degree or equivalent experience. Industry Knowledge: Strong familiarity with workers' compensation laws, medical terminology, and best practices in claims handling is preferred. Technical Skills: Demonstrated proficiency in claims management systems and the Microsoft Office Suite. Communication Skills: Excellent written and verbal communication skills, enabling effective interactions with external investigative sources and insureds over the phone. Team Collaboration: Proven ability to contribute effectively within a team environment, providing and receiving constructive feedback while identifying growth opportunities for both self and colleagues. Analytical Skills: Strong analytical and problem-solving abilities to navigate complex scenarios efficiently. Organizational Skills: Capable of managing multiple priorities and meeting deadlines in a fast-paced work environment. Customer Focus: Strong commitment to customer service, with a proactive approach to addressing and supporting customer needs. Judgment and Decision-Making: Confidence in personal judgment, with the ability to support and defend decisions made. Commitment to Excellence: Dedicated to maintaining high standards of behavior and performance. Adaptability: Flexible in adapting approaches and behaviors to fit specific situations effectively. Positive Representation: Strong focus on building and maintaining a positive image for Chubb and ESIS. Skills: Strong analytical and problem-solving abilities. Excellent verbal and written communication skills. Proficiency in claims management systems and Microsoft Office Suite. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Knowledge: Familiarity with workers' compensation laws, medical terminology, and claim handling best practices. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam. The pay range for the role is $57,000 to $83,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.$57k-83k yearly Auto-Apply 8d agoINSIDE CLAIMS REPRESENTATIVE
Universal Insurance Managers Inc.
Sarasota, FL jobs
General Description: Investigates, evaluates, negotiates, and resolves assigned property claims having low to moderate complexity and value, working within delegated reserve and settlement authority. Works closely with the Unit Manager, occasionally handling claims with additional complexities related to unique coverage and/or exposure issues. Essential Duties and Responsibilities: Investigates, evaluates, negotiates, and resolves assigned property claims of low to moderate complexity. Determines the facts of the loss, coverage compensability, and the degree of exposure by unit of coverage. Reviews, analyzes, and applies policy conditions, provisions, exclusions and endorsements pertinent to a variety of losses. Establishes timely and accurate property claim and expense reserves. Communicates clearly and professionally with the customer, or their representative, by telephone and/or written correspondence regarding all aspects of the claims process. Determines settlement amounts based on independent judgment, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits, and deductibles. Negotiates and conveys property claim settlements within authority limits to insureds. Controls damage exposures through proper usage of cost containment tools. Maintains an effective diary system to ensure timely resolution and documents property claim file activities in accordance with established procedures and state regulations. Provides excellent customer service to meet the needs of the insured, agent, and all other internal and external customers. Handles files in compliance with state regulations, where applicable. Writes denial letters, Reservation of Rights, and other complex correspondence to insureds. Identifies property claims that may have value added by an outside field inspection. Determines cases that may have fraud potential and refers claims to Special Investigations Unit. Identifies potential for subrogation and refers appropriate claims to the Subrogation Unit. Partners with counsel to develop litigation plan and adhere to applicable guidelines. Performs other duties as required. Supplementary Information: This job description has been prepared to indicate the general nature and level of the work that the employees perform within their classification. This description is not to be interpreted as an inventory of all the duties, tasks, responsibilities and qualifications required for the employees assigned to this job. Education and / or Experience: Bachelor's Degree preferred but not required. Minimum of three (3) years of progressive experience in the adjusting of residential and commercial claims or a combination of education and experience. Strong verbal and written communications skills. Must be able to work in a collaborative atmosphere. Must be proficient with Microsoft Office, including Word, Excel, PowerPoint. Customer service orientation; empathy. Demonstrates ownership attitude and customer centric response to all assigned tasks. Solid analytical and decision making skills. Spanish speaking is a plus. Licenses and / or Certifications: Adjuster's license(s) (where applicable) required or successfully acquired within 60 days of hiring. AIC a plus. Professional designation specific to claims a plus.$29k-35k yearly est. 14d agoINSIDE CLAIMS REPRESENTATIVE
Universal Insurance Managers Inc.
