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Liability Claims Representative jobs at The Independent Traveler

- 92 jobs
  • Workers Compensation Claim Representative Trainee

    Travelers 4.8company rating

    Liability claims representative job at The Independent Traveler

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job CategoryClaimCompensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range$52,600.00 - $86,800.00Target Openings2What Is the Opportunity?Travelers' Claim Organization is at the heart of our business. By providing assurance to our customers during life's rainy days, the Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate. As a Workers Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims. In this role, you will learn how to help our customers and their injured employees when they are injured at work. You will develop the technical skills needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim handling throughout the claim life cycle. As part of the hiring process, this position will require the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.What Will You Do? Complete virtual, classroom, and on-the-job training which includes the overall instruction, exposure, and preparation for employees. Completion of an internal training program is required to progress to next level position. The training may require travel. Handle all aspects of a Workers Compensation claim including completing investigations, setting accurate reserves, and making various claim-related decisions under direct supervision. As a trainee, you may also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and offsets. Communicate and apprise all parties regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel. Investigate, develop, and evaluate action plans for claim resolution. Assess coverage and determine if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. Achieve a positive result by returning an injured party to work when appropriate. This may include coordinating medical treatment in collaboration with internal or external resources. Effectively prioritize and manage a Workers Compensation claim inventory, including filing and diary systems, document plans of action and complete time-sensitive required letters and state forms. Participate in Telephonic and/or onsite File Reviews. Acquire and maintain relevant Insurance License(s) to comply with state and Travelers' requirements within three months of starting the job. Perform other duties as assigned. What Will Our Ideal Candidate Have? Bachelor's Degree or a minimum of 2 years of work or customer service-related experience. Ability to work in a high volume, fast paced environment managing multiple priorities while facing ambiguity. Able to review information from multiple sources and use analytical thinking and problem-solving skills to accurately achieve optimal claim outcomes and determine appropriate next steps. Ability to own and manage all assigned tasks. Provide excellent customer experience by communicating effectively, verbally and written. Able to work independently and in a team environment. Strong attention to detail. What is a Must Have? High School Diploma or GED One year of customer service experience OR Bachelor's Degree. What Is in It for You? Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $52.6k-86.8k yearly Auto-Apply 50d ago
  • Claims Adjudicator II

    Unite Here Health 4.5company rating

    Oak Brook, IL jobs

    UNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Claims Adjudicator II position will receive, examine, verify and input submitted claim data, determine eligibility status, and review and adjudicate claims within established timeframes. This position utilizes multiple systems in order to perform the day-to-day functions of processing medical, disability, vision and dental claims, as well as, provider and member driven inquiries. ESSENTIAL JOB FUNCTIONS AND DUTIES * Screens claims for completeness of necessary information * Verifies participant/dependent eligibility * Interprets the plan benefits from the Summary Plan Description (SPD)/Plan Documents * Codes basic information and selects codes to determine payment liability amount * Evaluates diagnoses, procedures, services, and other submitted data to determine the need for further investigation in relation to benefit requirements, accuracy of the claim filed, and the appropriateness or frequency of care rendered * Determines the need for additional information or documentation from participants, employers, providers and other insurance carriers * Handles the end to end process of Medicare Secondary Payer (MSP) files * Processes Personal Injury Protection (PIP) claims * Requests overpayment refunds, maintains corresponding files and performs follow-up actions * Handles verbal and written inquiries received from internal and external customers * Processes Short Term Disability claims * Adjudicates claims according to established productivity and quality goals * Achieve individual established goals in order to meet or exceed departmental metrics ESSENTIAL QUALIFICATIONS * 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment * Working knowledge and experience in interpretation of benefit plans, including an understanding of limitations, exclusions, and schedule of benefits * Experience with eligibility verification, medical coding, coordination of benefits, and subrogation and it's related processes * Experience with medical terminology, ICD10 and Current Procedural Technology (CPT) codes * Fluency (speak and write) in Spanish, preferred Salary range for this position: Hourly $20.36 - $24.97. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) Fully Remote, after 1-week training onsite in Oak Brook, IL. (Travel and Lodging paid for by UHH) We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #Remote
    $20.4-25 hourly Auto-Apply 6d ago
  • Claims Associate

    Unite Here Health 4.5company rating

    Oak Brook, IL jobs

    UNITE HERE HEALTH serves over 200,000 workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Claims Associate will key claims, handle incoming mail from various sources, upload and route work to the appropriate queues within the claims processing system. The Claims Associate is responsible for some of the pre-processing claims queues and will key Health Insurance Claim Forms (HCFA), Uniform Bill 04 (UB), Superbills, vision, and dental claims. This role will ensure that all necessary documentation is received in order to key claims and will reject documents received for individuals who are not Fund participants. ESSENTIAL JOB FUNCTIONS AND DUTIES * Screens claims for completeness to insure all required information is received * Keys all claim types processed by the Fund * Adjudicates pre-processing claims according to established productivity and quality goals * Utilizes the claim processing system and the eligibility system to select patient information and route claims to the appropriate personnel for adjudication * Handles daily incoming hard copy documents, returned mail and electronic documents which includes opening, sorting, scanning & uploading images into the Javelina claim system for processing * Identifies documents sent to UHH in error and forwards to the PPO vendors for handling or if necessary returns to members and/or providers * Monitors inventory aging reports to insure claims are processed within time requirements. Processes claims on a first in, first out basis regardless of complexity or difficulty * Meets or exceeds established productivity and quality objectives * Responds to written inquiries sent to the Claims Mail email box when appropriate or forwards to the appropriate claims team for handling * Responds to Mailroom personnel questions regarding the Claims Department mail and advises how it should be handled * Demonstrates the Fund's Diversity and Inclusion (D&I) principles in their conduct at work and contributes to a safe inclusive culture with equitable opportunities for success and career growth ESSENTIAL QUALIFICATIONS * 2 ~ 3 years of related experience minimum * Minimum of 1 year of healthcare and medical terminology experience preferred * Proficiency in medical terminology, ICD 10 and CPT coding, and experience or exposure to health claim processing is required * Experience with working an automated claim processing system is preferable * Prior experience in an office production environment with quality goals especially related to healthcare benefits administration is preferred * Prior experience with eligibility verification, coordination of benefits, medical provider selection, medical coding and subrogation is preferred Salary range for this position: Hourly $17.49 - $21.38. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) as a flexible hybrid work-from-home arrangement. This means you are responsible for initial training in office, plus approx. one day a week in office, Oak Brook IL. We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #LI-Hybrid
    $17.5-21.4 hourly Auto-Apply 34d ago
  • Claims Associate

