account manager

associate claims specialist Jobs in Indianapolis

associate claims specialist

auto damage trainee

casualty claims specialist Jobs in Indianapolis

casualty claims specialist

auto claims representative

Auto-Owners Insurance

<div>
 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 claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company&rsquo;s claims training program for the assigned line of insurance and requires the person to
 
 
 <ul>
 <li>
 Investigate, evaluate, and settle entry-level insurance claims
 </li>
 <li>
 Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
 </li>
 <li>
 Learn and comply with Company claim handling procedures
 </li>
 <li>
 Develop entry-level claim negotiation and settlement skills
 </li>
 <li>
 Build skills to effectively serve the needs of agents, insureds, and others
 </li>
 <li>
 Meet and communicate with claimants, legal counsel, and third-parties
 </li>
 <li>
 Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
 </li>
 <li>
 Study, obtain, and maintain an adjuster&rsquo;s license(s), if required by statute within the timeline established by the Company or legal requirements
 
 
 </li>
 </ul>
 
 Desired Skills &amp; Experience
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree or direct equivalent experience with property/casualty claims handling
 </li>
 <li>
 Ability to organize data, multi-task and make decisions independently
 </li>
 <li>
 Above average communication skills (written and verbal)
 </li>
 <li>
 Ability to write reports and compose correspondence
 </li>
 <li>
 Ability to resolve complex issues
 </li>
 <li>
 Ability to maintain confidentially and data security
 </li>
 <li>
 Ability to effectively deal with a diverse group individuals
 </li>
 <li>
 Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
 </li>
 <li>
 Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company&rsquo;s underwriting guidelines for coverage
 </li>
 <li>
 Continually develop product knowledge through participation in approved educational programs
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
 
 
 
 Equal Employment Opportunity
 
 
 
 Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
 
 
 <ul>
 <li>
 Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
 
 
 </li>
 </ul>
</div>

Auto Claims Representative

Ryder System

<div>Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) .
Job Description :
Job Description Summary
Experienced with handling Auto Liability claims to include under Ryder's self-insured, self-administered liability program. Familiar with coverage / contracts. Customer focused and self-motivated. Experience with Commercial Auto claims is a plus.
SUMMARY
The Liability Claim Representative II handles low to mid-range bodily injury claims and property damage claims.
ESSENTIAL FUNCTIONS
<ul><li>Investigates and adjusts claims, as well as directs independent adjusters, experts, and other vendors in the claim handling processes</li>
<li>Interacts, on an on-going basis, with field and operations management, legal counsel, safety managers, customers, insurance carriers, and third party claimants</li>
<li>Manages litigation to ensure claims are handled appropriately, according to the applicable jurisdiction</li>
<li>Assists Claim Manager in the identification of exposures and recommends solutions</li>
<li>Manages indemnity and expense costs properly</li>
<li>Interacts with primary and excess insurance carriers, and re-insurers on files meeting reporting thresholds</li>
<li>Alerts Claim Manager to changes and proposed changes in laws that could impact Ryder's liability program</li>
<li>Updates field operations personnel on claim status when requested</li>
<li>Supervises outside vendors and experts retained to assist in the investigation</li>
<li>Recommends and sets reserves to ensure the reserves represent the probable ultimate payout based on documented file developments</li>
</ul>ADDITIONAL RESPONSIBILITIES
Performs other duties as assigned
EDUCATION
Preferred Bachelor's degree and/or a minimum of two (2) years&rsquo; experience in casualty claims
EXPERIENCE
Two (2) years or more experience in casualty claims
Licenses are a plus
SKILLS
<ul><li>Demonstrated ability to handle and resolve low-to-mid range liability exposures</li>
<li>Requires strong claim technical skills</li>
<li>Strong commitment to the principles of customer focus</li>
<li>Effective interpersonal skills and ability to communicate clearly in verbal and written communications</li>
<li>Strong negotiation skills and ability to deal effectively with insurers</li>
</ul>KNOWLEDGE
<ul><li>Understanding of relevant laws and regulations governing liability claims in the U.S.; beginner level.</li>
<li>Understanding of insurance coverage; beginner level.</li>
<li>Comprehensive understanding of relevant laws and regulations; beginner level.</li>
<li>Will need to obtain specific licenses if needed</li>
</ul>TRAVEL
1-10%
Job Category: Risk Management
Compensation Information :
The compensation offered to a candidate may be influenced by a variety of factors, including the candidate&rsquo;s relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Compensation ranges for the position are below:
Pay Type :
Salaried
Minimum Pay Range:
$70,900.00
Maximum Pay Range:
$76,900.00
Benefits Information :
For all Full-time positions only : Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan.
For more information about benefits, click here (https://ryder.icims.com/icims2/servlet/icims2?module=AppInert&amp;action=download&amp;id=4022345&amp;hashed=256118533) to download the comprehensive benefits summary.
Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Important Note :
Some positions require additional screening that may include employment and education verification; motor vehicle records check and a road test; and/or badging or background requirements of the customer to which you are assigned.
Security Notice for Applicants:
Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the formal submitted application through www.ryder.com/careers .
Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at careers@ryder.com .
Current Employees :
If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) .
\#wd</div>

