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Sr DI Claims Examiner - Remote USA Position-Ameritas HQ is Lincoln, NE
Ameritas 4.7
Remote liability claims examiner job
Back Sr DI ClaimsExaminer #5667 Remote USA Position-Ameritas HQ is Lincoln, Nebraska, United States Apply X Facebook LinkedIn Email Copy Position Locations Remote USA Position-Ameritas HQ is Lincoln, Nebraska, United States Area of Interests Insurance Full-Time/Part Time Full-time Job Description
This position is remote (within the U.S.A.) and does not require regular in-office presence.
What you do:
Evaluates and authorizes disposition of complex claims.
Obtains and analyzes medical records and financial documents.
Initiates and monitors medical reviews, independent medical examinations, surveillance, and financial reviews.
Corresponds with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured's employer.
Interacts with and requests formal written opinions from Legal and Medical/Underwriting departments.
Makes decisions on evaluation of claims using judgment, experience, and collaboration with senior associates.
Assists with recoveries from reinsurance carriers.
Performs all claims processing support functions.
What you bring:
Bachelor's degree or equivalent experience is required.
1-3 years of related experience is required.
What we offer:
A meaningful mission. Great benefits. A vibrant culture
Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.
At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't:
Ameritas Benefits
For your money:
* 401(k) Retirement Plan with company match and quarterly contribution.
* Tuition Reimbursement and Assistance.
* Incentive Program Bonuses.
* Competitive Pay.
For your time:
* Flexible Hybrid work.
* Thrive Days - Personal time off.
* Paid time off (PTO).
For your health and well-being:
* Health Benefits: Medical, Dental, Vision.
* Health Savings Account (HSA) with employer contribution.
* Well-being programs with financial rewards.
* Employee assistance program (EAP).
For your professional growth:
* Professional development programs.
* Leadership development programs.
* Employee resource groups.
* StrengthsFinder Program.
For your community:
* Matching donations program.
* Paid volunteer time- 8 hours per month.
For your family:
* Generous paid maternity leave and paternity leave.
* Fertility, surrogacy, and adoption assistance.
* Backup child, elder and pet care support.
An Equal Opportunity Employer
Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.
Application Deadline
This position will be open for a minimum of 3 business days or until filled.
This position is not open to individuals who are temporarily authorized to work in the U.S.
About this Position's Pay The pay range posted reflects a nationwide minimum to maximum covering all potential locations where the position may be filled. The final determination on pay for any position will be based on multiple factors including role, career level, work location, skill set, and candidate level of experience to ensure pay equity within the organization. This position will be eligible to participate in our comprehensive benefits package (see above for details). This position will be eligible to participate in our Short-Term Incentive Plan with the annual target defined by the plan. Job Details Pay Range Pay RangeThe estimated pay range for this job. Disclosing pay information promotes competitive and equitable pay.
The actual pay rate will depend on the person's qualifications and experience. $24.23 - $38.76 / hour Pay Transparency Pay transparency is rooted in principles of fairness, equity, and accountability within the workplace. Sharing pay ranges for job postings is one way Ameritas shows our commitment to equitable compensation practices.
$24.2-38.8 hourly 1d ago
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Sr Field Claims Specialist
Argonaut Management Services, Inc.
Remote liability claims examiner job
Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
PURPOSE OF THE JOB:
The position assumes responsibility for handling property claims including high severity and complex losses within a specified territory.
ESSENTIAL FUNCTIONS:
Inspects the damage of the loss.
Determines the investigative needs to assess damages, the cause of the loss, and the coverage.
Interviews the claimants and witnesses.
Conducts additional research or identifies additional investigation needs and resources, as needed.
Identifies potential fraud indicators.
Assesses the salvage/subrogation potential and monitors to them to the conclusion.
Completes the risk evaluation for underwriting and claims purposes.
Verifies and interprets the policy coverage, deductibles, and liability; and analyzes what may be covered.
Reviews and documents the facts of the loss and estimates the cost of the repairs and/or replacements including detailed diagrams, reports and estimates.
Communicates and explains the process, estimates, etc., to the policyholder.
Negotiates with the insured, contractors, and vendors, as needed.
Maintains contact with claimants, agents, and attorneys, regarding the ongoing status of claims files.
QUALIFICATIONS:
High school diploma.
Five or more years of experience in insurance, construction or related field
State license and/or ability to obtain one.
SPECIAL POSITION REQUIREMENTS:
The position involves considerable physical exertion, such as regular climbing of ladders, lifting of heavy objects (up to 80 pounds) on a highly frequent basis and/or assuming awkward positions for long periods of time.
A person in this position is expected to make independent decisions in accordance with the company's policies and procedures.
Full time remote position
Travel required.
PREFERENCES:
Bachelor's Degree
Property Claims Handling Experience ideally including Commercial, Farm and Ranch experience
Field adjusting and estimating knowledge.
Insurance designations such as Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC) or Senior Claim Law Associate (SCLA).
Salary range is $68100 - $125000
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to our HR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
$68.1k-125k yearly 2d ago
Liability Claims Specialist-E&S (Remote)
Selective Insurance 4.9
Remote liability claims examiner job
About Us
At Selective, we don't just insure uniquely, we employ uniqueness.
Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year.
Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.
Overview
The purpose of this position is to provide direct handling of the company's Garage auto property damage claims with a focus on First and Third party claims including Garagekeeper coverage. The position will involve both attorney represented and non-represented claimants. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. This position may also entail handling of bodily injury and general liabilityclaims and/or willingness to learn same. The individual in this position will also ensure claims are processed within company policies, procedures, and within the individual's prescribed authority with exceptional standards of performance.
Responsibilities
Receives assigned auto claims and independently reviews/analyzes the policy forms and endorsements to determine applicable coverages, limits, deductibles and settlement calculations, as well as subrogation recovery opportunity.
Investigate coverage and issue applicable coverage letters.
Gathers appropriate documentation to support the claimed damages through phone/email contact with customers, vendors, and police departments (includes estimates, proof of ownership/value, required company forms, reports, invoices, etc.)
Reviews damage documentation to determine loss amount. Negotiates settlements based on documentation presented, vendor contact/discussions, personal knowledge and experience, customer discussions and policy language.
Documents claim files, establishes and updates reserves throughout the life of the claim, maintains suspense system, processes expenses, prepares checks, updates MCS, and sends appropriate letters based on state regulations and company directives.
Explores salvage and subrogation potential, as well as arbitration opportunity.
Continuously reviews and analyzes investigative information to determine if file is eligible for fraud/SIU handling.
Enlists the assistance of vendors and/or other resources to help with remediation services or future analysis of auto damage or settlement values.
Ensures compliance with company, state and federal regulations.
Qualifications
Knowledge and Requirements
Adjuster licenses in states requiring same
Effective verbal and written communication skills
Strong time management and organizational skills
Negotiation and claim disposition skills with proven problem-solving ability
Strong judgment and decision making skills
Self-starter with ability to work independently
Moderate proficiency with standard business-related software
Education and Experience
College degree preferred
1-5 years of Commercial and or Personal Lines Auto experience preferred
Industry training/designations preferred
Understanding of Garage Auto/Auto Dealer policy language and endorsements preferred
Total Rewards
Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay Range
USD $72,000.00 - USD $109,000.00 /Yr.
Additional Information
Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.
For Massachusetts Applicants
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
$72k-109k yearly 1d ago
Commercial Property Claims Examiner
CWA Recruiting
Remote liability claims examiner job
Commercial Property ClaimsExaminer - Property & Casualty Insurance
Remote but must be in NYC
About the Role
Handle commercial property claims by investigating losses; managing and controlling independent adjusters and experts; interpreting the policy to make proper coverage determinations; addressing reserves; writing coverage letter and reports; and providing good customer service. Assure timely reserving and handling of a claim from assignment to completion by investigating that claim and interpreting coverage. Manage independent adjusters and experts. Inside desk adjusting role - 100% Remote for now - NYC based.
Responsibilities
Investigate losses
Manage and control independent adjusters and experts
Interpret the policy to make proper coverage determinations
Address reserves
Write coverage letters and reports
Provide good customer service
Assure timely reserving and handling of a claim from assignment to completion
Manage independent adjusters and experts
Qualifications
Bachelor's degree is required
Required Skills
3-5 years of first party property claims handling is required
Experience with Microsoft Office 365 is required
Preferred Skills
Experience with ImageRight is a plus
Availability to work extended hours in a CAT situation
$35k-65k yearly est. 1d ago
Claims Examiner
Firstsource 4.0
Remote liability claims examiner job
Job Title:Medical ClaimsExaminer-Work From Home
Job Type:Full Time
FLSA Status:Non-Exempt/Hourly
Grade:H
Function/Department:Health Plan and Healthcare Services
Reporting to:Team Lead/Supervisor - Operations
Role Description:The ClaimsExaminer evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The ClaimsExaminer is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder.
