claims associate

Amerisure Insurance

<div>
 
 Amerisure creates exceptional value for its partners, policyholders, and employees.
 
 As a property and casualty insurance company, Amerisure&rsquo;s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best &ldquo;A&rdquo; (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property &amp; Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.
 
 
 
 Amerisure
 
 is hiring for a
 
 Claims Adjuster Associate
 
 to help support the claims department. This role will assist adjusters with all phases of the claim lifecycle. This role will specifically align to support two of our Workers&rsquo; Compensation teams. This is a hybrid role with 2 days being onsite. The ideal candidate will also possess the following skill set.
 
 
 
 Summary Statement
 
 
 
 The Claims Associate provides quality assistance to adjusters at all phases of the claim lifecycle to drive the claim to timely conclusion. Supports the success of the organization through interactions with agencies, policyholders, and employees. This individual will handle incoming calls and mail for the claims department and facilitate tasks and processes to aid the adjuster to process claims accurately and efficiently.
 
 
 
 Essential Tasks/Major Duties
 
 
 
 <ul>
 <li>
 Respond to inquiries from policyholders, claimants, injured workers, and other stakeholders regarding claim status, receipt of payment or bills, and other claim-related questions.
 </li>
 <li>
 Obtain and verify information by gathering missing or incomplete details from relevant parties, including policyholders, claimants, witnesses, and external vendors, to support accurate claim processing.
 </li>
 <li>
 Assist with claim documentation by preparing and submitting require state filings, closing documents, and other administrative support requests on behalf of adjusters.
 </li>
 <li>
 Draft and distribute correspondence to policyholders, claimants, injured workers, or agents in accordance with company standards and regulatory requirements.
 </li>
 <li>
 Maintain accurate claim records by entering data into the claims management system and ensuring all documentation is complete and up to date.
 </li>
 <li>
 Coordinate external vendors by engaging appraisers, attorneys, and contractors, to support the claims process.
 </li>
 <li>
 Process payments and invoices by reviewing and issuing payments in accordance with company policies and adjuster direction.
 
 
 
 </li>
 </ul>
 
 Knowledge, Skills &amp; Abilities
 
 
 
 <ul>
 <li>
 Associate's degree or equivalent combination of education and experience.
 </li>
 <li>
 1 year of experience in insurance, claims, or customer service is preferred.
 </li>
 <li>
 Ability to obtain appropriate state licensing as required.
 </li>
 <li>
 Proficiency in Microsoft Office Suite.
 </li>
 <li>
 Familiarity with claims management software preferred.
 </li>
 <li>
 Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
 </li>
 <li>
 Excellent verbal and written communication skills with the ability to interact with internal and external customers.
 </li>
 <li>
 Demonstrated ability to organize and prioritize work to ensure timely deadlines.
 </li>
 <li>
 Demonstrated ability to input data with a high accuracy rating, and strong attention to detail.
 
 
 
 </li>
 </ul>
 
 Just as we are committed to creating exceptional value for our Partners For Success&reg; agencies and policyholders, Amerisure also remains committed to being an employer of choice.
 
 We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the
 
 Best and Brightest&reg; Companies to Work For in the Nation
 
 and one of Business Insurance magazine&rsquo;s
 
 Best Places to Work in Insurance
 
 , we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you.
 
 
 Amerisure Mutual Insurance Company is an Equal Employment Opportunity employer. Amerisure provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (to include sexual orientation and gender identity), national origin, age, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local laws. Amerisure complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Amerisure prohibits harassment or discrimination of any kind and is committed to maintaining a workplace free from unlawful harassment or discrimination. Amerisure prohibits retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices. Any improper interference with an employee&rsquo;s ability to perform their job duties may result in disciplinary action, up to and including termination.
</div>

