139 claims representative ii jobs found

As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdictional requirements Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect...

As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdictional requirements Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect...

As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdictional requirements Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect...

Job Summary: Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills For claims involving injuries, have a general understanding of how to review, evaluate, and negotiate injury claims. Strong negotiation skills are required. Supervisory Responsibilities: This job does not have supervisory duties...

Job Summary: Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills For claims involving injuries, have a general understanding of how to review, evaluate, and negotiate injury claims. Strong negotiation skills are required. Supervisory Responsibilities: This job does not have supervisory duties...

The ideal candidate will be experienced in Bodily Injury Claims and live in the PST or MST states. Primary Purpose: Examine claims data, investigate the facts of loss, determine coverage and liability, and adjusts claims within limit of authority. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Establish an investigative plan; initiate investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary, may review loss reserves and adjust or opens hidden exposures as necessary Evaluate and adjust claims within limit of authority and summarize claims in excess of authority and submit to manager for approval Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices;...

The ideal candidate will be experienced in Bodily Injury Claims and live in the PST or MST states. Primary Purpose: Examine claims data, investigate the facts of loss, determine coverage and liability, and adjusts claims within limit of authority. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Establish an investigative plan; initiate investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary, may review loss reserves and adjust or opens hidden exposures as necessary Evaluate and adjust claims within limit of authority and summarize claims in excess of authority and submit to manager for approval Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices;...

The ideal candidate will be experienced in Bodily Injury Claims and live in the PST or MST states. Primary Purpose: Examine claims data, investigate the facts of loss, determine coverage and liability, and adjusts claims within limit of authority. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Establish an investigative plan; initiate investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary, may review loss reserves and adjust or opens hidden exposures as necessary Evaluate and adjust claims within limit of authority and summarize claims in excess of authority and submit to manager for approval Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices;...

The ideal candidate will be experienced in Bodily Injury Claims and live in the PST or MST states. Primary Purpose: Examine claims data, investigate the facts of loss, determine coverage and liability, and adjusts claims within limit of authority. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Establish an investigative plan; initiate investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary, may review loss reserves and adjust or opens hidden exposures as necessary Evaluate and adjust claims within limit of authority and summarize claims in excess of authority and submit to manager for approval Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices;...

** Ideal candidates will reside between the Columbus, GA, LaGrange, GA and West Point, GA areas**. This position will service the region in Western GA, SW Atlanta and the Eastern AL areas. Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal and external...

Candidates should be located in or near the Greater Philadelphia area Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties Preferred Qualifications:...

** Preferred candidate will reside in the Wake/Lee County NC area** Job Summary: This role utilizes analytical skills to create a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Key Responsibilities: Exhibits proficient estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses Processes a deep understanding of the content of all policy types written by the company Negotiates settlements, makes settlement payments and documents all activities in the file within escalated authority limits Applies thorough understanding of regulatory compliance and fair claims practices Builds established relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties Preferred Qualifications: Education and Experience Bachelor's degree preferred or equivalent experience 2 or more years of...

** Ideal candidate will reside in the Woodbridge VA or Manassas VA areas** This role will service Fairfax and Prince William Counties in Virginia and the city of Washington, DC. Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal and external...

*** This is an Auto Field position and the ideal candidate would reside in Lancaster County, SC area and work that territory to include York, Chester, Fairfield, Kershaw and Chesterfield Job Summary: Responsible for creating a comprehensive estimate of Auto Physical damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal...

New Hire Incentive is a one lump sum of up to $5,000. (Subject to applicable taxes) Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties Preferred...

** Ideal candidates will reside between the Baltimore, Maryland and Washington, DC areas** . Cities in the ideal zone include SIlver Spring, College Park and Beltsville, MD. This position will service the region in Maryland between these 2 cities. Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices...

Job Summary: Responsible for investigating and confirming the facts of loss for basic automobile accidents. Applies analytical thinking to determine coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding most aspects of auto claims (coverage, liability and damages) with the exercise of limited discretion (limited independence) Applies basic understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understands other potential property damage For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic injury claims Supervisory Responsibilities:...

** Ideal candidate will reside in the Woodbridge VA or Manassas VA areas** This role will service Fairfax and Prince William Counties in Virginia and the city of Washington, DC. Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal and external...

** Preferred candidate will reside in the Wake/Lee County NC area** Job Summary: This role utilizes analytical skills to create a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Key Responsibilities: Exhibits proficient estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses Processes a deep understanding of the content of all policy types written by the company Negotiates settlements, makes settlement payments and documents all activities in the file within escalated authority limits Applies thorough understanding of regulatory compliance and fair claims practices Builds established relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties Preferred Qualifications: Education and Experience Bachelor's degree preferred or equivalent experience 2 or more years of...

Job Summary: The Claims Inside Auto Trainee Analyst II is responsible for investigating and confirming the facts of loss for automobile accidents. This role determines coverage, liability, damages and otherwise adjusts and negotiates claims within authority. Key Responsibilities: Handles basic investigation regarding most aspects of auto claims (coverage, liability and damages) Exhibits basic understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Partners to determine subrogation or fraud potential and how to handle Applies a basic understanding of systems and technology used within the company Identifies customer needs and works to meet those needs using appropriate customer service skills Begins recognizing and identifying body parts of a vehicle and other potential property damage Supervisory Responsibilities: This job does not have supervisory duties Preferred...