Roles & Responsibilities
* Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions.
* Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information.
* Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements.
* Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts.
* Analyze policy coverage to determine the extent of liability and benefits payable to claimants.
* Evaluate the extent of loss or damage and determine the appropriate settlement amount.
* Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates.
* Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing.
* Maintain accurate and organized claim files and records.
* Stay updated on industry regulations and maintain compliance with legal requirements.
* Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders.
* Strive for high efficiency and accuracy in claims processing, minimizing errors and delays.
* Stay informed about industry trends, insurance products, and evolving claims management best practices.
* Generate and submit regular reports on claims processing status and trends.
* Perform other duties as assigned.
Top of Form
Qualifications
The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Top of Form
Top of FormEducation
* High School diploma or equivalent required
Work Experience
* Medical claims processing experience required, including use of claims processing software and related tools
Competencies & Skills
* Highly-motivated and success-driven
* Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills
* Exceptional analytical and problem-solving skills
* Strong attention to detail with a commitment to accuracy
* Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads
* Basic mathematical skills
* Intermediate typing skills
* Basic computer skills
* Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred
* Knowledge of insurance policies, regulations, and best practices preferred
Additional Qualifications
* Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements
* Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position may work onsite or remotely from home.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds.
Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.
Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities.
About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.
Our clientele includes Fortune 500 and FTSE 100 companies.
Job Type: Full-time
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance
Work Location: Remote
$27k-37k yearly est. 2d ago
Claims Examiner, Liability - MSI
The Baldwin Group 3.9
Remote liability claims examiner job
Why MSI? We thrive on solving challenges.
As a leading MGA, MSI combines deep underwriting expertise with insurer and reinsurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers' unique needs.
We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products - from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property - delivered through agents, brokers, wholesalers and other brand partners.
Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle.
Bring on your challenges and let us show you how we build insurance better.
MSI handles third-party claims involving bodily injury and property damage under various homeowner's insurance policies and renter's insurance policies nationwide. We are looking for an experienced individual to join our LiabilityClaims Team as a ClaimsExaminer. The ClaimsExaminer will be managing insurance claims for our policyholders with low to moderate severity and complexity. The ClaimsExaminer must have the experience and technical knowledge needed to manage a case load from inception to resolution while providing our customers and business partners superior service at all times. The ability to develop relationships and effectively communicate with others is a key factor to succeeding in this role. Having a strategic vision coupled with tactical execution to achieve results, in accordance with goals and objectives, is also critical to the overall success of this position. The ClaimsExaminer must be able to work with little to minimal supervision in a fast-paced environment.
PRIMARY RESPONSIBILITIES:
Directly handles third-party bodily injury and property damage claims involving low to moderate complexity from initial assignment through to resolution of claim, including negotiating settlements.
Evaluates and analyzes insurance policies in order to make coverage determinations.
Drafts Reservation of Rights letters and coverage disclaimers as warranted.
Makes prompt contact with policy holders, claimants and other appropriate parties to gather information, take recorded statements, and conduct thorough investigations.
Investigates claims to determine validity and the potential for liability against insureds.
Evaluates damages (both bodily injuries and property damages) to determine potential exposures and sets appropriate reserves.
Works a claim load efficiently and independently with little to no supervision.
Sets timely file reserves in compliance with company's reserving philosophy and continues to evaluate pending reserves throughout the life of the claim.
Manage defense counsel which includes assisting in claim strategy, evaluating potential exposure, reviewing invoices, and attending mediations and settlement conferences as necessary.
Engages experts, as needed, to assist in the evaluation of the claim and monitors experts and vendors' performance while controlling expense costs.
Drafts reports for large losses and reports to Leadership as required.
Evaluates, negotiates and determines settlement values in settlement of claims.
Communicates with all interested parties throughout the life of the claim including proactively discussing coverage decisions, the need for additional information, and settlement amounts with interested parties.
Establishes and maintains an organized diary system to ensure all claims are appropriately handled in a timely manner.
Adheres to all state/local regulations including the NJ/PA Unfair Claims Practices and Guidelines.
Handles all claims in accordance with Best Practices and provides Best-In-Class customer service to insureds, agents, claimants, and business partners.
Responsible for monitoring and completing assigned claims inventory.
Acquires and maintains multiple state adjuster's licenses and maintains continuing education requirements.
Develops and maintains relationships with external and internal stakeholders.
Identifies questionable risks, red flags and fraud indicators and alerts the Special Investigation Unit when applicable.
Identifies opportunities for subrogation and ensures recovery interests are protected.
Acts as a mentor for less experienced ClaimsExaminers.
Updates and maintains well drafted claim file notes with proper documentation throughout the life of the file.
Assists with special projects when required.
KNOWLEDGE, SKILLS & ABILITIES:
Ability to communicate clearly, professionally, and provide superior customer service over the phone and through written correspondence.
Strong organizational and time management skills.
Strong writing skills.
Excellent analytical, investigative, and negotiation skills.
Proficient with Microsoft Office, Teams, Word, Excel and various other computer skills with the ability to learn and utilize new computer systems and other technologies.
EDUCATION & EXPERIENCE:
Bachelor's degree or equivalent work experience
5+ years of casualty claims adjusting experience
First-Party Property experience is a plus
Insurance designations preferred
Must have a State Adjuster License(s) (California, Florida licenses are desirable) with willingness to expand licenses as needed.
#LI-BM
#LI-REMOTE
Click here for some insight into our culture!
The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.
$42k-67k yearly est. Auto-Apply 7d ago
(Remote) Senior Claims Examiner
Your Journey Starts Here
Remote liability claims examiner job
Who We Are
Fidelity Life has been protecting middle-market families since 1896 and continues to lead the industry through innovation, patented products, and data-driven underwriting. We were among the first life insurers to use predictive analytics to dramatically speed policy issuance while maintaining strong risk management and compliance standards.
In partnership with eFinancial, a digital and call-center-based insurance agency, we serve thousands of consumers daily through proprietary technology and licensed agents. Together, as part of iA Financial Group, we are making life insurance more accessible, affordable, and customer-focused.
About Fidelity Life & eFinancial
Fidelity Life is a leading provider of financial security for middle-market consumers. With a history of innovation dating back to 1896, the company continues to redefine the life insurance industry through patented products and processes. Fidelity Life pioneered the use of predictive analytics to streamline the new business process, significantly accelerating the speed at which policies are issued.
In partnership with Fidelity Life, eFinancial is a digital and call-center-based insurance agency with a proven direct-to-consumer life insurance model. Using a proprietary, patented sales technology platform, eFinancial's licensed agents help thousands of consumers each day with their unique life insurance needs, often in a single phone call. The company has also expanded to offer a fully digital purchase experience to meet evolving customer preferences.
Together, Fidelity Life and eFinancial are part of iA Financial Group and are transforming the life insurance industry to make protection more accessible and affordable for everyday Americans. With integrated marketing, product development, and controlled distribution, we are uniquely positioned for continued growth.
Job Summary
The Senior ClaimsExaminer works in conjunction with Fidelity Life's third-party administrator and the Claims Manager to analyze, evaluate, and settle incontestable life, contestable life and accidental death benefit (ADB) claims. The Senior ClaimsExaminer is expected to review and adjudicate claims in accordance with established departmental and statutory guidelines.
Key Responsibilities:
Communicate effectively and respectfully with customers, attorneys, and co-workers via phone, e-mail, online chat, and in person.
Review newly reported claims and log them on the pending claims log.
Document each claim file thoroughly in accordance with departmental procedures, including notes on claim review, information obtained, and final decisions.
Review and interpret insurance policy provisions to ensure accurate and timely claim decisions.
Review any adverse decisions, and decisions outside authority limit, with the Claims Manager. Consult with the Legal Department as needed.
On claims within the Senior ClaimsExaminer's authority limit (500,000), confirm benefits and statutory interest are calculated correctly.
Respond to inquiries from customers and attorneys regarding claim matters, consulting with the Claim Director and/or Legal Department as needed.
Work with Fidelity Life's Underwriting Department on contestable claim referrals and other complex claims as needed.
Handle and log specific State and NAIC policy locator searches.
Mentor and support third-party claims administration staff.
Monitor trends in claims experience, escalate issues to management, and recommend or implement corrective actions. Keep management abreast of any trends in claims experience, unfavorable or otherwise.
Work on special projects and other duties as assigned by the Claims Manager.
Perform quarterly claim audits focusing on third-party claim handling.
