Role Value Proposition: At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Lead LTD Claims Specialist manages a caseload of long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the Lead LTD Claims Specialist will be a technical expert and emerging leader who will be responsible for coaching and mentoring new associates as well as participating in projects to drive continuous improvement and improve the customer experience. The Lead LTD Claims Specialist is the highest-level individual contributor managing claims within the LTD organization. The Lead LTD Claims Specialist is responsible for exercising independent judgment, demonstrating critical thinking skills, exemplary customer service skills as well as effective inventory management skills.
Location: Fully Virtual
Key Responsibilities:
* Independently manage an assigned caseload of the most complex claims which consists of pending and ongoing/active reviews. Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations. Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination and interacts and communicates effectively with claimants, customers, health care providers, attorneys, brokers, and family members during claim evaluations.
* Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available. Proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, and Rehab Return to Work benefits, and other non-routine payments.
* Collaborates effectively with both external and internal resources, such as physicians, attorneys, vocational consultants and CPAs, as needed, to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
* Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed and addresses/resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.
* Serves as an extended leadership team member, participates in new hire onboarding including coaching, mentoring and development, providing direct support to Unit Leaders, and partners with the leadership team to meet project goals related to quality, timely claim outcomes, customer service and staff development and provide detailed, balanced feedback to leadership on individual, team, customer or site performance and offers solutions on opportunities identified.
Essential Business Experience and Technical Skills:
Required:
* 5+ years of LTD/IDI Insurance Claims experience with excellent customer service skills proven through internal and external customer interactions and prior experience with independent judgement and decision making while relying on the available facts/problem solving/critical thinking while having the ability to effectively manage multiple systems and technology resources/Organizational and time management skills.
Preferred:
* Bachelor's degree and knowledge of STD/FML, state leave laws, worker's compensation, ERISA, and Social Security.
At MetLife, we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're dedicated to making a difference in the lives of our customers.
The expected salary range for this position is $46,300 - $78,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
Benefits We Offer
Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible. Join us!
MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.
MetLife maintains a drug-free workplace.
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 liabilities.
$46,300 - $78,000
Why USAA?
Be one of the first applicants, read the complete overview of the role below, then send your application for consideration.
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values honesty, integrity, loyalty and service define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and negotiate equitable settlements in compliance with all state regulatory requirements. This is an hourly, non-exempt position with paid overtime available.
This is a Desk-based/Non-inspect role for the Pacific & Mountain Time Zone (Including the state of Arizona). This role is remote eligible for candidates located or willing to self-relocate to Pacific or Mountain Time Zone continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site 3 days per week.
What you'll do:
Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.
Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.
Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.
Maintains accurate, thorough, and current claim file documentation throughout the claims process.
Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.
Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
May be assigned CAT deployment travel with minimal notice during designated CATs.
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.
Adjusts complex claims with attorney involvement.
Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.
May require travel to resolve claims, attend training, and conduct in-person inspections.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
High School Diploma or General Equivalency Diploma required.
2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.
Proficient knowledge of residential construction.
Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.
Proficient negotiation, investigation, communication, and conflict resolution skills.
Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.
Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
What sets you apart:
US military experience through military service or a military spouse/domestic partner
5 years of prior experience handling higher severity/complex losses (i.e. vandalism, malicious mischief, foreclosures, earth movement, collapse, liability, etc.)
Prior experience adjusting property claims using virtual technologies
Prior property adjuster experience handling DWG, APS and ALE adjustments
Industry designations such as AINS, CPCU, AIC, SCLA (or actively pursuing)
Xactimate Level 1 and/or Level 2 certification
Experience handling Property Mitigation
Prior deployments in support of catastrophes
Currently hold an active Adjuster License
Currently reside or willing to self-relocate to Pacific or Mountain Time Zone (Including the state of Arizona)
Physical Demand Requirements:
May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.
May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid drivers license.
May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.
May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.
Compensation range: The salary range for this position is: $69,920.00 - $133,620.00.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. xevrcyc
Remote working/work at home options are available for this role.
$42k-56k yearly est. 1d ago
Claims Examiner Trainee
Berkshire Hathaway 4.8
Walnut Creek, CA jobs
WHAT WE'RE LOOKING FORAre you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a professional environment? Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet rewarding career path as a Workers' Compensation Claims Adjuster.
Upon successful completion of the Claims Training program, the Claims Adjuster Trainee will be responsible for management of a caseload of workers compensation claims from inception to resolution. Responsibilities include initial investigation and analysis, strategic planning, management of medical care and legal process, and client relations. This individual will continue to build on claims knowledge and claims will increase in number and complexity. RESPONSIBILITIES
Completes classroom training introducing workers' compensation claims handling strategies, medical terminology, and legal concepts.
Learns skills such as investigative and persuasive communication, negotiation, decision-making, and strategic planning. Learns to review and interpret medical records.
Conducts and directs the investigation of reported claims to determine coverage, compensability and severity and to gather all other relevant information, including making three-point contact telephone calls.
Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.
Develops and updates a plan of action for the successful resolution of each claim.
Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently.
Reduces fraud through early identification and escalation.
Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers.
Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates the settlement of claims.
Ensures that the actions of all other professionals involved in managing a claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim.
WHAT YOU'D BRING TO THE ROLE
Minimum of High School Diploma or equivalent certificate required; Bachelor's degree from four-year college or university is preferred
Ability to communicate effectively verbally and in writing; Spanish Fluency ability preferred
Exceptional interpersonal and customer service skills
Ability to manage and prioritize multiple assignments in a fast-paced environment
Strong organization skills to ensure tasks are completed within hard deadlines
Basic mathematical skills to calculate monetary reserves
To perform this job successfully, an individual should be proficient in the Microsoft Office Suite of applications and be proficient, or able to become proficient, on applicable databases, systems, and vendor software programs.
