Claims Adjuster Jobs - Remote Work From Home & Flexible
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30+ days agoLooking for aClaims Adjusterto adjudicateclaimsin accordance with best practice guidelines and regulatory requirements from FNOL through to resolution. You will be an ambassador of our customer centeredclaimsjourney and will maintain clear lines...
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30+ days agoCollaborate with CX to provide customer service, guidance, and education to policyholders through every step of theclaimsprocess. Review veterinary bills for accuracy and to determine whether coverage applies forclaimedcosts. Investigateclaimsto...
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New!YesterdayInvestigates origin and cause ofclaimsby contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, otheradjusters, public personnel, etc. Identifies complex issues and...
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30+ days agoAs a First Party PropertyClaims Adjuster, you will review property damageclaiminformation from the OutsideAdjuster, complete the investigation, and resolve theclaim. Minimum of 1 year of property or industry equivalent experience.
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9 days agoHandles both 1st party and 3rd partyclaimsunder multiple policy types and numerous endorsements. Conducts on-site inspections when needed, evaluates damages, and handlesclaimnegotiations with insureds, claimants, attorneys, and publicadjusters.
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New!YesterdayApprove andadjustestimates of damage and loss amounts. Determine extent of company liability. Estimate cost of repair, replacement, or compensation. Identify and communicate potential underwriting concerns, SIU involvement, and subrogation potential.
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11 days agoHelp customers resolve autoclaimsinvolving up to two vehicles. This is not a field position. Primarily over the phone, you'll accurately documentclaimsdetails, interview those involved in an accident, make coverage and liability decisions, and...
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11 days agoManage a high volume ofclaimfiles from beginning to end. Resolve and document autoclaimsas quickly and accurately as possible. Interview all involved in an accident to determine coverage and liability decisions. Validate damage is consistent with...
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30+ days agoCurrently seeking an experienced commercial Senior PropertyClaim Adjusterto provide quality, cost-efficient, and timely investigation of propertyclaims. Applicableadjusterlicense and 4 years of propertyclaims adjusting经验. 100% remote work.
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30+ days agoAs an inside catastrophe (CAT)claims adjusteron our Home & Property team, you'll care for customers impacted by wildfires, hailstorms, tornadoes and other weather-related events. Primarily over the phone, you'll handle coverage and damage analysis...
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30+ days agoInvestigates and evaluates moderately complex auto and casualtyclaims. Documentsclaimactivities, reserve analysis, summaries of reports. Identifies, investigates, and pursues opportunities for recovery. Handles litigated files of low complexity.
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11 days agoManage a caseload of complex pollution accounts. Timelyclaimmanagement of new loss assignments and reassignments. Develop account strategies and manage both litigated and non-litigated pollutionclaims. Evaluate and resolve cases.
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11 days agoPlay a critical role in ensuring qualityclaimfile management, service level agreements are met, and regulatory requirements are satisfied while helping to create and provide an industry-leading customerclaims经验.
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11 days agoManage a caseload of General LiabilityClaims(premises and auto) in multiple states. Manage new loss assignments, reassignments and proper reserve setting. Be able to perform coverage analysis, responsibilities to defend, tasks to indemnity, and...
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24 days agoExamine and interpret homeowner policies, forms in force, and other records. Investigate relevant facts needed to evaluate and determine coverage, liability and damages on litigationclaimfiles involving complex property damage and coverage issues.
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11 days agoManage a caseload of Construction DefectClaimsin multiple states. Manage new loss assignments, reassignments, and proper reserve setting. Be able to perform coverage analysis, responsibilities to defend, tasks to indemnity, and choice of law. Remote.
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26 days agoWe are looking for a smart, motivated LicensedClaims Adjusterto create exceptional new practice questions and instructional content that will help test-takers succeed on theClaims AdjusterLicensing Exam. Outstanding candidates must be self-starters...
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10 days agoAnalyzing theclaimexposure to determine the proper course of action and to appropriately settle or close theclaimin accordance with state, company & client policy and procedure.Building and maintaining rapport with client contacts to ensure retention.
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30+ days agoResponsible for investigating and confirming the facts of loss for the most complex Homeowner'sClaims. Determines coverage, damages and otherwiseadjustsand negotiatesclaimswithin limit of authority. Responsible for creating a comprehensive...
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New!YesterdayHandle complex and/or high severity propertyclaimsin a quality manner delivering on standards of accuracy, efficiency, customer service, and regulatory compliance. Correspond with and respond to inquiries involving members, agents, and third parties...
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12 days agoIdentifies possibly suspiciousclaimsand may work with the Special Investigations Unit to resolve and negotiate settlements. Responds to customers in a polite, professional and empathetic manner, matching their needs with services...
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FeaturedNew!5 days agoProcessing complexclaimsrequiring investigation and coding. Resolving pendingclaims. Processingadjustments. Utilizing multiple applications simultaneously. Sitting at a cubicle for extended periods of time. 6+ months of office clerical, medical...
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10 days agoAs aClaimsSpecialist, you are experienced in working for a Third Party Administrator (TPA), or Insurance Carrier having dealt with the fullclaimlife cycle from open to close. You're familiar with managing, litigating, andadjusting claims...
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30+ days agoYour role would be to investigate andadjustworkers' compensationclaimswith the highest potential exposure. We take an extremely aggressive and pro-active approach inclaims adjustingand are looking for the person who not only knows their...
