75 claim representative i jobs found

Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Location Details: Remote Position Schedule / Shift: Monday-Friday 9am-6pm ET Position Summary: As an Auto Claim Representative I , you will be responsible for investigating, evaluating, and resolving low complexity automobile physical damage claims in accordance with company policies and applicable regulations. Reviews claim information, assesses vehicle damage, determines coverage, and coordinates repairs or settlements. Key Responsibilities: Claim handling responsibilities will include the following : Reviewing assigned claims Contacting the insured and other affected parties Setting expectations for the remainder of the claim process Initiating documentation in the claim handling system Complete complex coverage analysis Ensure all possible policyholder benefits are identified...

  SUMMARY:     This is the entry level professional claim handler. Handles medical only and indemnity benefits.  Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.    RESPONSIBILITIES/TASKS: Verifies workers’ compensation coverage of employers and injured employees.   Determines compensability under workers’ compensation by thorough investigation of the claim.   Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits. Facilitates return to work for the injured employee. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies. Manages medical bills...

SUMMARY:     This is the entry level professional claim handler. Handles medical only and indemnity benefits.  Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.    RESPONSIBILITIES/TASKS: Verifies workers’ compensation coverage of employers and injured employees.   Determines compensability under workers’ compensation by thorough investigation of the claim.   Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits. Facilitates return to work for the injured employee. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies. Manages medical bills for...

SUMMARY:     Claim Representative I:  This is the entry level professional claim handler.  Handles medical only and indemnity benefits.  Exercises some discretion in the determination of compensability of claims.  Considers many factors in the determination claim reserves.  Negotiates and settles claims within given authority.    Claim Representative II:  This is the intermediate level of the claim handler career path.  Handles moderate to difficult claims.  Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves.  Negotiates and settles claims within given authority.    Claim Representative III:  This is the advanced level of the claim handler career path.  Investigates claims and exercises significant discretion in the determination of compensability of claims.  May handle large, more complex customers requiring high touch, labor intensive claim service.  Considers many factors...

SUMMARY This position serves as technical expert in the subrogation claim representative career path. Under limited supervision, manages subrogation worker’s compensation claims with litigation, complex/catastrophic and/or coverage elements. Manages unique cases, where sometimes little precedence has been established. Serves as department leader by developing other employees and may function as acting manager in the absence of department management.  We are seeking an experienced workers’ compensation subrogation adjuster or bodily injury liability claims adjuster with a background in complex and litigated claims and negotiating settlements directly with personal injury attorneys and adverse carriers. Workers’ compensation subrogation experience is preferred; however, we will consider strong bodily injury candidates who have handled larger, litigated losses and are interested in transitioning those skills to subrogation. This role identifies, investigates, evaluates,...

Claim Representative II:  This is the intermediate level of the claim handler career path. Handles moderate difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.    RESPONSIBILITIES/TASKS: Verifies workers’ compensation coverage of employers and injured employees.  Determines compensability under workers’ compensation by thorough investigation of the claim. Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits. Facilitate return to work for the injured employee. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies....

We are seeking a customer-focused Casualty Claims Representative I to investigate and resolve casualty claims while delivering exceptional service to our policyholders. This position is responsible for verifying coverage, gathering claim information, negotiating settlements within authority limits, and ensuring compliance with company guidelines and applicable regulations. Key Responsibilities Investigate and manage casualty claims from assignment through resolution. Verify coverage, gather claim information, and document findings. Negotiate claim settlements within assigned authority limits. Identify subrogation and recovery opportunities. Communicate effectively with policyholders, claimants, agents, and other involved parties. Maintain accurate claim documentation and regulatory compliance. Qualifications High school diploma or equivalent required; bachelor's degree preferred. Minimum of six (6) months of claims-related experience required. Current Texas...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is a field-based role in the Ocala, FL area. Candidates who are willing and able to work in Ocala, FL are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Travel will encompass IA and surrounding states. Claims inspections will include onsite and virtual inspection.    Candidate Locations: Des Moines, IA (preferred)   Qualifications: ·         3-5 years of insurance field/property claims handling or adjusting experience ·         Solid experience...

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.   The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages;...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is a field-based role in the Temple and Waco area. Candidates who are willing and able to work in Temple/Waco, TX are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is a field-based role in the Southern Chester County, South Philly, or Delaware County area. Candidates who are willing and able to work in Southern Chester County, South Philly, or Delaware County are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is a field-based role in the Columbus, OH area. Candidates who are willing and able to work in Columbus are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is a field-based role in the Detroit, MI area. Candidates who are willing and able to work in Detroit are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to...

Overview Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2026!   Mercury Insurance’s Property Large Loss Adjusters are trusted experts who show up for policyholders during some of the most challenging moments of their lives — bringing deep  expertise , empathy, and decisive action to complex property claims.  In this senior-level remote and field-based role you will operate with a high degree of independence to investigate, evaluate, and resolve sophisticated homeowner  and potentially commercial  property claims, making a meaningful impact on both the customer experience and the integrity of Mercury’s claims operation. If you are a seasoned property claims professional who thrives on complexity, values autonomy, and is energized by the opportunity to lead from the field, this is the role for you.   As a Property...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is a field-based role in the San Diego, CA Metro area. Candidates who are willing and able to work in San Diego, CA Metro area are encouraged to apply. Relocation assistance is not available for this position.   As a dedicated Sr. Auto Appraiser, you will within defined guidelines and framework responsible for the...

   SUMMARY:   Primarily responsible for receiving and inventory areas, coordinating, storing, stocking, and distributing a wide variety of mail, materials and supplies throughout the building, including mail room, print center, IT, etc.  Unloads shipments from receiving dock and sorts items for delivery.  Responsible for the maintenance of archival file storage and prepares files for storage or destruction off site. Contacts include buyers, delivery personnel, and employees throughout the company. When the incumbent qualifies and is able to perform all responsibilities independently, they will progress to a level II.  ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.  •    Maintains company stock & inventory and assists with purchase requests.  •    Fulfills, ships, and delivers stock materials and special orders to departments.  •    Maintains a supply of marketing materials and processes marketing and claim...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!   As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Claims Specialist II,...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Big Rapids/Mount Pleasant, Michigan Territory Position Schedule / Shift: Monday-Friday 8am-5pm ET Position Summary: A highly skilled Field Auto Appraiser responsible for inspecting, evaluating, and determining repair or total loss values for complex vehicle damage claims in the field. Operates with minimal supervision and is entrusted with a high degree of independent authority to resolve technically challenging and high-severity claims. Demonstrates advanced expertise in vehicle construction, damage analysis, repair methodologies, and estimating systems. Acts as a subject matter expert, making sound, timely decisions while ensuring accuracy, compliance, and cost efficiency. Effectively negotiates with repair facilities, customers, and vendors, and provides guidance on complex technical issues, policy interpretation, and claim...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is role will work appraisals in the Lubbock and Amarillo, TX area. Candidates who are willing and able to work in Lubbock and Amarillo, TX are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both...