Claims Representative II - REMOTE

First Chicago Insurance Company

<div>At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and to keep those employees happy and engaged. We provide the tools and the support our employees need to grow both professionally and personally. We encourage self-improvement and celebrate success by rewarding ideas and results. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas. Join in on the excitement and become part of our thriving organization! 
 
We are seeking an experienced Litigation Specialist! 
The Litigation Specialist will be responsible for handling litigated and/or complex injury claims stemming from Personal Auto and Commercial Auto Liability policies. 
 
DUTIES &amp; RESPONSIBILITIES:
<ul><li>Handle litigation claims in accordance with established office procedures.
</li><li>Determine coverage and draft any applicable reservations of rights letters.</li><li>
Conduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals.
</li><li>Litigation Management including strategizing with defense counsel and experts on defense cases, as well as declaratory judgment actions.</li><li>
Maintain an appropriate diary on all open files.</li><li>
Conduct business with vendors in a manner which maintains a reasonable expense factor and upholds the company's reputation for quality service.
</li><li>Ability to research and interpret case law, statute, and coverage forms in order to properly adjust and conclude claims.</li><li>
Evaluates and determine potential use of experts and/or field investigators.</li><li>
Maintain claim files and document all claim activity in accordance with applicable regulations and company policies.</li><li>
Prepare and present claim evaluations to secure appropriate settlement authority.
</li><li>Establish and maintain proper indemnity and expense reserves.</li><li>
Conduct onsite review of defense counsel as required by management.
</li><li>Adhere to the rules and regulations of the Department of Insurance specific to the loss state.</li>
Additional duties as deemed necessary by direct supervisor / management. 
<li>
</li></ul> 
QUALIFICATIONS:
Required:
<ul><li>College Degree and / or 5 years of applicable claims adjusting experience.
</li><li>Knowledge of legal and medical terminology.
</li><li>Excellent negotiation, communication, organizational and interpersonal skills.
</li><li>Ability to pass written examinations where required by state statutes to become a licensed claim adjuster.</li></ul> 
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:<ul><li>
Competitive Salaries</li><li>
Commitment to your Training &amp; Development</li><li>
Medical and Dental</li><li>
Telemedicine Benefit</li><li>
401k with a generous company match</li><li>
Paid Time Off and Paid Holidays</li><li>
Tuition Reimbursement Training Programs</li><li>
Wellness Program</li><li>
Fun company sponsored events</li><li>
And so much more!</li></ul>
Visit our company website at firstchicagoinsurance.com</div>

Litigation Specialist

GEICO

<div>At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers&rsquo; expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That&rsquo;s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Primary Position Objective: 
 
Under general supervision, REVIEWS, MONITORS, and EVALUATES high volume operational processes, documentation, and activities to ensure compliance with internal procedures, regulatory requirements, and established quality standards. CONDUCTS structured quality reviews of calls files, and workflows. 
 
