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Claim Specialist jobs at National Interstate Insurance

- 445 jobs
  • Claims Specialist - Bodily Injury

    National Interstate Corporation 4.4company rating

    Claim specialist job at National Interstate Insurance

    National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Since 1989, National Interstate has specialized in serving the insurance needs of the wheels-based transportation industry. Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. (****************** National Interstate is looking for a Claims Specialist to join their team. This individual will work fully remote from the USA. Essential Job Functions and Responsibilities Manages a large inventory of complex claims to evaluate compensability/liability. Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages. Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials. Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners. Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner. Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements. May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports. Performs other duties as assigned. Job Requirements Education: Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.Experience: Generally, a minimum of 9 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).Scope of Job/Qualifications: Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge. Demonstrates excellent analytical, negotiation, and problem-solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Viewed as a senior resource within the Claims department and/or organization. Company: NIIC National Interstate Insurance Company Salary Range: $90,000.00 -$100,000.00 Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.
    $90k-100k yearly Auto-Apply 60d+ ago
  • Claims Supervisor (Bodily Injury)

    Geico 4.1company rating

    Dallas, TX jobs

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Join a team where your expertise truly matters!Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage: complex investigations coverage determinations liability assessments bodily injury claim resolutions-through both settlement and litigation. This role requires advanced knowledge of litigation processes and the ability to strategically support litigated and attorney-represented claims. If you're passionate about developing talent, driving results, and making an impact in the automotive liability space, we'd love to hear from you.Success in this role is built on the foundation of GEICO's core leadership behaviors: Ownership: You take responsibility for outcomes in all scenarios. Adaptability: You navigate dynamic environments with creativity and resilience. Leading People: You empower individuals and teams to achieve their best. Collaboration: You build and strengthen partnerships across organizational lines. Driving Value: You use data-driven insights to align actions with strategic goals. What You'll Do: Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust. Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims. Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations. Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention. Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service. Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence. Collaborate with leadership and cross-functional teams to identify and implement process improvements. Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge. What We're Looking For: Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases. Active Adjuster license (required) Expertise in Casualty claims, including knowledge of industry regulations and best practices Strong ability to assess needs and guide associates in negotiating claim settlements as needed Experienced in the use of various claims tools with ability to assist associates Strong adherence to compliance and regulatory requirements Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment Strong results orientation, with a history of meeting or exceeding performance goals Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations Ability to analyze data and metrics to inform decision-making and improve customer outcomes Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence Why Join GEICO? Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Inclusive Culture: Join a company that values diversity, collaboration, and innovation. Workplace Flexibility: This is a M-F, 8:00am - 4:30pm position offering a Hybrid work model based in Richardson, TX. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Increased Earnings Potential: Pay Transparency: The starting salary for this position is between $97,735 annually and $151,700 annually. Incentives and Recognition: Corporate wide bonus programs are in place to reward top performers. Beware of scams! As a recruiter, I will only contact you through ************ email address and will never ask you for financial information during the hiring process. If you think you are being scammed or suspect suspicious activity during the hiring process, please contact us at ...@geico.com. keywords: litigation, auto liability, liability claims#geico300#LI-AL2 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $49k-73k yearly est. 11d ago
  • Bilingual Claims Specialist

    Geico 4.1company rating

    Tucson, AZ jobs

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. Thats why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Bilingual (English/Spanish) Claims Service Specialist Tucson, Arizona Salary: $20.84 per hour / $41,992.60 annually +10% Bilingual Differential Claim your career growth as a Bilingual Claims Service Specialist at GEICOs Tucson, Arizona office and be a part of one of the fastest-growing auto insurers in the United States! If you are motivated, all about solutions, and empathetic to the needs of customers, come grow a fulfilling career with us! Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our Spanish-speaking policyholders when they need us the most during an accident. As a Bilingual Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Our policyholders will count on your patience, support, and attention to detail to get them back on the road as quickly as possible. GEICO will also give you the space and grace to explore your abilities and learn new ones. So if you are ready to start growing your career, lets talk! Avanza profesionalmente con una compaa que valora la diversidad y la inclusin. Esta oportunidad es ideal para estudiantes, futuros estudiantes y aspirantes que valoran el aprendizaje continuo, ya que nuestros Representantes de Reclamos tienen el desafo constante de aprender y expandir su conocimiento de la industria de seguros y nuestra compaa. Adems, GEICO favorece la cultura de ascensos dentro de la empresa, as que abundan las oportunidades para que avances profesionalmente y seas recompensado por el trabajo duro y la perseverancia. Prepara tu pasin para ayudar a los dems, y marcar la diferencia y comienza una trayectoria laboral gratificante con GEICO hoy! Many associates see a base salary increase of 10% within their first year as a Bilingual Claims Service Specialist. Top associates can see increases up to 15%! Qualifications & Skills: Excellent verbal and written communication skills in English and Spanish Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction Solid computer multitasking skills Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Ability to work comfortably and grow in a fast-paced, high-volume call center environment Minimum of high school diploma or equivalent, college degree or currently pursuing preferred Eagerness to explore new skills and openness to different career paths #geico700 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company:At GEICO, we help our customers through lifes twists and turns. Our mission is to protect people when they need it most and were constantly evolving to stay ahead of their needs. Were an iconic brand that thrives on innovation, exceeding our customers expectations and enabling our collective success. From day one, youll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on peoples lives. Great Careers:We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career and your potential in mind. Youll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture:We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards:We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your familys overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants. RequiredPreferredJob Industries Other
    $42k yearly 28d ago
  • Multi Line Adjuster

