claims service representative

Cornerstone Building Brands

<div><b>Company Description</b><p><b><br>
WHO WE ARE</b></p><p>
Cornerstone Building Brands, headquartered in Cary, North Carolina, is the largest manufacturer of external building products in North America with over $6 billion in annual revenue and an expansive North American footprint that includes almost 20,000 employees, operating in +70 manufacturing facilities, supported by a network of +80 distribution and branch office facilities. We have a broad product offering with a well-regarded brand portfolio including the #1 position in windows, vinyl siding, metal accessories, metal roofing and wall systems, and insulated metal panels. We believe every building we create, and every part of that building, positively contributes to communities where people live, work and play.</p><b><br>
Job Description</b><p><b><br>
ABOUT THE ROLE</b><br>
The Claims Representative is responsible for managing warranty claims for our consumers department. Performing the initial intake case through final resolution, while delivering a premier customer experience. This role requires strong analytical skills, clear communication, and the ability to balance accuracy, cost efficiency, and customer satisfaction. The Claims Representative serves as a key partner to customers, internal teams, and service providers, ensuring claims are processed effectively, documented thoroughly, and resolved in alignment with company standards.</p><p><b><i>
This is a hybrid role, requiring 2 days (Tuesday and Wednesday) in the office per week.</i></b></p><p><b>
WHAT YOU&rsquo;LL DO</b><b>
</b></p><ul><li><b>Claim Intake &amp; Validation</b><ul><li>
Receive, review, and validate incoming warranty claims to determine accuracy and required information.</li><li>
Initiate clarification calls to customers as needed to complete claim details.</li><li>
Maintain accurate claim documentation and communication updates within Dynamics 365 CRM.</li></ul></li><li><b>
Claim Management &amp; Resolution</b><ul><li>
Create detailed work orders for Cornerstone Building Brands (CBB) Technicians and third-party vendors, optimizing cost, efficiency, and service quality.</li><li>
Monitor claim progress and ensure timely, cost-effective resolutions that enhance customer satisfaction.</li><li>
Host product standards and compliance discussions with customers, helping address concerns professionally and clearly.</li><li>
Administer service reimbursements and prepare settlement letters when applicable.</li></ul></li><li><b>
Quality Review &amp; Root Cause Analysis</b><ul><li>
Conduct research to identify root causes of product or service issues.</li><li>
Collaborate with plant personnel, sales teams, and other departments to support long-term corrective actions and process improvements.</li><li>
Participate in discussions and initiatives aimed at reducing recurring issues and improving overall product and service quality.</li></ul></li><li><b>
Communication &amp; Reporting</b><ul><li>
Prepare clear communications and updates for management regarding claim trends, issues, and opportunities.</li><li>
Ensure documentation and reporting for claims, resolutions, and settlement activities are accurate and complete.</li><li>
Perform additional duties as assigned to support departmental needs.</li></ul></li></ul><p><b>
WHAT YOU&rsquo;LL NEED</b></p><ul><li><b>
Education: </b>High School Diploma or equivalent required; Bachelor&rsquo;s degree preferred. Professional experience in a claims or service role, preferably within the building materials industry will be considered in lieu of education.</li><li><b>
Experience/Technical Skills:</b><ul><li>
Experience in Ordering/Quoting systems is desired (AccuQuote preferred).</li><li>
Experience with CRM systems is desired.</li></ul></li></ul><br>
<b>
Qualifications</b><p><b><br>
SKILLS &amp; QUALIFICATIONS</b></p><ul><li>
Strong ability to interpret customer claims and apply relevant warranty coverage.</li><li>
Ability to read and interpret product specifications, drawings, and order confirmations.</li><li>
Exceptional analytical and problem-solving skills with the ability to identify root causes and recommend solutions.</li><li>
Strong verbal and written communication skills with a customer-centric approach.</li><li>
Ability to manage difficult discussions and mitigate customer dissatisfaction effectively.</li><li>
Proficiency in Microsoft Excel, Word, and PowerPoint, with the ability to learn new systems quickly.</li><li>
Strong attention to detail and accuracy in a fast-paced environment.</li><li>
Ability to work independently while supporting team and departmental goals.</li></ul><br>
<b>
Additional Information</b><p><br>
All your information will be kept confidential according to EEO guidelines.</p><p>
Address: 1 Cochrane Dr, Pennsboro, WV 26415</p><p></p><p><b><br>
Why work for Cornerstone Building Brands?</b></p><p>
Our teams are at the heart of our purpose to positively contribute to the communities where we <b>live, work and play</b>. Full-time* team members receive** medical, dental and vision benefits starting day 1. Other benefits include PTO, paid holidays, FSA, life insurance, LTD, STD, 401k, EAP, discount programs, tuition reimbursement, training, and professional development.</p><p>
*Full-time is defined as regularly working 30+ hours per week. **Union programs may vary depending on the collective bargaining agreement.</p><p></p><p><b><br>
Cornerstone Building Brands is an Equal Opportunity Employer.</b></p><p>
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, or status as a protected veteran. You can find the Equal Employment Opportunity Poster here. You can also view Your Right to Work Poster here along with This Organizations Participation in E-Verify Poster here. If you'd like to view a copy of the company's affirmative action plan for protected veterans or individuals with disabilities or policy statement, please contact Human Resources at 281-897-7788 or HRCompliance@cornerstone-bb.com. If you have a disability and you believe that you need a reasonable accommodation in order to search for a job opening or to submit an online application, please contact Human Resources at 281-897-7788 or HRCompliance@cornerstone-bb.com. This email is used exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only emails received for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.</p><p></p><p><br>
All your information will be kept confidential according to EEO guidelines.</p><p></p><p><br>
California Consumer Privacy Act (CCPA) of 2018<br>
</p><p><i>Must be at least 18 years of age to apply.</i></p><p></p><p><b><br>
Note to External Recruiters</b></p><p>
Cornerstone Building Brands does not accept unsolicited resumes and will not pay fees for any candidate submissions that were not expressly authorized.</p><p></p><p><b><br>
Notice of Recruitment Fraud</b></p><p>
We have been made aware of multiple scams whereby unauthorized individuals are using Cornerstone Building Brand's name and logo to solicit potential job-seekers for employment. In some cases, job-seekers are being contacted directly, both by phone and e-mail. In other instances, these unauthorized individuals are placing advertisements for fake positions with both legitimate websites and fabricated ones. These individuals are typically promising high-paying jobs with the requirement that the job-seeker send money to pay for things such as visa applications or processing fees. Please be advised that Cornerstone Building Brands will never ask potential job-seekers for any sort of advance payment or bank account information as part of the recruiting or hiring process.</p></div>

