FULL_TIME

FEED

YEAR

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

<div class="WordSection1">IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters:<ul><li style="text-align:justify;margin-left:8px">With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.</li><li style="text-align:justify;margin-left:8px">As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.</li><li style="text-align:justify;margin-bottom:11px;margin-left:8px">This is not just a job—it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.</li></ul>Join Our Team:<ul><li style="text-align:justify;margin-left:8px">Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? </li><li style="text-align:justify;margin-left:8px">If so,that's great!If not,no problem! Let us help you on your career path as a Licensed Claims Adjuster. </li><li style="text-align:justify;margin-bottom:11px;margin-left:8px">You're welcome to sign up on our jobs roster if you meet our guidelines.</li></ul>How We Can Help You Succeed:<ul><li style="text-align:justify;margin-left:8px">At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.</li><li style="text-align:justify;margin-left:8px">Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.</li><li style="text-align:justify;margin-bottom:11px;margin-left:8px">Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.</li></ul><div class="WordSection1"><div class="WordSection1">Don't miss out on this opportunity—let us assist you in advancing your career in claims adjusting and achieving your professional goals.With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at 281-741-8505 or info@milehighadjustershouston.com to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at <a href="http://www.milehighadjustershouston.com" rel="nofollow" style="color:#467886;text-decoration:underline">www.milehighadjustershouston.com</a> to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (<a href="https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg" rel="nofollow" style="color:#467886;text-decoration:underline">https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg</a>) and Facebook at: (<a href="https://www.facebook.com/milehighadjustershouston" rel="nofollow" style="color:#467886;text-decoration:underline">https://www.facebook.com/milehighadjustershouston</a>) for additional resources and updates. <a href="https://zfrmz.com/pDjRHSOoPxg7PDUFWjtN" rel="nofollow" style="color:#467886;text-decoration:underline">APPLY HERE</a> #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston</div></div></div>By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.Powered by JazzHR

MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Dublin, Georgia

Claims Processing

Insurance Claims

Microsoft Excel

Training Program

Training Program Development

Training/Teaching

YouTube

partner JazzHR

OTHER

UNKNOWN

Sets initial reserves for claims; performs proper and timely reserve evaluations and adjustments; reviews and approves bills for processing; reviews and signs off daily check sheet; prepares and submits reports to excess carriers when loss is greater than one-half retention level. Utilizes cost control measures regarding claims management when applicable including Align, Cypress Care, Telephonic Case Manager (TCM), Field Case Manager (FCM) and Surveillance; works at eliminating the payment of fines and penalties due to late and/or form filings.

The candidate selected for this position must live within the state of Georgia. The employee's telecommuting work site location will contain a designated and approved work space at the employee's home address. General Definition of WorkPerforms skilled technical work managing and resolving assigned property and liability claims on behalf of the Association's insurance programs to ensure prompt determination of compensability, litigation management and effective claim resolution, and related work as apparent or assigned. Work is performed under the supervision of the Claims Supervisor.Position Responsibilities<ul><li style="text-align:left;line-height:normal">Supports the Association's through the support of division or program staff and interaction with local governments and authorities; exhibits knowledge and general understanding of the programs and services offered by the Association, and provides outstanding customer support that reflects well on the entire Association.</li><li style="text-align:left;line-height:normal">Initiates initial investigation for newly assigned insurance claims; confirms coverage of claim, contacts member, member representative, non-represented claimants, claimant's attorney and/or injured employees to obtain/provide information.</li><li style="text-align:left;line-height:normal">Initiates compensability and/or liability determination through completion of statements, recorded statements, on-site investigations, and evaluation of property damage appraisal reports.</li><li style="text-align:left;line-height:normal">Sets initial reserves for claims; performs proper and timely reserve evaluations and adjustments; reviews and approves bills for processing; reviews and signs off daily check sheet; prepares and submits reports to excess carriers when loss is greater than one-half retention level.</li><li style="text-align:left;line-height:normal">Establishes and maintains proper claim diary requirements of existing caseloads with documentation of action plans; ensures action plans are adhered to in a timely manner.</li><li style="text-align:left;line-height:normal">Receives and responds to inquiries and requests for information from members, injured employees, vendors, case managers, legal representatives and medical providers.</li><li style="text-align:left;line-height:normal">Completes Electronic Data Interchange (EDI) transmissions, state board filings and additional associated requirements. </li><li style="text-align:left;line-height:normal">Utilizes cost control measures regarding claims management when applicable including Align, Cypress Care, Telephonic Case Manager (TCM), Field Case Manager (FCM) and Surveillance; works at eliminating the payment of fines and penalties due to late and/or form filings.</li><li style="text-align:left;line-height:normal">Occasional overnight travel required - less than 20 days per year - i.e. travel to mediations, hearings, field investigations, depositions, account/member visits, and seminars.</li></ul>Knowledge, Skills and Abilities<ul><li style="text-align:left;line-height:normal">Thorough knowledge of business English, spelling and arithmetic; standard office practices, procedures, equipment and administrative support techniques; </li><li style="text-align:left;line-height:normal">Thorough knowledge of the principles, practices and process of liability claims handling and administration; </li><li style="text-align:left;line-height:normal">General knowledge of the laws, legal codes, court procedures, precedents, government regulations and agency rules regulating the property and liability insurance industries; ability to make arithmetical calculations; ability to operate a variety of standard office equipment including personal computer and associated software; </li><li style="text-align:left;line-height:normal">Ability to communicate ideas effectively in both oral and written formats; ability to type accurately at a reasonable rate of speed; ability to follow oral and written instructions; ability to read and understand detailed and complicated policies, procedures and materials that contain specialized words and phrases; </li><li style="text-align:left;line-height:normal">Ability to establish and maintain effective working relationships with associates, claimants, attorneys, Nurse Case Managers, physicians, local government officials, customers and the general public.</li></ul>Education and Experience<ul><li style="text-align:left;line-height:normal">Bachelor's degree with coursework in business administration, insurance, or related field and </li><li style="text-align:left;line-height:normal">Moderate (3 - 5 years) of related experience in property liability claim administration, or </li><li style="text-align:left;line-height:normal">Equivalent combination of education and experience.</li></ul>Special Requirements<ul><li style="text-align:left;line-height:normal">Employee is required to have and maintain a high-speed, broadband internet connection at their work site that is sufficient to enable fast, consistent service to the membership. A minimum download speed of 25 Mbps is required. To ensure a consistent speed at this level, a 40MB internet connection is recommended. You may check your download speed at <a href="http://www.speedtest.net" rel="nofollow">speedtest.net</a>. </li><li style="text-align:left;line-height:normal">Possession of or ability to acquire a Georgia Independent Adjusters License issued through the State of Georgia Insurance Department within one year of employment.</li><li style="text-align:left;line-height:normal">Valid driver's license in the State of Georgia.</li></ul> Notice: ACCG employees must have a primary residence within the state of Georgia. In addition, employment candidates are subject to a background screening in compliance with established ACCG background check procedures.