    Geico 4.1company rating

    Providence, RI jobs

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Multi-line Adjuster - Rhode Island. *Starting pay rate varies based upon position and location. Ask your Recruiter for details! ** Position will be 50% working in the field and 50% working from home ** We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, and customer's homes. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing vessels, motorcycles, RV and other specialty claims. Qualifications & Skills: Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits Must attain and maintain the required licenses issued by state insurance departments Willingness to be flexible with primary work location Solid computer, mechanical aptitude, and multi-tasking skills Effective attention to detail and decision-making skills Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Minimum of high school diploma or equivalent, college degree or currently pursuing preferred Requirements: Experience appraising Vessels - 2 years minimum Preferred experience appraising motorcycles and RV's Strong Customer Service skills - Ability to interact with customers and repair facilities Must be able to obtain/qualify for Rhode Island all line adjusters license Annual Salary $32.05 - $57.49 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $32.1-57.5 hourly Auto-Apply 30d ago
  • Complex Claims Specialist - Commercial Auto

    Athens Administrators 4.0company rating

    Florida jobs

    DETAILS Complex Claims Specialist - Property & Casualty Department: Property and Casualty Claims Reports To: Claims Supervisor FLSA Status: Exempt Job Grade: 14 Career Ladder: Next step in progression could include Claims Supervisor ATHENS ADMINISTRATORS Since our founding in 1976, Athens Administrators has been a recognized leader in third-party claims administration services. However, more important than what we do is how we do it. Athens employees provide service that translates into real and lasting benefits-every single day! With offices throughout the United States, Athens Administrators offers Workers' Compensation, Property & Casualty, Managed Care and Program Business solutions. Athens is proud to be a third-generation family-owned company and is dedicated to its core values of honesty and integrity, a commitment to service and results, and a caring family culture. We are so proud that our employees have consistently voted Athens as a Best Place to Work! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Complex Claims Specialist to support our Property & Casualty department. Employees who live less than 26 miles from the Concord, CA, Orange, CA, San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA, and WV). This position does allow for work from home if technical requirements are met. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week. The Complex Claim Specialist is responsible for the review, investigation, analysis, and processing of complex claims within assigned authority limits and consistent with policy and legal requirements. These claims are typically high exposure and often entail litigation and complex coverage. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests. Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Advanced knowledge in the following areas: 1) Complex Auto or General Liability claims handling concepts, practices and techniques, to include but not limited to complex coverage issues, and product line knowledge, 2) advanced, functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated advanced analytical, decision making and negotiation skills. Analyze, investigate, and evaluate losses to determine appropriate layers of coverage, settlement value and disposition strategy, including claim merits or denial of liability Within prescribed settlement authority for line of business, establish appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to clients and senior level management Manage the litigation process through the retention of selected counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment Document and manage claims (i.e.: statements, diaries, write reports) from inception to closure Ensure appropriateness of all coverage memorandums and payments Coordinate and work with dedicated vendor services such as law professionals, industry experts, county officials and client executives to manage professional claims and communications Facilitate interactions between insured entities, claimants, client contacts, and attorneys in resolution of severe and complex claims Lead and conduct comprehensive claim reviews and case analysis discussions with various committees or district level authorities Provide superior customer service to all layers of authorities within the county Meet with clients, attend hearings, and assist senior management with planning, forecasting and new business opportunities that may arise in the servicing of the account. May assist management in hiring other account dedicated examiners Provide guidance and serve as a technical expert to less experienced examiners May conduct meetings or training sessions to help develop less experienced examiners Attend all required meetings and educational seminars for professional development Conduct on-sight or frequent claim reviews in Ventura County with the client representatives, as required. Maintain required licenses ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. High School Diploma or equivalent (GED) required for all positions AA/AS or BA/BS preferred but not required Possesses a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL preferred Additional State Adjuster License(s), may be required within 180 days Maintain licenses and continuing education requirements in all states Relies on extensive experience and judgement to plan and accomplish goals with a minimum of 8-10 years complex/major claims experience, including proficiency in investigation and resolution of severe to major casualty and general liability claims Experience with relevant insurance laws, codes, and procedures Experience with property and casualty insurance policies, insurance tort laws, codes, and procedures Understanding Auto and General Liability exposure and unique coverage endorsements Understanding of medical, legal terminology and liability concepts Proficiency in investigation and resolution of severe to major level casualty claims Time Management and project management skills Strong negotiation and litigation management skills Well-developed verbal and written communication skills with strong attention to detail Excellent organizational skills and ability to multi-task Ability to type quickly, accurately and for prolonged periods Proficient in Microsoft Office Suite Ability to learn additional computer programs Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization Seeks to include innovative strategies and methods to provide a high level of commitment to service and results Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************** This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at *************************************************
    $54k-82k yearly est. 60d+ ago
  • Multi-Line Claim Specialist - Bodily Injury & Property Damage (Hybrid)

