12 telephone claims adjuster jobs found

Job Description TITLE:                                  Adjuster DEPARTMENT:                  Specialty Marine & Transportation (SM&T) REPORTS TO:                     VP, Specialty Marine & Transportation or Practice Leader STATUS:                               Regular, full-time; exempt           SUMMARY OF JOB PURPOSE   The Adjuster effectively determines and communicates the extent of loss or damage associated with commercial property and liability claims in a variety of business classes. The Adjuster II assists the insurer in fulfilling its obligation to policyholders and helps safeguard the insurer’s reputation and efficacy by providing highly specialized claims adjusting services to clients in the cargo and/or heavy equipment niche market. The incumbent in this role is typically assigned loss or damage assessments in a low to moderate cost range, based on experience and demonstrated aptitude. PRIMARY JOB RESPONSIBILITIES Investigates insurance...

Description Advance your career with our Personal Lines Casualty Team! Apply now to learn and grow with us. The Casualty Claims Adjuster will investigate, manage and resolve Bodily Injury claims assigned directly with injured parties, as well as assist in providing service to policyholders. All qualified applicants will reside within a 50-mile radius of the following offices, Lake Mary, Suwanee, Plano, Indianapolis, Naperville, and Chandler.  There may be several in-office days per month for the first few months following initial virtual training to support your learning and to build relationships with leaders and others in the department.  This position requires a minimum of two days in office per month as the standard beyond the training period, with occasional additional days for special meetings a few times a year. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.   PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.  Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim.  These responsibilities may include utilization review, pharmacy oversight and care coordination.    This position will be hybrid out of Maitland, FL or Boca Raton, FL office.  Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively,...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Summary This is a shared position reporting to the Manager of Bridge Pointe Administration Services 75% of the time and reporting to the Manager of Bridge Pointe Structured Settlements the other 25% of the time. Primary responsibility is providing support activities to the Bridge Pointe Administration team and Structured Settlement teams by providing administrative, operational, and customer service support for fiduciary trust accounts and structured settlements. Prepare and track settlement quotes, premiums, and payment schedules; maintain accurate case management records; and coordinates documentation with carriers and internal teams. Generates regulatory correspondence, reviews legal and financial documents for compliance, supports referral intake and service quoting, and delivers daily customer service to members, providers, and...

Position Summary:   The Claims Executive is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes. The Claims Executive functions as an insurance claims professional that provides guidance to the Customers and Producers on more complex claims issues. Claims Executive is responsible for monitoring the assigned inventory of accounts, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis. Essential Tasks: Reports to the Claims Operations Manager on workflow issues and the handling of assigned claims inventory Service and be the point of contact for assigned threshold accounts. Ability to review policy language and offer a professional opinion regarding coverage, settlements, reserve practices, etc. Handle and work with carrier and client on...

Position Summary:   This Claims Consultant is responsible for accurate reporting and filing of claim notices to the respective Carrier, in addition to reporting handling claim scenarios along with resolution of claims disputes. The Claims Consultant’s functions as a claims representative that provides needed updates to claims related matters to Customers and Producers. Claims Consult is responsible for monitoring the claims inventory, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis. Essential Tasks: Reports to the Claims Operations Manager and/or Team Lead on workflow issues and the handling of assigned claims inventory Understand Claims Handling guidelines and Workflows. Ability to train in Sagitta and ImageRight, including document uploads and complete tasks Ability to analyze insurance policies for coverage eligibility Reporting claims to assigned...

Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify):  English & Spanish Right to work:  English  /  Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. The Agent & Client Services Representative is an entry-level customer service role that provides comprehensive training and development opportunities. As a trainee position, the employee will receive frequent training, development, and testing to equip them for success as a Level I – Agent & Client Services Representative. The following are the usual, basic and essential functions of the position.  These functions are not to be construed as an exhaustive list of all responsibilities, duties and skills required. In this role, the Agent & Client Services Representative will...

Position Summary:   The Commercial Lines Account Executives have leadership/mentorship and advisement responsibilities over Account Managers and their respective books of business/client groups to include gathering information from clients, servicing clients, and setting expectations of timeline for completion of work tasks. Supervisory Skills:  None Essential Tasks: Collectively or independently plans, designs and implements appropriate insurance programs for clients that coincide with agency guidelines Maintains knowledge of new developments or changes with various carriers and new Federal/State laws that may affect how our clients conduct business; consults, informs and educates clients about coverage, exclusions and exposures: documents electronic filing accordingly Generating premium allocations for clients; advanced Microsoft Excel proficiency Negotiating rate terms and conditions with Carriers on behalf of clients Provides technical support to Producers...

Position Summary: The Association Insurance Advisor is an embedded insurance leader operating a co-owned virtual insurance agency inside a trade association. This role serves as the on-site face of the association’s insurance solution and is responsible for association integration, member engagement, relationship credibility, growth enablement, and execution of commercial insurance placements. While this role involves placing and servicing individual commercial insurance accounts, success depends primarily on trusted presence within the association, influence with leadership, and the ability to drive member adoption of the insurance program. Supervisory Responsibilities: None initially. This role is expected to evolve into a leadership position as service and operational support is added with scale. Essential Tasks: Embedded Association Leadership Operate as the embedded insurance representative inside association headquarters, building daily credibility with...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. Follow claims handling procedures and...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities.  After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. Follow claims handling procedures...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Adjuster General National PRIMARY PURPOSE :  To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Examines insurance policies, claims, and other records to determine insurance coverage. Administers and reconciles complex catastrophic claims for property. Interviews, telephones, or...