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ADAPTED_NOW

Insurance Adjuster

General Summary: The Claims Adjuster II is responsible for timely and accurate management of workers’ compensation claims with moderate medical and indemnity benefit exposure, including litigation. EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!

KBSkills

ACTIVE

Claims Adjuster II | Workers’ Compensation – IL, MO, KS - 100% Remote Opportunity!General Summary:The Claims Adjuster II is responsible for timely and accurate management of workers’ compensation claims with moderate medical and indemnity benefit exposure, including litigation.MUST have experience in two of the following states; Illinois, Missouri, KansasEssential Duties and Responsibilities:Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data. Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability. Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims. Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Other duties may be assigned.Job Requirements:Excellent communication and customer service skills and knowledge of an imaged environment. Demonstrated knowledge of workers’ compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. 2 to 5 years work comp claims adjusting experience. Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education. Must have High School Diploma or GED equivalent.Preferred but not required:Bachelor’s degree or equivalent business experience preferred. WCCP, AIC, ARM, CPCU or other insurance certification a plus. An equivalent combination of education and experience may be substituted for the requirements listed above. Work Environment:Remote: This role is remote (WFH), and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary: $53,000- $75,000 + Comprehensive benefits package and bonus opportunity, please follow the link to our benefits page for details! https://www.employers.com/careers/our-benefits-and-perks/About EMPLOYERSEMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS®!Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #HP22 #LI-Remote

Employers

Claims Adjuster II | IL, MO, KS

ARM (Advanced RISC Machine)

Analysis Skills

Best Practices

Business Growth

Claims Management

Claims Processing

Communication Skills

Corporate Policies

Cost Control

Customer Relations

Customer Support/Service

Data Quality

Hewlett-Packard Product Family

High School Diploma

Insurance

Insurance Certifications

Legal

Litigation

Medical Treatment

People Management

Problem Solving Skills

Regulations

Regulatory Compliance

Small Business

Systems Maintenance

Time Management

Willing to Travel

Work From Home

Worker's Compensation

JobGet

Claims Representative

52037 52070 52254 52701 52721 52722 52726 52727 52728 52729 52730 52731 52732 52742 52745 52746 52747 52748 52749 52750 52751 52753 52756 52757 52758 52760 52761 52765 52767 52768 52769 52771 52773 52774 52777 52778 52801 52802 52803 52804 52806 52807. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!  Khakis optional. . . Potential starting salary range: $59,059.65 annually ($29.31/hr) - $90,000.00 annually, ($44.67/hr). Because work-life-balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week! • Starting salary will be based on skills, background, and experience • Potential yearly incentive pay up to 15% of base salary At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family!<ul><li>Get Paid! On top of our competitive pay, you are eligible for an annual raise and bonus.</li><li>Stay Well! Focus on you and your family’s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more!</li><li>Develop and Grow! Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring.</li><li>Plan Ahead! Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union!</li><li>Take a Little “You” Time! You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!</li><li>Give Back! We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund.</li><li>Finish Strong! Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary.</li></ul>Visit our <a href="https://jobs.statefarm.com/main" rel="noopener nofollow noreferrer" target="_blank">State Farm Careers</a> page for more information on our <a href="https://jobs.statefarm.com/employee-benefits" rel="noopener nofollow noreferrer" target="_blank">benefits</a>, <a href="https://jobs.statefarm.com/office-locations" rel="noopener nofollow noreferrer" target="_blank">locations</a>, and the <a href="https://jobs.statefarm.com/employment-process" rel="noopener nofollow noreferrer" target="_blank">hiring process</a> of joining the State Farm team! Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses.    We are looking for an experienced and highly skilled professional to contribute to our dynamic team. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service.    Key Responsibilities:<ul><li>Conduct on-site inspections and assessments of property damages for both residential and commercial claims</li><li>Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently </li><li>May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions </li><li>Provide exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally</li><li>Gather necessary evidence, document findings, and prepare detailed reports to support the claims handling process</li><li>Investigate and adjust both personal and commercial property claims with exposures up to $500,000</li><li>Evaluate coverage and policy terms to determine the validity of claims and ensure compliance with local regulations</li><li>Negotiate and settle claims within the authorized limits, considering policy provisions, industry standards, and company guidelines</li></ul>Where you'll work: This position is located in Bettendorf, IA and is responsible for serving these zip codes:    Zip Codes:52037 52070 52254 52701 52721 52722 52726 52727 52728 52729 52730 52731 52732 52742 52745 52746 52747 52748 52749 52750 52751 52753 52756 52757 52758 52760 52761 52765 52767 52768 52769 52771 52773 52774 52777 52778 52801 52802 52803 52804 52806 52807 Competitive candidates should reside within a commutable distance of this territory.  This is a Remote-Field position in which you will work from home and utilize a mobile office/vehicle for in-person appointments.  Although the primary work location is in the field, with a commutable distance from home, there will be opportunities for virtual work to be completed at home. Additionally, there may be occasions where you will be required to travel outside your assigned area to assist in other territories.Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible schedules and may be asked to work overtime and/or irregular hours.    Qualifications Competitive candidates must demonstrate:<ul><li>Experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims</li><li>Strong knowledge of property insurance policies, coverage and claim handling practices</li><li>Knowledge of both residential and commercial building construction</li><li>Familiarity with local regulations and compliance requirements in your assigned territory</li><li>Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders</li><li>Proven effective communication skills to handle difficult/emotional conversations with a customer-minded focus</li><li>Proven ability to assess damages, estimate repair costs, and negotiate settlements</li><li>Detail-oriented with strong organizational and analytical skills</li><li>Proficient in using claims management software and other relevant tools </li><li>Physical agility to allow for: frequent lifting, carrying and climbing a ladder; ability to navigate roofs at various heights for inspection of both residential and commercial structures; ability to crawl in tight spaces</li><li>May be required to complete Rope and Harness Safety Training.</li><li>A valid driver's license is required</li></ul>Preferred:<ul><li>Bachelor's Degree in a related field or equivalent work experience</li><li>Experience in handling complex or high-value claims</li><li>Construction background</li><li>Water mitigation inspection experience</li><li>Xactimate, XactContents</li></ul>Additional Details:<ul><li>Employees must successfully complete all required training, including applicable licensing exam(s) and background checks required of various state(s).</li><li>State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing</li></ul>

Customers and communities rely on us to help them face life's uncertainties. They come to us for guidance with insurance needs, financial planning, and strengthening the community.

State Farm

Claim Specialist - Property Field Inspection

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