claims examiner

Firstsource Solutions

<p></p><div><div><div><div><div><div><div><p>Claims Examiner
</p></div></div></div></div><div><div><div><div><b>Date: </b>Mar 3, 2026
</div></div></div></div><div><div><div><div><b>Location:
</b>Remote, Remote, US
</div></div></div></div><div><div><div><div><b>Requisition ID: </b>20100
</div></div></div></div><div><div><div><div><b>Description:
</b><div><div><div>Job description:</div>
<div>
<div><div><b>Job Title: </b>Medical Claims Examiner-Work From Home</div>
<div><b>
Pay Rate:</b> $16/hr &amp; Matrix post training</div>
<div><b>
Job Type: </b>Full Time</div>
<div><b>
FLSA Status:</b> Non-Exempt/Hourly</div>
<div><b>
Grade:</b> H</div>
<div><b>
Function/Department: </b>Health Plan and Healthcare Services</div>
<div><b>
Reporting to: </b>Team Lead/Supervisor - Operations</div>
<div><b>
Role Description:</b> The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder.</div>
<div><b>
Roles &amp; Responsibilities</b></div>
<ul><li>Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions.</li></ul>
<ul><li>Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information.</li></ul>
<ul><li>Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements.</li></ul>
<ul><li>Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts.</li></ul>
<ul><li>Analyze policy coverage to determine the extent of liability and benefits payable to claimants.</li></ul>
<ul><li>Evaluate the extent of loss or damage and determine the appropriate settlement amount.</li></ul>
<ul><li>Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates.</li></ul>
<ul><li>Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing.</li></ul>
<ul><li>Maintain accurate and organized claim files and records.</li></ul>
<ul><li>Stay updated on industry regulations and maintain compliance with legal requirements.</li></ul>
<ul><li>Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders.</li></ul>
<ul><li>Strive for high efficiency and accuracy in claims processing, minimizing errors and delays.</li></ul>
<ul><li>Stay informed about industry trends, insurance products, and evolving claims management best practices.</li></ul>
<ul><li>Generate and submit regular reports on claims processing status and trends.</li></ul>
<ul><li>Perform other duties as assigned.</li></ul>
<div>
Top of Form</div>
<div><b>
Qualifications</b></div>
<div>
The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.</div>
<div>
Top of Form</div>
<div>
Top of Form<b>Education</b></div>
<ul><li>High School diploma or equivalent required</li></ul>
<div><b>
Work Experience</b></div>
<ul><li>Medical claims processing experience required, including use of claims processing software and related tools</li></ul>
<div><b>
Competencies &amp; Skills</b></div>
<ul><li>Highly-motivated and success-driven</li></ul>
<ul><li>Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills</li></ul>
<ul><li>Exceptional analytical and problem-solving skills</li></ul>
<ul><li>Strong attention to detail with a commitment to accuracy</li></ul>
<ul><li>Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads</li></ul>
<ul><li>Basic mathematical skills</li></ul>
<ul><li>Intermediate typing skills</li></ul>
<ul><li>Basic computer skills</li></ul>
<ul><li>Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred</li></ul>
<ul><li>Knowledge of insurance policies, regulations, and best practices preferred</li></ul>
<div><b>
Additional Qualifications</b></div>
<ul><li>Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements</li></ul>
<ul><li>Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test</li></ul>
<div><b>
Work Environment</b></div>
<div>
The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div>
<div>
This position may work onsite or remotely from home.</div>
<div><b>
Physical Demands</b></div>
<div>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div>
<div>
Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds.</div>
<div><i>
Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.</i></div>
<div><i>
Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities.</i></div>
<div><b>
About Firstsource</b></div>
<div>
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.</div>
<div>
We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our &lsquo;rightshore&rsquo; delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications &amp; Media and Banking, Financial Services &amp; Insurance verticals.</div>
<div>
Our clientele includes Fortune 500 and FTSE 100 companies.</div>
</div>
<div><div>Job Type: Full-time</div>
</div>
<div><div>Benefits:</div><br>
<div></div>
<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>Referral program</li>
<li>Vision insurance</li></ul><br>
<div></div>
</div>
<div><div>Work Location: Remote</div></div></div></div></div></div></div></div></div></div></div></div><p></p>