Claims Representative

Blue Cross Blue Shield

<div><h1 class="jobSectionHeader"><b>Summary
</b><br>
</h1>Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures.
<h1 class="jobSectionHeader"><br>
<b>Description<br>
</b><br>
</h1><div><p><b>Location: </b>This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 17 Technology Circle, Columbia, SC 29203. OT is required.
</p></div><p></p><div><div><div><div><div><div><div><div><div><p><b>What You&rsquo;ll Do:
</b></p><ul><li><p>Ensure effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handle situations which may require adaptation of response or extensive research. Identify incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
</p></li><li><p>Examine and process claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enter claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensure claims are processing according to established quality and production standards.
</p></li><li><p>Identify complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identify and report potential fraud and abuse situations.
</p></li></ul><p></p><p><b>To Qualify For This Position, You'll Need The Following:
</b></p><ul><li><p><b>Required Education: </b>High School Diploma or equivalent
</p></li><li><p><b>Required Work Experience: </b>2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's Degree in lieu of work experience.
</p></li><li><p><b>Required Skills and Abilities: </b>Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion.
</p></li></ul><p></p><p><b>Our Comprehensive Benefits Package Includes The Following:
</b></p><p>We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
</p><ul><li><p>Subsidized health plans, dental and vision coverage
</p></li><li><p>401k retirement savings plan with company match
</p></li><li><p>Life Insurance
</p></li><li><p>Paid Time Off (PTO)
</p></li><li><p>On-site cafeterias and fitness centers in major locations
</p></li><li><p>Education Assistance
</p></li><li><p>Service Recognition
</p></li><li><p>National discounts to movies, theaters, zoos, theme parks and more
</p></li></ul><p></p><p><b>What We Can Do for You:
</b></p><p>We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
</p><p></p><p><b>What To Expect Next:
</b></p><p>After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
</p></div></div></div></div></div></div></div></div></div><p><b>Equal Employment Opportunity Statement
</b></p><p></p><p>BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
</p><p></p><p>We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
</p><p></p><p>If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
</p><p></p><p>We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information .
</p><p></p><p>Some states have required notifications. Here's more information .</p></div>