WHY YOU SHOULD APPLY
Unparalleled financial strength and stability
Fantastic growth and advancement opportunities
WFH Hybrid schedule
Free gym in building
Generous Paid Time Off and Holidays
Excellent Benefits (Medical, Dental, Vision, 401k, etc)
Health and Wellness Reimbursement
Tuition Assistance Reimbursement
Discounts across companies such as GEICO, See's Candies, etc.
In accordance with the California Equal Pay Act, the starting hourly wage for this job is $32.6924. This hourly wage is what the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The pay scale applies only to this position and only if it is filled in California. The pay scale may be different for other positions or in other locations.
$32.7 hourly Auto-Apply 60d+ ago
Claims Examiner II
Berkshire Hathaway Homestate Companies 4.8
Omaha, NE jobs
Company:
NICO National Indemnity Company
Want to work for a company with unparalleled financial strength and stability that offers “large company” benefits with an exciting, friendly, and “small company” atmosphere? Our companies, as members of the Berkshire Hathaway group of Insurance Companies, provides opportunities for professionals interested in just that.
A Brief Overview
Our Claims Examiner will investigate, evaluate, provide defense if appropriate, negotiate and resolve assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts, in accordance with those contracts and applicable law, within documented authority.
This position will be for the Claim Department based in Omaha, NE or eligible for remote work. This position is not eligible for employer visa sponsorship.
In accordance with state pay transparency laws and regulations, the following good-faith salary range estimate is being provided. The salary range for this job is $85,000 - $95,000 annually based on the primary posting location of Omaha, Nebraska. Final compensation will be based on candidate qualifications, geographic location and other considerations permitted by law.
Eligible employees receive up to 11 days of vacation time, 65 days (85 day maximum in a two-year period) of sick pay, up to 20 days of paid parental time, seven paid holidays and two floating holidays.
What will you do?
CLAIM INVESTIGATION: Investigate assigned claims reported under insurance contracts provided by affiliated Companies, including identification of information and documents needed to evaluate claims, assignment and direction of independent adjusters and review of public and other records and documents. Contact Insureds, Claimants and others by telephone and correspondence regarding information and documents necessary to evaluate and resolve claims, claim processes and related matters, and resolution alternatives. Comply with claims handling laws and regulations. At higher levels, may engage defense counsel as directed and monitor defense of Insureds in consultation with management as necessary or may work directly with internal legal counsel.
COVERAGE ANALYSIS: Identify, evaluate and, in consultation with management as necessary, analyze and determine respective rights and obligations of Company, Insured, Claimants and others under insurance contracts applicable to assigned claims. Comply with laws of applicable jurisdiction. Coordinate with Legal Department on coverage, claims handling compliance, and other legal issues.
LOSS ASSESSMENT: Analyze, evaluate, and estimate liability of Insureds and loss of Claimants/Insureds for assigned claims and identify all potential losses to which Companies' contracts of insurance apply. Identify and report potential fraud to Special Investigation Unit. Trains on and uses decision theory principles to evaluate various claim settlement scenarios in the settlement process.
CLAIM RESERVING AND SETTLEMENT: Establish and timely modify appropriate case reserve reflecting available information regarding assigned claims. Review and approve or disapprove invoices from independent adjusters and others for allocated loss adjustment expenses. Maintain and timely review diary of assigned claims. Negotiate and resolve assigned claims within established authority or submit authority request and recommend resolution to manager.
COMMUNICATION AND DOCUMENTATION: Prepare and maintain accurate and timely record of communications with Insureds, Claimants, and other third-parties; review, establish and modify appropriate units reflecting potential loss exposures; maintain appropriate Claim File including all required electronic and other records and provide information regarding assigned claims to manager and others as required.
LICENSING: Obtain and maintain all required licenses and certifications; maintain current knowledge of insurance and claim management principles and practices through review of published opinions, trade periodicals and other professional literature and conferences.
What are we looking for?
Bachelor's degree in related field or equivalent work experience.
Three or more years related work experience.
Interpretation and application of insurance contracts
Insurance claim procedures, loss evaluation methods and claim resolution alternatives
Insurance related courses such as AIC, CPCU
Excellent verbal and written communication skills
Strong analytical skills
Who would excel in this role?
You are able to work independently while collaborating with others.
You are proficient in investigations.
You are able to analyze data, apply knowledge and logic, and draw conclusions.
Interested applicants are encouraged to apply within four business days of the posting date. The Company will continue to accept applications until the position has been filled. Applicants may apply after four business days of the posting date with the understanding that the position may no longer be available when their application is submitted.
We want you to be involved! We offer Employee Resource Groups for volunteering, connecting with others, social gatherings, and professional development. We also regularly seek employees input through companywide surveys.
We care about your health and wellbeing! Our Wellness program is integrated into the Company culture with an online wellness portal that offers a year-round, one-stop-shop to manage and track all areas of health, our Omaha office boasts a complimentary state-of-the-art onsite fitness center, and a robust wellness program.
Benefits, Perks and more! We offer retirement and savings plan with immediate enrollment with 100% employer match up to 5%, Medical, Dental and Vision for regular, full-time employees and eligible dependents, a dedicated Learning & Development program for employees to grow personally and professionally, 100% upfront Educational Reimbursement program, subsidized downtown parking, competitive time off policies including parental leave, an Employee Assistance program and much more!
$25k-30k yearly est. Auto-Apply 10d ago
Claims Specialist - Life Global Claims
Gen Re Corporation 4.8
Remote
Shape Your Future With UsGeneral Re Corporation, a subsidiary of Berkshire Hathaway Inc., is a holding company for global reinsurance and related operations, with more than 2,000 employees worldwide. It owns General Reinsurance Corporation and General Reinsurance AG, which conducts business as Gen Re.
Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries. Represented in all major reinsurance markets through a network of 38 offices, we have earned superior financial strength ratings from each of the major rating agencies.
Gen Re currently offers an excellent opportunity for a Claims Specialist in our Life Health Global Claims unit to work remotely based out of our Stamford, CT office.
Role Description
The Claim Specialist is responsible for the delivery of the reinsurance claim risk management on multiple lines of business to both internal and external Gen Re clients. This includes, but is not limited to, the risk assessment of reinsurance liability and may include client training development and delivery, audit activities as well as representing the company and/or speaking at various industry conferences, as requested.