    Cannon Cochran Management 4.0company rating

    Scottsdale, AZ jobs

    Multi-Line Claim Specialist (Hybrid) - Scottsdale, AZ Salary Range: $70,000-$80,000 annually (DOE) Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Work Model: Hybrid (1 mandatory weekly office day + additional in-office time for team meetings, trainings, and claim reviews as needed) Reports To: Claim Supervisor Account: Single dedicated account Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the largest employee-owned Third Party Administrators in the country and a certified Great Place to Work , we offer manageable caseloads, a collaborative culture, and the stability of employee ownership. Here, you'll have the autonomy to do meaningful work-and the support to grow your career. Job Summary We are seeking an experienced Multi-Line Claim Specialist, to join our Scottsdale liability team. This hybrid role is ideal for a high-performing claim professional skilled in managing bodily injury (BI) and property damage (PD) claims, including mid-level injuries, represented and unrepresented claimants, and files that may be in suit. You will independently handle a caseload files for a single dedicated Waste Management industry account, delivering high-quality service, thorough investigations, and timely resolutions. This position offers growth potential and may serve as an advanced training pathway toward senior-level claim roles. Responsibilities Investigate, evaluate, and adjust multi-line claims in accordance with CCMSI standards, jurisdictional laws, and client requirements. Handle bodily injury and property damage claims involving mid-level injuries, represented and unrepresented claimants, and files in suit. Establish reserves and make recommendations within assigned authority levels. Review and approve medical, legal, and vendor invoices for relatedness and reasonableness; negotiate disputed charges. Authorize payments and negotiate settlements in alignment with client expectations, state regulations, and corporate standards. Coordinate and oversee external vendors such as defense counsel, surveillance, and case management when required. Maintain claim documentation, diary entries, and communication logs in the claim system. Assess and monitor subrogation opportunities. Prepare status reports, reserve updates, and client-facing documentation as requested. Attend mediations, hearings, and informal conferences as appropriate. Participate in claim reviews and training sessions with internal stakeholders and the client. Uphold CCMSI's Core Values through client service excellence and collaborative team engagement Qualifications Qualifications - Required 5+ years of multi-line liability claim experience (PD/BI). Experience handling represented and unrepresented claimants and files with mid-level injuries. Ability to manage 125 active files with accuracy, organization, and timely follow-up. At least one valid home state adjuster license (additional licenses a plus). Strong written and verbal communication skills. Solid analytical, investigative, and negotiation abilities. Proficiency with Microsoft Office and ability to learn claim system platforms. Reliable and consistent attendance during client service hours. Nice to Have Prior experience with Waste Management or transportation-related accounts. Strong technical BI evaluation skills. Comfort participating in client presentations or claim reviews. Training & Support Training Duration: As long as needed-tailored to your experience level. You will join a large, supportive claim organization of 80+ team members, with ~40 dedicated to liability. You'll have access to peer support, leadership guidance, technical resources, and client interaction opportunities that strengthen your long-term growth path. How We Measure Success Audit results Claim review performance File quality and timeliness Client satisfaction Annual performance evaluation Compensation & Compliance Compensation: $70,000-$80,000 annually, based on experience. Visa Sponsorship: CCMSI is unable to provide visa sponsorship for this position. ADA Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Equal Opportunity Employer: CCMSI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Our Core Values At CCMSI, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #CCMSIWesternLiability #EmployeeOwned #ESOP #MultiLineClaims #GreatPlaceToWorkCertified #RemoteWork #CargoClaims #APDClaims #InsuranceJobs #ClaimsAdjuster #LiabilityAdjuste #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.
    $70k-80k yearly Auto-Apply 8d ago
  • Multi-Line Claim Specialist - Bodily Injury & Property Damage (Hybrid)

