claim analyst

Salem Township Hospital

<p>Join the Salem Township Hospital business services department as a claims analyst. This position assists with patient registration and billing tasks as needed, accepts patient payments, and performs clerical duties such as filing, typing, and scanning documents. Responsible for providing excellent customer service.</p><p><b>Schedule</b></p><ul><li>Full-time</li><li>Monday &ndash; Friday</li><li>8:00 am &ndash; 4:30 pm</li></ul><p><b>Hourly Pay Range</b></p><ul><li>$19.00&ndash;$22.80</li><li>Actual hourly pay rate depends on experience (DOE).</li></ul><p><b>Qualifications</b></p><ul><li>High School graduate or equivalent, with courses in accounting, business, coding or medical billing, and English.</li><li>A general understanding of accounting principles is desired.</li><li>Must be efficient, productive, and fast-moving.</li><li>Able to make impactful decisions efficiently based on insurance and revenue cycle guidelines.</li><li>Outstanding organization and computer skills.</li><li>Proficient in Microsoft software products including Word, Excel, and Outlook.</li><li>Ability to handle multiple tasks simultaneously, meet time-sensitive deadlines, and organize workload with general supervision.</li></ul><p><b>Responsibilities</b></p><ul><li>Maintains and keeps current with relevant hospital rules and regulations, as well as all insurance billing requirements.</li><li>Must have independent judgment and decision-making abilities, as well as analytical skills.</li><li>Demonstrates competency in working with computer software such as Epic, demonstrates competency in working conflicting claims, identifying system issues, and managing claim workload.</li><li>Claim submission; claim re-submission when necessary due to edits and/or rejected claims; and completing the necessary research to correct rejected claims.</li><li>Works to ensure that claims are billed efficiently and accurately to promote timely reimbursement and management of Salem Township Hospital&rsquo;s accounts receivable.</li></ul><p><b>View benefits offered to employees of Salem Township Hospital: https://salemtownhosp.com/employee-benefits/ </b></p><p>Salem Township Hospital is an Equal Opportunity Employer. Salem Township Hospital is committed to provide excellence in health care and promote wellness for our community through compassionate care, personalized service, and teamwork.</p><p>Job Type: Full-time</p><p>Pay: $19.00 - $22.80 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul><p>Education:</p><ul><li>High school or equivalent (Required)</li></ul><p>Work Location: In person</p>