Assist FLA Sarbanes-Oxley audit team, internal audit team, external reinsurance representatives and external state regulators with claim audits or market conduct exams.
Handle Department of Insurance claim complaints or requests in a timely and professional manner.
Stay current on all laws, regulations, and industry updates that impact claim handling and compliance
Support FLA actuarial or Finance teams in reserve setting, claims trend analyses or other requests.
Participate in continuous improvement initiatives and suggest proactive changes to operations based on data-driven insights
Help track and analyze claim durations, denial rates, appeal outcomes, and financial impact
Support M&A activity, if applicable
Qualifications:
5+ years of life claims experience, with proven proficiency in adjudicating contestable and/or accidental death benefit claims (preferred).
Skills:
Demonstrate knowledge of medical terminology, regulatory compliance including but not limited to unfair claims practices, and privacy requirements.
Ability to meet deadlines while performing multiple functions.
Proficient in MS Office applications and the Internet.
Ability to proactively analyze and resolve problems.
Attention to detail.
Flexibility and willingness to adapt to changing responsibilities.
Excellent written communication, interpersonal and verbal skills.
Ability to perform basic mathematical calculations including addition, subtraction, multiplication, division and percentages.
Proactive and outside-the-box thinker.
Independent and organized work style.
Ability to maintain strong performance while working remotely and independently, if applicable.
Strong judgment and discretion when handling highly confidential business, employee, and customer information.
Team player and creative, critical thinker highly desired.
Licenses + Certifications:
Completion of LOMA courses and/or courses offered by the ICA Claims Education program is preferred but not required.
Legal or Paralegal Certifications optional but useful
Essential Functions:
This position primarily involves remote desk work, requiring the ability to remain in a stationary position (e.g., sitting at a computer) for extended periods of time.
Regular use of standard office equipment such as a computer, keyboard, mouse, and video conferencing tools is essential.
Must be able to communicate effectively in both virtual and in-person settings, including the ability to participate in video calls, phone calls, and written correspondence.
Occasional travel (estimated at 1-3 times per year) is required for in-person meetings, conferences, or vendor visits. Travel may involve transportation by air, train, or car, and may require overnight stays.
When traveling or attending events, the employee may need to navigate various environments, including office buildings, hotels, or convention centers.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.
Our Culture
We combine the stability of a long-standing insurer with the mindset of a modern, technology-driven organization. Our teams value integrity, thoughtful decision-making, collaboration, and continuous improvement. Employees are trusted to work independently while staying connected through strong cross-functional partnerships.
Compensation & Benefits:
We believe in taking care of our employees and their families. We offer a comprehensive benefits package designed to support your health, well-being, and financial future. Here's a look at what we provide:
Salary Range: $70,720 - $91,520
Medical Insurance: Choose from a variety of plans to fit your healthcare needs.
Dental Insurance: Coverage for preventive, basic, and major dental services.
Employer-Paid Vision: Comprehensive eye care coverage at no cost to you.
Employer-Paid Basic Life and AD&D Insurance: Peace of mind and additional protection.
Employer-Paid Short-Term and Long-Term Disability Insurance: Financial support in case of illness or injury.
401(k) Plan: Save for your future with a company match to help you grow your retirement savings.
PTO and Sick Time accrue each pay period: Take time off when you need it
Annual Bonus Program: Performance-based bonus to reward your hard work.
EEOC/Other: eFinancial/Fidelity Life Association is an equal opportunity employer and supports a diverse workplace. As an eFinancial/Fidelity Life employee, you will be eligible for Medical and Dental Insurance, Health Savings Accounts, Flexible Spending Accounts (Health, Dependent Care & Transit), Vision Care, 401(K), Short-term and Long-term Disability, Life and AD&D coverages.
Remote work is not available in the following States:
California, Colorado, Connecticut, and New York.
#FidelityLifeAssociation #hiring #LI-Remote #IND-Corporate
$70.7k-91.5k yearly 42d ago
(Remote) Senior Claims Examiner
Efinancial 4.7
Remote liability claims examiner job
Who We Are Fidelity Life has been protecting middle-market families since 1896 and continues to lead the industry through innovation, patented products, and data-driven underwriting. We were among the first life insurers to use predictive analytics to dramatically speed policy issuance while maintaining strong risk management and compliance standards.
In partnership with eFinancial, a digital and call-center-based insurance agency, we serve thousands of consumers daily through proprietary technology and licensed agents. Together, as part of iA Financial Group, we are making life insurance more accessible, affordable, and customer-focused.
About Fidelity Life & eFinancial
Fidelity Life is a leading provider of financial security for middle-market consumers. With a history of innovation dating back to 1896, the company continues to redefine the life insurance industry through patented products and processes. Fidelity Life pioneered the use of predictive analytics to streamline the new business process, significantly accelerating the speed at which policies are issued.
In partnership with Fidelity Life, eFinancial is a digital and call-center-based insurance agency with a proven direct-to-consumer life insurance model. Using a proprietary, patented sales technology platform, eFinancial's licensed agents help thousands of consumers each day with their unique life insurance needs, often in a single phone call. The company has also expanded to offer a fully digital purchase experience to meet evolving customer preferences.
Together, Fidelity Life and eFinancial are part of iA Financial Group and are transforming the life insurance industry to make protection more accessible and affordable for everyday Americans. With integrated marketing, product development, and controlled distribution, we are uniquely positioned for continued growth.
Job Summary
The Senior ClaimsExaminer works in conjunction with Fidelity Life's third-party administrator and the Claims Manager to analyze, evaluate, and settle incontestable life, contestable life and accidental death benefit (ADB) claims. The Senior ClaimsExaminer is expected to review and adjudicate claims in accordance with established departmental and statutory guidelines.
Key Responsibilities:
* Communicate effectively and respectfully with customers, attorneys, and co-workers via phone, e-mail, online chat, and in person.
* Review newly reported claims and log them on the pending claims log.
* Document each claim file thoroughly in accordance with departmental procedures, including notes on claim review, information obtained, and final decisions.
* Review and interpret insurance policy provisions to ensure accurate and timely claim decisions.
* Review any adverse decisions, and decisions outside authority limit, with the Claims Manager. Consult with the Legal Department as needed.
* On claims within the Senior ClaimsExaminer's authority limit (500,000), confirm benefits and statutory interest are calculated correctly.
* Respond to inquiries from customers and attorneys regarding claim matters, consulting with the Claim Director and/or Legal Department as needed.
* Work with Fidelity Life's Underwriting Department on contestable claim referrals and other complex claims as needed.
* Handle and log specific State and NAIC policy locator searches.
* Mentor and support third-party claims administration staff.
* Monitor trends in claims experience, escalate issues to management, and recommend or implement corrective actions. Keep management abreast of any trends in claims experience, unfavorable or otherwise.
* Work on special projects and other duties as assigned by the Claims Manager.
* Perform quarterly claim audits focusing on third-party claim handling.
* Assist FLA Sarbanes-Oxley audit team, internal audit team, external reinsurance representatives and external state regulators with claim audits or market conduct exams.
* Handle Department of Insurance claim complaints or requests in a timely and professional manner.
* Stay current on all laws, regulations, and industry updates that impact claim handling and compliance
* Support FLA actuarial or Finance teams in reserve setting, claims trend analyses or other requests.
* Participate in continuous improvement initiatives and suggest proactive changes to operations based on data-driven insights
* Help track and analyze claim durations, denial rates, appeal outcomes, and financial impact
* Support M&A activity, if applicable
Qualifications:
* 5+ years of life claims experience, with proven proficiency in adjudicating contestable and/or accidental death benefit claims (preferred).
Skills:
* Demonstrate knowledge of medical terminology, regulatory compliance including but not limited to unfair claims practices, and privacy requirements.
* Ability to meet deadlines while performing multiple functions.
* Proficient in MS Office applications and the Internet.
* Ability to proactively analyze and resolve problems.
* Attention to detail.
* Flexibility and willingness to adapt to changing responsibilities.
* Excellent written communication, interpersonal and verbal skills.
* Ability to perform basic mathematical calculations including addition, subtraction, multiplication, division and percentages.
* Proactive and outside-the-box thinker.
* Independent and organized work style.
* Ability to maintain strong performance while working remotely and independently, if applicable.
* Strong judgment and discretion when handling highly confidential business, employee, and customer information.
* Team player and creative, critical thinker highly desired.
Licenses + Certifications:
* Completion of LOMA courses and/or courses offered by the ICA Claims Education program is preferred but not required.
* Legal or Paralegal Certifications optional but useful
Essential Functions:
* This position primarily involves remote desk work, requiring the ability to remain in a stationary position (e.g., sitting at a computer) for extended periods of time.