Association County Commissioners of GA

Property & Liability Claims Examiner

Administrative Skills

Broadband

Business Administration

Calendar Management

Case Management

Certified Case Manager (CCM)

Claims Management

Communication Skills

Cost Control

Customer Support/Service

Documentation Plan

Driver's License

Electronic Data Interchange (EDI)

English Language

Government Regulations

Healthcare Providers

Insurance

Legal

Liability Insurance

Litigation

Local Government

Office Equipment

PC Software

Presentation/Verbal Skills

Property Insurance

Real Estate Appraisals

Request for Information (RFI)

Seminars

Site Evaluation

Surveillance

Time Management

Willing to Travel

Work From Home

Writing Skills

Talent Acquisition

Sets initial reserves for claims; performs proper and timely reserve evaluations and adjustments; reviews and approves bills for processing; reviews medical/rehabilitation notes; reviews and signs off daily check sheet; prepares and submits reports to excess carriers when loss is greater than one-half retention level. Performs skilled technical work managing and resolving assigned lost time and complex medical only claims on behalf of the Association's insurance programs to ensure prompt determination of compensability, payment of entitled benefits, litigation management and effective claim resolution, and related work as apparent or assigned.

Candidate selected to fill this position must have a permanent living address within the state of Georgia.The employee's telecommuting work location will be within a designated and approved workspace at the employee's home address. General Definition of WorkPerforms skilled technical work managing and resolving assigned lost time and complex medical only claims on behalf of the Association's insurance programs to ensure prompt determination of compensability, payment of entitled benefits, litigation management and effective claim resolution, and related work as apparent or assigned. Work is performed under the supervision of the Claims Supervisor.Qualification RequirementsTo perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.Position Responsibilities<ul><li style="text-align:left;line-height:normal">Supports the Association through the support of division or program staff and interaction with local governments and authorities; exhibits knowledge and general understanding of the programs and services offered by the Association, and provides outstanding customer support that reflects well on the entire Association.</li><li style="text-align:left;line-height:normal">Initiates initial investigation for newly assigned insurance claims; confirms coverage of claim, contacts member, member representative, non-represented claimants, claimant's attorney and/or injured employees to obtain/provide information.</li><li style="text-align:left;line-height:normal">Initiates compensability and/or liability determination through completion of statements, recorded statements, on-site investigations.</li><li style="text-align:left;line-height:normal">Sets initial reserves for claims; performs proper and timely reserve evaluations and adjustments; reviews and approves bills for processing; reviews medical/rehabilitation notes; reviews and signs off daily check sheet; prepares and submits reports to excess carriers when loss is greater than one-half retention level.</li><li style="text-align:left;line-height:normal">Establishes and maintains proper claim diary requirements of existing caseloads with documentation of action plans; ensures action plans are adhered to in a timely manner.</li><li style="text-align:left;line-height:normal">Receives and responds to inquiries and requests for information from members, injured employees, vendors, case managers, legal representatives and medical providers.</li><li style="text-align:left;line-height:normal">Completes Electronic Data Interchange (EDI) transmissions, state board filings and completes Centers for Medicare Services (CMS) requirements.</li><li style="text-align:left;line-height:normal">Utilizes cost control measures regarding claims management when applicable including One Call Medical, Align, Telephonic Case Manager (TCM), Field Case Manager (FCM) and Surveillance; works at eliminating the payment of fines and penalties due to late and/or form filings.</li><li style="text-align:left;line-height:normal">Occasional overnight travel required – less than 20 days per year – i.e. travel to mediations, hearings, depositions, account/member visits, and seminars.