Experienced Claims Specialist
Wesley Chapel, FL jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
What Makes This Opportunity Exciting?
Are you a seasoned professional with a track record ininsurance claims? As an Experienced Claims Specialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence.
Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures.
Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims.
Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud.
Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction.
Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility.
Professional Growth: Access GEICO's industry-leading training programs and development opportunities:
Continuing education at no cost to you.
Leadership development programs and hundreds of eLearning courses to enhance your skills.
Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career.
Incentives and Recognition:
Pay Transparency: The starting salary for an Experienced Claims Specialist is between $31.62 per hour / $63,714 annually and $33.11 per hour / $66,736 annually.
Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20).
Evening Shift Differentials: Earn a +10% pay differential for eligible shifts.
Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts.
Additional Perks:
Health & Wellness: Comprehensive healthcare and well-being support available on Day 1.
401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately.
What We're Looking For:
A passion for providing outstanding customer service.
Strong interpersonal, communication, and problem-solving skills.
Adaptability and attention to detail in a dynamic environment.
2+ years of prior claims experience in the insurance industry.
Active Florida All-Lines Adjuster License (6-20) required.
High School Diploma required, College degree (2-4 year) preferred.
Ability to prioritize and multi-task, while navigating through multiple business applications.
Computer proficiency, including familiarity with Microsoft Office Suite.
Flexibility to work evenings, weekends, and holidays as needed.
#geico600
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
Claims Specialist/Senior Claims Specialist
Tulsa, OK jobs
Mid-Continent Group - Tulsa, OK or Cincinnati, OH (Hybrid)
Empower Your Career. Make an Impact. Grow with Us.
Mid-Continent Group, a proud member of the Great American Insurance Group, specializes in commercial casualty coverages with a strong focus on general liability for construction, energy, and other complex industries. We offer a broad portfolio of General Liability, Commercial Auto, Inland Marine, and Umbrella products.
Why Join Us?
Fortune 500 Stability + Entrepreneurial Spirit: Be part of a company that combines the agility of a small business with the resources of a Fortune 500 leader.
Hybrid Work Environment: Enjoy the flexibility of working from home and collaborating in our vibrant downtown offices in Tulsa or Cincinnati.
Culture: We celebrate diverse perspectives and foster a workplace where everyone feels empowered to thrive.
Career Growth: With over 35 specialty operations within the Great American Insurance Group, your opportunities to learn, lead, and grow are limitless.
Responsibilities
Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S.
Lead investigations, evaluate coverage and liability, and drive resolution strategies.
Represent the company in mediations, depositions, and trials.
Collaborate with underwriting and marketing teams to identify trends and improve outcomes.
Serve as a technical expert and strategic advisor within your line of business.
Ensure compliance with all legal and regulatory standards.
Offer expert advice to other members of your team on complex claim file management and demonstrate leadership across the organization.
Qualifications
9+ years of experience handling general liability and/or commercial auto claims.
Strong analytical skills and deep understanding of policy coverage.
Excellent communication, negotiation, and organizational abilities.
Bachelor's degree in Business, Risk Management, Insurance, or related field (or equivalent experience).
Professional designations (e.g., CPCU) are a plus.
Benefits
Competitive compensation and performance-based incentives.
Comprehensive benefits including health, dental, vision, and retirement plans.
Generous paid time off and wellness programs.
Support for continuing education and professional development.
Ready to Make a Difference?
Join a team where your expertise is valued, your voice is heard, and your career can flourish. Apply today and be part of something great.
Experienced Claims Specialist
Saint Petersburg, FL jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
What Makes This Opportunity Exciting?
Are you a seasoned professional with a track record in insurance claims? As an Experienced Claims Specialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence.
Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures.
Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims.
Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud.
Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction.
Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility.
Professional Growth: Access GEICO's industry-leading training programs and development opportunities:
Continuing education at no cost to you.
Leadership development programs and hundreds of eLearning courses to enhance your skills.
Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career.
Incentives and Recognition:
Pay Transparency: The starting salary for an Experienced Claims Specialist is between $31.62 per hour / $63,714 annually and $33.11 per hour / $66,736 annually.
Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20).
Evening Shift Differentials: Earn a +10% pay differential for eligible shifts.
Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts.
Additional Perks:
Health & Wellness: Comprehensive healthcare and well-being support available on Day 1.
401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately.
What We're Looking For:
A passion for providing outstanding customer service.
Strong interpersonal, communication, and problem-solving skills.
Adaptability and attention to detail in a dynamic environment.
2+ years of prior claims experience in the insurance industry.