Responsibilities:
Responsible timely decision making and accuracy of reinsurance determinations on multiple lines of claim submissions. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.
Maintains a working knowledge of state and federal regulatory issues and keeps on the cutting edge of changes within the incumbent's area of expertise.
Deliver high levels of customer service to internal and external customers in a professional, reliable and responsive manner.
The incumbent works with claims management to develop, prioritize and execute a claim management strategy for each assigned client.
Responsible for influencing a variety of constituents at various levels and not within one's direct employ. Thus, being accountable for the effective development, ongoing maintenance and consistent application of client communications and relationships.
As an expert claim resource within a specific line of business, the Claim Specialist monitors national verdict/settlement trends and legal developments pertaining to their particular line of business. The incumbent researches, drafts and publishes articles and training oriented to educating clients on best practices gleaned.
Responds to ad hoc reporting /projects from manager. Timely and accurate reporting of statistical information to management. Provides a broad range of regular (monthly/quarterly) management information in support of the Claims Department. Responsible for synthesizing a large amount of information from a variety of sources.
May participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked.
May participate in client meetings or with prospective accounts.
Role Qualifications and Experience
Prior claims experience in insurance and/or reinsurance operations.
Prior experience managing claims (preferably LTC or Income Protection) thereby equipping the incumbent with the ability to assess reinsurer responsibility in its broadest sense (e.g. reviewing and offering risk management insights and recommendations on facultative and consultative claim submissions).
Experience auditing claim files. Audit work of reinsured claims remotely or in client locations is an expectation. The audit process requires the ability to quickly adapt to the multitude of imaged systems in use by clients. The audit process may involve analyzing and verifying coverage and/or corresponding payments issued. The audit process may consist of managing internal and external communication with client executives in various areas such as claims, financial and legal resources, actuarial resources, etc. Thus, demonstrating an ability to emphasize and implement solutions to help clients manage risk and developing an in-depth knowledge of the management and organization of each assigned account.
Holds insurance adjuster's license or a willingness to secure same within 1 year of hire
Strong working knowledge of key coverage lines especially health (Long Term Care, Individual Disability) type claims
Strong written and verbal communication skills
Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously or as an effective member of a team
Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to detail
Flexibility to travel for business purposes, approximately less than 10 trips per year
Strong client relationship, influencing and interpersonal skills
Proven initiative, prioritization, presentation, and training abilities.
Experience with and proficiency in Microsoft Suite of Products (WORD, EXCEL, PowerPoint), Visio, Power BI, developing and running queries etc.
Salary Range
91,000.00 - 152,000.00 USD
The annual base salary range posted represents a broad range of salaries around the US and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.
Our Corporate Headquarters Address
General Reinsurance Corporation
400 Atlantic Street, 9th Floor
Stamford, CT 06901 (US)
At
General Re Corporation, we celebrate diversity and are committed to creating an inclusive environment for all employees. It is the General Re Corporation's continuing policy to afford equal employment opportunity to all employees and applicants for employment without regard to race, color, sex (including childbirth or related medical conditions), religion, national origin or ancestry, age, past or present disability , marital status, liability for service in the armed forces, veterans' status, citizenship, sexual orientation, gender identity, or any other characteristic protected by applicable law. In addition, Gen Re provides reasonable accommodation for qualified individuals with disabilities in accordance with the Americans with Disabilities Act.
$53k-73k yearly est. 16d ago
Supplemental Claims Examiner
Standard Insurance Company 4.8
Florida jobs
The next part of your journey is right around the corner - with The Standard.
A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we've been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference?
Job Summary
This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying eligibility, making accurate benefit decisions, and ensuring timely, precise payments. You'll manage each claim end‑to‑end while delivering responsive, compassionate service to claimants, policyholders, and partners. The role also contributes to continuous improvement by bringing forward customer insights, identifying process gaps, and collaborating with teammates to enhance the overall claims experience.
Key Responsibilities
Manage claim intake, review, and communication across both digital and paper channels.
Verify eligibility, analyze coverage details, and adjudicate supplemental insurance claims.
Complete the full payment process, including distribution, authorization, and lost‑check resolution.
Apply claim management strategies to ensure accurate payments and appropriate financial outcomes.
Participate in continuous improvement efforts by identifying issues, sharing customer insights, and supporting workflow enhancements.
Skills and Background You'll Need
Must‑Have Qualifications
2+ years of experience in claims processing; supplemental insurance claims experience preferred.
Strong ability to analyze information, interpret policy provisions, and make accurate claim decisions.
Proficiency with Microsoft Office applications (Word, Outlook, Excel, PowerPoint).
Education: High School Diploma or equivalent.
Preferred Qualifications
Prior experience with medical billing or CPT coding.
Experience collaborating with employers, brokers, TPAs, and other external partners.
Familiarity with continuous improvement practices or customer‑experience‑focused workflows.
Key Behaviors of a Successful Candidate
Adaptability: Adjusts quickly to changing priorities and embraces new ways of working.
Improvement Mindset: Seeks opportunities to streamline processes and enhance the customer experience.
Driving Success: Takes initiative, pursues goals with persistence, and remains resilient when challenges arise.
Why Join The Standard?
We have built an enduring legacy of stability, financial strength and exceptional customer service through the contributions of the service-oriented people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:
A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions
An annual incentive bonus plan
Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually - PTO increases with tenure
A supportive, responsive management approach and opportunities for career growth and advancement
Paid parental leave and adoption/surrogacy assistance
An employee giving program that double matches your donations to eligible nonprofits and schools
In addition to the competitive salary range below, our employee-focused benefits support work-life balance. Learn more about
working at The Standard.
Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on a variety of factors including individual and organizational performance.
The actual compensation for this role will be based on a combination of education and experience, knowledge and skills, position budget, internal equity, and market data.
Salary Range:
21.63 - 29.45
Positions will be posted for at least 5 days from original posting date.
Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Mortgage Investors, LLC, StanCorp Investment Advisers, Inc., and American Heritage Life Insurance Company and American Heritage Service Company, marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender identity, sexual orientation, age, disability or veteran status or any other condition protected by federal, state or local law. Except where precluded by state or federal law, The Standard will consider for employment qualified applicants with arrest and conviction records pursuant to the San Francisco Fair Chance Ordinance. The Standard offers a drug- and alcohol-free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on The Standard's property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation and employment, education and licensing verification as a condition of employment. After any conditional offer of employment is made, the background check will include an individualized assessment based on the applicant's specific record and the duties and requirements of the specific job. Applicants will be provided an opportunity to explain and correct background information. All employees of The Standard must be bondable.
$38k-65k yearly est. Auto-Apply 1d ago
Claims Specialist - Life Global Claims
General Re Corporation 4.8
Stamford, CT jobs
Shape Your Future With Us General Re Corporation, a subsidiary of Berkshire Hathaway Inc., is a holding company for global reinsurance and related operations, with more than 2,000 employees worldwide. It owns General Reinsurance Corporation and General Reinsurance AG, which conducts business as Gen Re.
Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries. Represented in all major reinsurance markets through a network of 38 offices, we have earned superior financial strength ratings from each of the major rating agencies.
Gen Re currently offers an excellent opportunity for a Claims Specialist in our Life Health Global Claims unit to work remotely based out of our Stamford, CT office.
Role Description
The Claim Specialist is responsible for the delivery of the reinsurance claim risk management on multiple lines of business to both internal and external Gen Re clients. This includes, but is not limited to, the risk assessment of reinsurance liability and may include client training development and delivery, audit activities as well as representing the company and/or speaking at various industry conferences, as requested.
Responsibilities:
* Responsible timely decision making and accuracy of reinsurance determinations on multiple lines of claim submissions. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.
* Maintains a working knowledge of state and federal regulatory issues and keeps on the cutting edge of changes within the incumbent's area of expertise.
* Deliver high levels of customer service to internal and external customers in a professional, reliable and responsive manner.
* The incumbent works with claims management to develop, prioritize and execute a claim management strategy for each assigned client.
* Responsible for influencing a variety of constituents at various levels and not within one's direct employ. Thus, being accountable for the effective development, ongoing maintenance and consistent application of client communications and relationships.
* As an expert claim resource within a specific line of business, the Claim Specialist monitors national verdict/settlement trends and legal developments pertaining to their particular line of business. The incumbent researches, drafts and publishes articles and training oriented to educating clients on best practices gleaned.
* Responds to ad hoc reporting /projects from manager. Timely and accurate reporting of statistical information to management. Provides a broad range of regular (monthly/quarterly) management information in support of the Claims Department. Responsible for synthesizing a large amount of information from a variety of sources.
* May participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked.
* May participate in client meetings or with prospective accounts.
Role Qualifications and Experience
* Prior claims experience in insurance and/or reinsurance operations.
* Prior experience managing claims (preferably LTC or Income Protection) thereby equipping the incumbent with the ability to assess reinsurer responsibility in its broadest sense (e.g. reviewing and offering risk management insights and recommendations on facultative and consultative claim submissions).
* Experience auditing claim files. Audit work of reinsured claims remotely or in client locations is an expectation. The audit process requires the ability to quickly adapt to the multitude of imaged systems in use by clients. The audit process may involve analyzing and verifying coverage and/or corresponding payments issued. The audit process may consist of managing internal and external communication with client executives in various areas such as claims, financial and legal resources, actuarial resources, etc. Thus, demonstrating an ability to emphasize and implement solutions to help clients manage risk and developing an in-depth knowledge of the management and organization of each assigned account.
* Holds insurance adjuster's license or a willingness to secure same within 1 year of hire
* Strong working knowledge of key coverage lines especially health (Long Term Care, Individual Disability) type claims
* Strong written and verbal communication skills
* Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously or as an effective member of a team
* Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to detail
* Flexibility to travel for business purposes, approximately less than 10 trips per year
* Strong client relationship, influencing and interpersonal skills
* Proven initiative, prioritization, presentation, and training abilities.
* Experience with and proficiency in Microsoft Suite of Products (WORD, EXCEL, PowerPoint), Visio, Power BI, developing and running queries etc.
Salary Range
91,000.00 - 152,000.00 USD
The annual base salary range posted represents a broad range of salaries around the US and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.
Our Corporate Headquarters Address
General Reinsurance Corporation
400 Atlantic Street, 9th Floor
Stamford, CT 06901 (US)
At General Re Corporation, we celebrate diversity and are committed to creating an inclusive environment for all employees. It is the General Re Corporation's continuing policy to afford equal employment opportunity to all employees and applicants for employment without regard to race, color, sex (including childbirth or related medical conditions), religion, national origin or ancestry, age, past or present disability , marital status, liability for service in the armed forces, veterans' status, citizenship, sexual orientation, gender identity, or any other characteristic protected by applicable law. In addition, Gen Re provides reasonable accommodation for qualified individuals with disabilities in accordance with the Americans with Disabilities Act.
$78k-98k yearly est. 16d ago
Quality Assurance Claims Processor
Pennymac 4.7
Moorpark, CA jobs
PENNYMAC Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integrated business focused on the production and servicing of U. S. mortgage loans and the management of investments related to the U.
S.
mortgage market.
At Pennymac, our people are the foundation of our success and at the heart of our dynamic work culture.
Together, we work towards a unified goal of helping millions of Americans achieve aspirations of homeownership through the complete mortgage journey.
A Typical Day The Quality Assurance (QA) ClaimsProcessor will perform QA reviews in accordance with established procedures and complying with investor requirements and federal and state regulations.
As the QA Processor, you will be responsible for reviewing the default timeline to verify that reported actions occurred as required by the applicable investor and insurer servicing guidelines.