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30+ days agoExhibits mastery estimating fundamentals in order to create estimates of damages on the most complex 1st party homeowner losses of all severities. Applies mastered content in interpretations of all policy types written by the company and assists leaders.
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New!3 days agoDuties include obtaining loss details from clients, reportingclaimsto carriers, and advocating on behalf of the client throughout the entirety of aclaim. Investigate and review policies from multiple international carriers for coverage.
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30+ days ago调查中等复杂的房主claimsto confirm facts, origin & cause of loss.Address & handle exposures of theclaim, including Dwelling, Other Structures, Contents, Loss of Use. Investigations may include scene inspection. Maintainclaims.
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24 days agoApply broad knowledge of current company policy, applicable regulatory standards and procedural changes to investigate, evaluate and settle complex Homeowner's or Commercial propertyclaimsin a timely and efficient manner as to prevent unnecessary...
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30+ days agoReviewsclaimsfor other possible coverage as provided by vehicle manufacturers or parts and labor warranties provided by previous repairer. Providesclaimpayment authorizations based on the correct parts and labor amounts using the available data...
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10 days agoCorresponds through verbal/written communication with policyholders, claimants, travel coordinators, etc. to gather important information to supportclaimdecision. Serve as a customer advocate in all interactions to provide an outstanding customer...
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23 days agoRespond to concerns from the Department of Insurance (DOI), Better Business Bureau (BBB), and social media within regulatory guidelines. Minimum of 2-3 years prior Homeowners Property Insurance experience required. Propertyclaims adjusting...
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30+ days ago遗传代数属性和责任损失的所有方面ed to Personal Lines Homeowners with emphasis on litigated files. Makes prompt contact with customers to set expectations, develop an action plan, and perform an initial exposure assessment.
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19 days agoPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation. Ability to code government and state models. This includes code everything projects.
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30+ days agoThe Team Lead,Claimsis responsible for leading a team ofAdjustersand Specialists by monitoring their workloads, providing supervisory oversight for individualclaimactivities, and providing technical and jurisdictional direction onclaims...
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New!4 days agoTheClaimProcessing Representative processes entry-level and intermediateclaimswith a 99% or greater accuracy rate using the company's proprietaryclaimprocessing software. Adhere to approvedclaimworkflow requirements to maximize efficiency.
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30+ days agoClaimhandling responsibilities will include the following: reviewing assignedclaims, contacting the insured and other affected parties, setting expectations for the remainder of theclaim, and initiating documentation in theclaimhandling system.
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30+ days agoGuide our customers from the First Notice of Loss through the resolution of theirclaim. Confirm coverage and monitor repairs of low-complexityclaims. Maintain a general understanding ofclaimsresolution procedures and timeframes. Address customer...
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11 days agoExhibits mastery estimating fundamentals in order to create estimates of damages on the most complex 1st party homeowner losses of all severities.Applies mastered content in interpretations of all policy types written by the company & assists leaders.
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17 days agoProvide best-in-classclaims经验through exceptional resolution ofclaimfiles. Investigate, manage and resolve assignedclaimswhile making decisions consistent with internal best practices. Operate independently, managing a high volume of...
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18 days ago负责医院claimsbilling. Hospitalclaimsfollow-up. Hospitalclaimsdenials resolution. Responsible for reconciliation of the accounts receivable by working assigned reports and must be able to produce high volumes.
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30+ days agoTheClaimsSpecialist will play a critical role in ensuring qualityclaimfile management, service level agreements are met, and regulatory requirements are satisfied all while helping to create and provide an industry leading customerclaims...
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30+ days agoTheClaimsSpecialist will play a critical role in ensuring qualityclaimfile management, service level agreements are met, and regulatory requirements are satisfied all while helping to create and provide an industry leading customerclaims经验.
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Featured9 days agoOverseesclaimsclerical activities including filing, data entry, setup and distribution of newclaimsas well as processing of incoming and outgoing mail. 3-5 years of clerical experience, with 1-3 years of supervisory experience required.
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26 days ago创建reports to assess quality and efficiency within theclaimsteam. Develop and present reports on Key Performance Indicators (KPIs). Leverage data to highlight areas needing improvement. Utilize data to prepare Cost/Benefit analysis for potential...
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30+ days agoBe responsible for ensuringclaimsare handled in accordance with established guidelines and service instructions. Ensures timely completion of file reviews, calibration sessions and analysis reports. Identifyclaim-handling trends by applying...
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30+ days agoManages a personal caseload ofclaims, which may include litigation, to ensure the proper adjudication or settlement of thoseclaims, and they are handled according to Company policies and procedures, within the Company's contractual and legal liability.
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30+ days agoProvide the best possibleclaimservice to both internal and external customers. Promote teamwork and proactively seek opportunities to assist fellow associates with common challenges, i.e. systems use, file quality, etc. Perform thorough investigation...
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Featured13 days agoMakes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages. Takes a recorded statement from all parties involved in theclaimwhen...
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10 days agoPromptly and effectively handle assignedclaimswith little to no direction and oversight, which may include complex and catastrophic casualty losses. Make decisions within delegated authority, recommend settlement values in the disposition of...
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30+ days agoThe primary job function is to evaluate, negotiate, and settle medium to high valueclaimsin a timely and efficient manner as to prevent unnecessary expense to the Company and policyholders. Minimum of 3-years of experience or equivalent combination...
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