* Regular use of standard office equipment such as a computer, keyboard, mouse, and video conferencing tools is essential.
* Must be able to communicate effectively in both virtual and in-person settings, including the ability to participate in video calls, phone calls, and written correspondence.
* Occasional travel (estimated at 1-3 times per year) is required for in-person meetings, conferences, or vendor visits. Travel may involve transportation by air, train, or car, and may require overnight stays.
* When traveling or attending events, the employee may need to navigate various environments, including office buildings, hotels, or convention centers.
* Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.
Our Culture
We combine the stability of a long-standing insurer with the mindset of a modern, technology-driven organization. Our teams value integrity, thoughtful decision-making, collaboration, and continuous improvement. Employees are trusted to work independently while staying connected through strong cross-functional partnerships.
Compensation & Benefits:
We believe in taking care of our employees and their families. We offer a comprehensive benefits package designed to support your health, well-being, and financial future. Here's a look at what we provide:
* Salary Range: $70,720 - $91,520
* Medical Insurance: Choose from a variety of plans to fit your healthcare needs.
* Dental Insurance: Coverage for preventive, basic, and major dental services.
* Employer-Paid Vision: Comprehensive eye care coverage at no cost to you.
* Employer-Paid Basic Life and AD&D Insurance: Peace of mind and additional protection.
* Employer-Paid Short-Term and Long-Term Disability Insurance: Financial support in case of illness or injury.
* 401(k) Plan: Save for your future with a company match to help you grow your retirement savings.
* PTO and Sick Time accrue each pay period: Take time off when you need it
* Annual Bonus Program: Performance-based bonus to reward your hard work.
EEOC/Other: eFinancial/Fidelity Life Association is an equal opportunity employer and supports a diverse workplace. As an eFinancial/Fidelity Life employee, you will be eligible for Medical and Dental Insurance, Health Savings Accounts, Flexible Spending Accounts (Health, Dependent Care & Transit), Vision Care, 401(K), Short-term and Long-term Disability, Life and AD&D coverages.
Remote work is not available in the following States:
California, Colorado, Connecticut, and New York.
#FidelityLifeAssociation #hiring #LI-Remote #IND-Corporate
$70.7k-91.5k yearly 44d ago
Senior Claims Examiner (remote)
Switch'd
Remote liability claims examiner job
*5 years WC experience combined in WC *Remote (Must live in CA) *California License SIP not needed but is a plus *4850 (if not can train) *Bilingual (Not necessarty but a plus) $80-$94k
$80k-94k yearly 60d+ ago
Claims Manager - Professional Liability
Counterpart International 4.3
Remote liability claims examiner job
Claims Manager (Professional Liability)
Counterpart is an insurtech platform reimagining management and professional liability for the modern workplace. We believe that when businesses lead with clarity and confidence, they become more resilient, more innovative, and better prepared for what's ahead. That's why we built the first Agentic Insurance™ system - where advanced AI and deep insurance expertise come together to proactively assess, mitigate, and manage risk. Backed by A-rated carriers and trusted by brokers nationwide, our platform helps small businesses grow with confidence. Join us in shaping a smarter future, helping businesses Do More With Less Risk .
As a Claims Manager (Professional Liability), you will be responsible for managing a large and diverse caseload of professional liabilityclaims. In this role, you will apply and further develop your expertise by investigating, evaluating, and resolving claims in a way that reinforces our brand and values. You will also play a vital part in supporting the advancement of our systems and processes through ongoing feedback and collaboration with internal partners. In addition, you will be a key feedback provider for our active claims management processes and systems. Your input will help to shape and improve how we fulfill our mission of providing world-class service through tightly managing legal costs, making data-driven decisions when analyzing a claim's value, and ensuring that other potentially responsible parties pay their fair share.
YOU WILL
Achieve or exceed claims management case load and goals, applying sound judgment and legal knowledge to produce efficient and fair outcomes.
Complete accurate and timely investigations into the coverage, liability, and damages for each claim assigned to you.
Actively manage each claim assigned to you in a way that produces the most timely and cost-effective resolution.
Build and maintain positive and productive working relationships with internal and external customers, including policyholders, brokers, carrier partners, and Risk Engineers (underwriters).
Direct and monitor assignments to experts and outside counsel, and hold those vendors accountable for meeting or exceeding our service standards.
Support our data collection efforts and models by effectively using our Agentic Claim Experience (ACE) system to fully and accurately capture critical details about each claim assigned to you.
Identify and escalate insights into emerging claims trends across industries, geographies, and key business segments.
Offer user-level feedback and insights to support the continuous improvement of our claim handling processes, guidelines, and systems.
Ensure that every touchpoint with our insureds and brokers is representative of our brand, mission, and vision.
YOU HAVE
At least 10 years of professional experience, with at least 5 years of experience litigating or managing professional liabilityclaims. Previous carrier experience is a plus.
Bachelor's degree required; law degree (J.D.) and professional designations (RPLU, AIC, etc.) highly preferred.
Must possess all required state claim adjuster licenses, or be able to obtain them within 90 days of hire.
Proven ability to work both independently on complex matters and collaboratively as a team player to assist others as needed.
High level of personal initiative and leadership skills.
Exceptional time management, problem solving and organizational skills.
Comfort and skill operating in a paperless claims environment. Familiarity with Google Workplace is preferred, but not required.
Willingness to quickly adapt to change and use creative thinking and data-driven insights to overcome obstacles to resolution.
Strong communication skills, both verbal and written.
Ability to succeed in a full remote workplace environment, and travel as necessary (approximately 10-15%).
WHO YOU WILL WORK WITH
Eric Marler, Head of Claims: An industry veteran, Eric has more than 20 years of experience working with or for insurers offering management liability solutions. He is a licensed attorney who began his career in private practice before transitioning in-house. Prior to joining Counterpart, Eric held leadership roles at Great American Insurance Group and The Hanover Insurance Group.
Jaclyn Vogt, Senior Claims Manager: Jaclyn is a licensed adjuster with over 15 years of experience handling Employment Practices Liability, Management Liability and Workers Compensation claims. Jaclyn received her bachelor's degree from Centre College.
Katherine Dowling, Claims Manager: Katherine is a licensed attorney, mediator and adjuster with over a decade of experience handling professional liability and management liability litigation and claims. Katherine practiced law for several years with two of Atlanta's largest insurance defense firms prior to joining a wholesale specialty insurance carrier where she managed complex Professional Liability and Commercial General Liabilityclaims.
WHAT WE OFFER
Stock Options: Every employee is able to participate in the value that they create at Counterpart through our employee stock option plan.
Health, Dental, and Vision Coverage: We care about your health and that of your loved ones. We cover up to 100% of your monthly contributions for health, dental, and vision insurance and up to 80% coverage for family members.
401(k) Retirement Plan: We value your financial health and offer a 401(k) option to help you save for retirement.
Parental Leave: Birthing parents may take up to 12 weeks of parental leave at 100% of their regular pay following the birth of the employee's child, and can choose to take an additional 4 unpaid weeks. Non-birthing parents will receive 8 weeks of parental leave at 100% of their regular pay.
Unlimited Vacation: We offer flexible time off, allowing you to take time when you need it.
Work from Anywhere: Counterpart is a fully distributed company, meaning there is no office. We allow employees to work from wherever they do their best work, and invite the team to meet in person a couple times per year.
Home Office Allowance: As a new employee, you will receive a $300 allowance to set up your home office with the necessary equipment and accessories.
Wellness stipend: $100 per month to spend toward an item or service that supports your wellness (i.e. massage or gym membership, meditation app subscription, etc.)
Book stipend: To support your intellectual development, we offer a book stipend that allows you to purchase books, e-books, or educational materials relevant to your role or professional interests.
Professional Development Reimbursement: We provide up to $500 annually for you to invest in relevant courses, workshops, conferences, or certifications that will enhance your skills and expertise.
No working birthdays: Take your birthday off, giving you the opportunity to relax, enjoy your special day, and spend time with loved ones.
Charitable Contribution Matching: For every charitable donation you make, we will match it dollar for dollar, up to a maximum of $150 per year. This allows you to amplify your charitable efforts and support causes close to your heart.
COUNTERPART'S VALUES
Conjoin Expectations - it is the cornerstone of autonomy. Ensure you are aware of what is expected of you and clearly articulate what you expect of others.
Speak Boldly & Honestly - the only failure is not learning from mistakes. Don't cheat yourself and your colleagues of the feedback needed when expectations aren't being met.
Be Entrepreneurial - control your own destiny. Embrace action over perfection while navigating any obstacles that stand in the way of your ultimate goal.