    Unite Here Health 4.5company rating

    Oak Brook, IL jobs

    Job Description UNITE HERE HEALTH serves over 200,000 workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Claims Associate will key claims, handle incoming mail from various sources, upload and route work to the appropriate queues within the claims processing system. The Claims Associate is responsible for some of the pre-processing claims queues and will key Health Insurance Claim Forms (HCFA), Uniform Bill 04 (UB), Superbills, vision, and dental claims. This role will ensure that all necessary documentation is received in order to key claims and will reject documents received for individuals who are not Fund participants. ESSENTIAL JOB FUNCTIONS AND DUTIES Screens claims for completeness to insure all required information is received Keys all claim types processed by the Fund Adjudicates pre-processing claims according to established productivity and quality goals Utilizes the claim processing system and the eligibility system to select patient information and route claims to the appropriate personnel for adjudication Handles daily incoming hard copy documents, returned mail and electronic documents which includes opening, sorting, scanning & uploading images into the Javelina claim system for processing Identifies documents sent to UHH in error and forwards to the PPO vendors for handling or if necessary returns to members and/or providers Monitors inventory aging reports to insure claims are processed within time requirements. Processes claims on a first in, first out basis regardless of complexity or difficulty Meets or exceeds established productivity and quality objectives Responds to written inquiries sent to the Claims Mail email box when appropriate or forwards to the appropriate claims team for handling Responds to Mailroom personnel questions regarding the Claims Department mail and advises how it should be handled Demonstrates the Fund's Diversity and Inclusion (D&I) principles in their conduct at work and contributes to a safe inclusive culture with equitable opportunities for success and career growth ESSENTIAL QUALIFICATIONS 2 ~ 3 years of related experience minimum Minimum of 1 year of healthcare and medical terminology experience preferred Proficiency in medical terminology, ICD 10 and CPT coding, and experience or exposure to health claim processing is required Experience with working an automated claim processing system is preferable Prior experience in an office production environment with quality goals especially related to healthcare benefits administration is preferred Prior experience with eligibility verification, coordination of benefits, medical provider selection, medical coding and subrogation is preferred Salary range for this position: Hourly $17.49 - $21.38. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) as a flexible hybrid work-from-home arrangement. This means you are responsible for initial training in office, plus approx. one day a week in office, Oak Brook IL. We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #LI-Hybrid
    $17.5-21.4 hourly 4d ago
  • Claim Representative II (Florida PIP)

    Auto Club Group 4.2company rating

    Florida City, FL jobs

    Claim Representative II (Florida PIP) - The Auto Club GroupWhat you will do:The Auto Club Group is seeking prospective Claim Representative II who will work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units. Resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims.In this position, you will have the opportunity to: Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees assigned to the Liability, Bodily Injury, Med Pay, MRTS and Non-MI PIP claim units will handle moderately complex claims involving liability disputes, bodily injuries, and generally valued up to $50,000. Answer coverage and policy questions. Handle Med Pay claims in all states, and PIP claims in KY, MN and ND. Apply the correct liability determination, evaluate the damages and arrive at a fair settlement.Supervisory Responsibilities (briefly describe, if applicable, or indicate None): None With our powerful brand and the mentoring, we offer, you will find your position as a Claim Representative II can lead to a rewarding career at our growing organization.Work EnvironmentThis position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.How you will benefit:Claim Specialist will earn a competitive salary of $57,700 to $60,900 annually with annual bonus potential based on performance.Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education (include minimum education and any licensing/certifications): Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states. A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience:One year of experience with: Negotiating claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims, including identifying recovery opportunities Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills:Knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Knowledge of: Negligence Law No-Fault Law medical terminology and human anatomy Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. Research, analyze, and interpret subrogation laws in various states Travel outside of assigned territory which may involve overnight stay Relocate, work evenings or weekends Strong negotiating skills Preferred QualificationsEducation: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation #LI-LC1 Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $57.7k-60.9k yearly Auto-Apply 60d+ ago
  • General Liability Claims Examiner II (P1-1885579-1)