Essential Functions: 
 
1. CONDUCTS high volume reviews of operational files, documentation, and system entries to verify compliance with established criteria. MONITORS assigned quality control work queues to ensure timely completion of reviews. APPLIES defined quality checklists, criteria, and review standards consistently. 
 
2. EVALUATES and SCORES adherence to regulatory requirements, internal policies, procedures, and established quality standards. PERFORMS sample reviews of open and closed files to assess accuracy, consistency, and proper execution of processes. 
 
3. IDENTIFIES errors, omissions, or inconsistencies and documents findings accurately. 
 
4. SUPPORTS ad hoc quality review requests for operational units, including targeted file pulls or special reviews. ASSISTS with quality support activities related to reviews, projects, or operational initiatives as assigned. 
 
5. DETERMINES areas of strengths and areas of concern based on call monitoring and assessing reviews and PROVIDES feedback to management for training and coaching or behavioral opportunities. 
 
6. MAINTAINS accurate and detailed records of quality assurance activities, findings, and outcomes. INPUTS and MAINTAINS individual, section and departmental performance statistics in designated systems. SUPPORTS preparation of basic quality reports or summaries as requested. 
 
7. PERFORMS operational tasks such as updating files, entering data, and ensuring accuracy of records. 
 
8. ADHERES to the GEICO Code of Conduct, the GEICO Claims Code of Conduct, company policies and operating principles. 
 
9. MEETS attendance standard at business location to perform necessary job functions and to facilitate interaction with management and co-workers. 
 
10. MEETS the requirements specified below.<ul><li>
Must be able to, with or without accommodation, perform the essential functions which include, but are not limited to seeing, hearing, typing and speaking</li><li>
Must be able to work both independently and in a team environment</li><li>
Must be able to multi-task</li><li>
Must be able to learn and apply large amounts of technical and procedural information</li><li>
Must be able to communicate effectively verbally and in writing</li><li>
Must be able to adhere to department&rsquo;s in-office requirements.</li><li>
Must have the following experience: 
o Must meet the requirements of a grade 65 claims associate 
o 2-3 years of claims and/or insurance industry experience</li></ul>
External Job Posting Description
Requirements:<ul><li>
Experience with high‑severity or complex auto insurance claims preferred</li><li>
Exposure across multiple claim types is a plus</li><li>
Ability to work onsite two days per week</li></ul>
Opportunity to support QA efforts across multiple areas of auto claims, including: First and Third Party Claims, Insurance Claims Services (ICS/call center), Payment Recovery, Arbitration, Emergency Road Services, Glass, Physical Damage. 
Annual Salary
$29.51 - $57.49
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate&rsquo;s work experience, education and training, the work location as well as market and business considerations. 

At this time, GEICO will not sponsor a new applicant for employment authorization for this position. 
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life&rsquo;s twists and turns. Our mission is to protect people when they need it most and we&rsquo;re constantly evolving to stay ahead of their needs.
We&rsquo;re an iconic brand that thrives on innovation, exceeding our customers&rsquo; expectations and enabling our collective success. From day one, you&rsquo;ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people&rsquo;s lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career &ndash; and your potential &ndash; in mind. You&rsquo;ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.<ul><li>
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family&rsquo;s overall well-being.</li><li>
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.</li><li>
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.</li><li>
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.</li></ul>
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.</div>

Operations Quality Assurance Associate

<div>At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers&rsquo; expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That&rsquo;s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Primary Position Objective: 
 
Under limited supervision, REVIEWS, MONITORS, and EVALUATES operational processes, documentation, and activities to ensure compliance with applicable regulatory requirements, internal policies, and quality standards. CONDUCTS structured quality reviews of calls, files, and workflows; ANALYZES trends and results; and PROVIDES insights to support consistent execution, risk mitigation, and continuous improvement across operations to management. 
 
Essential Functions: 
 
1. CONDUCTS quality assurance reviews of operational unit activities, including documentation, system entries, workflows, and telephone calls to ensure quality and customer experience expectations are met. 
 
