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Property Claims Adjuster jobs at Omnitracs - 15 jobs

  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Des Moines, IA jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"IA","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"50301","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $40k-47k yearly est. 15d ago
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  • CA Workers Compensation Adjuster

    Canon Recruiting Group 3.3company rating

    San Diego, CA jobs

    Job Title: Workers' Compensation Adjuster (Fully Remote • California) About Us We are a forward-thinking insurance provider committed to delivering exceptional service and claims outcomes. Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service. Position Summary We're seeking an experienced Workers' Compensation Adjuster to manage a full caseload of assignments across California. In this fully remote role, you'll be responsible for handling claims from first notice of loss through resolution - ensuring compliance with state guidelines, mitigating risk, and delivering outstanding customer support. What You'll Do Handle a full portfolio of California Workers' Compensation claims from FNOL to settlement/closure Investigate, evaluate, and determine appropriate claim responses Coordinate with medical providers, employers, and legal counsel Negotiate settlements and manage complex claim scenarios Maintain compliance with California WC laws, regulations, and best practices Prepare detailed claim documentation and reports Communicate professionally with all stakeholders (verbally and written) Mentor or collaborate with junior adjusters as needed Required Qualifications 5+ years of Workers' Compensation adjusting experience in California Valid CA Adjuster License (preferred but not always required depending on employer) Strong understanding of CA WC statutes, regulations, and fee schedules Excellent analytical, decision-making, and organization skills Proven ability to work independently in a fully remote environment Proficiency with claims systems and Microsoft Office suite Nice-to-Have Experience with file litigation and complex claim handling Certification or advanced industry designations (e.g., AIC, CPCU, CWCA) Experience mentoring or guiding less-senior adjusters What We Provide Comprehensive benefits (medical, dental, vision, life, disability) 401(k) with company match Paid time off and holidays Virtual training and professional development Supportive remote team culture Why You'll Love This Role Work-life balance in a modern, flexible environment Here at Canon Recruiting, People are our priority, and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity, we are made a stronger organization, and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. At Canon, Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life. Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation, please email hr@canonrecruiting.com
    $53k-71k yearly est. 1d ago
  • Remote Medical Claims Representative

    NTT Data North America 4.7company rating

    Plano, TX jobs

    At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative** to join our team in **for a remote position** . This is a US based, W-2 project. All candidates will be paid through NTT DATA only. **Role Responsibilities** **- Pay rate is $18.00** -Processing of Professional claim forms files by provider -Reviewing the policies and benefits -Comply with company regulations regarding HIPAA, confidentiality, and PHI -Abide with the timelines to complete compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as per turnaround time/SLAs -Ensure claims are adjudicated as per clients defined workflows, guidelines -Sustaining and meeting the client productivity/quality targets to avoid penalties -Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as priority work -Correctly calculate claims payable amount using applicable methodology/ fee schedule **-Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities** **-Time management with the ability to cope in a complex, changing environment** **-Ability to communicate (oral/written) effectively in a professional office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing** + **Previously performing - in P&Q work environment; work from queue; remotely** + 2+ year(s) using a computer with Windows applications using a keyboard, **navigating multiple screens and computer systems, and learning new software tools** + Key board skills and computer familiarity - + **Toggling back and forth between screens** /can you navigate multiple systems. + Working knowledge of MS office products - Outlook, MS Word and **MS-Excel** . **Preferences** Amisys &/or Xcelys Preferred About NTT DATA: NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com. NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **$18.00/hourly** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
    $18 hourly 46d ago
  • Senior Claims Adjuster Workers Compensation (CA)