Active Florida All-Lines Adjuster License (6-20) required.
High School Diploma required, College degree (2-4 year) preferred.
Ability to prioritize and multi-task, while navigating through multiple business applications.
Computer proficiency, including familiarity with Microsoft Office Suite.
Flexibility to work evenings, weekends, and holidays as needed.
#geico600
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
Multi Line Adjuster
Providence, RI 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.
Multi-line Adjuster - Rhode Island.
*Starting pay rate varies based upon position and location. Ask your Recruiter for details!
** Position will be 50% working in the field and 50% working from home **
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, and customer's homes. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing vessels, motorcycles, RV and other specialty claims.
Qualifications & Skills:
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
Must attain and maintain the required licenses issued by state insurance departments
Willingness to be flexible with primary work location
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, college degree or currently pursuing preferred
Requirements:
Experience appraising Vessels - 2 years minimum
Preferred experience appraising motorcycles and RV's
Strong Customer Service skills - Ability to interact with customers and repair facilities
Must be able to obtain/qualify for Rhode Island all line adjusters license
Annual Salary
$32.05 - $57.49
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.
Auto-ApplyDesk Adjuster
El Paso, TX jobs
The General, a subsidiary of Sentry Insurance, is seeking a detail-oriented and proactive Claims Adjuster to investigate and manage property and casualty insurance claims. This role involves determining liability, gathering and reviewing information, assessing coverage, coordinating appraisals, and negotiation claim settlements efficiently and fairly.
This role will be filled following our hybrid work model at our Nashville, TN or El Paso, TX offices
What You'll Do
As an Auto Claims Liability Adjuster, you will:
Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc.
Identifies complex issues and seeks assistance as needed. Handles claims on a good faith basis.
Handles both 1st party and 3rd party claims under multiple policy types and numerous endorsements.
Coordinates on-site inspections when needed, evaluates damages, and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
Interprets and determines policies, declarations, articles and contract coverages and applies to all parties for assigned losses.
Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas.
Responds to customer inquiries, makes appropriate decisions and closes file as needed.
What it Takes
Ability to obtain and maintain state specific property and casualty claims licensing as required
Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge.
Solid knowledge and understanding of policies and endorsements related to casualty coverages, or other equivalent knowledge.
Demonstrated experience handling moderately complex claims, or other equivalent experience.
Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience.
Demonstrated experience providing customer-driven solutions, support, or service.
What You'll Receive
At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive.
Sentry is happy to offer flexibility through a scheduled Hybrid work model. Monday and Friday work from home if you choose to, Tuesday through Thursday you'll work in office.
As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office.
401(K) plan with a dollar-for-dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program.
Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off.
Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle.
Well-being and Employee Assistance programs.
Sentry Foundation gift matching program to encourage charitable giving.
About Sentry
We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.
Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States. We're rated A+ by A.M. Best, the industry's leading rating authority.
Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.
Get ready to own your future at Sentry. Opportunities await!
Talent Acquisition Specialist
Shea Supa
Equal Employment Opportunity
Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.
Auto-ApplyRegional Catastrophe Adjuster (Resident)
Des Moines, IA jobs
A company built to serve you. It's your career, Shelter it!
Regional Catastrophe Adjuster
$23.27-$32.59 minimum starting pay
Job Level - Individual
Shelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands. Please remember that this range is the starting base pay only and does not consider other components that make up the total rewards package for the position.
This is a position where the adjuster works from home, living in and servicing the Des Moines area. Some travel will be required to assist in our regional area as needs arise. Home office equipment and company vehicle provided.
What You Will Be Doing:
Handles insurance claims for property damage within an assigned region, traveling to other locations as needed. Investigates, analyzes, evaluates, and settles catastrophe claims, especially those involving wind or hail. Determines claim value, negotiates settlements, and ensures accurate claim handling.
Due to the duties and responsibilities of this position, a Credit Bureau Report, Motor Vehicle Report and Criminal Background Check may be ordered on final candidates.
What We're Looking For:
Investigative, analytical, organizational and decision-making skills
Ability to learn through on-the-job training/training courses
Superior skills in negotiation, customer service, written and verbal communication
Ability to travel long distances and overnight when needed and lift/move/climb ladders for inspection in all temperatures
Strong skills in technology
Efficient in time management to maintain schedules and deadlines
Valid driver's license with good driving history
Must have high-speed internet access to support system from residence
Ability to perform the essential functions of the position, with or without a reasonable accommodation.