    Panda Express 4.3company rating

    Rosemead, CA jobs

    Summary of Job Description: The General Liability Claims Examiner II role is to investigate and resolve liability, auto, property and first party claims. This position resolves claims in accordance with state specific guidelines. The Examiner analyzes claim trends to identify broader issues and recommends win-win solutions. This position conducts presentations on general risk issues to Operations and conducts store site inspections on safety issues. Job Responsibilities: * Investigates basic to complex claims, including general liability, auto, property damage and other product lines. * Maintains accurate diary and proactive review of claims. * Responsible for claims results, including timely contact and disposition of claims. * Documents and communicates all claim activity in a manner that supports the outcome of the claim file on a timely basis. * Achieves key metrics in alignment with risk finance objectives. * Handles claims consistent with policies, procedures, and "best practices" and in accordance with any statutory, regulatory and ethics requirements. * Oversees litigated claims, attending trials, conferences, mediations, and arbitrations. * Represents the company at Small Claims Court. * Conducts presentations and store site inspections on safety issues. * Attends regional meetings and enrolls Operations compliance for safety programs. * Achieves positive feedback from Operations and Support Center leaders. * Works closely with other team members in supporting the creation of risk and safety programs, training materials, and presentations to Operations. * Demonstrates ability to enroll Operations and SC departments to elevate risk management standards * Works closely with Operations on risk management techniques. * Develops strong relationship with Operations and actively contributes to mitigate risk at the store level. * Contributes to safety compliance, exposure savings, and reduction of claims frequency and severity. How we reward you: * Hybrid Work schedule * 401K with company match * Yearly bonus opportunity* * Full medical, dental, and vision insurance * * On-site fitness center, biometric screen, and flu shot clinic * Discounts at Panda restaurants, theme parks, and gym memberships * Paid time off starting at 15 days with 7 federal holidays* * Continuous education assistance and scholarships* * Income protection including Disability, Life and AD&D insurance* * Bereavement leave* * Benefits available for eligible permanent full time associates Qualifications - External Your background and experience: * Bachelor's degree required * Minimum three years of relevant experience * Successful completion of initial and periodically required trainings. * Obtaining a valid Food Handler's Card within 30 days of employment is a requirement of this position. Pay Range: P2: $72,500- $101,500 per year * Within the range, individual pay is determined using various factors, including work location and experience. #LI-Hybrid #LI-CH4 Panda Strong since 1983: Founded in Glendale, California, we are now the largest family-owned American Chinese Restaurant concept in America. With close to 2,300 locations globally, we continue our mission of delivering exceptional Asian dining experiences by building an organization where people are inspired to better their lives. Whether it's impacting our team or the communities we work in, we're proud to be an organization that embraces family values. You're wanted here: Panda Restaurant Group, Inc. is an Equal Opportunity Employer and is committed to providing equal opportunity, and does not discriminate on the basis of any characteristic protected by law, including but not limited to sex/gender (including pregnancy, childbirth, lactation and related conditions), gender expression, race, color, religion, national origin, sexual orientation, gender identity, disability, age, ancestry, medical condition, genetic information, marital status, and veteran status. Additionally, Panda Restaurant Group, Inc. complies with all federal, state, and local laws regarding requests for workplace accommodation. The Americans with Disabilities Act (ADA) prohibits discrimination against qualified individuals on the basis of disability. Applicants are entitled to reasonable accommodations, absent undue hardship, to effectively participate in the application and hiring process, for example, sign language interpreters. If you believe you require an accommodation for the application or interview process or for the position for which you are applying, please reach out to *********************.
    $72.5k-101.5k yearly 34d ago
  • Trust & Safety - Claims Specialist

    Turo 4.6company rating

    Arizona jobs

    About the team The Trust & Safety Claims Specialist will handle claims involving higher complexity, requiring significant levels of understanding and interpretation of Turo's operating policies and procedures. They will independently conduct investigations to understand causation, determine if coverage applies and exercise their judgment on matters of significant financial impact to Turo and Turo's hosts. What you will do Utilize their expertise and education to investigate claims with a high financial impact on Turo. They will interpret policies, determine appropriate methods of investigation, interview customers and assess credibility, analyze damages, and determine on behalf of Turo if a host is eligible for Protection. Communicate with customers to gather information, explain protection and procedures, educate the hosts, explain why coverage is or is not applicable in certain circumstances and effectively negotiate claim resolutions. Investigate and make recommendations, on behalf of Turo management, for requests for escalation or reconsideration from standard/fast track claims teams, including review of Fair Claims and presentation to arbitration as needed. Apply your discretion and judgment to waive or make exceptions to process and policy to achieve the right outcome for our host, when warranted. Participate in special projects, improvement actions or other business changes, including making recommendations on claims process improvements, objectives, and KPIs. Attend meetings, huddles, 1x1 and training. Your profile Investigative mindset to seek out information with the ability to analyze evidence and draw conclusions based on logical reasoning. Strong ability to exercise independent judgment and decision-making beyond established guidelines and processes. Ability to explain complex situations, using clear and concise language. Strong organizational skills, with an ability to independently manage a pending inventory of claims assigned to you. Proficient in reviewing and evaluating estimates, strong understanding of collision damage theory, to determine both causation and costs. Communicate clearly, professionally, and empathetically Strong proficiency in verbal and written customer service communications. Ability to multitask across technical platforms. Proficiency with technology: mac OS and Google Docs Bonus if you have Five years of auto claim experience At least two years related experience Bachelor's degree The Phoenix base salary target range for this full-time position is $50,000-$62,000 + equity + benefits. Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position in this location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. Your recruiter can share more about the specific salary range for your work location during the hiring process. Turo highly values having employees working in-office to foster a collaborative work environment and company culture. This role will be in-office on a hybrid schedule - Turists will be expected to work in the office 3 days per week on Mondays, Wednesdays, and Thursdays. Your recruiter can share more information about the various in-office perks Turo offers. Benefits Competitive salary, equity, benefits, and perks for all full-time employees Employer-paid medical, dental, and vision insurance (Country specific) Retirement employer match Learning & Development stipend to invest in your professional development Turo host matching program Turo travel credit Cell phone and internet stipend Paid time off to relax and recharge Paid holidays, volunteer time off, and parental leave For those who are in the office full-time or hybrid we have in-office lunch, office snacks, and fun activities We are committed to building a diverse team. If you are from a background that's underrepresented in tech, we'd love to meet you. Aside from an award winning work environment and the opportunity to be part of the world's largest car sharing marketplace, we are also growing the team quickly - join us! Even if you don't meet every qualification, we are looking for people with enthusiasm for what we do and we will consider you for this and other possibilities. About Turo Turo is the world's largest car sharing marketplace where you can book the perfect car for wherever you're going from a vibrant community of trusted hosts across the US, UK, Canada, Australia, and France. Whether you're flying in from afar or looking for a car down the street, searching for a rugged truck or something smooth and swanky, Turo puts you in the driver's seat of an extraordinary selection of cars shared by local hosts. Discover Turo at ***************** the App Store, and Google Play, and check out our blog, Field Notes. Read more about the Turo culture according to Turo CEO, Andre Haddad. Turo is an Equal Opportunity Employer and a participant in the U.S. Federal E-Verify program. Women, minorities, individuals with disabilities and protected veterans are encouraged to apply. We welcome people of different backgrounds, experiences, abilities and perspectives. Turo will consider qualified applicants with criminal histories in a manner consistent with the San Francisco Fair Chance Ordinance, as applicable. We welcome candidates with physical, mental, and/or neurological disabilities. If you require assistance applying for an open position, or need accommodation during the recruiting process due to a disability, please submit a request to People Operations by emailing ******************.
    $50k-62k yearly Auto-Apply 39d ago
  • Claims Processor