    Canon Recruiting Group 3.3company rating

    San Francisco, CA jobs

    Job Title: Workers' Compensation Adjuster (Direct Hire) About Us We are a forward-thinking insurance provider committed to delivering exceptional service and claims outcomes. Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service. Position Summary We're seeking an experienced Workers' Compensation Adjuster to manage a full caseload of assignments across California. In this direct-hire, you'll be responsible for handling claims from first notice of loss through resolution - ensuring compliance with state guidelines, mitigating risk, and delivering outstanding customer support. What You'll Do Handle a full portfolio of California Workers' Compensation claims from FNOL to settlement/closure Investigate, evaluate, and determine appropriate claim responses Coordinate with medical providers, employers, and legal counsel Negotiate settlements and manage complex claim scenarios Maintain compliance with California WC laws, regulations, and best practices Prepare detailed claim documentation and reports Communicate professionally with all stakeholders (verbally and written) Mentor or collaborate with junior adjusters as needed Required Qualifications 2+ years of Workers' Compensation adjusting experience in California Valid CA Adjuster License (preferred but not always required depending on employer) Strong understanding of CA WC statutes, regulations, and fee schedules Excellent analytical, decision-making, and organization skills Proven ability to work independently in a fully remote environment Proficiency with claims systems and Microsoft Office suite Nice-to-Have Experience with file litigation and complex claim handling Certification or advanced industry designations (e.g., AIC, CPCU, CWCA) Experience mentoring or guiding less-senior adjusters What We Provide Competitive base salary + performance incentives Comprehensive benefits (medical, dental, vision, life, disability) 401(k) with company match Paid time off and holidays Virtual training and professional development Supportive remote team culture Compensation $70,000 - $98,000+ annually (depending on experience and credentials) Why You'll Love This Role Opportunity to grow your WC career with mentorship and ongoing training Work-life balance in a modern, flexible environment Here at Canon Recruiting, People are our priority, and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity, we are made a stronger organization, and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. At Canon, Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life. Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation, please email hr@canonrecruiting.com
    $70k-98k yearly 2d ago
  • Total Loss Settlement Adjuster