Shelter's uncompromising commitment to excellence doesn't stop with our customers. We recognize our employees are what make us a premier organization in the insurance industry. Shelter Employees enjoy such benefits as:
Health, Dental, Voluntary Vision and Prescription Drug Insurance
Savings and Profit Sharing 401(k)
Paid Time Off for Sick and Personal Leave, Vacation and Holidays
Vitality Wellness Program
"Dress for Your Day" Dress Code
Flexible Scheduling
And much more!
#IND1#
If interested, please apply by:
12/15/2025
Auto-ApplyExperienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required)
Irvine, CA jobs
Workers' Compensation Claim Consultant
Schedule: Monday-Friday, 8:00 AM-4:30 PM PT Salary Range: $80,000-$85,000 annually
Build Your Career With Purpose at CCMSI
At CCMSI, we 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.
Job Summary
The Workers' Compensation Claim Consultant is responsible for handling California workers' compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster's License, along with the Self-Insurance Administrator Certificate (SIP). You'll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and CCMSI claim standards.
Performance is measured by accuracy, timeliness, and client satisfaction, with a focus on no penalties, current diary management, complete documentation, and timely payments.
Responsibilities
Investigate, evaluate, and adjust assigned California workers' compensation claims in compliance with jurisdictional requirements and ADR processes.
Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines.
Review medical, legal, and vendor invoices to confirm accuracy and appropriateness.
Maintain thorough documentation and diary updates in the claim system.
Communicate effectively with clients, claimants, and involved parties throughout the claim process.
Participate in claim reviews, hearings, and mediations as needed.
Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements.
Qualifications
Required
Three or more years of experience adjusting California workers' compensation claims
California Adjuster's License
Self-Insurance Administrator Certificate (SIP)
Strong written and verbal communication skills
Proficiency with Microsoft Office Suite (Word, Excel, Outlook)
Nice to Have
Experience with Alternate Dispute Resolution (ADR) claims
Strong organization, multitasking, and customer service skills
What We Offer
Employee Stock Ownership Plan (ESOP): We're employee-owned, so your success is our success.
Comprehensive Benefits Package: Includes medical, dental, vision, life insurance, disability, and 401(k).
Generous Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.
Career Growth: Structured training, career progression pathways, and opportunities to advance within CCMSI.
Supportive Environment: Manageable caseloads and a collaborative, team-focused culture.
Compensation & Compliance
The posted hourly rate reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity.
Visa Sponsorship
CCMSI does not provide visa sponsorship for this position.
ADA Accommodations
CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.
Equal Opportunity Employer
CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
Our Core Values
At CCMSI, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do.
#CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote
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Auto-ApplyExperienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)
Irvine, CA jobs
Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote
Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims)
🚨 Please Note
This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement.
Build Your Career With Purpose at CCMSI
At CCMSI, we don't just adjust claims-we support people. As one of the nation's largest employee-owned Third Party Administrators and a certified Great Place to Work , we empower our employee-owners with manageable caseloads, meaningful work, and opportunities to grow. When you join us, you join a team that values collaboration, client care, and long-term career development.
Job Summary
We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries.
This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients.
Responsibilities
Conduct timely 3-point contact per CCMSI best practices.
Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment.
Establish, maintain, and justify detailed reserve levels.
Administer indemnity and award payments in accordance with CA jurisdictional requirements.
Negotiate settlements consistent with corporate standards, client instructions, and state law.
Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met.
Pursue subrogation recovery as applicable.
Prepare claim status reports, reserve analyses, and updates for client meetings.
Conduct claim reviews with clients and participate in discussions as needed.
Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle.
Ensure all documentation meets CCMSI best practice requirements.
Qualifications Qualifications - Required
5+ years of California WC adjusting experience, including litigated files and some complex exposure.
Adjuster designation required.
Strong working knowledge of California WC laws, timelines, benefits, and litigation processes.
Proficiency with Microsoft Office (Word, Excel, Outlook).
Excellent written and verbal communication skills, critical thinking, and decision-making ability.
Nice to Have
SIP certification preferred.
Strong documentation habits per CCMSI best practices.
Experience presenting or conducting client reviews.
Work Environment & Travel
Remote role reporting to the Irvine, CA branch.
Occasional travel to the office may be required for rare mandatory in-office meetings.
Performance Metrics
Your success in this role is measured by:
Quality and accuracy of claim handling.
Meeting deadlines and maintaining current diary/workflows.
Consistent adherence to best practice standards.
Ability to collaborate and communicate effectively with clients, team members, and claim stakeholders.
What We Offer
Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a stake in our success.
Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.