Claims Adjuster Associate - WC

National General Insurance

<div>National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers&rsquo; evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.
Job Description
Responsible for investigating and confirming the facts of loss for basic automobile accidents. Applies analytical thinking to determine coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority.<h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>Applies basic understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department</li><li>Handles investigation regarding most aspects of auto claims (coverage, liability and damages) with the exercise of limited discretion (limited independence)</li><li>For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic injury claims</li><li>Recognizes and identifies body parts of a vehicle and understands other potential property damage</li><li>Identifies customer needs and works to meet those needs using appropriate customer service skills</li><li>Determines subrogation or fraud potential and how to handle</li></ul><h3 class="jobSectionHeader">
#LI-LS2</h3> 
Skills
Case Management, Claims Administration, Claims Resolution, Claims Review, Communication, Computer Literacy, Computer Technology, Customer Service, Insurance Administration, Personal Injury Claims 
Compensation
Base compensation offered for this role is:
Analyst II: $47,500.00 - $61,600.00
Analyst III: 50,000.00 - $65,300.00
Adjuster Cons I: $53,500.00 &ndash; 77,800.00
And is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role.
Joining our team isn&rsquo;t just a job &mdash; it&rsquo;s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger &ndash; a winning team making a meaningful impact.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click &ldquo;here&rdquo; for information regarding the San Francisco Fair Chance Ordinance. 
For jobs in Los Angeles, please click &ldquo;here&rdquo; for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the &ldquo;EEO Know Your Rights&rdquo; poster click &ldquo;here&rdquo;. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click &ldquo;here&rdquo;. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company&rsquo;s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee&rsquo;s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A&ndash; (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Companies &amp; Partners
Direct General Auto &amp; Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.
Benefits
National General Holdings Corp. is an Equal Opportunity (EO) employer &ndash; Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.</div>

PIP/Med Pay Claims Associate - National General

Sedgwick

<div>By joining Sedgwick, you'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.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
Admin Support - Claims
<div>This position offers a hybrid work schedule, with 2 days per week in our Blue Ash office. and the remainder remote.
</div><div></div><div>PRIMARY PURPOSE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
</div><div></div><div>ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. 
</div><div> 
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
</div><ul><li>Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
</li><li>Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
 </li><li>Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
</li><li>Communicates claim action/processing with claimant, client and appropriate medical contact.
</li><li>Ensures claim files are properly documented and claims coding is correct.
</li><li>May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
</li><li>Maintains professional client relationships.
</li></ul>ADDITIONAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Performs other duties as assigned.
</li><li>Supports the organization's quality program(s).
</li></ul>QUALIFICATION
Education &amp; Licensing
 
High school diploma or GED required. Licenses as required.
Experience
 
One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
Skills &amp; Knowledge
<ul><li>Excellent oral and written communication skills
</li><li>PC literate, including Microsoft Office products
</li><li>Analytical and interpretive skills
 </li><li>Strong organizational skills
</li><li>Good interpersonal skills
</li><li>Ability to work in a team environment
</li><li>Ability to meet or exceed Performance Competencies
</li></ul><div>WORK ENVIRONMENT
 
When applicable and appropriate, consideration will be given to reasonable accommodations.
</div><div></div><div>TAKING CARE OF YOU BY
 <ul><li>We offer a diverse and comprehensive benefits package including:
<ul><li>Three Medical, and two dental plans to choose from.
</li><li>Tuition reimbursement eligible.
</li><li>401K plan that matches 50% on every $ you put in up to the first 6% you save.
</li><li>4 weeks PTO your first full year.
</li></ul></li></ul></div>NEXT STEPS
If your application is selected to advance to the next round, a recruiter will be in touch.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $18.00 - $23.00/HR. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">If you're excited about this role but your experience doesn'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.</h2></div>

