claims adjuster

Smart AutoCare

<div>
 
 Job Title: Claims Adjuster - Powertrain
 
 
 
 
 Department:
 
 Claims Administration
 
 
 
 Pay Grade
 
 
 
 $25-$28/hour
 
 
 
 Overtime Eligibility
 
 
 
 Non-Exempt
 
 
 
 Date
 
 
 
 November, 2025
 
 
 
 Job Summary
 
 
 
 The Claims Adjuster - Powertrain plays a critical role in claims. This is a full-time, in-office position based in
 
 Richardson, TX
 
 or
 
 Jacksonville, FL
 
 . As a Claims Adjuster in our Claims Administration Department, you will be part of a special team that plays a critical role in our claims process. In this role you will work with customers, vehicle inspectors and repair facilities to determine the cause of failure.
 
 
 
 Minimum Qualifications
 
 
 
 
 Education
 
 
 
 High School diploma or equivalency
 
 
 
 Experience
 
 
 
 1 to 2 years of Claims processing experience
 
 
 Minimum 3 years of hands-on automotive repair and diagnosis experience.
 
 
 
 Licensure, Certification, and/or Registration
 
 
 
 Current or previous ASE Certification preferred.
 
 
 
 Supervision Exercised
 
 
 
 ☐ Direct ☒ Indirect ☐ N/A
 
 
 
 Typical Positions Supervised
 
 
 
 N/A
 
 
 
 Primary Job Functions
 
 
 
 <ul>
 <li>
 Verify information set-up on claims, to determine if the customer's complaint, the diagnosis, the failed parts are documented and justified the approved repair.
 </li>
 <li>
 Verify repair costs are performed within industry standards.
 </li>
 <li>
 Verify repair information to determine if coverage was within the limits of the service contract.
 </li>
 <li>
 Interface with customers, agents, dealers to complete all investigations of claims.
 </li>
 <li>
 Complete a fair settlement of the claim.
 </li>
 <li>
 Contribute to team effort by accomplishing related results as needed.
 </li>
 <li>
 Verify claims are processed following the policy and procedure established by Smart Autocare
 
 
 </li>
 </ul>
 
 Periodic Job Functions
 
 
 
 <ul>
 <li>
 Participate in any projects, reports, documentation, tasks or objectives assigned
 
 
 </li>
 </ul>
 
 Skills &amp; Competencies Required
 
 
 
 <ul>
 <li>
 Spanish fluency/Bilingual a plus
 </li>
 <li>
 Parts and Labor Guide familiarity
 </li>
 <li>
 Intermediate knowledge of Windows-based computer programs
 </li>
 <li>
 Exceptional written and verbal communication skills
 </li>
 <li>
 Ability to read, analyze and interpret general business correspondence or technical procedures
 </li>
 <li>
 Ability to solve practical problems and deal with a variety of concrete variables in situations where limited standardization exists
 </li>
 </ul>
</div>

Claims Adjuster - Powertrain

Trean Corporation

<div>Description:

POSITION SUMMARY:
The Senior Claims Adjuster is responsible for managing complex workers compensation claims and assisting the process of determining benefits due the injured worker, ensure ongoing adjudication of claims within company standards and industry best practices and comply with all statutory and regulatory requirements for the administration of workers compensation benefits on behalf of the Company.
KEY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS:<ul><li>
New Claims: All new lost time claims require an initial contact with the employer, the injured worker and the medical provider. This must be done within 24 hours of receipt of the claim or notification of a claim.</li><li>
Ensure that all claim determinations and payments are completed timely including but not limited to, acceptance/denial letters, wage determination letters including required enclosures and appeal forms. In jurisdictions requiring the letters be provided in Spanish and English the adjuster is responsible to make sure all letters are completed.</li><li>
The initial payment of TTD is to be completed within 14 days from the receipt of an accepted claim. Wage information is to be solicited from the employer and either an average weekly wage or average monthly (jurisdiction dependent) be established and the information documented in Claims System. In the event actual payroll documentation cannot be obtained from the employer an &ldquo;estimated wage&rdquo; is established and a payment reconciliation is done when the verified wage is secured. Initial compensation benefits should NOT be delayed due to the failure of the employer to provide wage documentation.</li><li>
Timely claims determinations for all services including but not limited to: acceptance, denials, authorizations for treatment, benefit payment start, termination are to be included within the statutory or regulatory time frames of the jurisdiction. Denials requiring certified mailing are to be completed timely with appropriate tracking.</li><li>
Regulatory notices are to be completed timely when required by jurisdictions.</li><li>
Approvals and denials of medical bills should be completed within 24 hours of receipt so bills can be repriced and paid timely.</li><li>
Identify the medical providers and medical treatment plan and ensure timely and appropriate medical care is provided to the injured worker. In cases requiring complex or unusual medical care a nurse case manager is to be assigned to facilitate the timely and appropriate care.</li><li>
All communications with all parties and reference to all determinations and correspondence are to be included in the claim notes of Claim System. Each office is &ldquo;paperless&rdquo; offices, and all documents need to be scanned and added to the claim claims system and a claim note generated. notes.</li><li>
Manage the legal aspects of the claim and appropriately assign and direct designated attorneys.</li><li>
Assign claims for investigations, including surveillance, medical surveys and social media checks when required and seek supervisor support on related questions.</li><li>
Ensure that all bills for various expenses, including legal bills, managed care bills and similar expenses are paid timely or direct claims assistants to pay such when appropriate.</li><li>
Answer phone calls immediately when in the office. Return all calls and voice mail messages with 24 hrs. Respond to all e-mails when required within 24 hrs.</li><li>
Direct claims assistants to facilitate adjuster assignments as required. This includes directing clerical staff in duties such as copying documents, scheduling medical appointments for injured workers and filing of documents. Coordinate assignments with the supervisor of the assistants.</li><li>
Establish a Plan of Action (POA) on each claim and update the POA monthly.</li><li>
Monitor claims for reinsurance/excess insurance reporting and provide initial reports and quarterly updates on all claims meeting reporting requirements.</li><li>
Performs other activities, assignments and duties as assigned.</li></ul>
Requirements:

MINIMUM QUALIFICATIONS:<ul><li>
High school diploma or GED required</li><li>
Bachelor&rsquo;s degree or equivalent experience preferred</li><li>
5 or more years&rsquo; claims experience preferred</li><li>
Insurance industry knowledge required</li><li>
Excellent analytical skills and verbal and written communication skills</li><li>
Strong organizational skills</li><li>
Strong oral and written communication skills</li></ul></div>

Senior Claims Adjuster

L.G. Betts & Associates

Job Overview We are seeking a dynamic and detail-oriented Claims Adjuster specializing in Bodily Injury Liability to join our team. In this vital role, you will evaluate insurance claims related to bodily injuries resulting from (auto)accidents, ensuring fair and accurate settlements. Your expertise will help clients navigate the claims process smoothly while maintaining compliance with industry standards and company policies. This position offers an exciting opportunity to leverage your negotiation, analysis, and customer service skills in a fast-paced, rewarding environment. If you thrive on problem-solving, excel in communication, and have a passion for delivering exceptional service, this role is perfect for you!ResponsibilitiesOne position in Miami/can be remoteOne position in NY/NJ / can be remote but localProven experience in insurance claims adjusting, particularly in Bodily Injury Liability or related fields such as personal injury or auto insurance.<ul><li>Strong negotiation skills with a track record of reaching equitable resolutions efficiently.</li><li>Excellent communication skills&mdash;bilingual abilities are a plus&mdash;to effectively serve diverse client populations.</li><li>Familiarity with sales administration, telemarketing techniques, or outside sales is advantageous for engaging clients proactively.</li><li>Analytical mindset with the ability to interpret medical reports, legal documents, and policy language accurately.</li><li>Knowledge of insurance sales processes and benefits administration is beneficial for understanding client needs comprehensively.</li><li>Experience working in customer service environments where clear communication and problem-solving are essential.</li><li>Investigate and assess bodily injury liability claims by reviewing reports, medical records, and auto accident details to determine coverage and liability.</li><li>Communicate effectively with claimants, healthcare providers, legal representatives, and other stakeholders to gather necessary information.</li><li>Negotiate settlements that are fair to both the insured and the claimant while adhering to company guidelines and industry regulations.</li><li>Document all claim activities thoroughly within the claims management system, ensuring accuracy and compliance.</li><li>Collaborate with legal teams or external experts when complex cases require additional analysis or legal review.</li><li>Analyze claim trends and data to identify potential fraud or patterns that could impact future claims processing.</li><li>Provide excellent customer service by guiding claimants through the process with clarity, empathy, and professionalism.</li></ul>Qualifications* Minimum of 5-8 years claims handling experience with a focus on Bodily Injury files* Strong knowledge of Florida/New York Market; requires current Florida Adjustor License 6-20 All Lines* Proven knowledge of Claims Best Practices* Able to work independently as well as part of a team* Developed customer service skills* Can be remote* Bilingual (English/ Spanish) preferred , but not required (Miami).Pay: From $80,000.00 per yearBenefits:<ul><li>Work from home</li></ul>License/Certification:<ul><li>Florida 6-120 lines license (Required)</li></ul>Work Location: Remote