    Ccmsi 4.0company rating

    Scottsdale, AZ jobs

    Multi-Line Claim Specialist (Hybrid) - Scottsdale, AZ Salary Range: $70,000-$80,000 annually (DOE) Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Work Model: Hybrid (1 mandatory weekly office day + additional in-office time for team meetings, trainings, and claim reviews as needed) Reports To: Claim Supervisor Account: Single dedicated account Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the largest employee-owned Third Party Administrators in the country and a certified Great Place to Work , we offer manageable caseloads, a collaborative culture, and the stability of employee ownership. Here, you'll have the autonomy to do meaningful work-and the support to grow your career. Job Summary We are seeking an experienced Multi-Line Claim Specialist, to join our Scottsdale liability team. This hybrid role is ideal for a high-performing claim professional skilled in managing bodily injury (BI) and property damage (PD) claims, including mid-level injuries, represented and unrepresented claimants, and files that may be in suit. You will independently handle a caseload files for a single dedicated Waste Management industry account, delivering high-quality service, thorough investigations, and timely resolutions. This position offers growth potential and may serve as an advanced training pathway toward senior-level claim roles. Responsibilities Investigate, evaluate, and adjust multi-line claims in accordance with CCMSI standards, jurisdictional laws, and client requirements. Handle bodily injury and property damage claims involving mid-level injuries, represented and unrepresented claimants, and files in suit. Establish reserves and make recommendations within assigned authority levels. Review and approve medical, legal, and vendor invoices for relatedness and reasonableness; negotiate disputed charges. Authorize payments and negotiate settlements in alignment with client expectations, state regulations, and corporate standards. Coordinate and oversee external vendors such as defense counsel, surveillance, and case management when required. Maintain claim documentation, diary entries, and communication logs in the claim system. Assess and monitor subrogation opportunities. Prepare status reports, reserve updates, and client-facing documentation as requested. Attend mediations, hearings, and informal conferences as appropriate. Participate in claim reviews and training sessions with internal stakeholders and the client. Uphold CCMSI's Core Values through client service excellence and collaborative team engagement Qualifications Qualifications - Required 5+ years of multi-line liability claim experience (PD/BI). Experience handling represented and unrepresented claimants and files with mid-level injuries. Ability to manage 125 active files with accuracy, organization, and timely follow-up. At least one valid home state adjuster license (additional licenses a plus). Strong written and verbal communication skills. Solid analytical, investigative, and negotiation abilities. Proficiency with Microsoft Office and ability to learn claim system platforms. Reliable and consistent attendance during client service hours. Nice to Have Prior experience with Waste Management or transportation-related accounts. Strong technical BI evaluation skills. Comfort participating in client presentations or claim reviews. Training & Support Training Duration: As long as needed-tailored to your experience level. You will join a large, supportive claim organization of 80+ team members, with ~40 dedicated to liability. You'll have access to peer support, leadership guidance, technical resources, and client interaction opportunities that strengthen your long-term growth path. How We Measure Success Audit results Claim review performance File quality and timeliness Client satisfaction Annual performance evaluation Compensation & Compliance Compensation: $70,000-$80,000 annually, based on experience. Visa Sponsorship: CCMSI is unable to provide visa sponsorship for this position. ADA Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Equal Opportunity Employer: CCMSI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Our Core Values At CCMSI, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #CCMSIWesternLiability #EmployeeOwned #ESOP #MultiLineClaims #GreatPlaceToWorkCertified #RemoteWork #CargoClaims #APDClaims #InsuranceJobs #ClaimsAdjuster #LiabilityAdjuste #LI-Hybrid
    $70k-80k yearly Auto-Apply 6d ago
  • Claims Coverage Specialist

    Hagerty Insurance Agency 4.7company rating

    Remote

    The Claims Coverage Specialist is a technical resource on the Hagerty Claims Legal team who conducts legal research and assists the Hagerty Claims team with providing accurate and consistent application of policy coverages among all jurisdictions. As a Claims Coverage Specialist, you will play a critical role in providing advice to assist the Claims team with the resolution of insurance claims by analyzing coverage, identifying risks, and supporting the Claims team in making informed decisions. This role requires strong analytical skills, attention to detail, and the ability to collaborate effectively across teams. Ready to get in the driver's seat? Join us! What you'll do Coverage Analysis: Review and interpret insurance policies to provide advice to the Claims team regarding coverage and liability issues. Provide clear, well-reasoned coverage recommendations to claim adjusters and leadership. Support the Claims team by preparing written communications that explain coverage issues. Provide claim adjusters with assistance drafting clear, professional correspondence to communicate coverage positions and decisions to policyholders and other stakeholders. Contribute to the review and updating of policy language to ensure accuracy, compliance, and clarity. Stay current on emerging coverage issues, regulatory changes, and industry trends. Share knowledge and resources with the team. Provide guidance and training to claims staff on coverage matters and best practices. Risk Awareness: Identify potential risks and recommend strategies to mitigate exposure. Support cross-functional initiatives, respond to legal or regulatory inquiries, and assist with projects requiring coverage expertise. This might describe you Education: Juris Doctor and admission to at least one state bar Experience: Minimum of 3+ years in insurance claims, coverage analysis, or related legal/industry work. Auto or casualty insurance experience is a plus. Skills: Strong analytical and problem-solving abilities. Excellent written and verbal communication skills. Comfortable working on multiple priorities in a collaborative environment. Knowledge: Familiarity with insurance coverage principles, claims processes, and regulatory requirements. Litigation or dispute resolution experience is a plus. Excellent written, verbal and interpersonal communication skills Able to prioritize multiple tasks with good time management skills Able to work accurately and effectively in a highly confidential, detail- and results-oriented environment. Able to work independently with minimal direction while functioning well in a team environment Excellent judgment (common sense) and business instincts. Ability to collaborate with employees at all levels across the enterprise and in team settings. Self-managed, self-motivated, and ability to work both independently and as part of a team on assigned tasks. Highest levels of personal and professional integrity. Ability to effectively prioritize and execute tasks in a fast-paced environment. Proven experience in interfacing with executive teams, business management and external law firms. Other things to note This position may require occasional travel to attend industry conferences or training sessions This position is open to U.S. remote work. Say hello to Hagerty Hagerty is an automotive enthusiast brand and the world's largest membership organization. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to the Hagerty Drivers Foundation, Garage + Social, Hagerty Drivers Club, Marketplace and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile. Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for and invest in every single team member. At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age, or car preference. We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world. If you reside in the following jurisdictions: Illinois, Colorado, California, District of Columbia, Hawaii, Maryland, Minnesota, Nevada, New York, or Jersey City, New Jersey, Cincinnati or Toledo, Ohio, Rhode Island, Vermont, Washington, British Columbia, Canada please email ********************** for compensation, comprehensive benefits and the perks that set us apart. #LI-Remote EEO/AA US Benefits Overview Canada Benefits Overview UK Benefits Overview If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
    $33k-46k yearly est. Auto-Apply 7d ago
  • Claims Process Specialist (Remote)