Practice Omotenashi (“selfless hospitality”) - trust will follow. Consider every interaction with internal and external partners an opportunity to develop trust by going above and beyond what is expected.
Hold Nothing As Sacred - create routines but modify them routinely. Take the time to reflect on where the business is today, where it needs to go, and what you have to change in order to get there.
Prioritize Wellness - some things should never be sacrificed. We create an environment that stretches everyone to grow and improve, which is fulfilling, but is only one part of a meaningful life.
Our estimated pay range for this role is $150,000 to $180,000. Base salary is determined by a variety of factors, including but not limited to, market data, location, internal equitability, and experience.
We are committed to being a welcoming and inclusive workplace for everyone, and we are intentional about making sure people feel respected, supported and connected at work-regardless of who you are or where you come from. We value and celebrate our differences and we believe being open about who we are allows us to do the best work of our lives.
We are an Equal Opportunity Employer. We do not discriminate against qualified applicants or employees on the basis of race, color, religion, gender identity, sex, sexual preference, sexual identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, mental disability, medical condition, military status, or any other characteristic protected by federal, state, or local law, rule, or regulation.
$150k-180k yearly Auto-Apply 60d+ ago
Liability Claims Adjuster
Porch Group 4.6
Remote liability claims examiner job
Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home.
As a leader in the home services software-as-a-service (“SaaS”) space, we've built deep relationships with approximately 30 thousand companies that are key to the home-buying transaction, such as home inspectors, mortgage companies, and title companies.
In 2020, Porch Group rang the Nasdaq bell and began trading under the ticker symbol PRCH. We are looking to build a truly great company and are JUST GETTING STARTED.
Job Title: LiabilityClaimsExaminer
Location: United States
Workplace Type: Remote
Homeowners of America is a provider of Personal Lines Insurance products. We're always looking to add talented and passionate people to our team. We value the knowledge that comes from experienced individuals with diverse backgrounds and strengths that can contribute to the various departments within our company. Our shared values are no jerks, no egos, be ambitious, solve each problem, care deeply and together we win.
Summary
The LiabilityClaimsExaminer is responsible for managing complex and litigated 3rd party claims arising under homeowners' insurance policies. This role involves investigating losses, evaluating coverage, assessing liability exposures, and directing litigation strategies to achieve fair and timely resolution of claims. The examiner will work closely with insureds, claimants, field adjusters, defense counsel, experts, and internal stakeholders ensuring compliance with company guidelines and regulatory requirements while mitigating risk and controlling costs. LiabilityClaimsExaminers are responsible for requesting payments, documenting files, and preparing and issuing claim payment letters or denial letters when appropriate.
What you Will Do As A LiabilityClaimsExaminer
Responsibilities: May include any or all the following. Other duties may be assigned.
Investigate and Evaluate Claims:
Review policy language, coverage issues, and liability exposures.
Analyze incident reports, statements, expert opinions, and other evidence to determine liability and damages.
Handles claims from all types of policies, including homeowners, dwelling fire, tenant, condo, and renters.
Confers with legal counsel on claims involving coverage, legal, or complex matters
Effectively manage difficult or emotional customer situations
Litigation Management:
Direct and oversee defense counsel in litigated matters, including strategy development, budgeting, and case progression.
Attend mediations, settlement conferences, and trials as needed.
Evaluate litigation reports and provide recommendations for resolution.
Negotiation and Settlement:
Negotiate settlements within authority limits to achieve equitable outcomes.
Collaborate with legal counsel to resolve complex coverage and liability disputes.
Financial Oversight:
Establish and adjust reserves based on claim developments and litigation exposure.
Monitor litigation costs and ensure adherence to budget guidelines.
Seeking out and utilizing top vendors that build quality, increase efficiency, and reduce cost
Communication and Documentation:
Maintain accurate and detailed claim files, including litigation plans and correspondence.
Communicate effectively with insureds, claimants, attorneys, and internal teams.
Enters claims payments when applicable and maintains clean, concise, and accurate file documentation
Manages correspondence and communication with various parties involved in the claim
Draft and prepare letters and other correspondence related to the claim
Compliance and Best Practices:
Ensure adherence to claims handling guidelines, regulatory requirements, and ethical standards.
Identify opportunities for process improvement and cost containment.
Take on assignments and duties as requested by the management team
What you Will Bring As A LiabilityClaimsExaminer
Bachelor's degree or equivalent experience
Minimum 5+ years of liabilityclaims experience, with a strong focus on litigated 3rd party claims
Appropriate state adjuster license and continuing education credits
In-depth knowledge of homeowners liability and med pay coverage, policy language, and litigation processes
Strong negotiation, analytical, and decision-making skills
Excellent written and verbal communication skills
Ability to manage multiple complex cases and meet deadlines in a fast-paced environment
Proficiency in claims management systems and Microsoft Office suite (Outlook, Word, Excel, PowerPoint)
Works with integrity and ethics
Exceptional customer service skills
Effectively manages difficult or emotional customer situations
Ability to read, write, and interpret routine correspondence, policies, and reports
Makes decisions and completes activities in a confident and timely manner
Follows Claims Handling Guidelines, policies and procedures
Maintains confidentiality
Works independently, with the ability to assess workload and plan accordingly to meet competing deadlines
Cultivates environment of teamwork and collaboration
Comprehensive and up-to-date knowledge of General Liability and P&C insurance, contractual policy language requirements and the implications of that language as it pertains to denial of claims
Demonstrated commitment to continuing education in the industry through licensing or designations applicable to property and liability insurance field is preferred.
Certificates, Licenses, Registrations
Appropriate state adjuster license and continuing education credits.
The application window for this position is anticipated to close in 2 weeks (10 business days) from December 17th, 2025. Please know this may change based on business and interviewing needs.
At this time, Porch Group does not consider applicants from the following states for remote positions: Alaska, Arkansas, Delaware, Hawaii, Iowa, Maine, Mississippi, Montana, New Hampshire, and West Virginia.
What You Will Get As A Porch Group Team Member
Pay Range*: Annually$67,500.00 - $94,500.00
*Please know your actual pay at Porch will reflect a number of factors among which are your work experience and skillsets,
job-related knowledge, alignment with market and our Porch employees, as well as your geographic location.
Our benefits package will provide you with comprehensive coverage for your health, life, and financial wellbeing.
Our traditional healthcare benefits include three (3) Medical plan options, two (2) Dental plan options, and a Vision plan from which to choose.
Critical Illness, Hospital Indemnity and Accident plans are offered on a voluntary basis.
We offer pre-tax savings options including a partially employer funded Health Savings Account and employee Flexible Savings Accounts including healthcare, dependent care, and transportation savings options.
We provide company paid Basic Life and AD&D, Short and Long-Term Disability benefits. We also offer Voluntary Life and AD&D plans.
Both traditional and Roth 401(k) plans are available with a discretionary employer match.
Headspace is part of our employer paid wellbeing program and provides employees and their families access to on demand guided meditation and mindfulness exercises, mental health coaching, clinical care and online access to confidential resources including will preparation.
Brio Health is another employer paid wellbeing tool that offers quarterly wellness challenges and prizes.
LifeBalance is a free resource to employees and their families for year-round discounts on things like gym memberships, travel, appliances, movies, pet insurance and more.
Our wellness programs include flexible paid vacation, company-paid holidays of typically nine per year, paid sick time, paid parental leave, identity theft program, travel assistance, and fitness and other discounts programs.
#LI-JS1
#LI-Remote
What's next?
Submit your application and our Porch Group Talent Acquisition team will be reviewing your application shortly! If your resume gets us intrigued, we will look to connect with you for a chat to learn more about your background, and then possibly invite you to have virtual interviews. What's important to call out is that we want to make sure not only that you're the right person for us, but also that we're the right next step for you, so come prepared with all the questions you have!
Porch is committed to building an inclusive culture of belonging that not only embraces the diversity of our people but also reflects the diversity of the communities in which we work and the customers we serve. We know that the happiest and highest performing teams include people with diverse perspectives that encourage new ways of solving problems, so we strive to attract and develop talent from all backgrounds and create workplaces where everyone feels seen, heard and empowered to bring their full, authentic selves to work.
Porch is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable laws, regulations, and ordinances.
Porch Group is an E-Verify employer. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.