Claims Examiner

Prominence Health Plan

<div>Responsibilities:
<p>
Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.</p><p></p><p><br>
Learn more at: https://prominence-health.com/</p><p></p><p><b><br>
Job Summary:</b></p><p>
The Claims Examiner is detail-oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, including but limited to Medicare, Self-Funded, Fully Insured, ensuring accuracy compliance with policies and regulations and timely settlements. This role involves assessing claims, verifying information, and communicating effectively with internal stakeholders, members, providers and their office staff and other insurance companies.</p><p></p><p><b><br>
About Universal Health Services:</b></p><p>
One of the nation&rsquo;s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World&rsquo;s Most Admired Companies by Fortune; and listed in Forbes ranking of America&rsquo;s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com</p><div><br>
</div>Qualifications:
<p><b>
Qualifications and Requirements:</b></p><ul><li>
High school diploma or equivalent required.
</li><li>Associate degree in healthcare administration, Business Administration, or related field preferred.
</li><li>Two years&rsquo; experience as a Health Insurance Claims Examiner or similar role in the insurance industry preferred.
</li><li>In-depth knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS), and healthcare billing procedures.</li><li>
Familiarity with health insurance policies, regulations, and compliance standards.</li><li>
Strong analytical skills with attention to detail and accuracy in claims processing.</li><li>
Excellent communication and interpersonal abilities to interact effectively with customers and stakeholders.</li><li>
Proficiency in using computer systems, including claims processing software and Microsoft Office Suite.</li><li>
Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.</li><li>
Certification in Health Insurance Portability and Accountability Act (HIPAA) compliance is a plus.</li><li>
Strong commitment to confidentiality and ethical conduct in handling sensitive healthcare data.</li></ul><p></p><p><b><br>
EEO Statement</b></p><p>
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.</p><p></p><p><br>
We believe that diversity and inclusion among our teammates is critical to our success.</p><p>
Avoid and Report Recruitment Scams</p><p>
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS</p><p>
and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.</p><p></p><p><br>
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.</p>
Salary: Starting from $18.13 to $26.00 an hour</div>