Claims Analyst

Acrisure LLC

<p></p><div><h2 class="jobSectionHeader"><b>Job Description</b></h2><p><b>
About Acrisure</b><br>
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.</p><p></p><p>
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.</p><p></p><p><b>
JOB SUMMARY</b></p><p>
Acrisure is seeking a Claims Analyst II to manage multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures. This role is responsible for independently handling claims from assignment through resolution, ensuring timely, accurate, and compliant claim outcomes.</p><p></p><p>
The Claims Analyst II will evaluate coverage, determine compensability, manage litigation, and coordinate all aspects of the claims process. This position is well suited for an experienced claims professional who is comfortable working in a fast paced environment and managing multiple files with a high level of autonomy.</p><p><b>
Responsibilities</b></p><ul><li>
Manage a caseload of multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures</li><li>
Conduct initial claim investigation, including coverage verification, compensability determination, and timely contact with involved parties</li><li>
Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders to support claim resolution</li><li>
Set and manage reserves to ultimate probable cost within established authority levels</li><li>
Ensure timely delivery of benefits and required notices in accordance with jurisdictional requirements</li><li>
Coordinate return to work efforts in alignment with medical guidance and employer programs</li><li>
Manage litigation, including directing defense counsel and attending hearings or depositions as needed</li><li>
Negotiate settlements with injured workers, attorneys, and other parties</li><li>
Identify and pursue subrogation opportunities and manage third party recoveries</li><li>
Review medical and expense bills for accuracy, causation, and appropriateness</li><li>
Maintain accurate and timely documentation within the claims system</li><li>
Prepare claim status reports and participate in claim review meetings</li><li>
Assign and coordinate nurse case management resources when appropriate</li><li>
Collaborate with leadership on complex claims requiring additional support or escalation</li></ul><p><b>
Requirements</b></p><ul><li>
Experience handling workers&rsquo; compensation claims required</li><li>
2 to 5 years of relevant claims experience or equivalent experience required</li><li>
Strong understanding of workers&rsquo; compensation laws, claims processes, and jurisdictional requirements</li><li>
Experience managing indemnity claims, litigation, and claim resolution strategies</li><li>
Strong analytical skills, decision making ability, and attention to detail</li><li>
Strong communication and negotiation skills</li><li>
Ability to manage multiple claims in a fast paced environment</li><li>
Strong organizational and time management skills</li><li>
Proficiency with Microsoft Office and claims management systems</li><li>
Ability to work independently with limited supervision</li><li>
Litigation experience beneficial</li></ul><p><b>
Education and Licenses</b></p><ul><li>
High school diploma required, bachelor&rsquo;s degree beneficial</li><li>
Relevant state licensing beneficial or ability to obtain as required</li></ul><p></p><p>
Pay Details:</p><p></p>
The base compensation range for this position is $60,000 - $71,050. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.<p></p><p><b>
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.</b></p><p></p><p><b><br>
Why Join Us:</b></p><p>
At Acrisure, we&rsquo;re building more than a business, we&rsquo;re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.</p><p></p><p>
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.</p><p></p><p><b><br>
Employee Benefits</b></p><p>
We also offer our employees a comprehensive suite of benefits and perks, including:</p><ul><li><p><b>
Physical Wellness:</b> Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.</p></li><li><p><b>
Mental Wellness:</b> Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.</p></li><li><p><b>
Financial Wellness:</b> Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.</p></li><li><p><b>
Family Care:</b> Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.</p></li><li><p><b>
&hellip; and so much more!</b></p></li></ul><p><i>
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.</i></p><p></p><p><b><br>
Acrisure is an Equal Opportunity Employer.</b> We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting <i>leaves@acrisure.com</i>.</p><p></p><p>
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.</p><p></p><p><b><br>
California Residents:</b> Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.</p><p></p><p><b><br>
Recruitment Fraud: </b>Please visit here to learn more about our Recruitment Fraud Notice.</p><p></p><p><b><br>
Welcome, your new opportunity awaits you.</b></p></div>