The QA ClaimsProcessor will: Reconcile servicing expenses/corporate advances as required by MI, investor, insurer and internal guidelines including: foreclosure fees and costs, eviction requirements, property inspections and preservation, HOAs, taxes, hazard insurance and expenses during the default process Ensure reviews are performed in a timely manner in accordance with established procedures and investor guidelines Maintain and update various databases to meet departmental and QA requirements Assist in identifying error trends noted during the QA evaluation Achieve key metrics associated with the process and meet departmental monthly goals Perform other related duties as required and assigned Demonstrate behaviors which are aligned with the organization's desired culture and values What You'll Bring Mortgage default-related experience preferred Demonstrated aptitude for data, reporting, data reconciliation desired Familiarity with FHA, VA, USDA, MI and GSE Insurer servicing guidelines Must have experience with auditing and/or filing claims for FHA, VA and/or USDA adhering to the Investor/Insurer's guidelines Must be highly proficient in Excel and Word Why You Should Join As one of the top mortgage lenders in the country, Pennymac has helped over 4 million lifetime homeowners achieve and sustain their aspirations of home.
Our vision is to be the most trusted partner for home.
Together, 4,000 Pennymac team members across the country are guided by our core values: to be Accountable, Reliable and Ethical in all that we do.
Pennymac is committed to conducting a business that makes positive contributions and promotes long-term sustainable growth and to fostering an equitable and inclusive environment, where all employees and customers feel valued, respected and supported.
Benefits That Bring It Home: Whether you're looking for flexible benefits for today, setting up short-term goals for tomorrow, or planning for long-term success and retirement, Pennymac's benefits have you covered.
Some key benefits include: Comprehensive Medical, Dental, and Vision Paid Time Off Programs including vacation, holidays, illness, and parental leave Wellness Programs, Employee Recognition Programs, and onsite gyms and cafe style dining (select locations) Retirement benefits, life insurance, 401k match, and tuition reimbursement Philanthropy Programs including matching gifts, volunteer grants, charitable grants and corporate sponsorships To learn more about our benefits visit: *********************
page.
link/benefits For residents with state required benefit information, additional information can be found at: ************
pennymac.
com/additional-benefits-information Compensation: Individual salary may vary based on multiple factors including specific role, geographic location / market data, and skills and experience as defined below: Lower in range - Building skills and experience in the role Mid-range - Experience and skills align with proficiency in the role Higher in range - Experience and skills add value above typical requirements of the role Some roles may be eligible for performance-based compensation and/or stock-based incentives awarded to employees based on company and individual performance.
Salary $39,000 - $55,000 Work Model OFFICE
$39k-55k yearly Auto-Apply 3d ago
Claims Examiner
Arch Capital Group Ltd. 4.7
Hartford, CT jobs
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
* Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
* Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
* Review and analyze supporting damage documentation
* Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
* Establish appropriate loss and expense reserves with documented rationale
* Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
Experience & Qualifications
* Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
* Knowledge of ImageRight preferred
* Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
* Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
* Ability to work well independently and in a team environment
* Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date.
Education
* Bachelor's degree preferred
* 3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
$71.9k-97.1k yearly Auto-Apply 30d ago
Mortgage Claims Specialist II
Loancare 3.9
Remote
Looking for a career with purpose and reward? At LoanCare we help customers every day with what is for many their largest and most personal financial transaction: the purchase of their home. With the mission to simplify the complex with empathy and insight, we are constantly innovating and are a top provider in the mortgage services industry as a result.
We are actively seeking to fill the role of Claims Specialist II. Our ideal candidate enjoys working with clients, both internal and external, eager to learn and maximize results, is detail oriented and driven to meet tight deadlines in a fast-paced environment. Background in the mortgage or real estate industry is a plus. If this sounds like you, and you are ready for a career and not just your next job, apply today!
Responsibilities
• Prepare mortgage insurance claims for two or more agencies- or investor-acquired properties.
• Complete reconciliation of all advances to be included in the claim.
• Assist in conducting internal department quality control audits of post claim activity.
• Validate all the necessary supporting documents needed for the claim.
• Maintain clear records and reports for management regarding daily production.
• Assist with updating appropriate workstations for claim payments.
• Follow up and track payment of filed claims.
• Conduct miscellaneous research to complete daily tasks.
• Conduct research for post-claim activities such as “missing documents and/or agency inquiries”.
• Complete tasks queue and notate internal system accordingly.
• All other duties as assigned.
Qualifications
2-4 years of experience in default mortgage servicing and/or mortgage insurance claim and/or the legal field.
Knowledge of accepted business practices in the mortgage industry and understanding of claims process.
Proficient knowledge of foreclosure process and appropriate guidelines (FHD).
LPS-MSP (Mortgage Servicing Platform) experience.
Ability to manage time and priorities wisely.
Ability to make sound decisions and resolve issues.
Ability to work independently and effectively meet deadlines.
Ability to communicate effectively in writing, in person, and by telephone.
Ability to use Microsoft Office applications, specifically, Excel and Word.
Ability to maintain strict confidentiality.
Total Rewards
LoanCare's Total Rewards Package offers a comprehensive blend of health and welfare, financial, lifestyle and learning benefits to support employee well-being and engagement. Highlights include:
Health & Welfare Coverage: Optional medical, dental, vision, life, and disability insurance
Time Off: Paid holidays, vacation, and sick leave
Retirement & Investment: Matching 401(k) plan and employee stock purchase plan
Wellness Programs: Access to mental health resources, including free Calm memberships, and initiatives that promote physical and emotional well-being
Employee Recognition: Programs that celebrate achievements and milestones
Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth.
Compensation Range: $17.88 - $26.73 hourly. Actual compensation may vary within the range provided, depending on a number of factors, including qualifications, skills and experience.
Build Your Future with LoanCare
At LoanCare, we don't just service mortgage loans-we serve people. As a leading full-service mortgage loan subservicer, we deliver excellence to banks, credit unions, independent mortgage companies, investors, and the homeowners they support. Backed by the strength and stability of Fidelity National Financial (NYSE: FNF), a Fortune 500 company, we offer a career foundation built on integrity, innovation, and collaboration.