Ford Motor Company

<div><p>We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world - together. At Ford, we&rsquo;re all a part of something bigger than ourselves. Are you ready to change the way the world moves?<br>
</p><p></p><p>The Ford Motor Credit Company team helps put people behind the wheels of great Ford and Lincoln vehicles. By partnering with dealerships, we provide financing, personalized service and professional expertise to thousands of dealers and millions of customers in over one hundred countries around the world.<br>
</p><p></p><p><b>In this position...
</b></p><ul><li>As a Claims Examiner for American Road Claims Center (ARCC), you will be responsible for handling wholesale and fleet claims for The American Road Insurance Company (TARIC).
</li><li>This includes answering phones, updating claims, contacting the insured and potential involved third parties, sending correspondence as needed and following up for payments. Other possible responsibilities are incoming mail and receipt of payments.</li></ul></div>
<br><div><p><b>You'll have...
</b></p><ul><li>Collection experience
</li><li>Ability to work with both internal and external customers
</li><li>Ability to multi-task and prioritize work
</li><li>Works well in a team oriented environment
</li><li>Ability to apply learnings to future work / Problem Solving
</li><li>Excellent communication skills
</li></ul><p><b>Even better you'll have...
</b></p><ul><li>High School Graduate
</li><li>Prior insurance experience
</li></ul><p>You may not check every box, or your experience may look a little different from what we've outlined, but if you think you can bring value to Ford Motor Company, we encourage you to apply!<br>
</p><p></p><p>As an established global company, we offer the benefit of choice. You can choose what your Ford future will look like: will your story span the globe, or keep you close to home? Will your career be a deep dive into what you love, or a series of new teams and new skills? Will you be a leader, a changemaker, a technical expert, a culture builder&hellip;or all of the above? No matter what you choose, we offer a work life that works for you, including:<br>
</p><p></p><ul><li><p>Immediate medical, dental, vision and prescription drug coverage
</p></li><li><p>Flexible family care days, paid parental leave, new parent ramp-up programs, subsidized back-up child care and more
</p></li><li><p>Family building benefits including adoption and surrogacy expense reimbursement, fertility treatments, and more
</p></li><li><p>Vehicle discount program for employees and family members and management leases
</p></li><li><p>Tuition assistance
</p></li><li><p>Established and active employee resource groups
</p></li><li><p>Paid time off for individual and team community service
</p></li><li><p>A generous schedule of paid holidays, including the week between Christmas and New Year&rsquo;s Day
</p></li><li><p>Paid time off and the option to purchase additional vacation time<br>
</p></li></ul><p></p><p>For more information on salary and benefits, click here: https://fordcareers.co/GSRSP1<br>
</p><p></p><p>This position is a range of salary grades SG5-SG6.<br>
</p><p></p><p>Visa sponsorship is not available for this position.<br>
</p><p></p><p>Candidates for positions with Ford Motor Company must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire.<br>
</p><p></p><p>We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. In the United States, if you need a reasonable accommodation for the online application process due to a disability, please call 1-888-336-0660.<br>
</p><p></p><p>#LI-Hyrbid #LI-FordCredit #LI-AW2</p></div><p></p>
<br><div><p><b>What you'll do...
</b></p><ul><li>Assess subrogation file facts and establish a rational strategy for successful subrogation recovery.
</li><li>Utilize appropriate tools to determine recovery amount and send correspondence to third parties/third-party carriers regarding subrogation rights and follow up for damage recovery.
</li><li>Maintain contact with attorneys and courts for status updates and legal resolution.
</li><li>Negotiate settlements when full recovery is not offered, including loss of use where applicable, and execute appropriate documents.
</li><li>Utilize tools to set follow-up dates based on claim specifics, adhering to procedural requirements.
</li><li>Utilize Subrogation Reports to ensure proper handling of pending files and to prevent statute expiration.
</li><li>Document all activity within claim system and attach appropriate documents.
</li><li>Take incoming calls and respond to customer inquiries.
</li><li>When unable to gain full recovery, review the file to ensure all options have been considered, and discontinue efforts within approval limits, closing the file as compromise or abandon within DCCS.
</li><li>Prepare subrogation files for closure with supporting rationale and submit for necessary approval when full recovery cannot be made and the amount exceeds approval authority.
</li><li>Upon receipt of subrogation checks, identify the claim number, validate the amount, prepare a deposit notification, and provide it to the Data Entry Clerk (cashier).</li></ul></div>

