13 senior lost time claims adjuster jobs found in Charlotte, NC

As a member of our claims team, utilize your knowledge of Workers Compensation 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 investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate...

Job Summary: The ideal candidate would reside in the Charlotte/Mecklenburg County area of NC. This role would service that general territory, which could include adjacent counties to Mecklenburg County, NC. 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...

Job Summary: The ideal candidate would reside in the Charlotte/Mecklenburg County area of NC. This role would service that general territory, which could include adjacent counties to Mecklenburg County, NC. 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...

Job Summary: The ideal candidate would reside in the Charlotte/Mecklenburg County area of NC. This role would service that general territory, which could include adjacent counties to Mecklenburg County, NC. 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...

Job Summary: The ideal candidate would reside in the Charlotte/Mecklenburg County area of NC. This role would service that general territory, which could include adjacent counties to Mecklenburg County, NC. 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...

Job Summary: Responsible for investigating and confirming the facts of loss for complex Homeowners Claims. Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. This role provides guidance to junior employees. Key Responsibilities: Handles investigation regarding all aspects of complex Homeowners first party claims (coverage, damages and subrogation) with the exercise of discretion and independence within increased level of authority Demonstrates 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 complex customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies key components of residential construction and repair, including structural integrity and home systems For claims involving fraud or...

Job Summary: Responsible for investigating and confirming the facts of loss for complex Homeowners Claims. Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. This role provides guidance to junior employees. Key Responsibilities: Handles investigation regarding all aspects of complex Homeowners first party claims (coverage, damages and subrogation) with the exercise of discretion and independence within increased level of authority Demonstrates 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 complex customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies key components of residential construction and repair, including structural integrity and home systems For claims involving fraud or...

Job Summary: The ideal candidate would reside in the Charlotte/Mecklenburg County area of NC. This role would service that general territory, which could include adjacent counties to Mecklenburg County, NC, especially Cabarrus County. 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...

Job Summary: Responsible for investigating and confirming the facts of loss for complex Homeowners Claims. Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. This role provides guidance to junior employees. Key Responsibilities: Handles investigation regarding all aspects of complex Homeowners first party claims (coverage, damages and subrogation) with the exercise of discretion and independence within increased level of authority Demonstrates 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 complex customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies key components of residential construction and repair, including structural integrity and home systems For claims involving fraud or...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want - apply today! We provide the support and structure; you provide the interest and motivation. You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a Customer Service and Claims Representative - Large Claims , you'll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing your life's best work. In...

*** 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...

*** 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...

*** 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...