    Turo 4.6company rating

    Arizona jobs

    About the team Turo is looking for an enthusiastic and pragmatic Claims Processor to join us as we expand our operations team in Phoenix! You will bridge the gap between Turo Support and Claims while supporting Claims Associates. This position requires someone comfortable with change, driven, and eager to learn every day. What you will do Provide exceptional customer service and support to Turo hosts, guests, external vendors, and internal teams via Slack, email, voice, and/or chat Support collections efforts, review eligibility for accounts and vehicles relative to claims, review for liability, and own our resolving indirectly space Assist Turo members through the incident process Assist with non-complex claim resolutions Contribute to internal process documents and help streamline workflow Your profile Can multitask while ensuring all proper and accurate notations on an account are completed within a timely manner You are the go-to person to answer questions at your current job and are looking for a challenge and a change of pace Attention to detail is crucial - we work in a marketplace supporting hosts and guests across multiple geographies You can work in an ever-evolving environment while maintaining quality standards, meeting KPIs, and requiring minimal supervision You bring a positive attitude, high energy, strong work ethic, and commitment to Turo values Bonus if you have Previous startup experience Strong proficiency with technology such as Slack and other CRM systems Someone who thrives in a space that is not always black and white The Phoenix base pay for this full-time position is $20.00 per hour + equity + benefits. Our base pay is determined by role, level, and location. Your recruiter can share more about the specific compensation offered for this role during the hiring process. Please note that the base pay listed in this posting reflects base pay only and does not include bonus (if applicable), equity, or benefits. Turo highly values having employees working in-office to foster a collaborative work environment and company culture. This role will be in-office on a hybrid schedule - Turists will be expected to work in the office 3 days per week on Mondays, Wednesdays, and Thursdays. Your recruiter can share more information about the various in-office perks Turo offers. #LI-EG1 Benefits Competitive salary, equity, benefits, and perks for all full-time employees Employer-paid medical, dental, and vision insurance (Country specific) Retirement employer match Learning & Development stipend to invest in your professional development Turo host matching program Turo travel credit Cell phone and internet stipend Paid time off to relax and recharge Paid holidays, volunteer time off, and parental leave For those who are in the office full-time or hybrid we have in-office lunch, office snacks, and fun activities We are committed to building a diverse team. If you are from a background that's underrepresented in tech, we'd love to meet you. Aside from an award winning work environment and the opportunity to be part of the world's largest car sharing marketplace, we are also growing the team quickly - join us! Even if you don't meet every qualification, we are looking for people with enthusiasm for what we do and we will consider you for this and other possibilities. About Turo Turo is the world's largest car sharing marketplace where you can book the perfect car for wherever you're going from a vibrant community of trusted hosts across the US, UK, Canada, Australia, and France. Whether you're flying in from afar or looking for a car down the street, searching for a rugged truck or something smooth and swanky, Turo puts you in the driver's seat of an extraordinary selection of cars shared by local hosts. Discover Turo at ***************** the App Store, and Google Play, and check out our blog, Field Notes. Read more about the Turo culture according to Turo CEO, Andre Haddad. Turo is an Equal Opportunity Employer and a participant in the U.S. Federal E-Verify program. Women, minorities, individuals with disabilities and protected veterans are encouraged to apply. We welcome people of different backgrounds, experiences, abilities and perspectives. Turo will consider qualified applicants with criminal histories in a manner consistent with the San Francisco Fair Chance Ordinance, as applicable. We welcome candidates with physical, mental, and/or neurological disabilities. If you require assistance applying for an open position, or need accommodation during the recruiting process due to a disability, please submit a request to People Operations by emailing ******************.
    $20 hourly Auto-Apply 6d ago
  • Desk Homeowners Claim Representative II

    Auto Club Group 4.2company rating

    Tampa, FL jobs

    Description Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units. Resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims. Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees assigned to Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, must prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and updates. Required Qualifications (these are the minimum requirements to qualify) Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states. A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: One year of experience with: negotiating claim settlements securing and evaluating evidence preparing manual and electronic estimates subrogation claims resolving coverage questions taking statements establishing clear evaluation and resolution plans for claims Knowledge and Skills: Knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims subrogation procedures and processes intercompany arbitration knowledge of building construction and repair techniques Ability to: handle claims to the line Claim Handling Standards follow and apply ACG Claim policies, procedures and guidelines work within assigned ACG Claim systems including basic PC software perform basic claim file review and investigations demonstrate effective communication skills (verbal and written) demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns analyze and solve problems while demonstrating sound decision making skills prioritize claim related functions process time sensitive data and information from multiple sources manage time, organize and plan workload and responsibilities safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. research analyze and interpret subrogation laws in various states travel outside of assigned territory which may involve overnight stay relocate, work evenings or weekends strong negotiating skills III. Preferred Qualifications Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent Xactimate experience Excellent customer service skills Excellent communication skills both oral and written Call center or queue calling experience preferred, but not required Knowledge of full cycle claim handling Active Florida Adjuster's License Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Preferred applicants should reside within 50 miles of the Tampa, FL area. With our powerful brand and the mentoring, we offer, you will find your position as a Desk Homeowners Claim Representative II can lead to a rewarding career at our growing organization. How you will benefit: Our Auto Club Group Desk Homeowners Claim Representative II earns a competitive salary of $58,000 - $72,000 to start along with the opportunity for an annual company bonus incentive. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement Important Note: THE ABOVE STATEMENTS DESCRIBE THE PRINCIPAL AND ESSENTIAL FUNCTIONS, BUT NOT ALL FUNCTIONS THAT MAY BE INHERENT IN THE JOB. THIS JOB REQUIRES THE ABILITY TO PERFORM DUTIES CONTAINED IN THE FOR THIS POSITION, INCLUDING, BUT NOT LIMITED TO, THE ABOVE REQUIREMENTS. REASONABLE ACCOMMODATIONS WILL BE MADE FOR OTHERWISE QUALIFIED APPLICANTS, AS NEEDED, TO ENABLE THEM TO FULFILL THESE REQUIREMENTS. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $28k-33k yearly est. Auto-Apply 58d ago
  • Casualty Claim Specialist - Florida