Lowe's Home Improvement

<div><p><b>Do your Best Work in Mooresville</b></p><p></p><p>
This position is based at our headquarters in Mooresville, North Carolina. Our corporate office is a space where you can collaborate and do your best work. Take a walk, grab a bite (or a cup of coffee), work out or get a check-up &ndash; we invest in you so you can find your inspiration.</p><p></p><p><b>
Your Impact</b><br>
<br>
The primary purpose of this role is to investigate, evaluate and resolve complex personal injury, product liability and property damage general liability claims against Lowe's and/or its subsidiaries in a manner consistent with the Lowe's objectives and values. This position is responsible for gathering appropriate information, evaluating alleged damages, determining liability and compensability, negotiating settlements, and reporting obtained information.<br>
<br>
<b>What You Will Do</b></p><ul><li><p>
Investigates, evaluates and resolves complex personal injury, product liability, and property damage general liability claims against the Company and/or its subsidiaries in a manner consistent with the Company&rsquo;s objectives and values</p></li><li><p>
Gathers appropriate information, evaluates alleged damages, determining liability and compensability and negotiating settlements and reporting obtained information</p></li><li><p>
Collaborates with other claims examiners on a team, focusing on bodily injury or property damage in a particular jurisdiction, acting as a leader for the team of Claims Examiners by integrating Lowe&rsquo;s culture, team training, and jurisdiction-specific training into the on-boarding process</p></li><li><p>
Conducts investigations of claims by interviewing claimants and witnesses, obtaining official reports, and by comparing claim information with evidence</p></li><li><p>
Serves as an escalation point for Claims Examiners on issues that cannot be satisfactorily resolved by the Claims Examiner, this position investigates complaints made by customers or stores against claims examiners</p></li><li><p>
Maintains a functional knowledge of the relevant laws and legal principles in order to resolve claims</p></li><li><p>
Works consistently with Store Operations, Human Resources, and Loss Prevention to resolve claims in a timely and efficient manner while maintaining adequate production s and while fulfilling reasonable customer service expectations</p></li><li><p>
Prepares reports by collecting and summarizing information as required</p></li><li><p>
Settles claims within his/her authority and in an appropriate manner consistent with Lowe&rsquo;s objectives and values by determining liability, by obtaining demands and making offers to claimants, requesting settlement checks, making filings with regulatory agencies, and disposing of salvage, pursuing subrogation when appropriate</p></li><li><p>
Controls claim costs, provides excellent customer service and resolves complaints to the satisfaction of the customer</p></li><li><p>
Complies with federal and state regulations and service standards</p></li></ul><p><b><br>
Minimum Qualifications</b></p><ul><li><p>
High school diploma or GED or equivalent years of experience in lieu of education requirement, if applicable</p></li><li><p>
6 Years Experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other professions (e.g., loss prevention, customer service, investigative experience, legal experience, property estimating experience)</p></li></ul><p><b><br>
Preferred Skills/Education</b></p><ul><li><p>
Associate degree</p></li><li><p>
Bachelor&rsquo;s degree</p></li><li><p>
Master&rsquo;s degree</p></li><li><p>
4 Years Experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other professions (e.g., loss prevention, customer service, investigative experience, legal experience, property estimating experience)</p></li><li><p>
2 Years Experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other professions (e.g., loss prevention, customer service, investigative experience, legal experience, property estimating experience)</p></li><li><p>
1 Year Experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other professions (e.g., loss prevention, customer service, investigative experience, legal experience, property estimating experience)</p></li><li><p>
Lowe's finance or accounting experience</p></li><li><p>
Relevant professional licenses and/or certifications, including a North Carolina insurance adjuster license</p></li></ul><p></p><p><i>
Lowe&rsquo;s is an equal opportunity employer and administers all personnel practices without regard to race, color, religious creed, sex, gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital status, military or veteran status, genetic information, or any other category protected under federal, state, or local law.</i></p>
Pay Range: $61,600.00 - $102,900.00 annually Starting rate of pay may vary based on factors including, but not limited to, position offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit https://talent.lowes.com/us/en/benefits.</div>

Senior Claims Examiner

Covet Health

<p>Job description:</p><p><b>** This role requires a minimum of 2 years of working at a healthcare payer as a claims processor/examiner. **</b></p><p>The Claim Examiner primary focus includes handling claim processing and adjudication, with claims research where applicable. Claims processing may range in level of complexity and requires knowledge in ICD-10, CPT, POS, RVU, and HCPC coding.</p><p><b>What Will You Be Doing</b></p><p>The essential functions listed represent the major duties of this role, additional duties may be assigned.</p><ul><li>Day-to-day processing of claims based on CPT, ICD-10, POS codes, provider types, etc. (medical and mental health claims)</li><li>Claims processing and adjudication.</li><li>Claims research where applicable.</li><li>Reviews and processes insurance to verify medical necessities and coverage under policy guidelines (clinical edit logic).</li><li>Utilize systems to track complaints and resolutions.</li><li>As needed, other responsibilities include resolving researching benefits, verifying correct plan loading, and interacting with claims managers responsible for varying books of business.</li></ul><p><b>Qualifications</b></p><ul><li><b>Required: </b>2+ years related work experience in claims examiner/adjudication experience on a computerized claims payment system in the healthcare industry.</li><li><b>Required: </b>Knowledge of CPT, HCPC, RVU, and ICD-10 coding required.</li><li><b>Required: </b>Enhanced written and verbal communication skills required, including the ability to handle conflict.</li><li><b>Required: </b>Knowledge of COBRA, HIPAA, and coordination of benefits required.</li><li><b>Required: </b>Must possess proven judgment, decision-making skills and the ability to analyze.</li><li>Must learn quickly as well as be able to multi-task.</li><li>Must be motivated and possess a sound work ethic.</li><li>Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers.</li><li>Proficiency using programs for medical CPT coding</li><li>Experience and demonstrated proficiency in processing all types of medical claims.</li><li>Experience in managing claims appeals and correspondence a plus.</li></ul><p><b>General Physical Demands</b></p><p>Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.</p><p><i>We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.</i></p><p>Job Type: Full-time</p><p>Schedule:</p><ul><li>Monday to Friday</li></ul><p>Work Location: Remote - In office is optional if in the NYC area.</p><p>Job Type: Full-time</p><p>Pay: $55,000.00 - $65,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Health insurance</li><li>Paid time off</li></ul><p>Work Location: Remote</p>