Orlando, FL jobs
General Description: Investigates, evaluates, negotiates, and resolves assigned property claims having low to moderate complexity and value, working within delegated reserve and settlement authority. Works closely with the Unit Manager, occasionally handling claims with additional complexities related to unique coverage and/or exposure issues. Essential Duties and Responsibilities: Investigates, evaluates, negotiates, and resolves assigned property claims of low to moderate complexity. Determines the facts of the loss, coverage compensability, and the degree of exposure by unit of coverage. Reviews, analyzes, and applies policy conditions, provisions, exclusions and endorsements pertinent to a variety of losses. Establishes timely and accurate property claim and expense reserves. Communicates clearly and professionally with the customer, or their representative, by telephone and/or written correspondence regarding all aspects of the claims process. Determines settlement amounts based on independent judgment, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits, and deductibles. Negotiates and conveys property claim settlements within authority limits to insureds. Controls damage exposures through proper usage of cost containment tools. Maintains an effective diary system to ensure timely resolution and documents property claim file activities in accordance with established procedures and state regulations. Provides excellent customer service to meet the needs of the insured, agent, and all other internal and external customers. Handles files in compliance with state regulations, where applicable. Writes denial letters, Reservation of Rights, and other complex correspondence to insureds. Identifies property claims that may have value added by an outside field inspection. Determines cases that may have fraud potential and refers claims to Special Investigations Unit. Identifies potential for subrogation and refers appropriate claims to the Subrogation Unit. Partners with counsel to develop litigation plan and adhere to applicable guidelines. Performs other duties as required. Supplementary Information: This job description has been prepared to indicate the general nature and level of the work that the employees perform within their classification. This description is not to be interpreted as an inventory of all the duties, tasks, responsibilities and qualifications required for the employees assigned to this job. Education and / or Experience: Bachelor's Degree preferred but not required. Minimum of three (3) years of progressive experience in the adjusting of residential and commercial claims or a combination of education and experience. Strong verbal and written communications skills. Must be able to work in a collaborative atmosphere. Must be proficient with Microsoft Office, including Word, Excel, PowerPoint. Customer service orientation; empathy. Demonstrates ownership attitude and customer centric response to all assigned tasks. Solid analytical and decision making skills. Spanish speaking is a plus. Licenses and / or Certifications: Adjuster's license(s) (where applicable) required or successfully acquired within 60 days of hiring. AIC a plus. Professional designation specific to claims a plus.$29k-35k yearly est. 14d agoINSIDE CLAIMS REPRESENTATIVE
Universal Insurance Managers Inc.
Miami, FL jobs
General Description: Investigates, evaluates, negotiates, and resolves assigned property claims having low to moderate complexity and value, working within delegated reserve and settlement authority. Works closely with the Unit Manager, occasionally handling claims with additional complexities related to unique coverage and/or exposure issues. Essential Duties and Responsibilities: Investigates, evaluates, negotiates, and resolves assigned property claims of low to moderate complexity. Determines the facts of the loss, coverage compensability, and the degree of exposure by unit of coverage. Reviews, analyzes, and applies policy conditions, provisions, exclusions and endorsements pertinent to a variety of losses. Establishes timely and accurate property claim and expense reserves. Communicates clearly and professionally with the customer, or their representative, by telephone and/or written correspondence regarding all aspects of the claims process. Determines settlement amounts based on independent judgment, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits, and deductibles. Negotiates and conveys property claim settlements within authority limits to insureds. Controls damage exposures through proper usage of cost containment tools. Maintains an effective diary system to ensure timely resolution and documents property claim file activities in accordance with established procedures and state regulations. Provides excellent customer service to meet the needs of the insured, agent, and all other internal and external customers. Handles files in compliance with state regulations, where applicable. Writes denial letters, Reservation of Rights, and other complex correspondence to insureds. Identifies property claims that may have value added by an outside field inspection. Determines cases that may have fraud potential and refers claims to Special Investigations Unit. Identifies potential for subrogation and refers appropriate claims to the Subrogation Unit. Partners with counsel to develop litigation plan and adhere to applicable guidelines. Performs other duties as required. Supplementary Information: This job description has been prepared to indicate the general nature and level of the work that the employees perform within their classification. This description is not to be interpreted as an inventory of all the duties, tasks, responsibilities and qualifications required for the employees assigned to this job. Education and / or Experience: Bachelor's Degree preferred but not required. Minimum of three (3) years of progressive experience in the adjusting of residential and commercial claims or a combination of education and experience. Strong verbal and written communications skills. Must be able to work in a collaborative atmosphere. Must be proficient with Microsoft Office, including Word, Excel, PowerPoint. Customer service orientation; empathy. Demonstrates ownership attitude and customer centric response to all assigned tasks. Solid analytical and decision making skills. Spanish speaking is a plus. Licenses and / or Certifications: Adjuster's license(s) (where applicable) required or successfully acquired within 60 days of hiring. AIC a plus. Professional designation specific to claims a plus.$29k-35k yearly est. 14d agoAuto Claims Representative