    Auto Club Group 4.2company rating

    Tampa, FL jobs

    Florida Bodily Injury Claim Specialist- The Auto Club Group What you will do: The Auto Club Group is seeking prospective Casualty Claim Specialists who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims. In this position, you will have the opportunity to: Reviewing assigned claims Contacting the insured and other affected parties, Setting expectations for the remainder of the claim process, and thoroughly documenting activities in the claim file. Complete complex coverage analysis, Ensure all possible policyholder benefits are identified, Complete an investigation of the facts regarding the claim, Determine if the claim should be paid and confirm recovery potential. Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim. Identify when to refer claims to other company units (e.g., Underwriting, Subrogation or Special Investigation Unit). Possess strong critical thinking and negotiating skills. Handle both attorney represented and unrepresented claimants with injury claims that may involve coverage investigation, liability disputes, bodily injuries, and litigation. Assist Claim Manager with file reviews and training. With our powerful brand and the mentoring, we offer, you will find your position as a Claim Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist will earn a competitive salary of $67,000 - $78,000 annually with an annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: Preferred Qualifications: Education: Degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation Required Qualifications: Education: The candidate must have a Florida State Adjuster License. Degree in Business Administration, Insurance or a related field or the equivalent in related work experience Must have a valid State Driver's License Experience: Three years of experience or equivalent training in the following: Negotiation of claim settlements Evaluation of injury claims Securing and evaluating evidence Coverage analysis and resolution of coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Florida injury litigation experience Knowledge and Skills: Knowledge of: Fair Trade Practices Act as it relates to claims Subrogation including intercompany arbitration Litigation as it relates to claims Negligence Law No-Fault Law Medical terminology and human anatomy Ability to: Handle claims to ACG Claim Handling Standards including following and applying ACG Claim policies, procedures, and guidelines Work within assigned ACG Claim systems including basic PC software Perform claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize, and plan workload and responsibilities Must reside in the State of Florida - preferably near the Tampa Bay area. Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come in to an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $67k-78k yearly Auto-Apply 60d+ ago
  • Homeowner Field Claim Specialist- Metro Detroit Area

    Auto Club Group 4.2company rating

    Detroit, MI jobs

    Field Property Claim Specialist - The Auto Club Group What you will do: The Auto Club Group is seeking prospective Field Property Claim Specialists who can work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims. In this position, you will have the opportunity to: Review assigned claims, Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system. Complete complex coverage analysis. Ensure all possible policyholder benefits are identified. Create additional sub-claims if needed. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees will be assigned to the Michigan Homeowner claim unit and will handle claims generally valued between $10,000 and $75,000 and occasionally over $100,000 for field role. Investigate claims requiring coverage analysis. When handling claims in the field, must prepare damage estimates using Xactimate estimating software. Review estimates for accuracy. May monitor contractor repair status and updates. We're looking for candidates who: Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent CPCU coursework or designation Xactware Training Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience. In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states. Must have a valid State Driver's License Ability to: Lift up to 25 pounds Climb ladders. Walk on roofs. Experience: Three years of experience or equivalent training in the following: Negotiation of claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advanced knowledge of: Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Handling simple litigation Advanced knowledge of building construction and repair techniques Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision-making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. Research analyze and interpret subrogation laws in various states May travel outside of assigned territory which may involve overnight stay Resides in the State of Michigan only (Territory Specific: Wayne County, Oakland County and Washtenaw County) Preferred Qualifications: 1-2 years of full cycle homeowners claims handling experience Experience handling personal property and additional living expense claims Experience with internal water loss, fire, and smoke claims Michigan Adjuster's License preferred, but not required Associate degree in Claims Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Applicants for this position should reside in the metro Detroit, Michigan area. With our powerful brand and the mentoring, we offer, you will find your position as a Field Property Claims Specialist can lead to a rewarding career at our growing organization. How you will benefit: Our Auto Club Group Claim Specialist earns a competitive salary of $73,000 - $85,000 to start along with the opportunity for an annual company bonus incentive. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $100k yearly Auto-Apply 58d ago
  • Provider Services - Claims Processor

    Crystal Stairs 4.1company rating

    Los Angeles, CA jobs

    Crystal Stairs, Inc. Improving the Lives of Families through Child Care Services, Research, and Advocacy Crystal Stairs is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations. Provider Services - Claims Processor 100% Onsite - Location: Los Angeles, CA 90056 What We're Looking For: We are seeking a qualified candidate for the Claims Processor position. The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. The selected qualified candidate will have the following responsibilities: RESPONSIBILITIES: Process attendance records and provider payment requests in accordance with department quality standards based upon the funder's payment rules and regulations in addition to the agency's policies. Effectively communicate with providers, parents, and CSI staff, as needed. Assist parents, providers, and staff in completing attendance records and/ or provider payment requests by responding to incoming inquiries regarding payment or claims submission. Communicate with case managers to resolve payment authorization issues on pending claims. Contribute to a team atmosphere by participating in monthly staff meetings, training, and assisting department co-workers as needed. Other duties as assigned. EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS: High School Diploma or GED Equivalent required. An AA/AS Degree in Accounting, Business, or Human Services preferred/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education Minimum of two years experience processing claims, billing or adjustment payments required. Experience in an entry level accounting role preferred. Experience with child care providers and parents receiving subsidized child or social support services preferred. Must have Knowledge of the Department of Public Social Service Stage 1 Child Care Services Contract or CDE Alternative Payment Program or experience working with social support services preferred. Must have strong customer service, organization, written and verbal communication skills. Requires excellent data entry and processing skills within a fast paced environment. Requires considerable accuracy, attention to details and ability to adhere to strict processing deadlines. Must be flexible and possess a strong ability to multi-task while working in a collaborative, team environment. Must have the ability to perform basic mathematical computations to verify and confirm payment calculations. Must have ability to work with diverse groups. Must have technical proficiencies working with Microsoft Excel and Microsoft Word Ability to understand and master complex program requirements and processes as they relate to provider payment Able to work flexible hours as needed to complete required tasks in a timely manner. Overtime may be required to assure timely and compliant processing of provider payments; and Able to work under pressure and with time-sensitive deadlines. Total Package of Benefits Medical/ Dental/ Vision - 95% paid by employer Pet Insurance Employee Assistance Program Voluntary Life and AD&D for Employee, Spouse and Children 401k Matching Options Flex Spending (Health Care and Dependent Care) Mutual of Omaha (STD, Accident, & Critical Illness) Generous Sick and Vacation Time Paid Holidays + Paid Winter Break from 12/24 - 1/1 (for select positions) Opportunity for Growth and Development Robust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM Qualified applicants with arrest or conviction records will be considered for Employment in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status. For more information about Crystal Stairs, please visit our website at: *********************
    $31k-47k yearly est. 60d+ ago
  • Claims Support Processor