Claims Analyst II

Zurich Insurance

<div><div>Zurich North America is currently hiring a Reinsurance Claims Expert to join the Reinsurance Finance &amp; Recoveries Team. The role supports end‑to‑end review and analysis of reinsurance claims across multiple treaty structures, including Group and Single Parent Captive Treaties, Cyber and Miscellaneous E&amp;O, and Large Property Treaties. This person will work out of our Schaumburg, IL North America Headquarters.</div><div></div><div><br>
Position Responsibilities:</div><br>
<div></div><ul><li>
Reviewing underlying claim and declaratory judgment files to assess notice and precautionary notice thresholds</li><li>
Analyzing policy and treaty wordings and providing treaty coverage assessments, including complex trigger applications (continuous, manifestation, date of injury), particularly for Captive contracts</li><li>
Supporting Reinsurance Accounting through detailed analyses involving basket, clash, and recovery application scenarios</li><li>
Providing technical claim and coverage insight to ensure accurate treaty application and financial reporting</li></ul><div></div><div><br>
Stakeholder and Operational Support:</div><br>
<div></div><ul><li>
The role also serves as a key liaison with internal and external stakeholders by:</li><li>
Responding to Reinsurer and Captive Consultant inquiries and managing treaty notices and updates</li><li>
Consulting with policy and treaty underwriters to confirm underwriting intent on complex coverage issues</li><li>
Participating in calls with Claims, Claims Legal, Brokers, and Underwriting, particularly for large losses and litigation matters</li><li>
Coordinating with Claims Legal on privileged communications and tracking litigation and DJ activity</li></ul><div></div><div><b><br>
The role will be filled at the Reinsurance Claims Analyst or Reinsurance Claims Expert level. The hiring manager will determine the appropriate level based upon the selected applicant&rsquo;s experience and skill set relative to the qualifications listed for this position.</b></div><div></div><div><br>
Basic Qualifications:</div><div></div><div><br>
Reinsurance Claims Expert:</div><br>
<div></div><ul><li>
Bachelor's Degree and 6 or more years of experience in the insurance claims area with exposure to the reinsurance business
<br>
OR</li><li>
High School Diploma and 8 or more years of experience in the insurance claims area with exposure to the reinsurance business
<br>
OR</li><li>
Zurich Certified Apprentice, including an Associate Degree and 6 or more years of experience in the insurance claims area with exposure to the reinsurance business<br>
AND</li><li>
Advanced knowledge of claims, reinsurance, and legal/coverage issues on direct and reinsurance claims for multiple lines of business</li><li>
Shows interest and ability to manage others</li><li>
Intermediate experience with Microsoft Office products</li></ul><div></div><div><br>
OR</div><div><br>
Reinsurance Claims Analyst:</div><br>
<div></div><ul><li>
Bachelor&rsquo;s Degree and 6 or more years of experience in the insurance claims area with exposure to the reinsurance business
<br>
OR</li><li>
High School Diploma and 8 or more years of experience in the insurance claims area with exposure to the reinsurance business
<br>
OR</li><li>
Zurich Certified Apprentice, including an Associate Degree and 6 or more years of experience in the insurance claims area with exposure to the reinsurance business<br>
AND</li><li>
Advanced knowledge of claims, reinsurance, and legal/coverage issues on direct and reinsurance claims for multiple lines of business</li><li>
Experience with Microsoft Office products</li></ul><div></div><div><br>
Preferred Qualifications:</div><br>
<div></div><ul><li>
Juris Doctor</li><li>
Advanced knowledge of claims, reinsurance, and legal/coverage issues on direct and reinsurance claims for multiple lines of business</li><li>
Member of the Bar</li><li>
Strong Microsoft Office skills</li><li>
Organizational skills</li><li>
Good analytical skills</li><li>
Strong verbal and written communication skills</li><li>
Ability to lead in a team environment</li><li>
Diversified claim experience</li></ul><p></p><div><p><br>
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply&mdash;your unique background matters to us. The combined salary range for this position is $110,200.00 -$207,600.00. The proposed salary range for the Reinsurance Claims Analyst is $110,200.00 - $180,500.00, with short-term incentive bonus eligibility set at 15%. The proposed salary range for the Reinsurance Claims Expert is $126,700.00 - $207,600.00, with short-term incentive bonus eligibility set at 20%.</p></div><p></p><p><br>
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]</p><p></p><p><b><br>
Why Zurich?</b></p><p>
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment&mdash;so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500&reg;.</p><p></p><p><br>
Join us for a brighter future&mdash;for yourself and our customers.</p><p></p><p><br>
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.</p><p></p><p><br>
Zurich complies with 18 U.S. Code &sect; 1033.</p><p></p><p><b><br>
Please note:</b> Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.</p><p></p><p><br>
Location(s): AM - Schaumburg, AM - Chicago<br>
Remote Working: Hybrid<br>
Schedule: Full Time<br>
Employment Sponsorship Offered: No
<br>
<br>
Linkedin Recruiter Tag: #LI-GR1 #LI-ASSOCIATE #LI-HYBRID</p></div><p></p>

Reinsurance Claims Expert (Expert or Analyst)