U-Haul

Claims Adjuster I Under the direction of the Claims Supervisor, the Claims Adjuster I is responsible for the investigation, evaluation, and settlement (either by denial, compromise or payment) of claims arising from physical damages to vehicles, property of customers and third parties (property damage claims, small bodily injury claims and limited personal injury protection). *This is an in-office position out of the Nebraska claims office* Job Duties: Obtains necessary authorization from the Claims Supervisor to pay claims in excess of authority. Performs a variety of duties which require in-depth knowledge of risks under management, product offered, and insurance investigation techniques working within the claim's office. Must maintain integrity of proprietary information. Here are just some of the programs Repwest has available: Full Medical coverage Prescription plans Dental &amp; Vision Plans Registered Dietitian Program Weight Watchers Onsite medical clinic for you and your family Career stability Opportunities for advancement Valuable on-the-job training Tuition reimbursement program Free online courses for personal and professional development at U-Haul University&reg; Business and travel insurance You Matter Employee Assistance Program Paid holidays, vacation, and sick days Employee Stock Ownership Plan (ESOP) 401(k) Savings Plan Life insurance Critical Illness/Group Accident 24-hour physician available for kids Subsidized gym/ membership MetLaw Legal program MetLife auto and home insurance Mindset App Program Discounts on cell phone plans, hotels, and more LifeLock identity Theft Savvy consumer wellness programs- from health care tips to financial wellness Dave Ramsey&rsquo;s SmartDollar Program U-Haul federal credit union Wellness Programs #LI-MM1 U-Haul is an equal opportunity employer. All applications for employment will be considered without regard to race, color, religion, sex, national origin, physical or mental disability, veteran status, or any other basis protected by applicable federal, provincial, state, or local law. Individual accommodations are available on requests for applicants taking part in all aspects of the selection process. Information obtained during this process will only be shared on a need to know basis. About Us Since 1945, U-Haul has been serving do-it-yourself movers and their households. Like many other successful ventures, the concept for U-Haul was generated out of need. After World War II, there existed the widespread need for do-it-yourself moving equipment that would be available on a one-way, nationwide basis. U-Haul co-founders L.S. &quot;Sam&quot; Shoen and his wife, Anna Mary Carty Shoen, recognized that need and acted upon it. Their visionary approach spread the cost of ownership among many users, facilitating the mobility of the populations of the U.S. and Canada. The covered wagon of the pioneers morphed into orange U-Haul trailers. In the process, an industry was born. U-Haul Holding Company and its family of companies, including U-Haul, have strived to create a culture of health and wellness. As of February 1, 2020, and consistent with applicable law, no U-Haul Holding Company or its family of companies will hire individuals in states where it may lawfully decline to hire individuals who use nicotine products (Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Pennsylvania, Texas, Utah, Vermont, Virginia and Washington). This policy will not apply to team members hired before February 1, 2020.

Claims Adjuster I

CorVel Corporation

<div>The Indemnity Claims Adjuster manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

This is a hybrid position and candidate must reside in Texas.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives Workers&rsquo; Compensation claims, confirms policy coverage and acknowledgment of the claim</li>
<li>Determines validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Manages non-complex lost-time workers&rsquo; compensation claims under close supervision</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional projects and duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>Current license or certification in Workers&rsquo; Compensation must be maintained throughout employment with CorVel</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $52,999 &ndash; $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Hybrid</div>

Indemnity Claims Adjuster

Progressive

<div>Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. 
 
As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a heavy case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. 
 
This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. 
 
Duties &amp; responsibilities (upon completion of training)<ul><li>
Determine coverage
</li><li>Determine liability (who's at fault for the damages)</li><li>
Interview customers, claimants, and witnesses</li><li>
Partner with appraisers/estimators to manage vehicle repairs</li><li>
Negotiate with customers and other insurance carriers and resolve claims
</li></ul> 
Must-have qualifications<ul><li>
Three years of work experience</li><li>
{OR} Associate's degree and two years work experience</li><li>
{OR} Bachelor's degree</li></ul> 

Schedule: Monday - Friday, 8:30am - 5:30pm for the first 3 weeks. Monday - Friday, 9:00am - 6:00pm after, depending on business need. 
 