What You Will Bring
· Bachelor's degree or equivalent work experience
· 3+ disability claims administration experience
· Prior leadership experience as a team lead or manager
· Exceptional customer service skills
· Maintains positive and effective interaction with challenging customers
· Strong knowledge of disability and leave laws and regulations
· Ability to handle sensitive information with confidentiality and professionalism
· Group Disability Claims experience
· Prior experience managing Paid Family Leave for multiple state
Preferred Qualifications
· Experience working with the Fineos Claim Management System
· Exceptional written and oral communication skills demonstrated in previous work experience
· Excellent organizational and time management skills with ability to multitask and prioritize deadlines
· Ability to manage multiple and changing priorities
· Detail oriented; able to analyze and research contract information
· Demonstrated ability to operate with a sense of urgency
· Experience in effectively meeting/ exceeding individual professional expectations and team goals
· Demonstrated analytical and math skills
· Ability to exercise critical thinking skills, risk management skills and sound judgment
· Ability to adapt, problem solve quickly and communicate effective solutions
· High level of flexibility to adapt to the changing needs of the organization
· Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment
· Continuous improvement mindset
· A commitment to support a work environment that fosters diversity and inclusion.
· Proficiency in computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word
Skills
Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine the root cause of organizational problems and create alternative solutions that resolve these problems.
Customer Support Operations: Knowledge of customer support techniques, tools, technologies, and best practices; ability to utilize all aspects of customer support operations to manage a call center.
Customer Support Systems: Knowledge of principles and techniques used in customer support and ability to use applications, hardware, software, networking, and the applications environment used for customer support.
Managing Multiple Priorities: Knowledge of effective self-management practices; ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
Problem Solving: Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems; ability to apply knowledge of problem solving appropriately to diverse situations.
About Equitable
At Equitable, we're a team committed to helping our clients secure their financial well-being so that they can pursue long and fulfilling lives.
We turn challenges into opportunities by thinking, working, and leading differently - where everyone is a leader. We encourage every employee to leverage their unique talents to become a force for good at Equitable and in their local communities.
We are continuously investing in our people by offering growth, internal mobility, comprehensive compensation and benefits to support overall well-being, flexibility, and a culture of collaboration and teamwork.
We are looking for talented, dedicated, purposeful people who want to make an impact. Join Equitable and pursue a career with purpose. Click Careers at Equitable to learn more.
**********
Equitable is committed to providing equal employment opportunities to our employees, applicants and candidates based on individual qualifications, without regard to race, color, religion, gender, gender identity and expression, age, national origin, mental or physical disabilities, sexual orientation, veteran status, genetic information or any other class protected by federal, state and local laws.
NOTE\: Equitable participates in the E-Verify program.
If reasonable accommodation is needed to participate in the job application or interview process or to perform the essential job functions of this position, please contact Human Resources at ************** or email us at *******************************.
About the Role
At Equitable, we help clients secure their financial well-being so they can pursue long and fulfilling lives- a mission we've honed since 1859.
Equitable is looking for an experienced Sr. Disability & Leave Management (Group Insurance) ClaimsExaminer to join our team! The Claims Specialist is responsible for providing excellent customer service. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions and partner with internal and external resources. Reliability and dependability throughout our extensive training program is required.
What You'll Be Doing
· Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved
· Communication via telephone, email, and text with employees, employers, attorneys, and others
· Review and interpret medical records, utilizing resources as appropriate
· Complete financial calculations
· Gain an understanding and working knowledge of the Equitable claim and other applicable systems, policies, procedures, and contracts as well as regulatory and statutory requirements for claim adjudication
· Apply contract/policy provisions to ensure accurate eligibility and liability decisions
· Demonstrate and apply analytical and critical thinking skills
· Verify on-going liability and develop strategies for return-to-work opportunities as appropriate
· Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication
· Leverage a broad spectrum of resources, materials, and tools to render claims decisions
· Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards
· Work within a fast-paced environment, with tight deadlines, and demonstrate the ability to balance multiple priorities
· Work independently as well as within a team structure
· Deliver refresher trainings as appropriate to the claim team
· Identify areas for improvement in claims processing, including workflow changes or improving procedure based on trends or challenges observed in claim review.
· Prepare reports for management on claim outcomes and performance metrics.
· Assist in training and mentoring junior claimexaminers on best practices, improving their decision-making skills.
· Oversee the ongoing management of complex, high-priority or escalated cases and callers.
Remote - This position offers a remote work schedule that allows you to stay fully engaged with your team to provide outstanding, customer‑focused service during our core hours. Periodic office visits may be requested based on business needs.
The base salary range for this position is $60,000 to $65,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility.
For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below.
Equitable Pay and Benefits\: Equitable Total Rewards Program
About the Role At Equitable, we help clients secure their financial well-being so they can pursue long and fulfilling lives- a mission we've honed since 1859. Equitable is looking for an experienced Sr. Disability & Leave Management (Group Insurance) ClaimsExaminer to join our team! The Claims Specialist is responsible for providing excellent customer service. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions and partner with internal and external resources. Reliability and dependability throughout our extensive training program is required.
What You'll Be Doing
* Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved
* Communication via telephone, email, and text with employees, employers, attorneys, and others
* Review and interpret medical records, utilizing resources as appropriate
* Complete financial calculations
* Gain an understanding and working knowledge of the Equitable claim and other applicable systems, policies, procedures, and contracts as well as regulatory and statutory requirements for claim adjudication
* Apply contract/policy provisions to ensure accurate eligibility and liability decisions
* Demonstrate and apply analytical and critical thinking skills
* Verify on-going liability and develop strategies for return-to-work opportunities as appropriate
* Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication
* Leverage a broad spectrum of resources, materials, and tools to render claims decisions
* Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards
* Work within a fast-paced environment, with tight deadlines, and demonstrate the ability to balance multiple priorities
* Work independently as well as within a team structure
* Deliver refresher trainings as appropriate to the claim team
* Identify areas for improvement in claims processing, including workflow changes or improving procedure based on trends or challenges observed in claim review.
* Prepare reports for management on claim outcomes and performance metrics.
* Assist in training and mentoring junior claimexaminers on best practices, improving their decision-making skills.
* Oversee the ongoing management of complex, high-priority or escalated cases and callers.
Remote - This position offers a remote work schedule that allows you to stay fully engaged with your team to provide outstanding, customer‑focused service during our core hours. Periodic office visits may be requested based on business needs.
The base salary range for this position is $60,000 to $65,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility.
For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below.
Equitable Pay and Benefits: Equitable Total Rewards Program
What You Will Bring
* Bachelor's degree or equivalent work experience
* 3 disability claims administration experience
* Prior leadership experience as a team lead or manager
* Exceptional customer service skills
* Maintains positive and effective interaction with challenging customers
* Strong knowledge of disability and leave laws and regulations
* Ability to handle sensitive information with confidentiality and professionalism
* Group Disability Claims experience
* Prior experience managing Paid Family Leave for multiple state
Preferred Qualifications
* Experience working with the Fineos Claim Management System
* Exceptional written and oral communication skills demonstrated in previous work experience
* Excellent organizational and time management skills with ability to multitask and prioritize deadlines
* Ability to manage multiple and changing priorities
* Detail oriented; able to analyze and research contract information
* Demonstrated ability to operate with a sense of urgency
* Experience in effectively meeting/ exceeding individual professional expectations and team goals
* Demonstrated analytical and math skills
* Ability to exercise critical thinking skills, risk management skills and sound judgment
* Ability to adapt, problem solve quickly and communicate effective solutions
* High level of flexibility to adapt to the changing needs of the organization
* Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment
* Continuous improvement mindset
* A commitment to support a work environment that fosters diversity and inclusion.
* Proficiency in computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word
Skills
Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine the root cause of organizational problems and create alternative solutions that resolve these problems.
Customer Support Operations: Knowledge of customer support techniques, tools, technologies, and best practices; ability to utilize all aspects of customer support operations to manage a call center.
Customer Support Systems: Knowledge of principles and techniques used in customer support and ability to use applications, hardware, software, networking, and the applications environment used for customer support.
Managing Multiple Priorities: Knowledge of effective self-management practices; ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
Problem Solving: Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems; ability to apply knowledge of problem solving appropriately to diverse situations.
About Equitable
At Equitable, we're a team committed to helping our clients secure their financial well-being so that they can pursue long and fulfilling lives.
We turn challenges into opportunities by thinking, working, and leading differently - where everyone is a leader. We encourage every employee to leverage their unique talents to become a force for good at Equitable and in their local communities.
We are continuously investing in our people by offering growth, internal mobility, comprehensive compensation and benefits to support overall well-being, flexibility, and a culture of collaboration and teamwork.
We are looking for talented, dedicated, purposeful people who want to make an impact. Join Equitable and pursue a career with purpose. Click Careers at Equitable to learn more.
Equitable is committed to providing equal employment opportunities to our employees, applicants and candidates based on individual qualifications, without regard to race, color, religion, gender, gender identity and expression, age, national origin, mental or physical disabilities, sexual orientation, veteran status, genetic information or any other class protected by federal, state and local laws.