Harbor Claims LLC

<div>Description: <b>Job Overview</b><p>
Our Claims Analyst III&rsquo;s are highly-seasoned residential property (1st party) and/or liability (3rd party) claims professionals who are dedicated to doing an outstanding job of accurately and effectively handling a heavy claims file load of the full range of routine to complex claims for the Company. Additionally, our Claims Analyst III&rsquo;s provide constant, top-quality and highly-responsive service to successfully handle even the most advanced claims inquiries and/or issues from policyholders, agents, third party representatives and other Company team members.</p><b>
Job Responsibilities</b><p><i><br>
In the spirit of our Company&rsquo;s mission, values and culture, the duties listed below serve as illustrations of the various types of work that may be performed by our Claims Analyst II&rsquo;s. We may also expect our Claims Analyst II&rsquo;s to carry out other responsibilities that are similar, related or a logical assignment to this job class.</i></p><ul><li>
With minimal supervision, provides outstanding service to Harbor Claims external and internal customers; utilizes tact, diplomacy and professional communication skills to positively represent Harbor Claims in telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations and with minimal supervision, appropriately and correctly responds via telephone and email interactions to a wide range of routine to complex claimants&rsquo;, agents&rsquo; and third party representatives&rsquo; claims, policy and other related inquiries and issues.</li><li>
Within designated levels of authority and required time frames and with minimal supervision, assigns applicable claims to independent and/or Harbor Claims field adjusters; provides professional and responsive assistance on pending claims to independent and/or Harbor Claims field adjusters; develops and maintains effective working partnerships with independent and field adjusters to ensure prompt and appropriate claims&rsquo; actions; correctly reviews, assesses and applies independent and/or field adjusters&rsquo; findings in order to appropriately handle the respective claims.</li><li>
Within designated authority levels and time frames, with minimal supervision and adeptly utilizing assigned tools, analyzes claims information to determine appropriate settlement; as required, requests, obtains, reviews and evaluates outside experts&rsquo; (including engineers, architects, construction contractors and attorneys) opinions and/or information and confers with experts; communicates with claimant regarding settlement and effectively negotiates, when necessary; as required, interviews and records statements of claimants and witnesses to gather pertinent information; communicates with claimant regarding settlement and effectively negotiates, as necessary; settles claim and closes a wide spectrum of files including those with increased complexity, severity and/or exposure and/or which may be attorney- or third-party-represented; when claim is outside scope of authority or is attorney or third-party represented, actively and professionally works the file while maintaining clear communication and ongoing interaction with management, internal legal counsel and/or outside legal counsel, as appropriate, to ensure prompt timely and fair resolution of claims; may participate in mediation and/or court proceedings.</li><li>
Maintains exceptionally thorough, accurate claims files in compliance with governmental regulations and Company standards; efficiently and effectively utilizes multiple Carrier and Harbor Claims Information Systems/Programs to accurately maintain Claims files and file diaries.</li><li>
Reviews assigned files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to subrogation specialist and provides follow-up assistance and support, as necessary.</li><li>
Actively contributes as a member of the Harbor Claims Team by providing assistance and support to assigned claims, underwriting, customer support, product, sales and/or other team members; as requested, researches routine to more difficult policy, coverage and eligibility provisions; develops and communicates provision findings, analyses and/or recommendations to appropriate internal and/or external contacts .</li><li>
Participates in and/or actively assists with &ldquo;special&rdquo; Company projects, including CAT planning, organization, and preparation, vendor management or others, as directed.</li><li>
Dynamically enhances Company&rsquo;s success by taking advantage of learning and development opportunities and personally integrating positive actions to improve individual performance.</li></ul>
Requirements: <b>Skills and Expertise</b><br>
<b>Qualities: </b>quality- oriented; detail-oriented; self-starter; team player; multi-tasker; adaptability; flexibility; strong work ethic; positive &ldquo;can do&rdquo; attitude; collaborator; financially-oriented; service-oriented; coachable; dependable.<p><b>
Strong skill sets in the following areas: </b>effective decision-making; time management/working under tight deadlines; information and financial review and analyses; organization; problem analyses/solving; active listening; asking productive questions with an ability to apply learned information to a variety of related or similar situations; oral and written communication; interpersonal communication.</p><p><b>
Strong knowledge of</b>: advanced understanding of personal lines products, including residential homeowners and personal umbrella products; depending on area of focus, advanced understanding of property-related (1st party) and/or liability-related (3rd party) principles, practices, processes and terminology; business writing, grammar and punctuation rules; telephone and email business etiquette rules; desktop computer operations; standard business software and web-based engine operations (e.g., Microsoft Word, Microsoft Excel, Microsoft Outlook and Internet Explorer). MS Access, MS PowerPoint a plus. Thorough knowledge of Xactimate required.</p><b>
Licenses, Education and/or Experience</b><p><b><br>
For external candidates applying to a Claims Analyst III position:</b> Bachelor&rsquo;s Degree and five or more years residential property (1st party) or liability (3rd party) experience or equivalent. Must hold a current 6-20 Claims Adjuster or equivalent (for other applicable states) license, as required by job opening.</p></div>

Claims Analyst III (Residential Property and/or Liability)