    Snapsheet 4.4company rating

    Chicago, IL jobs

    Job Title: Total Loss Settlement Adjuster Company: Snapsheet Job Type: Full-time About Snapsheet: Snapsheet is claims technology the way it should be: purposeful, precise, and designed to deliver outcomes. Where others bolt things on, we engineer them in to our core systems and processes across cloud-based claims management, virtual vehicle appraisals, and elite loss and recovery services. Trusted by over 170+ P&C Carriers, MGAs, MGUs, TPAs, and logistics companies, our open architecture is built to fit how our companies work, not the other way around. What you'll get: Remote working environment - your new commute is however long it takes to walk to your desk! Flexibility - empathy is ingrained in who we are and we are happy to offer a flexible PTO policy, casual dress code, and more! Development - Mentorship programs, 1-on-1 management, promote when ready culture, quarterly internal promotion opportunities, and goal setting sessions. Fun - Celebrations just because, yearly in-person and remote events, Snapsheet Swag, Employee Resource Groups, and more! Job Overview: As a Total Loss Settlement Adjuster at Snapsheet, you are highly competitive and motivated by constant improvement. You are an effective communicator, whether you are emailing a request to your peer, talking with a body shop, lienholder or a carrier customer. You love working in an ever-evolving environment where openness to feedback and the ability to adapt is highly valued. You are a strong problem solver, identifying and resolving the day-to-day challenges involved in auto claims handling, specifically understanding total loss evaluations, settlements with carrier customers, salvage regulations and state compliance, as well as solving more complex problems. You want to work for a company where you can make a real impact and do it all from the comfort of your home office! Not licensed? We will license you prior to starting. Responsibilities: Settle Total Loss claims with owners and lienholders Secure vehicle releases, negotiate release fees, and relocate salvage Mitigate expenses for storage, rental, etc, within state compliance Process associated paperwork to transfer title and secure salvage returns Issue settlement payments to owners and lienholders Maintain working understanding of estimatics, policy and carrier guidelines, state and regional regulatory compliance and laws. Maintain working understanding of Actual Cash Value. Candidates should be able to confidently speak to options, condition ratings, unrelated prior damage, refurbishments, comparable vehicles and market availability to negotiate settlement agreement Utilize internal training tools and external resources to clearly document every claim with high attention to detail Maintain documentation of all interactions with internal and external customers or sources Work effectively with repair facilities, rental agencies and salvage yards while maintaining a positive and professional demeanor Manage and maintain virtual relationships with teammates, managers, and directors while working remotely from home Qualifications: Must be currently completing total loss settlements with an insurance carrier Must have a working understanding or background in estimating and evaluating total losses Thorough understanding of UPD estimates, parts costs, total loss classification, and fraud detection 2-5 years of Auto Total Loss Settlement experience in the Insurance Industry Extensive knowledge of Automobile Total Loss Conditioning and Optioning processes Thorough understanding of automobile terminology and vehicle construction. Working experience of estimating platforms: Mitchell UltraMate, CCC One and/or Audatex Excellent verbal and written communication skills Detail-oriented and organized, with a commitment to delivering accurate and timely results Excellent negotiation and communication skills to interact with customers, shops and vendors remotely Team player with positive attitude and ability to work well with others Ability to work independently and manage time efficiently in a virtual work environment We're Built to Grow With You - And That Starts With How We Support You At Snapsheet, we know that growth doesn't happen in a vacuum-it's fueled by the right support at the right time. That's why we've built a benefits experience designed to grow with you, wherever life takes you. Choose from 2 robust medical plans through Blue Cross Blue Shield-plus, we contribute to your HSA when you enroll in our high-deductible health plan. Offer two dental plans and one vision plan to keep you and your family healthy. Peace of mind with company-paid Short Term Disability, Long Term Disability, and Life Insurance. Additional protection through voluntary benefits like Accident Insurance, Hospital Indemnity, Critical Illness, and Legal Assistance. 401(k) with a 4% company match-because your future is worth investing in. Employee Assistance Program (EAP) with 6 sessions per life incident to support your mental well-being. Perks That Make Growing Here Even Better: Flexible PTO and 7.5 company-observed holidays to recharge on your terms. In-person connection points throughout the year including our annual Summit and Roadshows. Snapsheet SWAG and surprise mailers to keep the spirit alive. Endless opportunity to shape your path-career growth, learning, and real impact are all within reach. Health and wellness campaigns that evolve with you year over year. Compensation that Grows with You For this position, the base salary range is $50,000-$60,000. While this range serves as a guideline, your actual compensation will reflect your experience and skillset. At Snapsheet, we believe growth should be rewarded-our compensation and benefits are built to evolve with you as your career does. *Please note that we are unable to sponsor applicants for work visas for this position at this time. Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply for jobs unless they meet every single qualification. At Snapsheet, we are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. Snapsheet is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need assistance or accommodations, please let us know by emailing [email protected]. Snapsheet is proud to be an Equal Opportunity employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. #BI-Remote #LI-Remote Snapsheet is an equal opportunity employer.
    $50k-60k yearly Auto-Apply 11d ago
  • Workers Compensation Adjuster (TX)