NOTE: Equitable participates in the E-Verify program.
If reasonable accommodation is needed to participate in the job application or interview process or to perform the essential job functions of this position, please contact Human Resources at ************** or email us at *******************************.
$60k-65k yearly Easy Apply 60d+ ago
Claims Adjuster II | California
EIG Services
Remote liability claims examiner job
Workers' Compensation Claims Adjuster II - California | 100% Remote Opportunity
The Work comp Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation.
This opportunity will require working
west coast hours (M-F 8am-5pm PDT)
Essential Duties and Responsibilities
Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data as it pertains to work comp insurance claims.
Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability.
Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers.
Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed.
Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure.
Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims.
Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure.
Other duties as assigned.
Requirements
2 - 5 years' work comp claims adjusting or insurance experience.
Excellent communication and customer service skills and knowledge of an imaged environment.
Demonstrated knowledge of workers' compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols.
Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize.
High school diploma or equivalent required.
Equivalent combinations of education and experience may be considered.
Certification
If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education.
WCCP, AIC, ARM, CPCU or other insurance certification preferred.
Education
Bachelor's degree or equivalent business experience preferred.
Work Environment
Remote: This role is a remote
(work from home (WFH) opportunity)
and only open to candidates currently located in the United States and able to work without sponsorship.
It requires a suitable space that provides a private and quiet workplace.
Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
Travel: May be required to travel to off-site location(s) to attend meetings, as necessary
Salary Range: $50,000-$75,000 and a strong comprehensive benefits package, don't forget to follow the link to our benefits page for details, too many benefits to list! *********************************************************
About EMPLOYERS
As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!
Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!
At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote
$50k-75k yearly 9d ago
Claims Adjuster
Fetch Pet Insurance
Remote liability claims examiner job
Fetch Pet Insurance, a tech-enabled pet wellness company, has consistently been an innovative leader in the pet insurance industry, offering the most extensive and all-inclusive pet insurance and health advice.
Put simply, Fetch makes vet bills affordable. We offer a comprehensive product that does not have any restrictions based on breed, age, or size. We are believers in helping pets get through their bad days but also focus on extending the good days. How do we do that? - through a wide portfolio of products + offerings, which include Fetch Health Forecast, our pet health and lifestyle blog, The Dig, and our partnerships with Project Street Vet and animal no-kill shelters across North America.
Our business is growing and we are looking for compassionate professionals that want to join a team that works hard and celebrates success! You will have an opportunity to hone your skills and develop new skills as you learn the ins-and-outs of Fetch pet insurance and support our pet parents. Your success is our success!
RESPONSIBILITIES.
Adjudicate assigned claims in accordance with the Terms & Conditions of the individual pet's policy
Review medical records, lab results, invoices, and claims forms for complete and thorough assessment
Process claims determinations to include assessment and payment for submitted claims
Verify claims coverage through in-depth knowledge of policy Terms & Conditions
Consult with treating veterinary practices regarding medical records evaluation and necessary documentation
Maintain an average quality assurance score above department minimums
Complete assigned tasks within compliance deadlines
Maintain an average productivity rate above department minimums
Provide feedback on process opportunities to further strengthen SOPs
REQUIRED SKILLS.
Comprehensive understanding of disease processes and veterinary medical terminology
Ability to read and interpret veterinary medical records and invoices
Ability to identify chronic and acute medical conditions
Adapt quickly in a fast-paced, ever-changing environment and operate multiple computer systems simultaneously
Work independently in a remote capacity, while also fostering teamwork and collaborating with others
Superior communication skills for collaboration with team members and support from managers
Demonstrated problem solving skills and ability to work through complex medical/vet-related scenarios affecting a pet's diagnosis and/or treatment plan
QUALIFICATIONS.
Minimum of five years experience as a veterinary technician
Bachelor's degree in veterinary science OR CVT or equivalent preferred
Property and Casualty Adjuster license in good standing preferred
Complete and pass state adjuster licensing
Be reliable with good attendance
Able to work a minimum of 42 hours per week, with occasional weekends and extra hours as needed
WORK-FROM-HOME SET-UP.
Subscription to reliable high-speed internet connection (minimum of 100 Mbps download and 30 Mbps upload speed)
A quiet, dedicated place to work in your home that is not easily disrupted by background noises or distractions
Office workspace must be large enough to accommodate two 19” dual monitors, laptop, mouse, keyboard, and headset
Ability to set up and connect (with instructions and remote IT team assistance) equipment that is shipped to your home
-ABOUT FETCH-
Fetch is a high-growth, Warburg-Pincus portfolio company. We are a passionate group of 200+ employees and partners across the U.S. and Canada dedicated to helping pets live their best lives. We have two offices (New York City, NY, and Winnipeg, Canada), and we currently provide security to over 360,000 pet parents.
We don't just accept differences - we celebrate it, we support it, and we thrive on it for the benefit of our employees, our products, and our community. We are proud to be an equal opportunity employer. We recruit, hire, pay, grow and promote no matter of gender, race, color, sexual orientation, religion, age, protected veteran status, physical and mental abilities, or any other identities protected by law.
$51k-66k yearly est. 60d+ ago
Remote - Claims Adjuster - Automotive
Reynolds and Reynolds Company 4.3
Remote liability claims examiner job
":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability.
You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues.
Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position.
This includes two computer monitors, a laptop, keyboard and mouse.
","job_category":"Customer Service","job_state":"TX","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"75201","position_type":"Full-Time","salary_max":"55,000.
00","salary_min":"50,000.
00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family.
We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment.
Reynolds and Reynolds is an equal opportunity employer.
","
Our client is seeking to add a Senior Commercial Auto Litigation ClaimsExaminer to their team. This individual will be responsible for overseeing complex commercial auto claims, with a strong focus on litigated matters and severe casualty exposures. The role requires managing the claim process from initial intake through final resolution, including evaluating coverage, directing litigation strategy, and negotiating settlements across multiple jurisdictions. This position offers the ability to work fully remote. Key Responsibilities:
Investigate, evaluate, and resolve litigated Commercial Auto claims from inception through closure.
Analyze liability, damages, and legal exposure to determine appropriate resolution strategies.
Establish timely and appropriate reserves based on investigation and litigation progression.
Partner with defense counsel, insureds, and other experts to effectively manage claims and litigation costs.
Conduct coverage analysis and issue detailed coverage position letters when necessary.
Prepare reports and updates for senior leadership, clients, and other stakeholders.
Maintain consistent communication with policyholders, attorneys, and internal teams throughout the claim lifecycle.
Ensure timely file documentation in compliance with company, client, and regulatory standards.
Negotiate settlements in line with company/client authority and jurisdictional requirements.
Stay current on evolving laws, regulations, and litigation trends impacting commercial auto liability.
Requirements:
10+ years of Commercial Auto / Trucking Bodily Injury Litigation claims handling experience.
Must have 4+ years of Commercial Trucking experience.
Strong knowledge in MCS 90 is strongly desired.
Active Adjuster's License required.
Proven experience managing litigated claims and working directly with defense counsel.
Strong negotiation, litigation management, and analytical skills.
Excellent written and verbal communication skills, including drafting detailed coverage letters and litigation reports.
Highly organized, self-motivated, and able to independently manage a remote workload.
Proficient in Microsoft Office and claims management systems.
Salary & Benefits:
$90,000 - $120,000+ annually (depending on experience)
Comprehensive Medical, Dental, and Vision coverage
401(k) with company match
Paid Time Off and holiday benefits
Professional development and career advancement opportunities
$37k-48k yearly est. 60d+ ago
Auto Insurance Claims Adjuster - Work from Home!
CMR 3.5
Remote liability claims examiner job
Lucrative Compensation Plan! Base of $15 per hour to start, PLUS monthly bonuses!
Do you thrive in a competitive environment? Would you describe yourself as a go-getter?
Determine how much you can make while investigating and resolving claims. Get your career started, no college degree required!
Who We Are
We are in the business of subrogation - companies trust us to recover payments on damage claims so that the party responsible is the one paying for the damage that was caused. We strive to provide excellent customer service to both our customers and the other parties involved in a claim. In short,
we help our customers focus on theirs.
Our business is driven by our Core Four principles
: Process, Results, Culture,
and
Experience.
Our dedication to practicing these has enabled our current and future success
.
We're passionate about throwing company events that bring us together and celebrate each other's achievements. We're also big on taking time out to give back to the community and host several volunteer events throughout the year. We believe in a healthy work-life balance.
Join our team and thrive in an environment that values both efficiency and effective processes as well as a casual, comfortable atmosphere.