Claims Customer Service Advocate II

Michigan Farm Bureau

<div>OBJECTIVE:
<div><b>
Senior Property Claims Representative Objective</b></div><div>
To assure the consistent application of company procedures and practices in commercial, residential, farm property and property damage liability claim handling, so as to have a significant and positive overall effect on the company. To provide quality service to insureds and aid in the retention of business. To make certain that claims are properly investigated, evaluated and resolved within the company's contractual and legal obligations. To ensure timely service, while providing appropriate and equitable resolution to insureds, claimants and the company.</div>
RESPONSIBILITIES:
<div><b>
Senior Property Claims Representative Responsibilities</b></div><div>
Investigate, evaluate and control property and casualty claims under minimal supervision.</div><div></div><div><br>
Maintain advanced knowledge of various types of buildings, construction, repair cost and methods, repair-estimating system and scoping damages. Assist in training others on repair estimating system and scoping of damage.</div><div></div><div><br>
Maintain advanced knowledge of farm machinery, livestock and home furnishings.</div>
QUALIFICATIONS:
<div><b>
Senior Property Claims Representative Qualifications</b></div><div></div><div><b><br>
Required</b>: Bachelor&rsquo;s degree required with focus on construction trades, agriculture-related studies, business administration or insurance related field preferred, or equivalent experience may be considered.</div><div></div><div><br>
Minimum five to seven years multi-line or property claims experience required.</div><div></div><div><br>
Advanced knowledge of insurance contracts written by the companies required.</div><div></div><div><br>
Advanced knowledge of company and divisional policies and procedures required.</div><div></div><div><br>
Must possess outstanding listening and superior customer service skills.</div><div></div><div><br>
Advanced knowledge of estimating systems and construction requirements and methods required.</div><div></div><div><br>
Must have access to high speed Internet at home if position is field-based.</div><div></div><div><br>
Must possess a valid driver license with an acceptable driving record.</div><div></div><div><br>
Designations in INS, AIC and/or similar professional insurance designation required.</div><div></div><div><b><br>
Preferred</b>: Designation in CPCU preferred.</div><div></div><div><b><br>
Note: </b><b>This is a work from home position in Michigan, primarily covering these Michigan counties: </b><b>Monroe, Wayne, Washtenaw, and Lenawee</b><b>.</b></div><div></div><div><br>
Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.</div><div></div><div><br>
PM19</div></div>

Senior Property Claims Representative

Liberty Mutual Insurance

<div><b>Description
</b><div><p>Launch Your Auto Claims Career with a Fortune 100 Company!</p><p>
No Claims Experience Needed, Paid Training &amp; Licensing Included!</p><p></p><p><br>
Location: Liberty Lake (Must reside within 50 miles of our office)</p><p>
Hybrid Role: Minimum 2 Days Per Month in Office</p><p>
Additional In-Person Training Requirements for first 6 months.</p><p></p><p><br>
Career Opportunity:</p><p>
Do you thrive in a high-volume, fast-paced environment? Do you enjoy the challenge of a role where no two days are alike? We are looking for positive, high-energy, passionate customer service professionals. Qualities like these cannot be taught, but they can be sharpened, strengthened and appropriately compensated when you join Liberty Mutual Insurance as an Auto Claims Representative.</p><p></p><p><br>
As a licensed claims adjuster, you will be fulfilling the promise we made to our customers when they purchased their policy by working with those who have been in an auto accident and need our help. In this role, you will guide our insureds and claimants through the auto claims process from start to finish. There are many moving pieces you will manage. You need to have strong organizational skills and be a time management expert, love problem solving and helping others. Your job is speaking to and engaging customers who have just been in an accident and need your help, this is where the passion for service comes into play. We strive to treat our customers as we would want to be treated!</p><p></p><p><br>
Learn more about this role: A Day in the Life of an Auto-Physical Claims Adjuster</p><p></p><p><br>
You&rsquo;d be a great fit if you are:</p><p></p><p><br>
An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process.</p><p></p><p><br>
A Front Lines Liaison: You rise to the role of representing the Liberty brand, you believe in delivering on our promise.</p><p></p><p><br>
A Reliable Teammate: Whether you work at the office or from home, you adapt well to different environments, schedules and the varying needs of our customers.</p><p></p><p><br>
A Customer-Centric Claims Representative: Integrity is in your nature. That means you sincerely care that customers get exactly what they paid for and need to embrace today and confidently pursue tomorrow.</p></div><b>
Qualifications</b><div><ul><li><ul><li>
An engaging, outgoing personality and passion for helping customers</li><li>
Able to think critically, use resources and seek answers when needed in virtual environment</li><li>
Excellent oral, written, decision-making and organizational skills</li><li>
Strong typing and multi-tasking capabilities in a structured paperless work environment</li><li>
Requires strong working knowledge and ability to utilize multiple systems during virtual training and to handle/process claims.</li><li>
General understanding of overall claim operations and key stakeholders.</li><li>
College degree preferred, and/or 1-3 years of related customer service experience or applicable insurance knowledge.</li></ul></li></ul></div><b>
About Us</b><p><b>
Pay Philosophy:</b> The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.<br>
<br>
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.<br>
<br>
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits<br>
<br>
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.<br>
<br>
<b>Fair Chance Notices</b></p><ul><li>
California</li><li>
Los Angeles Incorporated</li><li>
Los Angeles Unincorporated</li><li>
Philadelphia</li><li>
San Francisco</li></ul></div>