Admin Support - Claims

Wonder

<div>About Wonder
Everything&rsquo;s on the menu at Wonder. Except compromise.
Wonder is the mealtime platform built to feed every craving in one order. With Wonder, you can mix and match hundreds of dishes from 20+ exclusive restaurants in a single order, so everyone gets exactly what they&rsquo;re craving. Enjoy everything from tacos to Thai with $0 delivery fees, plus dine-in or pick up at a Wonder location near you. Each dish is made to order on-site by our culinary team and served hot.
Behind the scenes, Wonder owns and operates every step of the dining experience, from recipe development to the technology that powers our experience, allowing us to deliver quality, variety, and consistency at scale.
Join us as we work to make great food more accessible.
About The Opportunity
The Benefits Associate, reporting to the Sr Manager of Benefits, supports the day-to-day administration, accuracy, and compliance of Wonder&rsquo;s benefit programs. This role is responsible for managing vendor file feeds, auditing benefits data across systems, resolving employee coverage issues, supporting claims and funding processes, and ensuring payroll and enrollment accuracy. The ideal candidate is highly detail-oriented, proactive in identifying discrepancies, and comfortable coordinating across HR, Payroll, Accounting, vendors, and employees.
The Impact You Will Make
Benefits Administration &amp; Data Integrity<ul><li>
Monitor and reconcile benefit eligibility and enrollment data between Workday and vendor systems on a recurring basis, including medical, dental, vision, life, COBRA, HSA, and other benefit feeds.</li><li>
Review and investigate discrepancies in vendor file feeds; resolve issues and ensure corrections are processed accurately and promptly.</li><li>
Verify terminated employees are processed correctly in Workday and benefits systems. 
Closely review life events, new hire/rehire enrollments, and changes prior to approval for accuracy,</li><li>
Confirm 401(k) eligibility by validating work history across systems.</li></ul>
COBRA Administration<ul><li>
Review COBRA eligibility feeds and participant reports, including start dates and cancellations.</li><li>
Investigate cancellations to ensure individuals who require coverage remain active.</li><li>
Coordinate with COBRA vendors to correct eligibility or enrollment issues.</li></ul>
HSA &amp; Funding Oversight<ul><li>
Audit HSA payroll deductions and employer funding to ensure amounts align with elections and payroll data.</li><li>
Run funding audits across systems to identify participants who have not yet received HSA funding and coordinate allocation.</li><li>
Partner with vendors to ensure HSA funds are applied correctly and resolve discrepancies.</li></ul>
Payroll &amp; Financial Coordination<ul><li>
Review payroll reports and calculate arrears balances.</li><li>
Communicate arrears balances to employees and coordinate adjustments with Payroll.</li><li>
Track payroll adjustments and maintain documentation/logs prior to each pay period.</li><li>
Reconcile premium invoices for all benefit vendors and coordinate payments with Accounting.</li></ul>
Vendor &amp; Employee Support<ul><li>
Serve as a primary contact for vendors to resolve escalated claims, eligibility corrections, funding issues, and administrative discrepancies.</li><li>
Partner with insurance carriers and administrators to resolve employee claims and coverage issues.</li><li>
Support employees and families through life insurance claim processes in coordination with carriers.</li><li>
Provide employees with guidance and next steps for Evidence of Insurability (EOI) submissions and other benefits requirements.</li></ul>
What You Bring to the Table<ul><li>
2+ years of experience in HR, Benefits Administration, or related operations roles.</li><li>
Experience working with HRIS systems (Workday preferred) and benefits vendors.</li><li>
Strong attention to detail and analytical mindset with experience auditing data and reconciling discrepancies</li><li>
Willingness to learn and cross-train with LOA specialist.</li><li>
Ability to manage recurring operational processes while responding to employee needs</li><li>
Strong communication and cross-functional coordination skills</li><li>
Proficiency in Excel and reporting tools</li></ul>
As a matter of company policy, Wonder does not sponsor applicants for employment visa status for this role.
Our hybrid model requires 3 days a week in the office. That said, many team members choose to come in more often to take advantage of in-person collaboration and connection. You're welcome to be in the office up to 5 days a week if it works for you.
#LI-Hybrid
Illinois: $67,500 - $77,500 per year.
Wonder uses geographic-specific salary structures, which means the salary offered may vary depending on where the job is located. The final salary offer will take into account various factors, such as the candidate's skills, education, training, credentials, and experience.
Benefits
We offer a competitive salary package including equity and 401K. Additionally, we provide multiple medical, dental, and vision plans to meet all of our employees' needs as well as many benefits and perks that are not listed.
A Final Note
At Wonder, we build the best teams by hiring with an objective lens &mdash; evaluating people for their potential while championing diversity, equity, and inclusion. We do not discriminate based on race, color, religion, gender identity or expression, sexual orientation, national origin, age, military service eligibility, veteran status, marital status, disability, or any other protected class. As part of our commitment to fair and compliant hiring practices, Wonder participates in the federal government's E-Verify program to confirm employment eligibility. If you need an accommodation during the interview process, please let your recruiter know.
We look forward to hearing from you! We'll contact you via email or text to schedule interviews and share information about your candidacy.</div>

Benefits Associate

Travelers

<div>Who Are We?
Taking care of our customers, our communities and each other. That&rsquo;s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$52,600.00 - $86,800.00
Target Openings
1
What Is the Opportunity?
LOCATION REQUIREMENT: This field position services Insureds/Agents in the Harrisburg, York and Carlisle, PA area. The selected candidate must reside in the assigned territory.
 