</li></ul>Knowledge, Skills and Abilities<ul><li style="text-align:left;line-height:normal">Thorough knowledge of business English, spelling and arithmetic, standard office practices, procedures, equipment and administrative support techniques; </li><li style="text-align:left;line-height:normal">Thorough knowledge of the workers' compensation system requirements and medical only claim administration; </li><li style="text-align:left;line-height:normal">General knowledge of the laws, legal codes, court procedures, precedents, government regulations and agency rules regulating the workers compensation insurance industries; ability to make arithmetical calculations; ability to operate a variety of standard office equipment including personal computer and associated software; </li><li style="text-align:left;line-height:normal">Ability to communicate ideas effectively in both oral and written formats; ability to type accurately at a reasonable rate of speed; ability to follow oral and written instructions; ability to read and understand detailed and complicated policies, procedures and materials that contain specialized words and phrases; </li><li style="text-align:left;line-height:normal">Ability to establish and maintain effective working relationships with associates, claimants, attorneys, Nurse Case Managers, physicians, local government officials, customers and the general public.</li></ul>Education and Experience<ul><li style="text-align:left;line-height:normal">Bachelor's degree with coursework in business administration, insurance, or related field and </li><li style="text-align:left;line-height:normal">Moderate (1 – 3 years) of related experience in workers' compensation claim administration, or </li><li style="text-align:left;line-height:normal">Equivalent combination of education and experience.</li><li style="text-align:left;line-height:normal">AIC, ARM, and/or CPCU Professional Designations desired </li></ul>Physical Requirements<ul><li style="text-align:left;line-height:normal">This work requires the occasional exertion of up to 10 pounds of force; </li><li style="text-align:left;line-height:normal">Work regularly requires sitting, speaking or hearing, using hands to finger, handle or feel and reaching with hands and arms and occasionally requires standing, walking, climbing or balancing, stooping, kneeling, crouching or crawling, pushing or pulling, lifting and repetitive motions;</li><li style="text-align:left;line-height:normal">Work has standard vision requirements; vocal communication is required for expressing or exchanging ideas by means of the spoken word; hearing is required to perceive information at normal spoken word levels; </li><li style="text-align:left;line-height:normal">Work requires preparing and analyzing written or computer data, operating motor vehicles or equipment and observing general surroundings and activities; </li><li style="text-align:left;line-height:normal">Requires light physical effort working almost exclusively with light weight materials (up to 25 pounds) or short periods in difficult work positions.</li><li style="text-align:left;line-height:normal">Working conditions with absence of disagreeable conditions and little or no accident or health hazards; considerable mental effort and stress involved which could result in tension or anxiety.</li></ul>Special Requirements<ul><li style="text-align:left;line-height:normal">Employee is required to have and maintain a high-speed, broadband internet connection at their work site that is sufficient to enable fast, consistent service to the membership. A minimum download speed of 25 Mbps is required. To ensure a consistent speed at this level, a 40MB internet connection is recommended. You may check your download speed at <a href="http://www.speedtest.net" rel="nofollow">speedtest.net</a>. </li><li style="text-align:left;line-height:normal">Possession of or ability to acquire a Georgia Adjusters License issued through the State of Georgia Insurance Department within one year of employment.</li><li style="text-align:left;line-height:normal">Valid driver's license in the State of Georgia.</li></ul> Notice: ACCG employees must have a primary residence within the state of Georgia. In addition, employment candidates are subject to a background screening in compliance with established ACCG background check procedures.

Workers Compensation Claims Examiner

ARM (Advanced RISC Machine)

Centers for Medicare and Medicaid Services (CMS)

Compensation and Benefits

Medicare

Rehabilitation Medicine

Worker's Compensation

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Independent Insurance Claims Adjuster in Dublin, Georgia MileHigh Adjusters Houston Inc

Property & Liability Claims Examiner Association County Commissioners of GA

Workers Compensation Claims Examiner Association County Commissioners of GA

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