Medical Claims Examiner

Trident Reciprocal Exchange

<p><b>Job Title:</b> Senior Claims Examiner</p><p><b>Department:</b> Claims</p><p><b>Location:</b> Remote</p><p><b>Reports To:</b> Claims Manager</p><p><b>Job Type:</b> Full-Time</p><p><b>About Trident Reciprocal Exchange Insurance Company:</b></p><p>Join a lean, dedicated team within a company known for its strong, supportive culture&mdash;where your ideas will directly shape processes, drive meaningful change, and influence the future of the business. This is a unique opportunity to make a real impact while growing with an agile and values-driven organization.</p><p>Trident Reciprocal Exchange is a growing property and casualty insurance company focused on delivering stability, responsiveness, and excellence in service to our policyholders and agency partners. We are committed to regulatory integrity and proactive risk management across all levels of our organization.</p><p><b>Position Summary:</b></p><p>The Senior Claims Examiner is responsible for handling a caseload of residential property claims including claims represented by public adjusters and attorneys. High performers for this position are intuitive, analytical, detail-orientated, and generally possess good business acumen and critical thinking skills. The ideal candidate will have a deep understanding of Florida property and casualty insurance.</p><p><b>Key Responsibilities:</b></p><ul><li>Provide exceptional customer service throughout the claim process including the clear communication of processes and timelines.</li><li>Investigates, manages and resolves claims in a timely, unbiased and informed manner in compliance with company policies, state laws and regulatory performance standards.</li><li>Sets and maintains adequate claim reserves based on facts of case and in accordance with company policy.</li><li>Responsible for the receipt, review, and oversight of alternative dispute resolution assignments requiring strategic analysis and response.</li><li>Document all relevant information in the electronic claims management system accurately and comprehensively.</li><li>Actively pursue ongoing education to stay current with statutory requirements and legal developments related to residential property claims.</li></ul><p><b>Qualifications:</b></p><ul><li>Holds an active state insurance adjuster 6-20 license</li><li>5+ years of handling complex and litigated claims under personal and commercial lines in Florida working directly for a carrier</li><li>Bachelor's degree in business, Insurance, Finance, Economics, or related field</li><li>Strong PC skills with proficiency in Word &amp; Excel</li><li>Attention to detail and also possess the ability to efficiently multi-task</li><li>Self-Motivated with ability to thrive in a production focused Team Environment</li><li>Committed to excellent customer service</li><li>Broad knowledge of construction, estimating and estimating systems</li><li>Advanced knowledge of Florida insurance laws and Florida good faith claims handling experience</li><li>Exceptional oral and written communication skills; your communication style is flexible to the situation; you communicate clearly and with a purpose</li></ul><p><b>Trident Benefits:</b></p><p>We offer a comprehensive and competitive benefits package designed to support your well-being both at work and at home. Additional benefits include a 401(k) with company match, paid parental leave, generous PTO, and wellness resources to help you thrive personally and professionally.</p><p>Job Type: Full-time</p><p>Pay: $80,000.00 - $85,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Health savings account</li><li>Paid time off</li><li>Professional development assistance</li><li>Vision insurance</li></ul><p>Schedule:</p><ul><li>Monday to Friday</li></ul><p>Experience:</p><ul><li>Property Claims Adjusting: 5 years (Required)</li></ul><p>License/Certification:</p><ul><li>Adjusters License (Required)</li></ul><p>Willingness to travel:</p><ul><li>50% (Preferred)</li></ul><p>Work Location: Remote</p>