*You will be issued a company vehicle for this position.* 
 
Travelers' Claim Organization is at the heart of our business by providing assurance to our customers during life's rainy days. As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. This position focuses on developing your skills and knowledge to successfully manage 1st party property claims. This program is typically 9-12 months and upon successful completion of this program you will have the skills needed to handle claims independently and progress toward full claims handling responsibility. This position is based remotely with work at residential and commercial locations with a combination of mobile work, work from your primary residence, or the nearest Travelers office. As part of the hiring process, this position will require the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
What Will You Do?<ul><li>
Actively participate in structured training classes covering insurance policies, specific claim processes, systems, and procedures, including virtual, classroom, and on-the-job training.</li><li>
Review, investigate, and document 1st party property claims under close supervision.</li><li>
Gather information from policyholders, claimants, witnesses, and third-party providers.</li><li>
Learn to investigate and evaluate all relevant facts and information (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact). Determine and apply coverage for building damages per policy terms.</li><li>
Establish accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.</li><li>
Provide timely and professional communication to customers, claimants, and internal stakeholders.</li><li>
Maintain accurate records of claim activity in claim management systems.</li><li>
Demonstrate openness to continuous learning, particularly in AI and digital transformation.</li><li>
Adapt to new technology implementations, system upgrades, and digital tool rollouts while maintaining productivity and service quality.</li><li>
In order to perform the essential functions of this role, acquisition and maintenance of Insurance License(s) and/or a UAS Remote Pilot Certification may be required to comply with federal, state, and Travelers requirements. Generally, required Insurance License(s) must be obtained within three months of starting the role, and ongoing continuing education requirements must be maintained as mandated.</li><li>
This position requires participation in our Catastrophe Response Program, which could include deployment to assist our customers in other states.</li><li>
This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.</li><li>
Perform other duties as assigned.
</li></ul>What Will Our Ideal Candidate Have?<ul><li>
Previous internship or work experience in customer service or insurance.</li>
<li>Strong attention to detail and organizational skills.</li>
<li>Ability to manage multiple tasks and prioritize effectively.</li>
<li>Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.</li>
<li>Ability to exercise sound judgement and make effective decisions.</li>
<li>Strong verbal and written communication skills with the ability to convey information clearly and professionally.</li>
<li>Basic conflict resolution skills with willingness to learn advanced techniques for facilitating productive discussions and negotiations.</li></ul>
What is a Must Have?<ul><li>
High School Diploma or GED and one year of customer service experience OR Bachelor&rsquo;s Degree.</li>
<li>Valid driver's license.</li></ul>
What Is in It for You?<ul><li>
Health Insurance: Employees and their eligible family members &ndash; including spouses, domestic partners, and children &ndash; are eligible for coverage from the first day of employment.</li><li>
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.</li><li>
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.</li><li>
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.</li><li>
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.</li></ul>
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/.</div>

Outside Property, Associate Claim Rep

AAA The Auto Club Group

<div>It&rsquo;s a great time to join AAA The Auto Club Group!
JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
Job Type:
Full time 
<div><div>Exempt/Non Exempt: 
</div></div>Salary
Job Description: 
 