Auto-Owners Insurance Co
Clearwater, FL jobs
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: * Investigate, evaluate, and settle entry-level insurance claims * Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products * Learn and comply with Company claim handling procedures * Develop entry-level claim negotiation and settlement skills * Build skills to effectively serve the needs of agents, insureds, and others * Meet and communicate with claimants, legal counsel, and third-parties * Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment * Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience * Bachelor's degree or direct equivalent experience with property/casualty claims handling * Ability to organize data, multi-task and make decisions independently * Above average communication skills (written and verbal) * Ability to write reports and compose correspondence * Ability to resolve complex issues * Ability to maintain confidentially and data security * Ability to effectively deal with a diverse group individuals * Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) * Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage * Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI$27k-36k yearly est. Auto-Apply 60d+ agoAuto Claims Representative
Auto-Owners Insurance
Lakeland, FL jobs
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI$27k-36k yearly est. Auto-Apply 52d agoField Property Adjuster
Chubb
Miami, FL jobs
Field Property Adjuster, Ft. Lauderdale, FL Scope We are currently looking for a Senior Claims Specialist to handle property claims in the West Palm, Florida area. Responsibilities • Complete onsite inspection of properties to include investigating facts, evaluating damages and writing estimates • Effectively evaluate contract language and identify coverage issues • Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis • Maintain an active file diary to more file toward resolution • Recognize and pursue recovery • Adhere to all statutory and regulatory fair claims practices • Recognize and identify potential fraudulent claims • Effectively control the use, work product, and expenses of outside vendors • Effectively evaluate claim facts and negotiate claim settlements • Develop and maintain strong business relationships with internal and external customers • Successfully contribute to the development and delivery of the team's goals, objectives and results • Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs. • Establish and maintain rapport with business partners including insureds, agents, and underwriters • Provide excellent customer service skills to a diverse client base that results in more than satisfied clients. Qualifications • Full knowledge of personal and commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations a plus. Experience in commercial claims handling would be preferred • Symbility or similar estimating platform experience required • An aptitude for evaluating, analyzing, and interpreting information • Excellent verbal and written communication skills • Innovative thinker with ability to multi-task • Strong customer service skills • Working knowledge in Microsoft Office • Prior experience handling complex claims with large exposures • Ability to work in multiple systems and utilize provided technology to estimate damages in the field • Ability to work both independently and team supportive environment • Empowerment to make decisions within your authority and execute company mission • Must have the ability to secure the Property and Casualty Adjusters license within 6 months of employment$46k-61k yearly est. Auto-Apply 14d agoField Property Adjuster
Chubb
Fort Lauderdale, FL jobs
Field Property Adjuster, Ft. Lauderdale, FL Scope We are currently looking for a Senior Claims Specialist to handle property claims in the West Palm, Florida area. Responsibilities * Complete onsite inspection of properties to include investigating facts, evaluating damages and writing estimates * Effectively evaluate contract language and identify coverage issues * Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis * Maintain an active file diary to more file toward resolution * Recognize and pursue recovery * Adhere to all statutory and regulatory fair claims practices * Recognize and identify potential fraudulent claims * Effectively control the use, work product, and expenses of outside vendors * Effectively evaluate claim facts and negotiate claim settlements * Develop and maintain strong business relationships with internal and external customers * Successfully contribute to the development and delivery of the team's goals, objectives and results * Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs. * Establish and maintain rapport with business partners including insureds, agents, and underwriters * Provide excellent customer service skills to a diverse client base that results in more than satisfied clients. Qualifications * Full knowledge of personal and commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations a plus. Experience in commercial claims handling would be preferred * Symbility or similar estimating platform experience required * An aptitude for evaluating, analyzing, and interpreting information * Excellent verbal and written communication skills * Innovative thinker with ability to multi-task * Strong customer service skills * Working knowledge in Microsoft Office * Prior experience handling complex claims with large exposures * Ability to work in multiple systems and utilize provided technology to estimate damages in the field * Ability to work both independently and team supportive environment * Empowerment to make decisions within your authority and execute company mission * Must have the ability to secure the Property and Casualty Adjusters license within 6 months of employment$46k-61k yearly est. Auto-Apply 14d agoField Property Adjuster