Here, you'll find:
A culture that helps you thrive, with resources and support to fuel your growth
Flexibility to work remotely, while staying connected through virtual engagement
Opportunities to make a real impact in an industry that touches millions of lives
If you're ready to grow your career in a place that values your contributions and empowers your success, we invite you to join our team.
About Remote Employment
We provide the necessary equipment; all you need is a quiet, private place in your home and a high-speed internet connection with a minimum network download speed of 25 megabits per second (MBPS) and a minimum network upload speed of 10 MBPS.
Work Conditions
Able to attend work and be productive during normal business hours and to work early, late or weekend hours as needed for successful job performance. Overtime required as necessary.
Physical Demands
Sitting up to 90% of the time
Walking and standing up to 10% of the time
Occasional lifting, stooping, kneeling, crouching, and reaching
Equal Employment Opportunity
LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.
$17.9-26.7 hourly Auto-Apply 28d ago
Claims Examiner
Arch Capital Group Ltd. 4.7
Chicago, IL jobs
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
* Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
* Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
* Review and analyze supporting damage documentation
* Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
* Establish appropriate loss and expense reserves with documented rationale
* Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
Experience & Qualifications
* Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
* Knowledge of ImageRight preferred
* Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
* Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
* Ability to work well independently and in a team environment
* Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date.
Education
* Bachelor's degree preferred
* 3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
$71.9k-97.1k yearly Auto-Apply 30d ago
Claims Examiner
Arch Capital Group Ltd. 4.7
Jersey City, NJ jobs
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
* Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
* Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
* Review and analyze supporting damage documentation
* Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
* Establish appropriate loss and expense reserves with documented rationale
* Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
Experience & Qualifications
* Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
* Knowledge of ImageRight preferred
* Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
* Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
* Ability to work well independently and in a team environment
* Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date.
Education
* Bachelor's degree preferred
* 3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
$71.9k-97.1k yearly Auto-Apply 30d ago
Claims Examiner
Arch Capital Group Ltd. 4.7
Alpharetta, GA jobs
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
* Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
* Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
* Review and analyze supporting damage documentation
* Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
* Establish appropriate loss and expense reserves with documented rationale
* Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
Experience & Qualifications
* Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
* Knowledge of ImageRight preferred
* Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
* Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
* Ability to work well independently and in a team environment
* Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date.
Education
* Bachelor's degree preferred
* 3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
$71.9k-97.1k yearly Auto-Apply 30d ago
Claims Examiner I
Americo Financial Life and Annuity 4.7
Kansas City, MO jobs
We are currently looking for a Claims Examiner to join our team! The Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the beneficiaries through calls and written correspondence.
Job Responsibilities
Review and process death claims
Create payments and letters to settle claims
Correspond with claimants via phone, letter, and email
Follow all state regulations, being mindful of Unfair Claim Practice regulations
Provide excellent, prompt customer service to beneficiaries and other callers
Reconcile suspense items, returned mail, and other items in workflow according to service level agreements
Job Qualifications
Good understanding or ability to learn in house systems (Workflow/Imaging System, Life Insurance Policy Administration systems, Microsoft Office applications)
Knowledge of life and disability insurance
Well organized, detail oriented, uses time efficiently
Able to work independently and think critically
Excellent written and verbal communication
Able to operate effectively in a fast-paced environment while maintaining a professional image and positive attitude
Previous life insurance claims experience
Education Qualifications
Four year degree from an accredited college or university, or relevant industry experience
About Us
Americo: We re in this for life!
The roots of the Americo family of companies date back more than 100 years. Americo is a life insurance and annuity company providing innovative products to our customers. At Americo, it s the people who make things work, so we hope you join us!
What you ll love about working at Americo:
Compensation:
Our competitive pay and robust bonus program, offered to all associates, will make you feel valued.
Learning and development:
We prepare you for success with a comprehensive, paid training program. Additionally, our Talent Development team creates various development opportunities for associates at every stage of their careers.
Work-life balance:
We value work-life balance with our generous paid time off; you begin accruing hours every month, and they increase with tenure. All new hires earn over three weeks of paid time off annually, plus 11 paid company holidays! We also support new mothers with a maternity leave program, along with paid STD and LTD.
Health and well-being:
We commit to your health and well-being and are proud to offer comprehensive health and life insurance options, including FSA or HSA accounts and subsidies to support your health and fitness goals through vendor partnerships at The Y, Orange Theory, WW, and more.
Future planning:
Americo offers a 401(k) with a company match. We also have tuition reimbursement programs to further your education.
Giving back:
We support several local organizations, such as Ronald McDonald House, Hope Lodge, the American Red Cross, Harvesters, and many more. Our associates volunteer their time and donate money alongside the company to make a difference in our community.
The fun stuff:
Americo participates in the Kansas City Corporate Challenge, a great way to connect with coworkers. Additionally, we host events like a Royals Party at the K, a legendary Holiday Party, and in-office events with local vendors to allow associates to step away from work and enjoy each other s company.
Bustling environment:
Our newly renovated offices are conveniently located in downtown Kansas City, within walking distance of your favorite restaurants and attractions. Plus, you ll receive complimentary paid parking near our Americo offices downtown parking is a premium, but we ve got you covered.
#AMERICO
$36k-61k yearly est. 60d+ ago
Claims Specialist Construction Defect
The Hartford 4.5
Scottsdale, AZ jobs
Specialist Claims - CH07DE
We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future.
The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a visible and important role. CCU is a highly specialized claim organization responsible for the management of construction defect and construction related claims involving bodily injury and property damage. Claims in CCU are often associated with complex fact patterns requiring contract analysis, and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require subject matter expertise to manage, and can involve higher exposures.
RESPONSIBILITIES:
The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim, a well-reasoned analytical focus, and a clear strategy for resolution. The Claim Specialist must also be willing to share their expertise and contribute to broader claim goals by participating in audits, projects and training initiatives.