2. EVALUATES and SCORES adherence to regulatory requirements, internal policies, procedures, and established quality standards. PERFORMS sample reviews of open and closed files to assess accuracy, consistency, and proper execution of processes. 
 
3. ANALYZES quality review results, trends, and performance data to identify patterns, systemic issues, and areas of opportunity. IDENTIFIES gaps, errors, or inconsistencies that may pose compliance or operational risk. 
 
4. RESEARCHES industry best practices, regulatory guidance, and quality standards relevant to operations. COMPARES external practices to internal processes and IDENTIFIES potential areas for alignment or improvement. DOCUMENTS/COMMUNICATES quality results, trends, and observations in a clear, professional manner. 
 
5. COLLABORATES with operations, product, training and other partners to clarify findings and support quality initiatives. 
 
6. RECOMMENDS changes in processes and methodologies to enhance processes and improve overall quality results. 
 
7. DETERMINES areas of strengths and areas of concern based on call monitoring and assessing reviews and PROVIDES feedback to management for training and coaching or behavioral opportunities. 
 
8. MAINTAINS accurate and detailed records of quality assurance activities, findings, and outcomes. INPUTS and MAINTAINS individual, section and departmental performance statistics in designated systems. GENERATES performance reports and trends as required. 
 
9. ADHERES to the GEICO Code of Conduct, the GEICO Claims Code of Conduct, company policies and operating principles. 
 
10. MEETS attendance standard at business location to perform necessary job functions and to facilitate interaction with management and co-workers.
11. MEETS the requirements specified below.<ul><li>
Must be able to, with or without accommodation, perform the essential functions which include, but are not limited to seeing, hearing, typing and speaking</li><li>
Must be able to work both independently and in a team environment</li><li>
Must be able to multi-task</li><li>
Must be able to learn and apply large amounts of technical and procedural information</li><li>
Must be able to communicate effectively verbally and in writing</li><li>
Must be able to adhere to department&rsquo;s in-office requirements.</li><li>
Must have the following experience: 
Minimum of 5 - 10 years of claims and/or insurance industry experience</li></ul>
External Job Posting Description
Requirements:<ul><li>
Experience with high‑severity or complex auto insurance claims required Exposure across multiple claim types is a plus</li><li>
Ability to work onsite two days per week</li></ul>
Opportunity to support QA efforts across multiple areas of auto claims, including: First and Third Party Claims, Insurance Claims Services (ICS/call center), Payment Recovery, Arbitration, Emergency Road Services, Glass, Physical Damage. 
Annual Salary
$65,600.00 - $129,150.00
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate&rsquo;s work experience, education and training, the work location as well as market and business considerations. 

At this time, GEICO will not sponsor a new applicant for employment authorization for this position. 
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life&rsquo;s twists and turns. Our mission is to protect people when they need it most and we&rsquo;re constantly evolving to stay ahead of their needs.
We&rsquo;re an iconic brand that thrives on innovation, exceeding our customers&rsquo; expectations and enabling our collective success. From day one, you&rsquo;ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people&rsquo;s lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career &ndash; and your potential &ndash; in mind. You&rsquo;ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.<ul><li>
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family&rsquo;s overall well-being.</li><li>
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.</li><li>
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.</li><li>
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.</li></ul>
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.</div>