Fifth Third Bank

<div><p><b>Make banking a Fifth Third better&reg;</b><br>
We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank.</p><p></p><p>
GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's investment in the property, may include loan principal, accrued interest, and corporate or escrow advances, as well asbank incentives for timely filing, made during the life of the loan to properly protect the investors collateral interest in the property. The residential mortgage portfolio is currently at 325,000 loans, 75% of which are investor owned and/or insuredthat require the completion of a claim upon completion of the default cycle. This results in approximately 200 claims being filed on a monthly basis and $30.0 million being recouped and applied annually. This position also includes the filing of LossMitigation claims with the investors/insurers.</p><p></p><p>
Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and personally following policies and procedures as defined. Accountable for always doing the right thing for customers and colleagues, and ensures that actions and behaviors drive a positive customer experience. While operating within the Bank&rsquo;s risk appetite, achieves results by consistently identifying, assessing, managing, monitoring, and reporting risks of all types.</p><p></p><p>
DUTIES &amp; RESPONSIBILITIES:</p><ul><li>
All Claims started within five business days of receipt from loss mitigation or foreclosure.</li><li>
Filing of all investor/insurer claims within required guidelines to reduce exposure to curtailments and/or fines. In 2005, claims paid to Fifth Third totaled approximately $30.0 million.</li><li>
Track all claims monthly for status update and/or proceeds.</li><li>
All claims proceeds posted per investor/insurer requirements within 48 hours of receipt includes posting principal, interest, escrow, other advances, buydown funds, unapplied funds, up to $1 million per week.</li><li>
Close out accounts to ensure all balances equal to zero through chargeoff and correct the appropriate MortgageServ system settings.</li><li>
Work with attorney network to ensure evictions, redemption, title issues, mobile home issues, conveyances and reconveyances are handled with due diligence to reduce exposure to curtailments and/or fines.</li><li>
Work with property preservation vendor, hazard claim vendor, claims outsourcing vendor, city officials, etc. to ensure that the properties are being maintained to investor/insurer requirements.</li></ul><p></p><p>
SUPERVISORY RESPONSIBILITIES: None</p><p></p><p>
MIMIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:</p><ul><li>
High school diploma.</li><li>
Good organization skills.</li><li>
Math skills.</li><li>
0-2 years mortgage default or mortgage servicing related experience.</li><li>
Prior PC experience to include advanced Excel, Word and Access.</li></ul><p></p>
Claims Analyst I<p></p><p>
At Fifth Third, we understand the importance of recognizing our employees for the role they play in improving the lives of our customers, communities and each other. Our Total Rewards include comprehensive benefits and differentiated compensation offerings to give each employee the opportunity to be their best every day.</p><p></p><p>
The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.</p><p></p><p>
Our extensive benefits programs are designed to support the individual needs of our employees and their families, encompassing physical, financial, emotional and social well-being. You can learn more about those programs on our 53.com Careers page at: https://www.53.com/content/fifth-third/en/careers/benefits.html or by consulting with your talent acquisition partner.</p><p></p>
LOCATION - Cincinnati, Ohio 45227<p></p><p>
Attention search firms and staffing agencies: do not submit unsolicited resumes for this posting. Fifth Third does not accept resumes from any agency that does not have an active agreement with Fifth Third. Any unsolicited resumes &ndash; no matter how they are submitted &ndash; will be considered the property of Fifth Third and Fifth Third will not be responsible for any associated fee.</p><p></p><p>
Fifth Third Bank, National Association is proud to have an engaged and inclusive culture and to promote and ensure equal employment opportunity in all employment decisions regardless of race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity, military status, veteran status or any other legally protected status.</p></div><p></p>

Claims Analyst I

Kforce Inc

<div>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 Kforce is partnering with a leading organization in Saint Louis, MO to identify a Lead Claims Analyst to join their team. This hybrid opportunity offers the chance to work with a well-established company known for its strong leadership and collaborative culture. Duties Include:
 <br/>
 <br/>
 <ul>
  <li>
   Oversee complex third-party claims through resolution, including monitoring administrators, reviewing reserve levels, and ensuring proper reporting to carriers
  </li>
  <li>
   Analyze claims data and trends to identify risk exposures and recommend process improvements or mitigation strategies
  </li>
  <li>
   Serve as a liaison with legal counsel, insurance partners, and internal teams to assess potential liability and support claim resolution
  </li>
  <li>
   Conduct detailed claims analysis and reporting, using internal and external data sources to evaluate outcomes and recommend actions to leadership
  </li>
  <li>
   Operate independently as a subject matter expert, providing guidance to colleagues and reviewing work while supporting overall claims management processes
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor's degree in Business or a related field (or equivalent experience)
  </li>
  <li>
   Certifications in Property &amp; Casualty Claims Handling and Liability Investigation
  </li>
  <li>
   15+ years of experience handling Property &amp; Casualty claims and working as a Liability Claims Representative
   <br/>
   <br/>
  </li>
 </ul>
 The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.
 <br/>
 <br/>
 We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability &amp; ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.
 <br/>
 <br/>
 Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.
 <br/>
 <br/>
 This job is not eligible for bonuses, incentives or commissions.
 <br/>
 <br/>
 Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
 <br/>
 <br/>
 By clicking &ldquo;Apply Today&rdquo; you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers. Note that if you choose to communicate with Kforce via text messaging the frequency may vary, and message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You will always have the right to cease communicating via text by using key words such as STOP.
</div>