    Auto Club Group 4.2company rating

    Michigan jobs

    Claim Support Processor (Hybrid) - The Auto Club Group What you will do: The Auto Club Group is seeking prospective Claim Support Processor who will provide daily support to the Claim department by completing well defined clerical tasks that require a general understanding of the Claims process, business context, and the Claims department organization and workflow. Day-to-day routine tasks include: Research and proper routing of mail, data entry of key information into claim systems for proper routing of documents including summons and complaints Oversight for exception process of RPA functions, ordering police reports and paying low dollar, high volume invoices, generally associated with claim expenses, including research to ensure no payment duplication Request and track retrieval requests for paper files when needed, daily oversight for manual printing, logging, and mailing remotely printed checks for multiple claim systems Receive inbound and make outbound customer phone calls to resolve claims needs Triage phone line as well as a customer care line to answer questions from members or body shops related to inspection assignment Work requires detailed compliance to specific instructions, with supervisory oversight May be assigned tasks normally handled at a higher level as needed Assign claims to claim handlers following prescribed business rules Update claim systems with information related to assigned recovery tasks Supervisory Responsibilities: None With our powerful brand and the mentoring, we offer, you will find your position as a Claim Support Processor can lead to a rewarding career at our growing organization. How you will benefit: Claim Support Processor will earn a competitive salary of $17.00 to $18.50 hourly with annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: Preferred Qualifications Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Experience: Experience working in a legal environment Required Qualifications (these are the minimum requirements to qualify): Education: High School Diploma or equivalent OR One year of experience in processing, customer service or business administration Experience: Working with P.C. software applications Knowledge of: Data processing techniques Skills and Ability to: Organize and prioritize multiple tasks Communicate effectively (oral and written) Use basic math skills Use automated processing and computer skills Maintain accurate files and records This candidate must reside within 50 miles from Dearborn, Michigan. IV. Work Environment This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Important Note: The above statements describe the principle and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $17-18.5 hourly Auto-Apply 60d+ ago
  • Casualty Claim Specialist (Michigan PIP) - Meemic

    Auto Club Group 4.2company rating

    Auburn Hills, MI jobs

    Casualty Claim Specialist (Michigan PIP) - MeemicWhat you will do:The Auto Club Group is seeking prospective Claim Specialist who will work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.In this position, you will have the opportunity to: Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete complex coverage analysis. Ensure all possible policyholder benefits are identified. Create additional sub-claims if needed. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Claim Specialists are assigned to the PIP unit and are responsible for Michigan PIP intermediate claims involving fractures, mild closed head injuries, surgical procedures, and claims involving attendant care. The role may require proficiency in dealing with the MCCA and attorney represented claims. May handle losses beyond those identified previously. Work with insureds, physicians' offices and medical insurance carriers to obtain necessary information to complete the claims review process and make the appropriate determinations With our powerful brand and the mentoring, we offer, you will find your position as a Claim Specialist can lead to a rewarding career at our growing organization.Work EnvironmentThis position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.How you will benefit:Claim Specialist will earn a competitive salary of $65,700 to $86,700 annually with annual bonus potential based on performance.Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education (include minimum education and any licensing/certifications): Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states. A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: Three years of experience or equivalent training in the following: Negotiation of claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills:Advance knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Handling simple litigation Advance knowledge of: Negligence Law No-Fault Law Medical terminology and human anatomy MCCA and attorney represented claims Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Research, analyze, and interpret subrogation laws in various states Travel outside of assigned territory which may involve overnight stay Relocate, work evenings or weekends Preferred QualificationsEducation: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation #LI-LC1 Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $65.7k-86.7k yearly Auto-Apply 58d ago
  • Casualty Claim Specialist - Michigan PIP

    Auto Club Group 4.2company rating

    Michigan jobs

    Casualty Claim Specialist - Michigan PIP - The Auto Club GroupWhat you will do:The Auto Club Group is seeking prospective Claim Specialist who will work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.In this position, you will have the opportunity to: Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete complex coverage analysis. Ensure all possible policyholder benefits are identified. Create additional sub-claims if needed. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Claim Specialists are assigned to the PIP unit and are responsible for Michigan PIP intermediate claims involving fractures, mild closed head injuries, surgical procedures, and claims involving attendant care. The role may require proficiency in dealing with the MCCA and attorney represented claims. May handle losses beyond those identified previously. Work with insureds, physicians' offices and medical insurance carriers to obtain necessary information to complete the claims review process and make the appropriate determinations With our powerful brand and the mentoring, we offer, you will find your position as a Claim Specialist can lead to a rewarding career at our growing organization.Work EnvironmentThis position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.How you will benefit:Claim Specialist will earn a competitive salary of $65,700 to $75,000 annually with annual bonus potential based on performance.Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states. A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience:Three years of experience or equivalent training in the following: Negotiation of claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills:Advance knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Handling simple litigation Advance knowledge of: Negligence Law No-Fault Law medical terminology and human anatomy MCCA and attorney represented claims Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Research, analyze, and interpret subrogation laws in various states Preferred QualificationsEducation: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation #LI-LC1 Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $65.7k-75k yearly Auto-Apply 60d+ ago
  • Claims Intake Analyst