    California Fair Plan Association 3.0company rating

    Los Angeles, CA jobs

    The Claims Process Specialist is responsible for overseeing and managing the end-to-end claims process for homeowners and commercial property claims. The role involves designing, implementing, monitoring, and continuously improving claims processes to ensure efficiency, effectiveness, and compliance with organizational standards. Key responsibilities include defining process workflows, establishing performance metrics, identifying areas for improvement, and maintaining process documentation. Process Owners also facilitate communication and training related to their processes and may lead initiatives to optimize workflows and implement best practices. This role will serve as the process steward for Claims and its touchpoints with Policy/Underwriting and Finance, as well as reporting for business stakeholders. PRINCIPAL DUTIES & RESPONSIBILITIES Review, develop, implement, and continuously improve the claims process to ensure efficiency, accuracy, and compliance. Recommend, standardize, and implement procedures and workflows related to claims handling. Monitor the end-to-end claims process, ensuring timely and accurate claims handling. Address problems or bottlenecks within the claims process promptly and effectively. Ensure all established claims processes comply with company policies, industry standards, and federal and state regulatory requirements. Maintain up-to-date knowledge of relevant laws and regulations affecting claims processing. Aligning with California DOI requirements, retention/legal hold, and audit traceability. Champion cross-module coherence (Policy/UW ↔ Claims ↔ Finance) and Single Source of Truth (SSOT) alignment for data and definitions. Oversee the use and maintenance of claims management systems. Identify, recommend, implement, and monitor technological improvements to streamline claims operations. Develop and update claims policies, procedures, and guidelines. Ensure policies are communicated and, in collaboration with the Quality Assurance team, adhered to across the claims team. Prepare and present reports on process performance, issues, and improvement initiatives to management. Any other duties needed to help fulfill the Association's Mission, abide by the Association's Values, and fulfill the Association's Strategic Objectives. EDUCATION & EXPERIENCE Bachelor's degree or equivalent preferred. Experience with homeowners' catastrophe claims-specifically wind and fire preferred. Proven experience in process management, ideally within homeowners' insurance. Advanced knowledge and application of relevant tools and methodologies (such as Lean, Six Sigma, or BPM), as well as industry standards. Experience with Duck Creek claims platform preferred. Advanced knowledge of computer software, i.e., Microsoft Word, Excel, and Outlook. Strong analytical and problem-solving skills, with attention to detail and accuracy. Excellent internal and external customer service, as well as strong oral and written communication skills.
    $44k-61k yearly est. 60d+ ago
  • Experienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)

    Ccmsi 4.0company rating

    Irvine, CA jobs

    Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the nation's largest employee-owned Third Party Administrators and a certified Great Place to Work , we empower our employee-owners with manageable caseloads, meaningful work, and opportunities to grow. When you join us, you join a team that values collaboration, client care, and long-term career development. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Performance Metrics Your success in this role is measured by: Quality and accuracy of claim handling. Meeting deadlines and maintaining current diary/workflows. Consistent adherence to best practice standards. Ability to collaborate and communicate effectively with clients, team members, and claim stakeholders. What We Offer Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a stake in our success. Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays. Comprehensive Benefits: Medical, Dental, Vision, Life, Short- and Long-Term Disability, Critical Illness, and 401(k). Career Growth: Robust internal training and professional development opportunities. Supportive Culture: We believe in manageable caseloads, collaboration, and maintaining a healthy work-life balance. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote
    $77k-87k yearly Auto-Apply 15d ago
  • Experienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)

    Cannon Cochran Management 4.0company rating

    Irvine, CA jobs

    Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the nation's largest employee-owned Third Party Administrators and a certified Great Place to Work , we empower our employee-owners with manageable caseloads, meaningful work, and opportunities to grow. When you join us, you join a team that values collaboration, client care, and long-term career development. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Performance Metrics Your success in this role is measured by: Quality and accuracy of claim handling. Meeting deadlines and maintaining current diary/workflows. Consistent adherence to best practice standards. Ability to collaborate and communicate effectively with clients, team members, and claim stakeholders. What We Offer Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a stake in our success. Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays. Comprehensive Benefits: Medical, Dental, Vision, Life, Short- and Long-Term Disability, Critical Illness, and 401(k). Career Growth: Robust internal training and professional development opportunities. Supportive Culture: We believe in manageable caseloads, collaboration, and maintaining a healthy work-life balance. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $77k-87k yearly Auto-Apply 17d ago
  • 1099 Adjuster Apply Here!