Operations Quality Assurance Analyst

Sedgwick

&lt;p&gt;By joining Sedgwick, you&amp;#39;ll be part of something truly meaningful. It&rsquo;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&rsquo;s no limit to what you can achieve.&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies&lt;/p&gt;&lt;p&gt;Certified as a Great Place to Work&reg;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-size:14px&quot;&gt;Fortune Best Workplaces in Financial Services &amp;amp; Insurance&lt;/span&gt;&lt;/p&gt;&lt;p style=&quot;text-align:inherit&quot;&gt;&lt;/p&gt;&lt;p style=&quot;text-align:inherit&quot;&gt;&lt;/p&gt;Disability Representative Sr&lt;p style=&quot;text-align:inherit&quot;&gt;&lt;/p&gt;&lt;p style=&quot;text-align:inherit&quot;&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Dubuque, IA&lt;/span&gt;&lt;/b&gt;&lt;span&gt; : 4141 Westmark Drive, Dubuque, IA 52002&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Cedar Rapids, IA&lt;/span&gt;&lt;/b&gt;&lt;span&gt; : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Coralville, IA: &lt;/span&gt;&lt;/b&gt;&lt;span&gt; 3273 Ridgeway Drive Coralville IA 52241&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Dublin, OH&lt;/span&gt;&lt;/b&gt;&lt;span&gt; : 5500 Glendon Court Dublin OH 43016&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;New Albany, OH&lt;/span&gt;&lt;/b&gt;&lt;span&gt; : 7795 Walton Parkway New Albany, OH 43054&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Indianapolis, IN:&lt;/span&gt;&lt;/b&gt;&lt;span&gt; 8909 Purdue Road Suite 501 Indianapolis, IN 46268&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Irving, TX&lt;/span&gt;&lt;/b&gt;&lt;span&gt;: 2201 W. Royal Lane Suite 125 Irving, TX 75063&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Memphis, TN : &lt;/span&gt;&lt;/b&gt;&lt;span&gt;8125 Sedgwick Way, Memphis TN 38125&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Southfield, MI&lt;/span&gt;&lt;/b&gt;&lt;span&gt; : 300 Galleria Officentre Southfield MI 48034&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Orlando, FL : &lt;/span&gt;&lt;/b&gt;&lt;span&gt;12650 Ingenuity Dr Orlando FL 32826&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;PRIMARY PURPOSE&lt;/u&gt;&lt;/b&gt;: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors.&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;ESSENTIAL FUNCTIONS and RESPONSIBILITIES &lt;/u&gt;&lt;/b&gt;&lt;/p&gt;&lt;ul&gt;&lt;li&gt;Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.&lt;/li&gt;&lt;li&gt;Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan.&lt;/li&gt;&lt;li&gt;Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines.&lt;/li&gt;&lt;li&gt;Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed.&lt;/li&gt;&lt;li&gt;Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.&lt;/li&gt;&lt;li&gt;Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system.&lt;/li&gt;&lt;li&gt;Communicates with the claimants&rsquo; providers to set expectations regarding return to work.&lt;/li&gt;&lt;li&gt;Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions.&lt;/li&gt;&lt;li&gt;Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.&lt;/li&gt;&lt;li&gt;Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.&lt;/li&gt;&lt;li&gt;Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.&lt;/li&gt;&lt;li&gt;Negotiates return to work with or without job accommodations via the claimant&rsquo;s physician and employer.&lt;/li&gt;&lt;li&gt;Refers cases to team lead and clinical case management for additional review when appropriate.&lt;/li&gt;&lt;li&gt;Maintains professional client relationships and provides excellent customer service.&lt;/li&gt;&lt;li&gt;Meets the organization&rsquo;s quality program(s) minimum requirements.&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;u&gt;&lt;b&gt;ADDITIONAL FUNCTIONS and RESPONSIBILITIES&lt;/b&gt;&lt;/u&gt;&lt;/p&gt;&lt;ul&gt;&lt;li&gt;Performs other duties as assigned.&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;QUALIFICATIONS&lt;/u&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;Education &amp;amp; Licensing&lt;/u&gt;&lt;/b&gt;&lt;br /&gt;High School diploma or GED required. Bachelor&amp;#39;s degree from an accredited university or college preferred. &lt;span&gt;State certification or licensing in statutory leaves is preferred or may be required &lt;span&gt;based on state regulations.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;Experience&lt;/u&gt;&lt;/b&gt;&lt;br /&gt;Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred.&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;Skills &amp;amp; Knowledge&lt;/u&gt;&lt;/b&gt;&lt;/p&gt;&lt;ul&gt;&lt;li&gt;Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures&lt;/li&gt;&lt;li&gt;Knowledge of state and federal FMLA regulations&lt;/li&gt;&lt;li&gt;Working knowledge of medical terminology and duration management&lt;/li&gt;&lt;li&gt;Excellent oral and written communication, including presentation skills&lt;/li&gt;&lt;li&gt;Proficient computer skills including working knowledge of Microsoft Office&lt;/li&gt;&lt;li&gt;Analytical, interpretive, and critical thinking skills&lt;/li&gt;&lt;li&gt;Ability to manage ambiguity&lt;/li&gt;&lt;li&gt;Strong organizational and multitasking skills&lt;/li&gt;&lt;li&gt;Ability to work in a team environment&lt;/li&gt;&lt;li&gt;Ability to meet or exceed performance competencies as required by program&lt;/li&gt;&lt;li&gt;Effective decision-making and negotiation skills&lt;/li&gt;&lt;li&gt;Ability to exercise judgement autonomously within established procedures&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;WORK ENVIRONMENT&lt;/u&gt;&lt;/b&gt;&lt;br /&gt;When applicable and appropriate, consideration will be given to reasonable accommodations.&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;Mental&lt;/u&gt;&lt;/b&gt;&lt;b&gt;:&lt;/b&gt; Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;Physical&lt;/u&gt;&lt;/b&gt;&lt;b&gt;:&lt;/b&gt; Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required.&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;u&gt;Auditory/Visual&lt;/u&gt;&lt;/b&gt;&lt;b&gt;:&lt;/b&gt; Hearing, vision and talking&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.&lt;/p&gt;&lt;p style=&quot;text-align:inherit&quot;&gt;&lt;/p&gt;&lt;p style=&quot;text-align:inherit&quot;&gt;&lt;/p&gt;&lt;p style=&quot;text-align:left&quot;&gt;Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.&lt;/p&gt;&lt;p style=&quot;text-align:inherit&quot;&gt;&lt;/p&gt;&lt;h2&gt;&lt;span&gt;If you&amp;#39;re excited about this role but your experience doesn&amp;#39;t align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. &lt;/span&gt;&lt;/h2&gt;

