claims associate

Kansas City Life Insurance

QUALIFICATIONS/REQUIREMENTS:<ul><li>Bachelor of Arts or Sciences degree in a business-related field or equivalent work experience.</li><li>At least 4 years of practical insurance claim experience.</li><li>Ability to use resources effectively, exercise good judgment, make decisions, and apply knowledge and experience to related situations to allow many types of requests to be handled independently.</li><li>Ability to professionally interact with business people of all levels and succinctly communicate information to internal and external customers.</li><li>General understanding of corporate multiline products, procedures, and practices.</li><li>Demonstrated knowledge of company administrative systems and software. Familiarity with PC and Windows applications, including the ability to learn new and complex computer system applications.</li><li>Regular and reliable attendance and punctuality is an essential function of this position</li></ul>DUTIES/RESPONSIBILITIES:<ul><li>Analyze claims and determine their validity based on policy provisions, riders, waivers, operating procedures, and state regulations. Calculate benefits payable and interest due. Ensure claims are paid in a prompt and equitable manner or decline payment for losses that are not covered.</li><li>Provide superior customer service to claimants or their representatives. Prepare tax forms, state notice forms, and state consent forms when applicable.</li><li>Maintain working knowledge of adjudication and reporting responsibilities within department and provide assistance to other examiners to ensure claims are handled in a timely manner.</li><li>Order investigations on suicide, homicide, and accidental death claims. Investigate abandoned property cases. Administer reinsurance reporting and communication and assure proper reconciliation.</li><li>Determine from medical records received, approval or denial of contestable claims; request medical information from doctors and hospitals as needed. Upon receipt, review and determine whether benefits are applicable and pay or deny claims.</li><li>Approve and request claim expense checks for outside investigations and attorney&rsquo;s fees.</li><li>Continually expand knowledge of human anatomy, physiology, disease processes, and medical practices and procedures, and consult with Underwriting or Medical Director as needed.</li><li>Continually expand knowledge of legal decisions, opinions, proper practices, and procedures, and consult with Legal department as needed. Alert to spot red flags for potential fraud instances.</li></ul>Kansas City Life Insurance Company is committed to equal employment opportunities for all individuals regardless of race, religion, color, sex, age, national origin, disability, or genetic information.Job Type: Full-timeBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</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>Work Location: In person

Claims Associate I

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
Claims Associate - Workers Compensation
Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:
Southfield, MI : 300 Galleria Officentre Southfield MI 48034
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.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
<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>WORK ENVIRONMENT
 
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
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>

Claims Associate - Workers Compensation

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

HUB International

<div>About SPG:
Specialty Program Group (SPG) is the wholesale &amp; MGA division of HUB International (5th Largest Global Broker). SPG acts in a holding company capacity acquiring best in class underwriting businesses to operate independently under discrete brands (portfolio companies).
Job Description:
The Claims Service Associate Summer Intern is a critical position supporting claims advocacy teams and clients in all phases of claims service. This position directly affects customer satisfaction and positively impacts the client retention goals of the organization.
Essential Duties and Responsibilities:
Quickly identifies the requirements of the incoming claims task and executes steps to complete the task with accuracy, empathy and speed. Tasks include:<ul><li>
Touchpoint client communications for claims (i.e. new claims intake calls, answer non-coverage client inquiries, provide claim updates, claim follow up calls)</li><li>
Maintains data and documentation in EPIC (i.e. claim number, claim status, payment information)</li><li>
Provides key stakeholders with claim updates</li><li>
Escalates coverage related calls or issues to Claims Advocates</li></ul>
Work Experience Requirements:<ul><li>
0&ndash;1 years' work experience</li><li>
Experience with Insurance Claims organization or Insurance Brokerage preferred</li></ul>
Education Requirements:<ul><li>
High school diploma required</li></ul>
Licensing or Certification Requirements:<ul><li>
Property &amp; Casualty license preferred &ndash; for state specific training (licensing preferred within the first 6 months of employment)</li></ul>
Hours/Duration:<ul><li>
18 hours/week</li><li>
12 weeks total</li></ul>
Salary Transparency:
Disclosure required under applicable law in California, Colorado, Illinois, Maryland, Minnesota, New York, New Jersey, and Washington states: The expected salary range for this position is $20/hr and will be impacted by factors such as the successful candidate&rsquo;s skills, experience and working location, as well as the specific position&rsquo;s business line, scope and level. HUB International is proud to offer comprehensive benefit and total compensation packages: health/dental/vision/life/disability insurance, FSA, HSA and 401(k) accounts, paid-time-off benefits such as vacation, sick, and personal days, and eligible bonuses, equity and commissions for some positions.
#SPG
Department Account Management &amp; Service
Required Experience: Less than 1 year of relevant experience
Required Travel: No Travel Required
Required Education: High school or equivalent
HUB International Limited is an equal opportunity employer that does not discriminate on the basis of race/ethnicity, national origin, religion, age, color, sex, sexual orientation, gender identity, disability or veteran's status, or any other characteristic protected by local, state or federal laws, rules or regulations.
E-Verify Program
We endeavor to make this website accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the recruiting team HUBRecruiting@hubinternational.com. This contact information is for accommodation requests only; do not use this contact information to inquire about the status of applications.</div>