    Capstone ISG 3.7company rating

    Remote

    Requirements 2+ years handling property insurance claims required Candidate must have an active Xactimate account Can handle partial and full assignments Commercial and personal lines experience preferred A qualified candidate must have their own transportation, equipment and software Good writing and technology skills
    $43k-61k yearly est. 60d+ ago
  • General Liability Claims Specialist

    CNA Holding Corporation 4.7company rating

    Plano, TX jobs

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically, Manager or above Skills, Knowledge & Abilities Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. Demonstrated ability to develop collaborative business relationships with internal and external work partners. Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. Demonstrated investigative experience with an analytical mindset and critical thinking skills. Strong work ethic, with demonstrated time management and organizational skills. Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. Developing ability to negotiate low to moderately complex settlements. Adaptable to a changing environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Demonstrated ability to value diverse opinions and ideas Education & Experience: Bachelor's Degree or equivalent experience. Typically, a minimum four years of relevant experience, preferably in claim handling. Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Professional designations are a plus (e.g. CPCU) #LI-LG1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois , Maryland, Massachusetts , New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $54k-103k yearly Auto-Apply 60d ago
  • Claims Representative

    Rockingham Insurance Company 3.2company rating

    Harrisonburg, VA jobs

    POSITION MISSION: Provide prompt contact, investigation, and coverage determinations of assigned claims while demonstrating a high level of customer service. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Contact insureds, claimants, and all other relevant parties to facilitate the processing of claims. Investigate claims promptly according to policy provisions while promoting a high level of customer service. Demonstrates a comprehensive knowledge of insurance policies and Rockingham guidelines to provide coverage determination through policy interpretations. Identify claims having potential for increased exposure, such as third-party bodily injury claims, referring to Claims Supervisor as applicable. Provide policyholders and claimants guidance throughout the claim process. Maintain an effective claim diary system through accurate documentation of all claim activities in accordance with established procedures. OTHER DUTIES: Support claims supervisor as requested Other duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES: The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. Ability to work comfortably and grow in a fast-paced high volume call environment Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Demonstrate the ability to multitask across multiple platforms routinely Demonstrates personal computer literacy and effectively uses all relevant company automation. CORE COMPETENCIES: Attention to detail Critical thinking Time management Organization Communication skills QUALIFICATIONS: High school diploma or GED required; undergraduate degree preferred. One year of experience working in the insurance industry preferred. Proficiency in Microsoft Office products Strong oral and written communication skills displaying professionalism in language, tone, and style to understand client needs and feedback. Projects a positive, professional image knowing they represent the company to the customer. PHYSICAL DEMANDS: Position operates in a professional office environment and routinely uses standard office and mobile equipment such as computers, phones, and photocopiers. Largely sedentary role with majority of work performed using a computer and phone. Please note, this position description is not designed to cover a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Requirements: PI54d082a75481-31181-39236173
    $27k-35k yearly est. 7d ago
  • Claims Specialist - Auto

    Philadelphia Insurance Companies 4.8company rating

    Plano, TX jobs

    Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. JOB RESPONSIBILITIES Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and documents communication as well as results of investigation. Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and other legal proceedings. JOB REQUIREMENTS High School Diploma; Bachelor's degree from a four-year college or university preferred. 10 plus years related experience and/or training; or equivalent combination of education and experience. • National Range : $82,800.00 - $97,300.00 • Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
    $82.8k-97.3k yearly Auto-Apply 60d+ ago
  • Claims Specialist

    MSIG Holdings 4.1company rating

    Addison, TX jobs

    MSIG USA continues to grow! MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business's unique risks. Summary/Job Purpose: This position is responsible to conduct thorough investigations and evaluate and negotiate complex claims including litigation and coverage issues. Accountable to ensure compliance with MSMM Claim Handling Guidelines, including reserving and payment practices, regulatory requirements and Fair Claims Practices Acts. Essential Functions: Investigates, researches and analyzes highly complex or severe claims, including coverage issues and legal issues affecting liability and damages. Establishes appropriate case reserves, completes settlements and case resolutions within established reserve and settlement authorities. Recommends reserve and settlement values on assigned cases in excess of established reserve and settlement authority. Manages, controls and negotiates timely and equitable claim payments and settlements in accordance with jurisdictional and fair claim practices and company policy and procedures. Attends pre-trials, trials, settlement conferences and mediations on assigned cases as required Assigns the defense of lawsuits to approved defense counsel; directs and monitors quality and performance of defense counsel. Maintains compliance with all requirements of the company's Litigation Management Program. Reviews and adjusts, where appropriate, fee bills and legal expenses for accuracy and reasonableness. Services the claim needs of our customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends client visitations with underwriters and other parties to conduct presentations and reviews. Maintains ongoing communication with all customers throughout the claims process in an effort to provide timely and appropriate claim status as appropriate and/or required by statutory regulations. Completes timely and accurate data reports to state reporting agencies to ensured full compliance with MSMM and regulatory requirement. Maintains full compliance with all regulatory Fair Claim Practices Acts and state and federal regulations. Maintains full compliance with all state licensing and continuing education requirements to ensure current and appropriate filing/standing of all adjuster licenses. Maintains regular reporting of case status, developments and direction to Home Office staff and other appropriate parties as necessary. Ensures timely and appropriate file reports and system documentation as required by company claim manuals and procedures. Participates and/or manages special projects and assignments as needed. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience Required: High School Degree or G.E.D. is required. Bachelor's degree preferred 7+ years related experience handling complex Liability or Workers' Compensation Claims It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group! It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.
    $37k-65k yearly est. 60d+ ago
  • Risk Claims Specialist