Swift Transportation

<div><p><b>Who We Are:</b></p><p>
Swift Transportation has been an <b>Industry leader</b> for many years with a profound history dating back to the 1960s. Swift is the <b>largest truckload carrier in America</b> with various locations throughout the nation that allow our drivers, shop employees, and office staff to cultivate strong connections. We are a company that is passionate about continual learning and improvement which in turn, allows for a diverse amount of <b>advancement and growth opportunities</b>. We place a strong emphasis on <b>culture</b> because we strongly believe that it is a key contributor in achieving overall results here at Swift.</p><p></p><p><b><br>
Job Responsibilities: What you will do</b><br>
<br>
Manage auto property damage and bodily injury claims from initial investigation through evaluation and final settlement, ensuring compliance with company standards and regulatory requirements.Incumbents have up to $50,000 reserve authority; $25,000 settlement authority and $20,000 payment authority. Incumbents focused on workers' compensation have up to $100k in total incurred authority.</p><ul><li>
Studies reports and similar claims to determine validity of the claim.</li><li>
Reviews, evaluates and processes claims and makes recommendations for resolution.</li><li>
Examines and authorizes payments within prescribed fiscal authority.</li><li>
Communicates with independent adjusters, third party administrators (TPAs'), claimants and attorneys to ensure claims are settled in an appropriate manner.</li><li>
Proactively work to assist others in achieving the organization's objectives.</li></ul><p><b>
Copy and paste URL into browser to view full description: </b>https://knxtrans.jdxpert.com/ShowJob.aspx?EntityID=2&amp;id=2091<br>
<br>
<b>Qualifications: What you need to bring</b></p><ul><li>
3+ years' experience in insurance/claims required.</li><li>
Must possess strong investigative skills with the ability to achieve optimal conflict resolutions.</li><li>
Must possess strong negotiation skills and be able to appropriately influence and persuade others.</li><li>
Must possess strong fact finding skills with ability to gather detailed information.</li><li>
Must be able to effectively manage multiple demands.</li><li>
Must be able to work independently or in a team environment.</li><li>
Bachelors' degree in related field or equivalent combination of education and experience required.</li></ul><p><b><br>
Pay Range: </b>$73,850.00 - $94,950.00 Annual</p><p><b>
What we offer:</b></p><p></p><p><i>
Our Benefits Package includes</i> 401k, Medical, Dental, Vision, Disability, Supplemental and Life Insurance as well as pet insurance. We also offer an Employee Stock Purchase plan, paid training, wellness programs, Flexible Spending Account, Tuition Assistance Programs (subject to change), Military Leave, and discounts with our vendors.<br>
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<i>Volunteer opportunities to support our local communities</i>- We have an adoration for helping others which is why we have worked hard to <b>establish partnerships</b> with organizations such as Children's Miracle Network and Habitat for Humanity that allow us to give back.<br>
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<i>Training, Development &amp; Growth Opportunities</i> - Our success at Swift is driven by our people! Our goal is to provide a supportive environment that promotes <b>growth and advancement</b>. We invest the time to ensure our employees receive the best training, along with all the tools and resources to thrive.<br>
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<i>Diversity, Equity and Inclusion</i> - <b>A diverse workforce</b> allows us to achieve a dynamic business advantage where we can <b>openly collaborate</b>, thus bringing new ideas to the table that contribute to innovative and effective solutions. Everyone at Swift has a voice and your opinion matters.</p><p><br>
The Company is an equal employment opportunity employer. The Company's policy is not to unlawfully discriminate against any applicant or employee on the basis of race, color, sex, sexual orientation, gender identity, religion, national origin, age, military status, disability, genetic information or any other consideration made unlawful by applicable federal, state, or local laws. The Company also prohibits harassment of applicants and employees based on any of these protected categories.</p></div>

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