    Canon Recruiting Group 3.3company rating

    Irving, TX jobs

    Job Description The Workers' Compensation Claims Examiner is responsible for managing and resolving Texas workers' compensation claims while ensuring compliance with the Texas Department of Insurance-Division of Workers' Compensation (TDI-DWC). This hybrid role is based out of the Irving, TX office and offers a blend of in-office collaboration and remote work flexibility. The examiner handles investigations, benefit administration, communication with stakeholders, and settlement strategies to drive timely, fair claim resolution. Key Responsibilities Claims Management Manage a caseload of Texas WC claims from initial report through resolution. Conduct prompt, thorough investigations including recorded statements and employer interviews. Analyze medical records, wage reports, and compensability factors to determine appropriate benefits. Monitor treatment plans and coordinate with providers to ensure medically necessary care. Regulatory & Compliance Follow all requirements under the Texas Labor Code, TDI-DWC rules, and strict timeline mandates. Issue timely notices, benefit payments, PLN forms, and other required documentation. Maintain accurate claim files and ensure compliance with internal and external audits. Communication & Coordination Collaborate closely with employers, injured workers, medical providers, attorneys, and nurse case managers. Communicate claim status and next steps clearly and professionally. Support employers with return-to-work planning, including modified duty options. Litigation & Legal Support Work with defense counsel on disputed claims, benefit review conferences (BRC), and contested case hearings (CCH). Prepare litigation summaries, evaluations, and recommendations for settlement authority. Attend hearings (in person or virtual) when needed. Financial & Settlement Management Set and maintain accurate reserves based on exposure and medical progression. Evaluate settlement opportunities and negotiate within designated authority. Identify fraud indicators and pursue subrogation when appropriate. Qualifications Experience handling Texas Workers' Compensation claims required. Strong knowledge of TDI-DWC rules, forms, deadlines, and dispute resolution processes. Excellent communication, investigative, and negotiation skills. Ability to work efficiently in a hybrid environment based out of Irving, TX. Certifications such as AIC, ARM, or WCCP preferred but not required.
    $51k-67k yearly est. 22d ago
  • Field Claims Adjuster - Southern New Jersey / Philadelphia Metro

    Ally 4.0company rating

    Trenton, NJ jobs

    **General information** **Ref #** 21369 **Remote?** Yes **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. From generous benefits to a variety of employee resource groups, we strive to build paths that encourage employees to stretch themselves professionally. We want to help you grow, develop, and learn new things. You're constantly evolving, so shouldn't your opportunities be, too? **The Opportunity** Are you a highly specialized, skilled technician looking for the next step in your career? We are looking for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for the various Ally Insurance / Dealer Products and Service lines. The ideal candidate must reside in Southern New Jersey, Philadelphia, PA Metro area and be able to travel locally to support the territory. This position also requires flexibility in work schedule, including participating catastrophe losses with extended overnight and weekend travel. This role has the opportunity to create your own schedule and run your assignments. Growth in this role is determined by performance which includes service level agreements and quality of work. Ally Work Location for this role is: Southern New Jersey, Philadelphia, PA Metro area - This role is fully remote with frequent travel locally with high potential to travel to other states to assist other field adjusters. At this time, Ally will not sponsor a new applicant for employment authorization for this position **The Work Itself** * Prepare estimates and reach agreed prices for repairs on insured and claimant vehicles. * Handle catastrophe losses as directed by claim management. * Initiate the total loss handling process for conclusion by the Claim Offices. * Handle Additional Repair Orders (AROs) and special assignments for the Claim Offices. * Assist in other geographic locations at the direction of claim management. * Perform technical tasks required to support ongoing business operations. * Participate in training, educational activities, regulatory compliance awareness and maintain appropriate licensing and continuing education requirements. * May handle sale of salvage and subrogation investigation as assigned by the Claim Office. **The Skills You Bring** * Background as a Service Writer, Dealership Service Technician, Auto Body Shop technician is strongly preferred. * Experience assessing mechanical and/or physical damage is highly recommended * Financial services or auto finance industry is a nice to have * Typically requires advanced knowledge of Microsoft Office Programs * Bachelor's degree in business related discipline preferred * #LI-Remote **How We'll Have Your Back** * Ally's compensation program offers market-competitive base pay and pay-for-performance incentives (bonuses) based on achieving personal and company goals. But Ally's total compensation - or total rewards - extends beyond your paycheck and is designed to support and enrich your personal and professional life, including: * Time Away: competitive holiday and flexible paid-time-off, including time off for volunteering and voting. * Planning for the Future: plan for the near and long term with an industry-leading 401K retirement savings plan with matching and company contributions, student loan and 529 educational assistance programs, tuition reimbursement, and other financial well-being programs. * Supporting your Health & Well-being: flexible health and insurance options including dental and vision, pre-tax Health Savings Account with employer contributions and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially. * Building a Family: adoption, surrogacy, and fertility support as well as parental and caregiver leave, back-up child and adult/elder day care program and childcare discounts. * Work-Life Integration: other benefits including LifeMatters Employee Assistance Program, subsidized and discounted Weight Watchers program and other employee discount programs. Who We Are: Ally Financial is a customer-centric, leading digital financial services company with passionate customer service and innovative financial solutions. We are relentlessly focused on "Doing it Right" and being a trusted financial-services provider to our consumer, commercial, and corporate customers. For more information, visit ************* Ally is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to age, race, color, sex, religion, national origin, disability, sexual orientation, gender identity or expression, pregnancy status, marital status, military or veteran status, genetic disposition or any other reason protected by law. Where permitted by applicable law, must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered, if not currently employed by Ally. We are committed to working with and providing reasonable accommodation to applicants with physical or mental disabilities. For accommodation requests, email us at *************. Ally will not discriminate against any qualified individual who is capable of performing the essential functions of the job with or without reasonable accommodation. **_Base Pay Range:_** An individual's position in the range is determined by the scope and responsibilities of the role, work experience, education, certification(s), training, and additional qualifications. We review internal pay, the competitive market, and business environment prior to extending an offer. **Emerging:** 64480 **Experienced:** 71240 **Expert:** 78000 Incentive Compensation: This position is eligible to participate in our annual incentive plan
    $51k-66k yearly est. 37d ago
  • Workers Compensation Adjuster (TX)