    Maya Management Group LLC 4.1company rating

    Dallas, TX jobs

    Job Description Key Responsibilities: Customer Claims: • Manage Customer Injury and Liability Claims: Oversee the investigation, documentation, and resolution of customer claims related to personal injury, property damage, or any other incidents occurring on organization premises. • Coordinate with Insurance Providers: Liaise with insurance companies to ensure proper claims filing and coordinate the resolution of claims involving external parties. • Customer Support: Handle escalated customer claims and provide appropriate resolutions while ensuring the store's best interests are maintained. • Documentation & Compliance: Ensure that all claims are properly documented in compliance with company policies and legal requirements. Keep detailed records of each customer-related claim. • Risk Prevention: Identify trends or recurring incidents that may contribute to customer claims and work with store management to implement safety measures or preventive actions. Employee Claims: • Workers' Compensation Claims: Oversee and manage all workers' compensation claims, ensuring compliance with state and federal regulations, and ensuring employees receive appropriate benefits. • Workplace Injury Claims: Manage the investigation of employee injury claims, including gathering evidence, interviewing witnesses, and ensuring all necessary forms are completed and submitted on time. • Fleet Claims Management: Manage the investigation of employee fleet claims, support employee's injuries if any, gather witness statements • Support and Guidance: Provide support to injured employees, ensuring they are informed throughout the claims process and are aware of their rights and available benefits. • Collaboration with HR and Legal: Work with HR and legal teams to ensure employee-related claims are handled correctly and in compliance with labor laws, insurance regulations, and company policies. • Collaboration with Safety Team: Work with the Safety Team to consistently do store visits, conduct safety audits, checklists and investigations as needed. Development: • Process Improvement: Identify opportunities to improve the claims process, whether through more efficient systems, better documentation, or enhanced communication strategies. Risk Management and Reporting: • Claims Analysis and Reporting: Review and analyze the data on claims to identify trends, recurring issues, or areas for improvement. Prepare detailed reports for management regarding claim frequency, costs, and risk mitigation efforts. • Collaboration with Risk and Safety Teams: Work closely with the Risk Management and Safety teams to address underlying causes of incidents that may lead to claims and develop preventive strategies. • Compliance: Ensure that all claims are processed in line with company policies, industry standards, and legal requirements, including managing documentation for audits or regulatory reviews. • Invoices: Reconcile and verify all invoices generated from claims. • Safety Monitor Report: Complete Safety Monitor report and communicate all parties involved to resolve an issue related to an investigation. Qualifications: • Bachelor's degree in Business, Risk Management, Insurance, or a related field (or equivalent experience). • 3-5 years of experience in claims management, risk management, or a specialist role, preferably in a retail or supermarket environment. • Strong understanding of risk management principles, insurance claims processes, and workers' compensation regulations. • Strong problem-solving and analytical abilities to investigate and resolve complex claims efficiently. • Excellent communication skills, both written and verbal, with the ability to manage sensitive issues with customers and employees. • Attention to detail and ability to maintain accurate records and reports. • Proficient in Microsoft Office and experience with claims management software or risk management tools. Physical Requirements: • Ability to stand for extended periods • Ability to lift up to 50 lbs as needed Work Environment: • Fast-paced, high-volume environment • Occasional evening, weekend, or holiday work may be required • Occasional travel to different company locations Physical Demands: Some lifting, carrying, pushing, and/or pulling; some stooping, kneeling, crouching, and/or crawling; and significant fine finger dexterity. Generally, the job requires 70% sitting, 20% walking, and 10% standing. This job is performed in a generally clean and healthy office environment.
    $37k-65k yearly est. 24d ago
  • 1099 Adjuster Apply Here!

    Capstone ISG Inc. 3.7company rating

    Virginia Beach, VA jobs

    Job DescriptionDescription: Capstone ISG is one of the nation's fastest growing Independent Adjustment firms. As we continue to grow our business, we look for people who offer inspiration and innovation, as well as have an internal drive for results. Our team members are focused on customer service and are dedicated to making Capstone a fun and rewarding place to work. We are currently accepting applications for independent (1099) property adjusters in the locations below. Other locations may be considered. Louisville, KYPIttsburgh, PAEastern Shore, MDMinneapolis, MNMemphis, TNNorthern New JerseyFlorence, SC This is a contract (1099) position. · Conducts prompt, thorough and fair investigations by obtaining relevant facts to determine coverage, origin, and extent of loss. · Documents damage and prepares written estimates using Xactimate software. · Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication. Requirements: 2+ years handling property insurance claims required Candidate must have an active Xactimate account Can handle partial and full assignments Commercial and personal lines experience preferred A qualified candidate must have their own transportation, equipment and software Good writing and technology skills
    $44k-59k yearly est. 5d ago
  • Total Loss Adjuster, Personal Lines