Comprehensive Benefits: Medical, Dental, Vision, Life, Short- and Long-Term Disability, Critical Illness, and 401(k).
Career Growth: Robust internal training and professional development opportunities.
Supportive Culture: We believe in manageable caseloads, collaboration, and maintaining a healthy work-life balance.
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.
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.
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote
Auto-ApplyExperienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)
Irvine, CA jobs
Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote
Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims)
🚨 Please Note
This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement.
Build Your Career With Purpose at CCMSI
At CCMSI, we don't just adjust claims-we support people. As one of the nation's largest employee-owned Third Party Administrators and a certified Great Place to Work , we empower our employee-owners with manageable caseloads, meaningful work, and opportunities to grow. When you join us, you join a team that values collaboration, client care, and long-term career development.
Job Summary
We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries.
This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients.
Responsibilities
Conduct timely 3-point contact per CCMSI best practices.
Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment.
Establish, maintain, and justify detailed reserve levels.
Administer indemnity and award payments in accordance with CA jurisdictional requirements.
Negotiate settlements consistent with corporate standards, client instructions, and state law.
Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met.
Pursue subrogation recovery as applicable.
Prepare claim status reports, reserve analyses, and updates for client meetings.
Conduct claim reviews with clients and participate in discussions as needed.
Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle.
Ensure all documentation meets CCMSI best practice requirements.
Qualifications Qualifications - Required
5+ years of California WC adjusting experience, including litigated files and some complex exposure.
Adjuster designation required.
Strong working knowledge of California WC laws, timelines, benefits, and litigation processes.
Proficiency with Microsoft Office (Word, Excel, Outlook).
Excellent written and verbal communication skills, critical thinking, and decision-making ability.
Nice to Have
SIP certification preferred.
Strong documentation habits per CCMSI best practices.
Experience presenting or conducting client reviews.
Work Environment & Travel
Remote role reporting to the Irvine, CA branch.
Occasional travel to the office may be required for rare mandatory in-office meetings.
Performance Metrics
Your success in this role is measured by:
Quality and accuracy of claim handling.
Meeting deadlines and maintaining current diary/workflows.
Consistent adherence to best practice standards.
Ability to collaborate and communicate effectively with clients, team members, and claim stakeholders.
What We Offer
Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a stake in our success.
Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.
Comprehensive Benefits: Medical, Dental, Vision, Life, Short- and Long-Term Disability, Critical Illness, and 401(k).
Career Growth: Robust internal training and professional development opportunities.
Supportive Culture: We believe in manageable caseloads, collaboration, and maintaining a healthy work-life balance.
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.
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.
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote
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Auto-ApplyMulti Line Adjuster
New Bedford, MA 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.
Multi-line Adjuster - Rhode Island.
* Starting pay rate varies based upon position and location. Ask your Recruiter for details!
Position will be 50% working in the field and 50% working from home
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, and customer's homes. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing vessels, motorcycles, RV and other specialty claims.
Qualifications & Skills:
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
Must attain and maintain the required licenses issued by state insurance departments
Willingness to be flexible with primary work location
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, college degree or currently pursuing preferred
Requirements:
Experience appraising Vessels - 2 years minimum
Preferred experience appraising motorcycles and RV's
Strong Customer Service skills - Ability to interact with customers and repair facilities
Must be able to obtain/qualify for Rhode Island all line adjusters license
Annual Salary
$32.05 - $57.49
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.
Auto-ApplyRegional Catastrophe Adjuster I
Saint Louis, MO jobs
A company built to serve you. It's your career, Shelter it!
Regional Catastrophe Adjuster
$23.27-$32.59 minimum starting pay
Job Level - Individual
Shelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands. Please remember that this range is the starting base pay only and does not consider other components that make up the total rewards package for the position.
This is a position where the adjuster works from home, living in and servicing the St. Louis, Franklin and Warren Counties area. Some travel will be required to assist in our regional area as needs arise. Home office equipment and company vehicle provided.
What You Will Be Doing:
Handles insurance claims for property damage within an assigned region, traveling to other locations as needed. Investigates, analyzes, evaluates, and settles catastrophe claims, especially those involving wind or hail. Determines claim value, negotiates settlements, and ensures accurate claim handling.
Due to the duties and responsibilities of this position, a Credit Bureau Report, Motor Vehicle Report and Criminal Background Check may be ordered on final candidates.
