Contruction Claims Manager AECOMContruction Claims ManagerBaltimore, MD$140,000–$182,272.43 / yearWe invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. The Claims Manager will be responsible for coordinating and reviewing potential contract changes; engaging in claims avoidance activities; and engaging, strategizing, and working with construction oversight teams to support merit assessments and resolution of claims.
Fractional Customer Service (Claims) Manager Silva-Lining HRFractional Customer Service (Claims) Managerlos Angeles, CARemoteSilva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee and optimize the end-to-end claims process, ensuring timely resolution, operational efficiency, and exceptional customer experience. Lead project management efforts for claims resolution, including task delegation and coordination with internal team members, vendor partners, shipping providers, and repair services.
NewClaims Auto Adjuster (Mid-Level) - Non-Injury USAAClaims Auto Adjuster (Mid-Level) - Non-InjurySan Antonio, TX$51,370–$86,680 / yearSupports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service. Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.
NewAuto Claims Adjuster GTT, LLCAuto Claims AdjusterSyracuse, NYRemoteNamed to Forbes' Best Insurance Companies list, recognized by TIME as one of the World's Best Companies, and honored by U.S. News & World Report as one of the Best Companies to Work For, this organization employs underwriters, claims professionals, actuaries, and independent agency relationship managers across its national footprint. Fosters an environment of teamwork, maintains constructive relationships despite differing perspectives, and actively supports teammates with workload management.
Sr. Claims Auto Adjuster USAASr. Claims Auto AdjusterTampa, FL$54,550–$74,000 / yearYou will investigate and determine coverage and liability, evaluate, negotiate, and settle highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues, attorney representation, non-owned vehicles, mechanical breakdown, property damage lawsuits) property damage liability, and rental vehicle coverages for repairable vehicles and total losses. Dispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits.
Senior Claims Adjuster, TPA Oversight LotSolutions, Inc.Senior Claims Adjuster, TPA OversightJacksonville, FL$100,000–$130,000 / yearPart timeThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Inside Senior Auto Adjuster - CAT Claims USAAInside Senior Auto Adjuster - CAT ClaimsColorado Springs, CO$56,240–$94,910 / yearAs a dedicated Senior Auto Adjuster, you will work within defined guidelines and framework, responsible to adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
Accounts Receivable Insurance Specialist - Commercial, claims, denials and appeal experience Carle HealthAccounts Receivable Insurance Specialist - Commercial, claims, denials and appeal experienceChampaign, Illinois$17.26–$27.96 / hourFull timeUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
Crop Claims Supervisor - Illinois COUNTRY FinancialCrop Claims Supervisor - IllinoisIllinoisRemoteThis role provides leadership and oversight for all crop insurance claim investigations and settlements within the assigned district, ensuring accurate coverage interpretation, adherence to regulatory and company procedures, timely claim resolution, and the delivery of exceptional customer service throughout the claims process. Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services.
LTC Claims Pending Specialist - Remote USA. Northwestern MutualLTC Claims Pending Specialist - Remote USA.WisconsinRemoteDetermines the applicability of benefits claimed by interpreting contract provisions, state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term Care's claim philosophy. Communicate effectively verbally and in writing with Insureds and their representatives, Field Force, medical practitioners, and related service providers, attorneys, other insurance companies, and divisional resources, is involves negotiation and conflict resolution.
Sr. Casualty Claims Adjuster PalomarSr. Casualty Claims AdjusterLa Jolla, CaliforniaCasualty Claims Adjuster, under direction from the Senior Vice President, Head of Casualty Claims, will be responsible for handling in-house casualty claims and overseeing the third-party administrator claims. Delivering on our diversity commitment returns greater value to our shareholders and ultimately makes a positive impact to the communities in which we do business and to the people who live in them.
Inbound, Claims Call Center Representative (100% remote) PerunHRInbound, Claims Call Center Representative (100% remote)Phoenix, ArizonaRemoteResolve complex claims inquiries and problems, judging when to pass complex queries on to or involve others in order to provide an effective service and clear advice to colleagues and customers. Process clients’ first notice of loss claim reports received through Zurich’s phone & non-phone reporting options in a timely and accurate manner.