    The Medical Protective Company 3.8company rating

    Fort Wayne, IN jobs

    Meet MedPro Group. We're an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. Never considered the insurance industry before? We think you should. In this role, you will… * Interact with insured at time of loss notification and perform initial coverage review. * Insure all initial claim investigations are executed with timeliness and accuracy. * Work with multiple departments/functions in the resolution of customer issues. * Facilitate and expedite the workflow between the field and home offices. * Provide full-range of administrative office and management support. * Perform miscellaneous duties as assigned by manager. We are looking for candidates with… * Background in insurance, healthcare or law industries preferred. * Strong proven ability to operate independently and prioritize assignments. * Ability to work well under pressure and within time constraints. * Ability to effectively manage several projects/priorities simultaneously. * Outstanding interpersonal skills to include both written and oral (focus on critical listening). * Excellent organizational and teamwork skills; creative problem solving. * Typing proficiency and computer skills (Word, Excel, PowerPoint) and ability to learn new technologies. * College degree or equivalent experience with relevant experience preferred. Why MedPro? MedPro Group's mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 300,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion - built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset - makes MedPro a preferred employer that many call their career home. General: MedPro Group is an Equal Opportunity Employer.
    $37k-53k yearly est. 6d ago
  • Claims Specialist

    Parker's Kitchen 4.2company rating

    Savannah, GA jobs

    Under the supervision of the Risk Manager, the Claims Specialist will assist in managing the claims process, including collaborating with all departments to help mitigate accidents, injuries, and property damage involving both employees and customers. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities: Will assist with the management process of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation. Utilizes skills and trend-tracking to assist in reducing accidents, and occupational injuries. Coordinates claim notification with the insurance carriers and serves as a point of contact for all assigned claims with the insurance carriers. Contacts employees and customers with potential claims to assist in mitigating potential loss and further injuries. Assist with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other from initial notification through to claim closure, including reviewing, analyzing, and approving authority amounts. Case management can include scheduling of appointments, obtaining current medical information, assisting managers with the transition of injured employees back to work, and assisting the injured employee. Ensure continued communication with injured parties to include customers, workers and leaders of the injured worker. May act as Parker's representative for depositions, informal conferences, mediations, and/or hearings pertaining to claims, working with assigned attorneys as necessary. Prepares Parker's written responses to unemployment claims based upon a summary of facts compiled from files, personnel records and interviews. May prepare cases for and represents Parker's at unemployment claim appeal hearings. Provides personnel employment information and verification, questions witnesses and claimant to ascertain facts of separation and presents a closing summary statement of the employer's position to the hearing officer. Prepares client witnesses for hearing appearances. Case preparation for hearings involves document gathering and organization, unemployment law research, and defense strategies. Maintains frequent telephone contact with management and leaders, gathering facts necessary to determine if unemployment claims are disputable and explaining unemployment rules, regulations, decisions and options. Refers information ascertained during investigations to the Claims team, Operations, and/or Human Resources, as necessary, when possible EEOC charges, wrongful discharge, or threatened litigation facts may have been uncovered. Other similar duties as required. Knowledge, Skills, and Abilities: Strong attention to detail Advanced skills in the use of Windows-based office software: Microsoft Office, Word, Excel, and PowerPoint and G-Suite products Must possess strong analytical and problem-solving skills Able to manage multiple priorities Able to research, collect, and analyze data and prepare written and oral reports Knowledge of claims processing techniques Able to analyze, classify, and rate risks, exposure, and loss expectancies Knowledge of workers' compensation laws and requirements, safety, loss control, and risk management principles Principles, practices, and procedures of general business including knowledge of the unemployment compensation system, filing appropriate unemployment responses, and personnel administration including legal aspects of hiring and firing; and the relationship of the Federal Unemployment Tax Act and the various state acts; knowledge of state and federal unemployment laws, rules and regulations. Highly organized and able to track a project from initial contact through the end of the project Ability to effectively communicate information and ideas in written and verbal format EDUCATION AND REQUIREMENTS Required: Associate or Bachelor's degree or equivalent experience 1-2 years' experience processing workers' compensation, general liability, and/or unemployment claims Experience in creating reports Preferred: ARM, CRM or similar designation 4+ years' experience processing workers' compensation, general liability, and/or unemployment claims TRAVEL As required PHYSICAL REQUIREMENTS Prolonged periods sitting/standing at a desk and working on a computer
    $38k-72k yearly est. 60d+ ago
  • Collections Claims Specialist