Claims Service Associate - Summer Intern

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 the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees.<h2 class="jobSectionHeader">
**Join our team in an exciting remote opportunity as a Med/Pay Adjuster! The ideal candidate will have familiarity handling Florida PIP Claims.**</h2><h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>Recognizes and identifies body parts of a vehicle or understanding 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 for the most complex cases</li><li>Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department</li><li>Recommends process improvements</li><li>Applies increased experience in the Sr Adjuster level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, Litigation, etc.)</li><li>For claims involving injuries (if handled), learns how to review, evaluate, and negotiate moderate to complex/Catastrophic injury claims</li><li>Handles investigation regarding all aspects of the most complex auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority</li></ul>
#LI-LS2 
Skills
Analytical Thinking, Auto Insurance Claims, Customer Experience Management, Negotiation, Personal Injury Claims 
Compensation
Additional Job Description
Base compensation offered for this role is:
Adjuster Cons. I: 53,500.00 - 77,800.00
Adjuster Cons. II: 56,000.00 - 82,500.00
Adjuster Cons. I Sr.: $68,500.00 - 104,100.00
Adjuster Cons. II Sr.: $70,100.00 - $110,400.00
Annually 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.) as 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

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?
Travelers' Claim Organization is at the heart of our business by providing assurance to our customers and their employees in their time of need. The Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate.
 
 
As an Associate Claim Rep, Workers Compensation, 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 workers compensation claims. This program can typically last up to 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.
 
 
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. 
 
Travelers offers a hybrid work location model that is designed to support flexibility.
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>
Assist in reviewing, investigating, and documenting Workers Compensation claims under close supervision.</li><li>
Investigate, develop, and evaluate action plans for claim resolution. Assess coverage and determine if a claim is compensable under Workers Compensation including evaluating claims for potential fraud.</li><li>
Participate in Telephonic and/or onsite File Reviews.</li><li>
Learn how to determine coverage, compensability, and exposure based on policy terms and claim facts.</li><li>
Gather information from policyholders, claimants, witnesses, and third-party providers.</li><li>
Communicate and apprise all parties regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel.</li><li>
Maintain accurate records of claim activity in claim management systems.</li><li>
Achieve a positive result by returning an injured party to work when appropriate. This may include coordinating medical treatment in collaboration with internal or external resources.</li><li>
Demonstrate openness to continuous learning, particularly in AI and digital transformation.</li><li>
Acquire and maintain relevant Insurance License(s) to comply with state and Travelers&rsquo; requirements within three months of starting the job.</li><li>
Perform other duties as assigned.
</li></ul>What Will Our Ideal Candidate Have?<ul><li>
Previous internship or work experience in insurance, finance, or customer service.</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></ul>
What is a Must Have?<ul><li>
High School Diploma or GED.</li>
<li>One year of customer service experience OR Bachelor&rsquo;s Degree.</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>