Chubb
Fort Lauderdale, FL jobs
Field Property Adjuster, Ft. Lauderdale, FL Scope We are currently looking for a Senior Claims Specialist to handle property claims in the West Palm, Florida area. Responsibilities • Complete onsite inspection of properties to include investigating facts, evaluating damages and writing estimates • Effectively evaluate contract language and identify coverage issues • Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis • Maintain an active file diary to more file toward resolution • Recognize and pursue recovery • Adhere to all statutory and regulatory fair claims practices • Recognize and identify potential fraudulent claims • Effectively control the use, work product, and expenses of outside vendors • Effectively evaluate claim facts and negotiate claim settlements • Develop and maintain strong business relationships with internal and external customers • Successfully contribute to the development and delivery of the team's goals, objectives and results • Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs. • Establish and maintain rapport with business partners including insureds, agents, and underwriters • Provide excellent customer service skills to a diverse client base that results in more than satisfied clients. Qualifications • Full knowledge of personal and commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations a plus. Experience in commercial claims handling would be preferred • Symbility or similar estimating platform experience required • An aptitude for evaluating, analyzing, and interpreting information • Excellent verbal and written communication skills • Innovative thinker with ability to multi-task • Strong customer service skills • Working knowledge in Microsoft Office • Prior experience handling complex claims with large exposures • Ability to work in multiple systems and utilize provided technology to estimate damages in the field • Ability to work both independently and team supportive environment • Empowerment to make decisions within your authority and execute company mission • Must have the ability to secure the Property and Casualty Adjusters license within 6 months of employment$46k-61k yearly est. Auto-Apply 14d agoClaims Representative
Auto-Owners Insurance Co
Ocala, FL jobs
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: * Investigate, evaluate, and settle entry-level insurance claims * Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products * Learn and comply with Company claim handling procedures * Develop entry-level claim negotiation and settlement skills * Build skills to effectively serve the needs of agents, insureds, and others * Meet and communicate with claimants, legal counsel, and third-parties * Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment * Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience * Bachelor's degree or direct equivalent experience with property/casualty claims handling * Ability to organize data, multi-task and make decisions independently * Above average communication skills (written and verbal) * Ability to write reports and compose correspondence * Ability to resolve complex issues * Ability to maintain confidentially and data security * Ability to effectively deal with a diverse group individuals * Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) * Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage * Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-CH1 #LI-Hybrid$27k-35k yearly est. Auto-Apply 60d+ agoAuto Damage Adjuster
Geico Insurance
Ocala, FL jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Experienced Auto Damage Ocala/Gainesville, FL Salary: $29.51 -$37.65 per hour/$59,000-$75,850 Sign on bonus: $1,500 for candidates who hold an adjusters license that is active and in good standing. We are looking for talented Auto Damage Adjusters to join our team in Ocala/Gainesville, FL. As an experienced Adjuster, you should have a minimum of 12 months of Auto Damage experience and demonstrated a track record of success delivering excellent customer service while promptly and accurately settling claims. The ideal candidate will have the ability to handle complex claims using their technical and industry knowledge. Qualifications & Skills: * Motor Vehicle Damage Adjuster/Appraiser's License *required* * Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits * Willingness to be flexible with primary work location - position may require either remote/field/in-office work * Solid computer, mechanical aptitude, and multi-tasking skills * Effective attention to detail and decision-making skills * Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities * Minimum of high school diploma or equivalent At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. * Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. * Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. * Access to additional benefits like mental healthcare as well as fertility and adoption assistance. * Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.$29.5-37.7 hourly Auto-Apply 16d agoField Adjuster - Ocala/Daytona/Jacksonville, FL (Local Only)
Universal Insurance Holdings
Florida jobs
Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify): English & Spanish Right to work: English / Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. The Field Adjusters primary responsibility is to manage, investigate and resolve assigned property claims. This position is dedicated to providing customer service to policyholders by providing fair and timely resolutions of claims. The Field Adjuster understands insureds needs and provides advice in order to deliver appropriate solutions. The candidate for this position will need to live near Ocala, Daytona, and/or Lake City, Jacksonville, Florida. The following are the usual, basic and essential functions of the position. These functions are not to be construed as an exhaustive list of all responsibilities, duties and skills required. Essential Job Functions Communicate with independent adjusters and other experts to gather information on claims Negotiate and explain settlements with the insured and/or their representatives Answer incoming telephone calls from agents, public adjusters, insureds, and other vendors Review and analyze written information Knowledge of multiple policy forms Prepare reports based on the policy language Prepare detailed estimates of the damage Understanding of estimating software Rely on training and guidance from management to plan and accomplish goals Experience writing Property estimates using Xactimate or related software Ability to climb on ladders to inspect roofs Ability to carry a 40-pound ladder Supports catastrophe operations as needed to include working extended hours during designated CATs Required Knowledge, Skills & Ability High School Diploma or GED 2+ years property field adjusting experience Working knowledge of Microsoft Office including Word, Excel and Outlook Must possess Insurance License Possession of other state license as required by management Ability to work independently as well as a team player Ability to multi-task Computer savvy Basic calculator skills Working knowledge of ISO policies Valid driver's license Wrapped Company vehicle provided Bilingual preferred #ZR Benefit Highlights Industry leading medical, dental and vision insurance plan 401(k) Retirement Plan with a company match of 100% on up to 5% of compensation (match is fully-vested immediately) Generous PTO policy Eligible for performance based bonuses$42k-57k yearly est. Auto-Apply 60d+ agoAuto Damage Adjuster
Geico
Gainesville, FL jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Experienced Auto Damage Ocala/Gainesville, FL Salary: $29.51 -$37.65 per hour/$59,000-$75,850 Sign on bonus: $1,500 for candidates who hold an adjusters license that is active and in good standing. We are looking for talented Auto Damage Adjusters to join our team in Ocala/Gainesville, FL. As an experienced Adjuster, you should have a minimum of 12 months of Auto Damage experience and demonstrated a track record of success delivering excellent customer service while promptly and accurately settling claims. The ideal candidate will have the ability to handle complex claims using their technical and industry knowledge. Qualifications & Skills: Motor Vehicle Damage Adjuster/Appraiser's License *required* Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits Willingness to be flexible with primary work location - position may require either remote/field/in-office work Solid computer, mechanical aptitude, and multi-tasking skills Effective attention to detail and decision-making skills Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Minimum of high school diploma or equivalent At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.$59k-75.9k yearly Auto-Apply 17d agoESIS Claims Representative, WC
Chubb
Tampa, FL jobs
Join ESIS as a Workers' Compensation Claims Representative Are you ready to make a meaningful impact in the world of workers' compensation? At ESIS, a leader in risk management and insurance services, your skills help create safer workplaces and support employees in times of need. We are committed to exceptional service and innovative solutions-and we're looking for passionate individuals to join our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our workers' compensation opportunities and help us build a brighter future for employees everywhere. Position Overview: As a Workers' Compensation Claims Representative, you will begin under direct supervision, performing customer service and claims functions while training to become a fully independent claims representative. You'll gain hands-on and classroom experience, and will be assigned a caseload as your training progresses. Key Responsibilities: * Claims Management: Investigate, evaluate, and manage workers' compensation claims from start to finish, ensuring compliance with all laws, regulations, and company policies. * Communication: Serve as the main contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process. * Investigation: Conduct thorough investigations, gather statements, review medical records, and analyze accident reports to determine compensability and liability. * Decision-Making: Make timely, accurate decisions regarding claim acceptance, denial, or settlement based on case facts and applicable laws. * Documentation: Maintain organized claim files, documenting all activities, communications, and decisions. * Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, ensuring appropriate reserves. * Compliance: Adhere to state-specific workers' compensation laws, regulations, and reporting requirements. * Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates. * Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal outcomes. * Minimum of 2 years' experience handling workers' compensation claims in Florida preferred; experience with ESIS or similar third-party administrators is a plus. * Bachelor's degree or equivalent experience. * Familiarity with workers' compensation laws, medical terminology, and best practices in claims handling. * Proficiency in claims management systems and Microsoft Office Suite. * Excellent verbal and written communication skills. * Strong analytical, problem-solving, and organizational abilities. * Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Proven team player with a commitment to customer service and high standards of performance. * Confidence in personal judgment and decision-making. * Adaptability and a positive approach to representing Chubb and ESIS. Licensing Requirement: An applicable resident or designated home state adjuster's license is required. ESIS supports self-study and allows up to 4 months to pass the licensing exam.$32k-42k yearly est. Auto-Apply 8d agoESIS Claims Representative, DBA