Who We're Looking For
We are looking for someone comfortable working from home who can positively interact with homeowners, business owners, contractors, insurance companies, and utility company field technicians over the phone. We need a “get it done”, high-energy, professional approach to recover claims effectively.
The Insurance Claims Adjuster is responsible for recovering payments for damage claims involving motor vehicles in remote, work-from-home environment. The claims adjuster interacts with homeowners, business owners, contractors, insurance companies, and utility company field technicians. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and establishing liability so you can confidently and independently recover claims.
Be The Captain of Your Own Destiny
Determine how much money you want to make by earning bonuses based on the level of fees you recover. Earn between $1,000 and $5,500 in bonuses!
Bonuses are paid out each month.
Bonuses:
$65,000 total fees = $1,000
$75,000 total fees = $1,200
$85,000 total fees = $1,400
$95,000 total fees = $1,800
$100,000 total fees = $2,000
$115,000 total fees = $2,500
$125,000 total fees = $3,500
$140,000 total fees = $4,000
$150,000 total fees = $5,000
Base Pay:
First 30 days: $15.00/hour
30 - 60 days: $13.00/hour
60 days and beyond: $11.54/hour
Stuff You Should Know
Department hours are 7am - 4pm, Monday thru Friday
This position is fully remote
On a Typical Day, You'll
Investigate claims issues and provide information to damagers and utility company field technicians
Negotiate settlements with damagers and insurance companies as applicable
Review claim information and request/research additional reference material to complete the claim record
File subrogation packages with insurance companies
Dispute resolution and response to damager objections
Enter data into customized claims systems
Tracks fees, closed and open claims, and other claims information
Qualifications
Teamwork Makes the Dream Work
Your success is our success. We stress the group's success because we are all working towards a common goal - resolving as many claims as possible to benefit both ourselves and our customers. With lots of room for career advancement and growth, we are always looking to move our employees up to bigger roles within the company.
Requirements
Insurance Adjuster License (must obtain license within 4 months of moving into position)
Excellent computer skills, must be familiar with using Outlook, Teams, Word and Excel
Negotiating skills experience
Excellent verbal and written communication skills
Excellent attendance record
High School Diploma or equivalent
Must have a high-speed internet connection available in your home
Bilingual in English and Spanish a plus!
Okay, But What Are the Perks
Obtain your adjuster's license on our dime, including:
3-day prep class
Time off to take the test
Career growth and learning opportunities
Tiered bonus system based on team accomplishments
Full menu of benefits including a matched 401k
Consistent scheduling including nights and weekends off
Paid time off as well as paid holidays
CMR pays $50/month towards your internet service costs
Christmas bonus
CMR is a 2024 The Oklahoman Top Workplaces winner!
Pre-employment drug screenings and criminal background checks are mandatory
CMR is an Equal Opportunity Employer
$45k-54k yearly est. 11d ago
Mechanical Claims Adjuster
Endurance Warranty Services, LLC 4.6
Remote liability claims examiner job
Job Description
Ready for a change? Bring your mechanical background to Endurance and use your automotive knowledge in a professional remote environment. The Mechanical Claims Adjuster is responsible for investigating, evaluating and negotiating minor to complex vehicle repair claims and accurately determining coverage and liability (based on the reported fact scenario). You will be measured on your ability to provide accurate benefit and adjustment amounts on claims and reach fair, efficient claims resolutions while managing costs in accordance with policies and procedures.
Key Responsibilities:
Adjudicate and authorize claims within your dollar-limit authority. Ensure the accuracy of coverage information when responding to inquiries by providing customer clarity on coverage and financial commitment.
Successfully handle an average of 50-70 inbound calls daily from repair centers and Endurance Customers/Contract Holders.
Review and determine claims based on the reported fact scenario given by the repair facility submitted through the online portal.
Collect and verify all diagnostic information provided by the repair facilities. Respond to inquiries while providing information and explanations regarding Endurance's various levels of coverage.
Manage Workflow - Process and complete all requests and documents in accordance with established processes and procedures.
Achieve and maintain agreed-upon metrics within the scheduled time. Establish, develop, and maintain positive business and customer relationships.
Being interactive and communicative with management and co-workers in a visible manner is an essential function of the job; therefore, camera usage is required for training, team meetings, and meetings with management.
Key to Success:
High school Diploma or equivalent work experience.
1-2 years working at a dealership and/or independent auto repair shop.
1-2 years of automotive repair procedures, processes, parts, and repair costs
1-2 years of proven success negotiating and problem-solving
Ability to efficiently understand contracts/policies/procedures and apply them accordingly.
Must be able to communicate effectively with contract holders/customers, agents, dealers, internal staff, and upper management.
Experienced in ProDemand, Alldata, and Carfax is a plus
Call-center experience is a plus
The candidate(s) offered this position will be required to submit to a background investigation.
Compensation Ranges - $21.64-$23 Hourly
Our Benefits Include:
Paid training
Work From Home Opportunity
Computer Equipment Provided
401(k) with company match after 90 days of employment
Medical, Dental, and Vision Insurance
Voluntary Life Insurance
Internet Stipend
Paid Time Off
Holiday Pay
Learn more about life at Endurance-connect with us on LinkedIn, Facebook, Instagram, and Twitter.
Equal Employment Opportunity
Endurance Warranty Services is proud to be an equal-opportunity employer. We celebrate our employees' differences, including race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, and Veteran status. Our differences are what make us better together. Endurance Warranty is an E-Verify Company.
About Endurance
Endurance Warranty has been honored with multiple Stevie Awards for being a great place to work, and we're growing rapidly. We're a fast-paced company offering limitless opportunities to grow your career. Thanks to our dedicated employees, we provide best-in-class auto repair coverage to customers across the country, protecting people from unexpected and costly breakdowns for almost 15 years. At Endurance, we embrace the entrepreneurial spirit, and you'll play a role in shaping this dynamic industry. We offer great pay, amazing benefits, and the opportunity to learn and grow.
When you work for Endurance, you're working for a company that cares about you and your future. We empower employees to lead, drive change and give back where they work and live. Our people are our greatest strength, and we're proud to work as a diverse team to serve our customers and our community.
Therefore, we've been honored as a top place to work, including multiple StevieⓇ Awards for the best workplace and great employer. For the last several years, Endurance has also earned a spot-on Selling Power's "50 Best Companies to Sell For" and consistently makes industry lists from Crain's and Inc. magazine for our continuous and significant growth. Experts in the industry recognize that our employees care as well-Consumer Affairs highly recommends Endurance, and our customers highly rate us on Google, Trustpilot, and other major online review sites.
Come accelerate your career with us. We'll give you the tools you need to succeed at work and the flexibility to enjoy life outside of your job.
$21.6-23 hourly 6d ago
PART TIME Remote Claims Adjuster - Bilingual (Spanish)
Responsive Auto Insurance Company
Remote liability claims examiner job
Department: Claims
Schedule: Monday to Friday; 4-6 hours daily
Salary: Commensurate based on experience and qualifications
About Responsive Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents from the most respected insurance agencies to deliver world-class service and claims experiences. Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we deliver through innovation, feedback, and a commitment to excellence.
What You'll Do
As a Claims Adjuster, you'll guide customers through the claims process with empathy and expertise. From investigating coverage to resolving disputes, you'll handle claims from start to finish while maintaining strong relationships with customers and stakeholders. Responsibilities include:
Investigating, evaluating, and resolving insurance claims.
Reviewing policies to verify coverage and address coverage issues.
Managing customer interactions with professionalism and accuracy.
Responding to demands, requests, and questions with clear, well-documented communication.
Collaborating with attorneys, medical providers, and other stakeholders.
Maintaining detailed and timely records.
Ensuring compliance with federal, state, and company regulations.
Other duties as assigned
Requirements
What We're Looking For
Education: Bachelor's degree.
Licensing: Active Florida 6-20 All Lines Adjuster License.
Language Skills: Fluent in Spanish and English (written and verbal proficiency required).
Skills: Strong analytical, problem-solving, and communication skills. Proficiency in Microsoft Office.
Experience: Customer-focused with experience in high-volume environments that require time management and attention to detail. Minimum of 2 years of experience as an auto property damage claims adjuster
Mindset: Self-motivated, team-oriented, and adaptable.
Our Culture
Responsive is a dynamic, inclusive workplace where integrity, innovation, and collaboration thrive. We foster an environment where employees are encouraged to:
Adapt: Embrace change and continuously improve.
Collaborate: Work transparently and respectfully with others.
Engage: Show curiosity and a commitment to serving customers and teammates.
Be Data-Driven: Leverage insights to drive decisions and improvements.
Responsive provides equal employment opportunities (EEO) to all employees and applicants, fostering a diverse and inclusive workplace.
#claimsadjuster