Workers Compensation Associate Claim Representative

American Family Insurance

<div>As an Associate Care Center Rep, you&rsquo;ll be the first point of contact for customers reporting a new loss or calling with questions on an existing claim. You&rsquo;ll deliver an empathetic, easy-to-understand experience while gathering accurate details, setting clear expectations, and coordinating next steps across Property, Auto, and Specialty claims. This role blends customer advocacy, strong communication, and attention to detail in a fast-paced, multi-channel environment (phone and digital).
Position Compensation Range:
$25.00 - $31.88
Pay Rate Type:
Hourly
Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.
Primary Accountabilities<ul><li>
Serve as the first point of contact for customers reporting a new loss or calling on an existing claim, delivering an empathetic, clear, and low-effort experience across Property, Auto, and Specialty claims via phone and digital channels.</li><li>
Gather, verify, and document complete loss details using strong listening and investigative questioning; maintain accurate claim file notes and data quality to support timely decisions and minimize rework.</li><li>
Review claim information and coverage guidance (e.g., prior activity, adjuster notes, estimates) to take appropriate next actions within authority.</li><li>
Set expectations and guide customers through next steps&mdash;timelines, required documentation, and available resources&mdash;while proactively following up on commitments and escalations.</li><li>
Manage assigned claim tasks and/or low-complexity inventory, prioritizing work by customer impact, severity, and deadlines while balancing schedule adherence, productivity, and quality/compliance standards.</li><li>
Partner effectively with adjusting teams and cross-functional internal stakeholders (e.g., agencies, underwriting, billing) to resolve issues, remove barriers, and improve the end-to-end customer experience.</li><li>
Utilize systems and related applications efficiently and accurately, safeguarding confidential information and adhering to all policies, procedures, and regulatory requirements.</li><li>
Demonstrate independent judgment, continuous learning, and a problem-solving mindset; identify opportunities to simplify processes and enhance the customer experience.</li></ul>
Specialized Knowledge &amp; Skills Requirements<ul><li>
Proficiency handling work via phone, outbound follow-ups, and digital channels, adapting tone and clarity by channel.</li><li>
Strong organization skills: ability to prioritize, manage a queue/inventory, and meet deadlines with high quality.</li></ul>
Preferred Qualifications<ul><li>
Demonstrated success in customer-facing roles where you handled sensitive situations, de-escalated concerns, and built trust through clear communication and follow-through.</li><li>
Ability to listen actively, ask purposeful questions, and document accurately while navigating multiple systems in a fast-paced environment.</li><li>
Comfort making decisions within guidelines and authority, including applying coverage direction, interpreting documentation (notes/estimates), and taking appropriate next actions.</li><li>
Strong problem-solving and ownership mindset: you take accountability, remove obstacles, and know when/how to escalate for the best customer outcome.</li><li>
Experience supporting customers through complex or emotional events (loss, financial stress, urgent repairs) with empathy and professionalism.</li></ul>
Location 
While this position is primarily work from home, you would need to live near one of our talent areas (within 80 miles) listed to be able to travel to the office for in person meetings and events.
These areas are located in: Madison, WI; Denver, CO; Minneapolis, MN; Keene, NH; St. Joseph, MO; Phoenix, AZ; Atlanta, GA
Travel Requirements &bull; Up to 10%.
Physical Requirements &bull; Work that primarily involves sitting/standing. 
<h3 class="jobSectionHeader">Additional Information</h3><ul><li>
Offer to selected candidate will be made contingent on the results of applicable background checks</li><li>
Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions</li><li>
Sponsorship will not be considered for this position unless specified in the posting</li></ul>
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email AskHR@AmFam.com to request a reasonable accommodation.
#LI-LS1</div>

Associate Claims Care Center Representative

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