Chubb
Tampa, FL jobs
Under close supervision, receive assignments and review claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured, depending on the line of business. Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc., to secure necessary claim information. Evaluate facts supplied by the investigation to determine the extent of liability of the insured, if any, and the extent of the company's obligation to the insured under the policy contract. Prepare reports on investigations, settlements, denials of claims, and individual evaluations of involved parties. Set reserves within authority limits and recommend reserve changes to the Team Leader. Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. Prepare and submit to the Team Leader any unusual or potentially undesirable exposures. Assist the Team Leader in developing methods and improvements for handling claims. Settle claims promptly and equitably. Obtain releases, proofs of loss, or compensation agreements and issue company drafts for payments on claims. Inform claimants, insureds/customers, or attorneys of claim denials when applicable. Assist the Team Leader and company attorneys in preparing cases for trial by arranging for witness attendance and taking statements. Continue efforts to settle claims before trial. Participate in claim file reviews and audits with customers/insureds and brokers. Administer benefits timely and appropriately. Maintain control of the claims resolution process to minimize current exposure and future risks. Education & Experience: 1-3 years' experience in handling workers' compensation claims in Defense Based Act/Longshore is preferred, with prior experience at ESIS or similar third-party administrators being advantageous, and/or Bachelor's degree or equivalent experience. Industry Knowledge: Strong familiarity with workers' compensation laws, medical terminology, and best practices in claims handling is preferred. Technical Skills: Demonstrated proficiency in claims management systems and the Microsoft Office Suite. Communication Skills: Excellent written and verbal communication skills, enabling effective interactions with external investigative sources and insureds over the phone. Team Collaboration: Proven ability to contribute effectively within a team environment, providing and receiving constructive feedback while identifying growth opportunities for both self and colleagues. Analytical Skills: Strong analytical and problem-solving abilities to navigate complex scenarios efficiently. Organizational Skills: Capable of managing multiple priorities and meeting deadlines in a fast-paced work environment. Customer Focus: Strong commitment to customer service, with a proactive approach to addressing and supporting customer needs. Judgment and Decision-Making: Confidence in personal judgment, with the ability to support and defend decisions made. Commitment to Excellence: Dedicated to maintaining high standards of behavior and performance. Adaptability: Flexible in adapting approaches and behaviors to fit specific situations effectively. Positive Representation: Strong focus on building and maintaining a positive image for Chubb and ESIS.$32k-42k yearly est. Auto-Apply 60d+ agoESIS Claims Representative, AGL
Chubb
Sunrise, FL jobs
ESIS - Auto, general & liability (AGL) Claims Representative ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results. Our culture and vision enables us to effectively operate as an extension of our clients' risk management program, aligning combined goals to form a collaborative partnership. We recognize our clients' desire to do things differently, and we are confident that our integrated approach will deliver better overall results. ESIS' specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to our success ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit ************* Summary: ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and as part of the ESIS team. KEY OBJECTIVE: Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. MAJOR DUTIES & RESPONSIBILITIES: Duties include but are not limited to: Under limited supervision, Receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. Informs claimants, insureds/customers or attorney of denial of claim when applicable. Technical claims knowledge and competence as evidenced by a minimum of 2 years claims handling experience in specific line of business (Auto & General Liability). Experience within a TPA environment strongly preferred. Required to obtain specific state licenses. Knowledge of coverages; along with a good understanding of applicable legal principles. Knowledge of auto liability cost containment programs and proven account management skills a must. Excellent communication, negotiation and interpersonal skills to effectively interact with all levels of an organization both internal and external. Strong analytical and problem solving ability. Demonstrated ability to provide consistent superior service to customers. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.$33k-43k yearly est. Auto-Apply 1d ago
Looking for a job?
Let Zippia find it for you.
Learn more about FCCI jobs
- Reviews