    Canon Recruiting Group 3.3company rating

    Irving, TX jobs

    The Workers' Compensation Claims Examiner is responsible for managing and resolving Texas workers' compensation claims while ensuring compliance with the Texas Department of Insurance-Division of Workers' Compensation (TDI-DWC). This hybrid role is based out of the Irving, TX office and offers a blend of in-office collaboration and remote work flexibility. The examiner handles investigations, benefit administration, communication with stakeholders, and settlement strategies to drive timely, fair claim resolution. Key Responsibilities Claims Management Manage a caseload of Texas WC claims from initial report through resolution. Conduct prompt, thorough investigations including recorded statements and employer interviews. Analyze medical records, wage reports, and compensability factors to determine appropriate benefits. Monitor treatment plans and coordinate with providers to ensure medically necessary care. Regulatory & Compliance Follow all requirements under the Texas Labor Code, TDI-DWC rules, and strict timeline mandates. Issue timely notices, benefit payments, PLN forms, and other required documentation. Maintain accurate claim files and ensure compliance with internal and external audits. Communication & Coordination Collaborate closely with employers, injured workers, medical providers, attorneys, and nurse case managers. Communicate claim status and next steps clearly and professionally. Support employers with return-to-work planning, including modified duty options. Litigation & Legal Support Work with defense counsel on disputed claims, benefit review conferences (BRC), and contested case hearings (CCH). Prepare litigation summaries, evaluations, and recommendations for settlement authority. Attend hearings (in person or virtual) when needed. Financial & Settlement Management Set and maintain accurate reserves based on exposure and medical progression. Evaluate settlement opportunities and negotiate within designated authority. Identify fraud indicators and pursue subrogation when appropriate. Qualifications Experience handling Texas Workers' Compensation claims required. Strong knowledge of TDI-DWC rules, forms, deadlines, and dispute resolution processes. Excellent communication, investigative, and negotiation skills. Ability to work efficiently in a hybrid environment based out of Irving, TX. Certifications such as AIC, ARM, or WCCP preferred but not required.
    $51k-67k yearly est. 50d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Salt Lake City, UT jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"UT","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"84101","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $36k-43k yearly est. 17d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Albuquerque, NM jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"NM","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"87101","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $39k-46k yearly est. 11d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Las Vegas, NV jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"NV","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"89101","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $39k-46k yearly est. 52d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Omaha, NE jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"NE","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"68101","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $40k-47k yearly est. 21d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Dallas, TX jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"TX","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"75201","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $40k-48k yearly est. 46d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Wichita, KS jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"KS","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"67201","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $41k-49k yearly est. 17d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Phoenix, AZ jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"AZ","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"85001","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $36k-43k yearly est. 17d ago

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