    Enterprise Rent-A-Car 4.4company rating

    Gainesville, FL jobs

    As we continue to build our team in support of our vision to be the world's best and most trusted mobility company, The Damage Recovery Unit, an affiliate of Enterprise Mobility, is excited to announce opportunities for remote employees to join our Recovery Specialist team! When damage occurs to our company property - primarily our rental vehicles - the Damage Recovery Unit works to recover costs for those damages. Each specialized position within the DRU handles a portion of the claim file, passing it from one person to the next for completion. The Recovery Specialists develop collection strategies and negotiate with responsible parties to recoup costs associated with damages to our property. Please note: While this is a remote position, applicants must currently reside in the state of Florida to be considered. We Work Hard and Reward Hard Work! This position offers a compensation package of $18.23 / hour and includes paid virtual training, full-time benefits including medical, dental & vision, 401k with a company match of up to 4% and profit sharing, paid time off, employee discounts and much more. Schedule: Training will take place the first 4 weeks of employment, Monday through Friday from 8:00 am EST to 5:00 pm EST. After training, our schedules are full-time, Monday through Friday with start times as early as 6:30 am CST to end times as late as 9:00 pm CST. We are currently hiring for February 16, 2026 New Hire Training start date * We're a family-owned, world-class portfolio of brands and leading provider of mobility solutions worldwide. Founded more than 60 years ago with a commitment to the communities that we serve, we operate a global network with 80,000 dedicated team members across nearly 100 countries, and more than 2.1 million vehicles taking our customers where they want to go. We owe our success to each and every one of our people. That's why we empower everyone on our team with opportunities for growth. Responsibilities * Review claim files to determine potential coverage and develop collection strategies with insurance partners, customers, and other parties * Effectively negotiate with responsible parties * Interpret the facts of loss in conjunction with debtor feedback in order to establish settlement strategy * Initiate appropriate verbal and written communication for the ultimate recovery * Make appropriate internal and external contacts to obtain necessary information * Work in a variety of programs to review internal and external information * Gather and evaluate police reports, repair estimates and other related documents * Maintain accurate account of payments on claim files * Make decisions for settlement strategy * Update system notes and data fields * Document and explain reasons for decisions and recommendations * Exhibit sound and accurate judgement * Learn and apply basic jurisdictional and statutory law * Successfully manage conflict during difficult or emotional situations * Adhere to company policies, procedures, guidelines and state and federal laws * Appropriately maintain and handle confidential records, claim files and correspondence * Duties are varied in nature, requiring limited independent action and judgement, with decisions monitored by immediate supervisor/manager Equal Opportunity Employer/Disability/Veterans LI-REMOTE Qualifications * Must currently live in the state of Florida * One year of administrative, clerical or office work experience that included daily use of computer software programs and/or internet use is required * One year of general collections, subrogation or claims experience preferred * Must have a permanent residence with a defined workspace that is free of distractions * Must have consistent and reliable high-speed internet access * Must be willing to accept $18.23/hour for this position * Heavy phone experience preferred * At least basic/beginner skill level in Microsoft Office products is required * Must be able to work full-time * Must be authorized to work in the United States and not require work authorization sponsorship by our company for this position now or in the future * Must be at least 18 years old
    $18.2 hourly Auto-Apply 4d ago
  • Outside Property Claim Representative

    Travelers 4.8company rating

    Liability claims representative job at The Independent Traveler

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job CategoryClaimCompensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range$65,300.00 - $107,600.00Target Openings1What Is the Opportunity?Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.What Will You Do? Handles 1st party property claims of moderate severity and complexity as assigned. Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates. Broad scale use of innovative technologies. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate. Establishes timely and accurate claim and expense reserves. Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits. Writes denial letters, Reservation of Rights and other complex correspondence. Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. Meets all quality standards and expectations in accordance with the Knowledge Guides. Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. Manages file inventory to ensure timely resolution of cases. Handles files in compliance with state regulations, where applicable. Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. Identifies and refers claims with Major Case Unit exposure to the manager. Performs administrative functions such as expense accounts, time off reporting, etc. as required. Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. May provides mentoring and coaching to less experienced claim professionals. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states. Must secure and maintain company credit card required. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work. This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. Perform other duties as assigned. What Will Our Ideal Candidate Have? Bachelor's Degree preferred. General knowledge of estimating system Xactimate preferred. Two or more years of previous outside property claim handling experience preferred. Interpersonal and customer service skills - Advanced Organizational and time management skills- Advanced Ability to work independently - Intermediate Judgment, analytical and decision making skills - Intermediate Negotiation skills - Intermediate Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate Investigative skills - Intermediate Ability to analyze and determine coverage - Intermediate Analyze, and evaluate damages -Intermediate Resolve claims within settlement authority - Intermediate Valid passport preferred. What is a Must Have? High School Diploma or GED required. A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required. Valid driver's license required. What Is in It for You? Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $32k-41k yearly est. Auto-Apply 60d+ ago
  • Claims Coordinator

    Corpus Christi 3.6company rating

    Corpus Christi, TX jobs

    As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to follow up daily with the OPS team to ensure and that all required documentation, estimates and procedures are followed according to required program guidelines. A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail oriented and able to focus with many projects in varying degrees of completion will be most successful in this position. Job Responsibilities Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other Environmental work Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system Daily review of compliance tasks and all job tasks are completed on time Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards Manages Customer Service issues and complaints, documenting actions and resolution Understanding of all company cycle times and SLAs required for each job and phase Client Care Calls - ensure constant, often daily, communication with the customer, may communicate with adjuster Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required May be responsible for creating job estimate and or assisting the Estimator/Project Manager with final estimate Job Requirements High school diploma/GED required Bachelor's Degree or applicable experience preferred, work experience will be considered IICRC Certifications preferred but not required: WTR, ASD, OCT, STC Exceptional Customer Service skills 1-3 years of Xactimate experience required- proficient use Xactimate 28 Experience with Microsoft© Office application (Word, Outlook, PowerPoint, and Excel) required Personal time management and organizational skills Strong verbal and written communication skills Dependable and adaptable to operate within a fast-paced work environment Ability to manage highly confidential information Strong problem-solving skills Proficient at using Microsoft Office, Outlook, CRM software Experience do you have with customer interaction and conflict resolution Physical Demands and Working Conditions The physical demands are representative of those that must be met by an employee to perform the essential function to this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Incumbent must be prepared to: Move up to 20 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects. Sitting for long periods of time while using office equipment such as computers, phones etc. Fingering and Repetitive motions; such as movement of wrists, hands and fingers while picking, pinching and typing during your normal working environment. Express or exchange ideas with others quickly, accurately, and receive and act on detailed information. Close visual acuity to perform detail-oriented activities at distances close to the eyes, such as preparing and analyzing data, viewing computer screen and expansive reading. Be exposed to various inside working conditions: The change of building environment such as with or without air conditioning and heating. May be required to travel for short periods of time. Disclaimer The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. Compensation: $15.00-$16.00/hr. Built on a foundation of great brands and employees with a passion for service, our vision is to be the leading provider of essential services through empowered people, world-class customer service and convenient access. By joining ServiceMaster, you'll be part of a talented network of employees with a shared vision. Our environment is a diverse community where successful people work together to achieve common goals. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to The ServiceMaster Company, LLC.
    $15-16 hourly Auto-Apply 60d+ ago

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