Proficient Auto Logistics

<div><h1 class="jobSectionHeader"><b>About Proficient Auto Logistics</b></h1>
<div>Proficient Auto Logistics (PAL) is a leading specialized freight company focused on providing auto transportation and logistics services. Formed via IPO in May 2024, PAL combined five industry-leading operating companies and has since acquired a sixth. As a combined entity, we operate one of the largest auto transportation fleets in North America with over 1200 trucks, 50 terminal locations and 700 employees, a majority of whom are drivers.</div>
<div></div><div>We offer a broad range of auto transportation and logistics services, primarily focused on transporting finished vehicles from automotive production facilities, marine ports of entry, or regional rail yards to auto dealerships around the country. We have developed a differentiated business model due to our scale, breadth of geographic coverage, and embedded customer relationships with leading auto original equipment manufacturing companies (OEMs).
</div><div></div><div>While this is a remote position, the candidate needs to be able to work the hours of 8:00 AM-5:00 PM Eastern time.
</div><h1 class="jobSectionHeader"><b>Job Summary</b></h1>
<div>Responsible for working with internal and external stakeholders to effectively resolve cargo claims submissions and disputes.</div>
<h1 class="jobSectionHeader"><b>Essential Duties and Responsibilities</b></h1>
<ul><li>Receives, reviews and acknowledges cargo claims damage notifications and FNOL in a timely manner</li>
<li>Monitors claims management software and activities to identify and implement quality improvement initiatives</li>
<li>Evaluates claims experience based upon driver category to assess damage type, severity, and costs</li>
<li>Investigates, negotiates, and processes cargo claims in accordance with various customer&rsquo;s policies and procedures within industry standards</li>
<li>Follows standard operating procedures to appropriately review, handle, and settle large volumes of claims in a timely manner</li>
<li>Requests claims documentation from dealers, customers, claimants, and insurers</li>
<li>Reviews, updates, and reports cargo claims data to support process improvement and operating performance measures</li>
<li>Works with Claims Management team members to determine cargo claims damage liability</li>
<li>Collaborate with drivers, dealers, customers, and insurers to collect and communicate cargo claim information</li>
<li>Communicates outcomes of cargo claim acceptance or denial decisions to owner-operators and/or customers</li>
<li>Submits approved claims to accounting for payment processing</li>
<li>Additional duties assigned as needed</li>
</ul><h1 class="jobSectionHeader"><b>Requirements</b></h1>
<ul><li>High school education or GED required.</li>
<li>Two years of prior claims processing experience preferred.</li>
<li>Auto hauling or transportation industry experience preferred.</li>
</ul><h1 class="jobSectionHeader"><b>Skills and Abilities</b></h1>
<ul><li>Exceptional written and oral communication skills</li>
<li>Exceptional time management and organizational skills</li>
<li>Exceptional analytical and critical thinking skills</li>
<li>Knowledge of DOT/FMCSA regulations</li>
<li>Knowledge of MS Office software, including Word, Excel, and Outlook</li>
<li>Ability to resolve and de-escalate conflict</li>
<li>Ability to drive change and improve processes</li>
<li>Ability to build and nurture relationships</li>
<li>Ability to work in a fast-paced environment and make time-sensitive deadlines</li>
<li>Ability to prioritize and manage multiple tasks</li>
<li>Willingness to travel up to 10%</li>
</ul>
<div></div><div><b>EEO Statement</b></div>
<div>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.</div></div>

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