Compensation
<ul><li>$28.61 - $30.53/hour depending on location and experience</li><li>
Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance</li></ul> 

Benefits<ul><li>
401(k) with dollar-for-dollar company match up to 6%</li><li>
Medical, dental &amp; vision, including free preventative care</li><li>
Wellness &amp; mental health programs</li><li>
Health care flexible spending accounts, health savings accounts, &amp; life insurance</li><li>
Paid time off, including volunteer time off</li><li>
Paid &amp; unpaid sick leave where applicable, as well as short &amp; long-term disability</li><li>
Parental &amp; family leave; military leave &amp; pay</li><li>
Diverse, inclusive &amp; welcoming culture with Employee Resource Groups</li><li>
Career development &amp; tuition assistance</li></ul> 
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes &amp; Values, Work-Life Flexibility, Compensation &amp; Benefits, and Leadership. 
 
Equal Opportunity Employer 
 
Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role. 
 
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/</div>

Claims Adjuster Trainee

<div>Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress.
As a claims adjuster trainee, you&rsquo;ll learn how to help customers get back on the road after an accident. This is not a field position, which means you&rsquo;ll be building relationships with customers over the phone. In a fast-paced environment, you&rsquo;ll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You&rsquo;ll have the support of a collaborative team and ongoing coaching from leaders. We&rsquo;ll also teach you the insurance stuff &ndash; providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
This is a hybrid role, which means you&rsquo;ll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that&rsquo;s at home or in the office, for a period of 12 months. After that period, the days you&rsquo;ll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you&rsquo;ll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you&rsquo;re welcome to work in the office as often as you would like.
If applying for the Allentown office, you must reside within 40 miles of Progressive's Allentown Claims office at 7535 Windsor Drive, Allentown, PA 18195.
If applying to the Malvern office, you must reside within 20 miles of Progressive's Malvern Claims office at 40 General Warren Blvd., Malvern, PA 19355.
If applying to the Plymouth Meeting office, you must reside within 20 miles of Progressive's Plymouth Meeting Claims office at 5165 Campus Drive, Plymouth Meeting, PA 19462.
Duties &amp; responsibilities (upon completion of training)<ul><li>
Determine coverage</li><li>
Determine liability (who&rsquo;s at fault for the damages)</li><li>
Interview customers, claimants, and witnesses</li><li>
Partner with appraisers/estimators to manage vehicle repairs</li><li>
Negotiate with customers and other insurance carriers and resolve claims</li></ul>
Must-have qualifications<ul><li>
Three years of work experience OR</li><li>
Bachelor&rsquo;s degree OR</li><li>
Two years work experience and an associate degree</li></ul>
Schedule: The training period is 13 weeks in length. For the first three weeks, the schedule will be Monday through Friday, 830a - 530p. Starting in week four, the schedule will be Monday through Friday, 8a - 5p. After training, the schedule will be Monday through Friday between the hours of 8a - 6p.
Location: Allentown, Malvern or Plymouth Meeting, PA.
Compensation<ul><li>
Salary is commensurate with experience and based on geographical location. Salary range for Allentown location - $54,000 - $57,500/year. For Malvern and Plymouth Meeting locations - $59,500 - $63,500/year.</li><li>
Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance</li></ul>
Benefits<ul><li>
401(k) with dollar-for-dollar company match up to 6%</li><li>
Medical, dental &amp; vision, including free preventative care</li><li>
Wellness &amp; mental health programs</li><li>
Health care flexible spending accounts, health savings accounts, &amp; life insurance</li><li>
Paid time off, including volunteer time off</li><li>
Paid &amp; unpaid sick leave where applicable, as well as short &amp; long-term disability</li><li>
Parental &amp; family leave; military leave &amp; pay</li><li>
Diverse, inclusive &amp; welcoming culture with Employee Resource Groups</li><li>
Career development &amp; tuition assistance</li></ul>
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes &amp; Values, Work-Life Flexibility, Compensation &amp; Benefits, and Leadership.
Equal Opportunity Employer
Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role.
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/
#LI-Hybrid</div>

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2363 claims adjuster jobs Near Me

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