Disability Representative Sr

<div>At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and to keep those employees happy and engaged. We provide the tools and the support our employees need to grow both professionally and personally. We encourage self-improvement and celebrate success by rewarding ideas and results. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas. Join in on the excitement and become part of our thriving organization!
We are seeking an experienced Casualty Claims Specialist! 
The Casualty Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation.
The Casualty Claims Specialist will have the following duties and responsibilities:<ul><li>
Review &amp; determine course of action on each file assigned, utilizing technical knowledge &amp; experience for the purpose of supporting final disposition of a loss.</li><li>
Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.</li><li>
Process Bodily Injury, and coverage claims in accordance with established office procedures.</li><li>
Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to determine necessary injury and coverage investigation.</li><li>
Research case and statutory law in order to conduct proper claim investigation.</li><li>
Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims.</li><li>
Prepare and present claim evaluations for the appropriate settlement authority.</li><li>
Maintain reasonable expense factors.</li><li>
Handle other duties as assigned</li></ul>
QUALIFICATIONS REQUIRED:<ul><li>
3-5 years in Casualty claims experience a MUST!</li><li>
Knowledge of legal and medical terminology.</li><li>
Excellent negotiation, communication, written, organizational and interpersonal skills.</li><li>
Ability to pass written examinations where required by state statutes to become a licensed claims adjuster.</li><li>
Proficiency in Microsoft Office products.</li></ul>
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:<ul><li>
Competitive Salaries</li><li>
Commitment to your Training &amp; Development</li><li>
Medical and Dental</li><li>
Telemedicine Benefit</li><li>
401k with a generous company match</li><li>
Paid Time Off and Paid Holidays</li><li>
Tuition Reimbursement Training Programs</li><li>
Wellness Program</li><li>
Fun company sponsored events</li><li>
And so much more!</li></ul>
Visit our company website at firstchicagoinsurance.com</div>

Casualty Claims Specialist

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