 
***This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.***
Senior Claim Specialist Casualty&ndash; The Auto Club Group
Report to: Claim Manager II
What you will do:
In this position, you will have the opportunity to:
<ul><li>Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.
</li><li>Complete coverage analysis on the most complex claims.
</li><li>Handle large loss injury claims.
</li><li>Ensure all possible policyholder benefits are identified.
</li><li>Create additional sub-claims if needed.
</li><li>Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
</li><li>Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
</li><li>Evaluate the financial value of the loss.
</li><li>Approve payments for the appropriate parties accordingly.
</li><li>Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
</li><li>Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
</li>Utilize strong negotiating skills. 
<li>
</li></ul> 
Senior Claim Specialists are assigned Liability/BI/MedPay/Non-MI PIP/HO Liability/UM/UIM claims involving litigation/arbitration. The Senior Claim Specialists handle the most complex claims involving liability disputes, bodily injuries, and coverage questions.
How you will benefit:
Senior Claim Specialist will earn a competitive salary of $80,000 to $95,000 annually with annual bonus potential based on performance.
<ul><li>Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
</li><li>401k Match
</li><li>Medical
</li><li>Dental
</li><li>Vision
</li><li>PTO
</li><li>Paid Holidays
</li><li>Tuition Reimbursement
</li></ul>We&rsquo;re looking for candidates who:
Required Qualifications (these are the minimum requirements to qualify)
Education:
<ul><li>Associate degree in Business Administration, Insurance, or a related field,or the equivalent in related work experience
</li><li>Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management, or equivalent
</li><li>CPCU coursework or designation
</li><li>Complete the ACG Training Program or demonstrate equivalent knowledge or experience
</li><li>In states where an Adjuster&rsquo;s license is required, the candidate must be eligible to acquire a State Adjuster&rsquo;s license within 90 days of hire and maintain it as specified for the appropriate states.
</li><li>Must have a valid State Driver's License
</li></ul>Experience:
<ul><li>Five years of experience in the following:
</li><li>1st and 3rd party auto injury, homeowner liability, personal injury, and umbrella policies
</li><li>Managing and handling claims where litigation or arbitration has been filed
</li><li>Working with defense counsel
</li><li>Multi-state claim/venue knowledge
</li><li>Resolving complex coverage questions
</li><li>Large loss claims
</li><li>Negotiation of complex claim settlements
</li><li>Securing and evaluating evidence and claims supports
</li><li>Comfort with multi-system and software program usage
</li><li>Subrogation claims and investigation
</li><li>Taking statements
</li><li>Establishing clear evaluation and resolution plans for claims
</li></ul>Knowledge and Skills:
<ul><li>Advanced technical knowledge of
</li><li>Essential Insurance Act (Michigan)
</li><li>Fair Trade Practices Act as it relates to claims
</li><li>Subrogation procedures and processes
</li><li>Microsoft products
</li><li>Intercompany arbitration
</li><li>Litigation
</li><li>Large Loss
</li><li>Coverage
</li><li>Medical terminology
</li></ul>Advanced technical knowledge of:
<ul><li>Negligence Law
</li><li>No-Fault Law
</li><li>medical terminology and human anatomy
</li><li>Insurance Policy Review and Understanding
</li><li>Coverage Review and letter writing
</li></ul>Ability to:
<ul><li>Handle claims according to the established Claim Handling Standards
</li><li>Follow and apply ACG Claim policies, procedures, and guidelines
</li><li>Work within the assigned ACG Claim systems, including basic PC software
</li><li>Perform claim file review and investigations
</li><li>Demonstrate effective communication skills (verbal and written)
</li><li>Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
</li><li>Analyze and solve problems while demonstrating sound decision-making skills
</li><li>Prioritize claim-related functions
</li><li>Process time-sensitive data and information from multiple sources
</li><li>Manage time, organize, and plan workload and responsibilities
</li><li>Safely operate a motor vehicle in order to attend meetings off-site
</li><li>Travel outside of the assigned territory, which may involve overnight stay
</li><li>Relocate, work evenings or weekends
</li></ul>Preferred Qualifications
Education:
<ul><li>Associate degree in Business Administration, Insurance, or a related field or the equivalent in related work experience
</li><li>Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management, or equivalent
</li><li>CPCU coursework or designation
</li></ul>Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life&rsquo;s journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you&rsquo;ll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit www.aaa.com
Important Note:
ACG&rsquo;s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.</div>

Senior Casualty Litigation Claim Specialist

Search 10000+ Claims associate jobs near you this March. New roles added regularly across leading industries. Apply today.

10000 claims associate jobs Near Me

Claims Adjuster Associate - WC

Claims Adjuster Associate - WC

PIP/Med Pay Claims Associate - National General

Admin Support - Claims

Benefits Associate

Outside Property, Associate Claim Rep

Senior Casualty Litigation Claim Specialist