Other responsibilities include:
Provide proactive communications to customers and business partners in the management and resolution of claims
Respond to inquiries from customers and provide superior customer service
Review and analyze multiple complex policies and coverage parts (including general liability, contractors professional liability and wrap-up policies)
Write and articulate clear, concise and accurate coverage positions
Conduct investigations regarding claims and/or lawsuits
Effectively manage litigation and counsel, inclusive of litigation planning, budgeting, and proactively positioning claims for resolution
Develop complex coverage, liability and damage assessments and persuasively articulate them to leadership
Provide detailed impactful recommendations to leadership
Pursue and finalize coverage and liability risk transfer against other liable parties and insurance carriers
Conduct complex negotiations and articulate coverage/liability positions
Attend mediations and trials as necessary
Proactively manage accurate expense, reserve and financial transactions
Consistently maintain up to date claims metrics
REQUIRED QUALIFICATIONS:
5+ years construction defect claim handling experience
Experience handling complex construction defect coverage and liability issues on general liability and WRAP policies for general contractor, developer, owner, and construction manager claims
Experience in handling affirmative/defensive risk transfer, including tendering and responding to additional insured and contractual indemnity tenders
Excellent verbal and written communication skills
Excellent analytical and critical thinking ability
Ability to present in a roundtable setting with a well-reasoned and analytical evaluation
Experience in the creation and delivery of presentations
Superior customer service skills and active listening skills
Proven track record of prioritizing and managing multiple responsibilities simultaneously
Proven track record of effective negotiations/settlement of high-value construction defect liability claims
Demonstrated negotiation and conflict resolution skills
Proficiency with MS Office, especially Word and Excel
Active Property & Casualty State Insurance Adjuster license
PREFERRED QUALIFICATIONS:
10+ years construction defect claim handling experience
Bachelor's degree preferred. J.D. or CRIS designation a plus.
Experience in handling contractor professional and protective indemnity policies
Knowledge of surety, bond and builders risk policies
Active Property & Casualty State Insurance Adjuster license
OTHER INFORMATION:
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.
Compensation
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:
$106,400 - $159,600
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age
About Us | Our Culture | What It's Like to Work Here | Perks & Benefits
$48k-64k yearly est. Auto-Apply 32d ago
Claims Specialist General Liability/Pollution Environmental Liability
The Hartford 4.5
Scottsdale, AZ jobs
Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future.
This dynamic Claim Specialist role will be part of a team of professionals who support the Harford Global Specialty (HGS) Claims Division. Our ideal candidate will have expertise in: primary and excess claims (including general liability, excess auto liability, products liability, and pollution liability) on integrated general liability/pollution liability policies, contractor pollution liability and site-specific pollution liability policies. We are seeking a motivated, self-starter who would enjoy a fast-paced collaborative work environment! The Claim Specialist will handle a caseload of complex, high-exposure claims on Excess General Liability and Environmental policies from inception to final resolution. This team works closely with our underwriting, actuarial and legal partners to ensure the best possible result for our customers. The claim caseload will involve both primary and excess coverages with complex fact patterns requiring some knowledge of environmental regulations and response actions as well as analysis of contracts between parties to determine liability for risk transfer opportunities.
Key responsibilities of this position include:
* Conduct complex investigations and extensive claim file reviews on assigned cases
* Determine coverage, draft position letters and communicate the coverage position(s) to insureds, business partners and legal counsel
* Operate within prescribed authority levels to set appropriate expense and indemnity reserves
* Regularly monitor indemnity reserves for any required adjustment
* Present cases above authority level to leadership for expense/indemnity reserve and settlement authority
* Develop and implement resolution strategies to achieve high quality outcomes
* Pro-actively manage environmental consultants and/or litigation and counsel throughout the case lifecycle
* Directly oversee the litigation planning, execution, budget and bill review
* Attend trials and mediations as necessary
* Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives
* Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy issues, industry trends, etc.
* Collaborate with valued business partners to review and address claim trends
* Address inquiries from agents and policyholders with a focus on providing superior customer service
Qualifications:
* Bachelor's Degree is required
* Candidates with a JD license and specialization within environmental or construction case experience are preferred.
* Minimum of 7 years of claims experience with strong preference for candidates who have handled general liability, pollution liability, site pollution, construction or product liability claims or environmental policies.
* Prior experience handling both primary and excess policy coverages/claims
* Working knowledge of environmental, coverage and tort laws
* Strong coverage acumen with the ability to readily apply the terms and conditions found in manuscript policies to the facts of the claim
* Familiarity with state specific environmental and insurance regulatory requirements
* High level of discipline, results-orientation and ability to drive bottom line results
* Superior analytical ability and organizational skills
* Effective interpersonal communication skills in both verbal and written formats
* Proven strategic reasoning and execution skills
* Excellent negotiation and advanced technical claim handling skills
* Full command of issues and medicals relative to high value bodily injury claims
* Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity
* Ability to effectively communicate in a highly-matrixed environment
* Readily able to influence and drive successful, collaborative claim outcomes
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.
Compensation
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:
$106,400 - $159,600
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age
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$48k-64k yearly est. Auto-Apply 5d ago
Claims Specialist Construction Defect
The Hartford 4.5
Scottsdale, AZ jobs
Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future.
The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a visible and important role. CCU is a highly specialized claim organization responsible for the management of construction defect and construction related claims involving bodily injury and property damage. Claims in CCU are often associated with complex fact patterns requiring contract analysis, and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require subject matter expertise to manage, and can involve higher exposures.
RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim, a well-reasoned analytical focus, and a clear strategy for resolution. The Claim Specialist must also be willing to share their expertise and contribute to broader claim goals by participating in audits, projects and training initiatives.