Field Claim Representative-Northern Michigan Auto-Owners Insurance CompanyField Claim Representative-Northern MichiganTraverse City, MichiganAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Senior Claims Examiner General Liability Athens AdministratorsSenior Claims Examiner General LiabilityLake Mary, FloridaAdvanced knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge 2) functional knowledge of law and insurance regulations in various jurisdictions 3) demonstrated advanced verbal and written communications skills 4) demonstrated advanced analytical, decision making and negotiation skills Investigate, evaluate, and determine settlement value or denial of liability for severe to major-level general liability claims. ATHENS POSITION DETAILS Position Title: Senior Claims Examiner – General Liability Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all states but California Job Grade: 13 Career Ladder: Next step in progression could include Complex Claims Examiner ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Cambridge WC Claims Specialist (Pn: 20068440) Highland County Joint TownshipCambridge WC Claims Specialist (Pn: 20068440)Ohio, ILcalculator, printer, copier, fax, phone); communication skills (e.g., listening, writing, reading, phone etiquette); use of internet; Ability to: define problems, collect data, establish facts, & draw valid conclusions; read & understand medical reference manuals & reports, gather, collate, & classify information about data, people, or things; respond to sensitive inquiries from & contacts with injured workers, employers, providers or their representatives, & the public; answer routine & technical inquiries from injured workers, employers, medical providers & public ; make proper referrals (within agency & external sources) ; diffuse potentially volatile situations; present information to others; work with a team; use International Classification of Diseases (ICD) coding manuals/system ; generate properly formatted business correspondence; read and understand compensation payment plan screens , interpret Cognos reports*. Major Worker Characteristics: Knowledge of: workers' compensation laws, policies & procedures ; eligibility criteria & procedures used for processing workers' compensation claims ; English grammar & spelling; oral & written business communication; public relations ; addition, subtraction, multiplication, division, fractions, decimals & percentages; interviewing techniques; internet search engines & navigation; medical terminology; medical diagnosis coding ; Industrial Commission processes ; claims reserving ; Skill in: operation of a personal computer; typing; use of Microsoft Office software (e.g., Outlook, Word, Excel, Access, PowerPoint); use of BWC-specific software (e.g., Workers' Compensation Claims Management System, Intrafin, FMS fraud system)*; operation of office machinery (e.g.
Customer Service Representative I - Workers' Compensation Call Center CorVel Enterprise Claims, Inc.Customer Service Representative I - Workers' Compensation Call CenterNorristown, PARemote$13.94–$21.48 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. The Customer Service Representative plays a vital role in supporting the Workers’ Compensation department by managing inbound and outbound calls and providing exceptional service to claimants and internal teams.
Customer Service Representative - State Farm Agent Team Member Danny Chung - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSkokie, ILFull timeAs a Customer Service Representative - State Farm Agent Team Member with Danny Chung - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. We’re looking for team members who are self-sufficient, motivated, and eager to grow—people who want to build something meaningful alongside a team that’s just getting started and headed in the right direction.
Casualty Claims Representative/Sr. Claims Representative-Financial Institution Services Division Great American Insurance Group (DBA)Casualty Claims Representative/Sr. Claims Representative-Financial Institution Services DivisionCincinnati, OHThis includes but is not limited to residential and commercial real property, commercial vehicles, commercial contents and equipment, motorcycles, recreational vehicles, watercraft and aircraft. Target clients include commercial banks, credit unions, finance companies, buy-here pay-here dealers and leasing and rental concerns.
AI Business Lead - Claims (Hybrid) Selective Insurance Company of AmericaAI Business Lead - Claims (Hybrid)Charlotte, North Carolina$163,000–$220,000 / yearFull timeProactively identifies, shapes, and documents AI use cases in partnership with business unit stakeholders, ensuring proposed opportunities are grounded in business need, aligned to the business unit's strategy, mapped to executive sponsorship, and evaluated against intake criteria before advancing to solution design or development. Owns the business unit's AI portfolio view and adoption outcomes, proactively shapes use cases, pushes for innovation, delivers small-scale AI solutions, and escalates misalignment, stalled progress, or resource issues to the AI COE Leader and business unit leadership.
Marketing Claims Analyst Weisiger GroupMarketing Claims AnalystCharlotte, NCData Analysis: Utilize advanced analytical tools and techniques to enhance data-driven decision-making processes and conduct in-depth analysis of data to identify trends, patterns, and insights that drive improved business performance. The ideal candidate will be self-motivated with high accountability, have a strong analytical mindset, be a proactive and clear communicator, and have a strong understanding of financials and supply chain models.