What We're Looking For:
Investigative, analytical, organizational and decision-making skills
Ability to learn through on-the-job training/training courses
Superior skills in negotiation, customer service, written and verbal communication
Ability to travel long distances and overnight when needed and lift/move/climb ladders for inspection in all temperatures
Strong skills in technology
Efficient in time management to maintain schedules and deadlines
Valid driver's license with good driving history
Must have high-speed internet access to support system from residence
Ability to perform the essential functions of the position, with or without a reasonable accommodation.
Shelter's uncompromising commitment to excellence doesn't stop with our customers. We recognize our employees are what make us a premier organization in the insurance industry. Shelter Employees enjoy such benefits as:
Health, Dental, Voluntary Vision and Prescription Drug Insurance
Savings and Profit Sharing 401(k)
Paid Time Off for Sick and Personal Leave, Vacation and Holidays
Vitality Wellness Program
"Dress for Your Day" Dress Code
Flexible Scheduling
And much more!
#IND1#
If interested, please apply by:
12/24/2025
Auto-Apply1099 Adjuster Apply Here!
Remote
Requirements
2+ years handling property insurance claims required
Candidate must have an active Xactimate account
Can handle partial and full assignments
Commercial and personal lines experience preferred
A qualified candidate must have their own transportation, equipment and software
Good writing and technology skills
Claims Fast Track Adjuster
Remote
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-ApplyField Claims Adjuster
Columbus, OH jobs
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.
Field Claims Adjuster
Cleveland, OH jobs
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.
Field Claims Adjuster
Toledo, OH jobs
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.
Field Claims Adjuster
Cincinnati, OH jobs
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.
Healthcare Claims Adjuster- Stop Loss
Rocky River, OH jobs
Founded in 2003, Roundstone is not your typical insurance company. We're on a mission to help employers save on healthcare benefits so they can put those savings towards bettering their businesses and taking care of their employees. Role Description We are seeking a detail-oriented Medical Stop Loss Adjuster to join our team. In this role, you will be responsible for evaluating and processing stop loss claims to ensure accurate and timely payments. You will assess claim validity, verify coverage, and determine appropriate reimbursement. The ideal candidate will have a strong understanding of medical terminology, insurance policies, and claims processing, along with excellent analytical and communication skills. This role requires a commitment to maintaining high standards of accuracy and efficiency in a fast-paced environment. Key Duties & Responsibilities:
Review and audit claims submissions within authority level for accuracy and completeness and determine appropriate reimbursement.
Timely process claims in an accurate manner, communicate with third-party administrators, and ensure proper cost containment.
Manage inventory of pended claims according to department metrics.
Maintain appropriate reserve records on claims.
Actively participate in team meetings and training.
Skills and Qualifications:
Knowledge of Health Care services, policies, procedures and systems.
3+ years of experience with intake of Medical, Dental, Vision claims
Certified in Medical Terminology I, II and ICD9/10 knowledge
Precise attention to detail
Excellent verbal communication, collaboration, and written skills
Strong organizational and time management skills; handles multiple workstreams with deadlines simultaneously
Proficiency in Microsoft Office (Word, Excel);
Proficiency in claims administration systems such as Javelina, ESL or similar.
Better Benefits: We're leaders in our industry, so naturally, we look out for our employees' best interests with a robust benefits package. Roundstone employees are eligible for:
Medical, dental and vision benefits
Annual bonus
Parental Leave
Dependent care 100% match up to max allowable
PTO beginning on Day 1
Tuition reimbursement
Health work/life balance
Hybrid office schedule
401(k) plan with company match
Employee Assistance Program
On-site gym with personal trainer access
Life insurance and short term disability insurance
More About Roundstone Headquartered in Rocky River, Ohio, Roundstone is proud to be a Northeast Ohio Top Workplace as recognized by
The Plain Dealer
and
cleveland.com
, based on anonymous employee feedback. We foster a supportive, values-driven culture where employees feel engaged, valued, and celebrated. Roundstone has also been named an Inc. 5000 award recipient for eight consecutive years, reflecting our continued growth and success.
Our Core Values
Live well: Be healthier and bring positive energy to all you do.
Work smarter: Get things done, better.
Own it: Accountability is your middle name. Be on time, do what you say, and finish what you start.
Be intellectually curious: Always be learning. See opportunity everywhere and have a drive to know.
Culture and fit are integral to success and in an effort to achieve a better match both from a candidate's perspective and our organization, please take a minute, click on the link and take the really brief survey: ***************************************** Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Roundstone Insurance 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 anyways. You may be just the right candidate for this or other roles.
Field Claims Adjuster
Canton, OH jobs
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.
Field Claims Adjuster
Youngstown, OH jobs
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.