Other responsibilities include:
+ Provide proactive communications to customers and business partners in the management and resolution of claims
+ Respond to inquiries from customers and provide superior customer service
+ Review and analyze multiple complex policies and coverage parts (including general liability, contractors professional liability and wrap-up policies)
+ Write and articulate clear, concise and accurate coverage positions
+ Conduct investigations regarding claims and/or lawsuits
+ Effectively manage litigation and counsel, inclusive of litigation planning, budgeting, and proactively positioning claims for resolution
+ Develop complex coverage, liability and damage assessments and persuasively articulate them to leadership
+ Provide detailed impactful recommendations to leadership
+ Pursue and finalize coverage and liability risk transfer against other liable parties and insurance carriers
+ Conduct complex negotiations and articulate coverage/liability positions
+ Attend mediations and trials as necessary
+ Proactively manage accurate expense, reserve and financial transactions
+ Consistently maintain up to date claims metrics
REQUIRED QUALIFICATIONS:
+ 5+ years construction defect claim handling experience
+ Experience handling complex construction defect coverage and liability issues on general liability and WRAP policies for general contractor, developer, owner, and construction manager claims
+ Experience in handling affirmative/defensive risk transfer, including tendering and responding to additional insured and contractual indemnity tenders
+ Excellent verbal and written communication skills
+ Excellent analytical and critical thinking ability
+ Ability to present in a roundtable setting with a well-reasoned and analytical evaluation
+ Experience in the creation and delivery of presentations
+ Superior customer service skills and active listening skills
+ Proven track record of prioritizing and managing multiple responsibilities simultaneously
+ Proven track record of effective negotiations/settlement of high-value construction defect liability claims
+ Demonstrated negotiation and conflict resolution skills
+ Proficiency with MS Office, especially Word and Excel
+ Active Property & Casualty State Insurance Adjuster license
PREFERRED QUALIFICATIONS:
+ 10+ years construction defect claim handling experience
+ Bachelor's degree preferred. J.D. or CRIS designation a plus.
+ Experience in handling contractor professional and protective indemnity policies
+ Knowledge of surety, bond and builders risk policies
+ Active Property & Casualty State Insurance Adjuster license
OTHER INFORMATION: This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.
Compensation
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:
$106,400 - $159,600
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age
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Every day, a day to do right.
Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do.
Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable?
That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined.
And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day.
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$48k-64k yearly est. 35d ago
Insurance Claims Specialist
Mid Florida Finance 4.1
Lakeland, FL jobs
Mid Florida Financing is looking for an Insurance Specialist to join our team in Lakeland, FL. This position will provide insurance coverage to our new and existing clients. We are looking for someone who is self-motivated, organized, and has the ability to work independently.
Benefits:
401(k)
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance
Responsibilities:
Provides exceptional customer service while investigating policy coverage, liability and damages in a timely manner
Gathers information and documents claim file to comply with company guidelines and state compliance and regulations
Negotiates timely and appropriate settlements with insurance companies
Manages pending claims to meet company quality criteria
Recognizes recovery opportunities in regards salvage vehicles
Performs other related duties as assigned or required.
Assists internal and external customers with problems or questions regarding claims by phone or through written correspondence while providing a high level of customer service.
Job Type:
Full-time
Pay:
$16.00 per hour
Expected hours:
40 per week
Schedule:
Monday to Friday
Work Location:
In person
We are an equal opportunity employer.
$16 hourly Auto-Apply 60d+ ago
Trucking Claims Specialist
Berkshire Hathaway 4.8
Scottsdale, AZ jobs
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!
Responsibilities
Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service.
Key Responsibilities
Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures.
Review and interpret policy language to determine coverage and consult with coverage counsel when needed.
Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies.
Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information.
Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts.
Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards.
Participate in file reviews, team meetings, and ongoing training to support continuous learning.
Qualifications
Minimum of 3 years of trucking industry experience.
Experience with bodily injury and/or cargo exposures.
Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices.
Strong analytical and negotiation skills, with the ability to manage multiple priorities.
Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism.
Possession of applicable state adjuster licenses.
Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.
$26k-31k yearly est. Auto-Apply 43d ago
Claims Specialist
Bell Bank 4.2
Bloomington, MN jobs
The Claims Specialist position will manage the intake, review, processing, and oversight of multi-line insurance claims. This position provides consulting and advocacy on behalf of our clients throughout the process of a claim and the duration of the loss event. This position will play a vital role in our agency supporting fair and timely claims resolution for our clients.
Responsibilities
Serve as the primary liaison between the client and the insurance carrier during the claims process.
Maintain clear, timely, and professional communication with all stakeholders (clients, carriers, internal teams, legal counsel).
Document all claim activity, communications, and outcomes accurately in the agency's management system.
Adhere to all regulatory, ethical, and internal best practice standards.
Protect operations by keeping claims information confidential.
Receive initial claim information from clients and ensure timely and accurate reporting to the appropriate insurance carrier.
Input new claim data into the claims system, verify information, and maintain high data integrity.
Manage correspondence, create claim files, process documentation, and assist the rest of the team with requests as needed.
Prepare loss runs requests, basic claim status reports, and assist with reporting requirements.
Field general client or carrier inquiries and route complex coverage or resolution issues to experienced colleagues.
Participate in training and mentorship opportunities to develop foundational insurance knowledge, including policy language and industry standards.
Bell Bank Culture, Policy and Accountability Standards:
Know by name and face as many customers and employees as possible, calling them by name as often as possible.
Know and practice LOCBUTN, our Golden Rules, and Bell Bank Customer Service Standards.
Know, understand, and live the company values and bottom line.
Conduct activities consistent with established Bell Bank policies, procedures and systems, the Bell Bank Employee Conduct policies, the Bank Secrecy Act and all applicable state and federal laws and regulations.
All employees are responsible for information security, including compliance with policies and standards which protect sensitive information.
Prompt and reliable attendance.
Perform other duties as assigned.
Education, Experience, and Other Expectations
Bachelor's degree in business administration or related field.
1-2 years of experience handling multi-line claims.
Associate in Claims (AIC) or other related designations is an advantage.
Skills and Knowledge
Extensive knowledge of insurance-related policies and legislation.
Proficient in analytical math.
Excellent conflict resolution and organization skills.
Strong written and oral communication skills.
Accuracy in claim processing and documentation.
A growth mindset and ability to work independently but as part of a team environment.