    Hallmark Financial Services 3.9company rating

    Dallas, TX jobs

    The Total Loss Adjuster will handle first and third party total loss claims for all vehicle types including private passenger autos, trailers, RV's, motorcycles, boats, farm equipment, construction equipment, commercial vehicles and commercial trucking. The Total Loss Adjuster makes and maintains a connection with the customer by understanding and meeting their needs; exhibits empathy and proactively follows up with the customer. Researches and responds to a variety of customer communications, concerns, or issues ranging from simple to complex. Documents the claim file with notes, evaluations and decision making process. Evaluates, validates and negotiates simple to complex total losses. Key Responsibilities: Investigating, evaluating, and negotiating claims, in order to reach a fair and equitable settlement Negotiates settlement of claims with insureds, claimants and attorneys while following established, authorized settlement authority. Uses compassionate communication and persuasive negotiation to ensure a positive customer experience Reviews claim details, coverage limits, the estimate and all associated charges to confirm Total Loss Evaluation Handles all claims within the guidelines of the states' Fair Claims Practices Acts and other Regulations. Will act as specialist in knowledge of Salvage and Title laws of the various states to facilitate legal transfer of title and claim resolution Communicates with Lien Holders, Body shops, tow facilities and other vendors to secure information needed to bring claim to a conclusion Controls associated claims for Rental/Loss of Use and storage Ensure timeliness and KPI's are being met Work closely with the MD appraisers to ensure accurate and timely evaluations Ensure claim files are properly documents and all documents are attached Request documents needed to process titles and salvage of vehicles Monitor Copart website for receipt of title documents Maintains an up-to-date dairy Identifies subrogation and SIU opportunities and follows Company procedures to notify the appropriate company personnel of same Ensure compliance with Hallmark Best Practices Adjusts reserves to accurately reflect the exposure Issue payments to the appropriate parties Other Responsibilities: Attend and participate in team meetings Attends and successfully completes all assigned training in a timely manner Complete continuing education and maintain state licensing for states which require a license Qualifications: Decisive and purposeful Strong moral character and work ethic Independent and self starting Strong verbal communication skills Shows initiative, exhibits a “can do” attitude, and provide ideas while working within a team environment Able to work in a high volume, collaborative, fast paced environment while managing multiple priorities Highly organized Detail oriented with strong analytical skills and sound judgement Excellent time management skills to meet deadlines and prioritize Problem solver Adaptive and flexible Strong negotiation skills Education, Experience, Knowledge and Skills: Excellent verbal and written communication skills. Strong interpersonal skills Demonstrated proficiency of technology including, Microsoft Suite Software (Word, Excel, Power Point, Outlook), Total Loss Manager, ACD, vendor databases and other required web-enabled applications Ability to operate business technology Superior telephone skills Excellent math skills Ability to draft business correspondence, using correct punctuation, spelling and grammar Experience investigating, evaluating, negotiating and settling simple to complex Auto claims strongly preferred Knowledgeable of laws and regulations as it applies to auto insurance industry Bilingual preferred Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
    $48k-58k yearly est. Auto-Apply 11d ago
  • Claims Processing Expert

    The Strickland Group 3.7company rating

    Phoenix, AZ jobs

    Join Our Team as a Claims Processing Expert! Are you a data-driven marketer who thrives on turning insights into impactful strategies? We are looking for a Claims Processing Expert to analyze key performance metrics, optimize marketing campaigns, and drive data-backed decision-making. Why You'll Love This Role: 📊 Data-Driven Impact - Play a critical role in shaping marketing strategies through analytics. 🚀 Career Growth - Access professional development and leadership opportunities. ⏰ Work-Life Balance - Enjoy a flexible schedule with full-time opportunities. 💰 Competitive Compensation - Earn a stable income with performance-based incentives. Your Responsibilities: Analyze marketing campaign performance, customer behavior, and market trends. Develop and track key performance indicators (KPIs) to measure marketing effectiveness. Provide data-driven insights and recommendations to optimize marketing strategies. Work with cross-functional teams to ensure data accuracy and consistency. Utilize analytics tools (Google Analytics, Tableau, etc.) to generate reports and dashboards. A/B test campaigns and refine strategies based on data insights. What We're Looking For: Proven experience in marketing analytics, data analysis, or a related field. Proficiency in analytics tools such as Google Analytics, Tableau, or SQL. Strong analytical and problem-solving skills. Ability to translate complex data into actionable marketing strategies. Experience with digital marketing metrics, reporting, and performance optimization. Perks & Benefits: Professional development and continuous learning opportunities. Health insurance and retirement plans. Performance-based bonuses and recognition programs. Leadership growth and career advancement opportunities. 🚀 Ready to Turn Data into Growth? If you're passionate about leveraging data to drive marketing success, apply today! Join us and help shape data-driven marketing strategies that make an impact. Your journey as a Claims Processing Expert starts here-let's optimize for success together!
    $29k-36k yearly est. Auto-Apply 29d ago

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