Auto Claims Desk Adjuster Hybrid

Amica Insurance

<div>
 <strong>
  Description
  <br/>
  <br/>
 </strong>
 <strong>
  Associate APD Claims Representative
  <br/>
  <br/>
 </strong>
 Atlanta Regional
 <br/>
 <br/>
 2180 Satellite Boulevard, Suite 350, Duluth, GA 30097
 <br/>
 <br/>
 <strong>
  Thank you for considering Amica as part of your career journey, where your future is our business.
  <br/>
  <br/>
 </strong>
 <strong>
  Ready to Join Us?
  <br/>
  <br/>
 </strong>
 Are you a detail-oriented professional with a passion for resolving complex issues and supporting customers in a time of need? We&rsquo;re looking for a Claims Representative who thrives in a fast-paced environment and is committed to delivering exceptional service. As an Associate Auto Physical Damage (APD) Claims Representative in our Atlanta Regional office, you will play a vital role in handling automobile insurance claims.
 <br/>
 <br/>
 At Amica, we recruit the best talent and believe that an investment in our people is an investment in us. Our frontline customer service representatives carry out our guiding philosophy &ndash; that empathy is our best policy &ndash; to our valued customers every day.
 <br/>
 <br/>
 We believe in promoting from within and providing our employees with opportunities for growth and advancement. This entry-level position offers a high level of growth potential, including the possibility to advance to team lead and supervisory roles. We are committed to helping our employees build long-term careers with us.
 <br/>
 <br/>
 Thinking about a career in Claims?
 <strong>
  Watch this employee testimonial
 </strong>
 to see how Amica employees grow their skills, take on new opportunities, and build lasting careers.
 <br/>
 <br/>
 <strong>
  As a key member of our claims team, you will:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Own your caseload: Manage a backlog of claims using a diary system to ensure timely communication, monitoring, and reporting.
  </li>
  <li>
   Investigate: Conduct in-depth research to evaluate coverage and determine claim outcomes.
  </li>
  <li>
   Communicate effectively: Monitor claim-related communications and respond to customer's needs.
  </li>
  <li>
   Collaborate and contribute: Build strong relationships across departments and help foster a culture of teamwork.
  </li>
  <li>
   Stay informed: Develop a working knowledge of laws and regulations impacting claims handling.
  </li>
  <li>
   Stay compliant: Maintain active licenses in designated states and complete continuing education as required.
  </li>
  <li>
   Adapt and support: Take on additional responsibilities as needed to support team success.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What We&rsquo;re Looking For
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   A high school diploma or equivalent &ndash; college coursework or additional training is a plus!
  </li>
  <li>
   Willingness to obtain required state insurance licenses (Don&rsquo;t worry &mdash; we&rsquo;ll provide study materials, paid time to study and cover the exam costs!)
  </li>
  <li>
   Prior experience in insurance or claims handling is helpful, but not required
  </li>
  <li>
   Prior experience providing support to customers or clients is valued and can contribute to success in this role
  </li>
  <li>
   Strong decision-making skills
  </li>
  <li>
   A calm, empathetic communicator who can confidently support people during tough situations
  </li>
  <li>
   Excellent written and verbal communication skills
  </li>
  <li>
   Comfortable using Microsoft Word and Outlook
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Compensation And Schedule
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Starting annual salary of $40,950, overtime is paid for any excess hours
  </li>
  <li>
   Annual Success Sharing Plan - Paid to eligible employees if the company meets or exceeds the combined ratio, growth and/or service goals.
  </li>
  <li>
   37.5-hour schedule, Monday through Friday, 8:45 a.m. to 5 p.m.
  </li>
  <li>
   Potential to work holidays for additional pay
  </li>
  <li>
   Work from home up to two days per week once trained to work independently
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  We&rsquo;ve Got The Whole Package
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Medical, dental, vision coverage, short- and long-term disability, and life insurance
  </li>
  <li>
   Paid Vacation &ndash; you will receive at least 13 vacation days in the first 12 months; amounts could be greater depending on the role. While able to use prior to accrual, vacation time will accrue monthly.
  </li>
  <li>
   Holidays - 14 paid holidays observed
  </li>
  <li>
   Sick time - 6 days sick time at hire, 6 additional days sick time at 90 days of employment
  </li>
  <li>
   Generous 401k with company match and immediate vesting. Additionally, annual 3% non-elective employer contribution
  </li>
  <li>
   Annual Success Sharing Plan - Paid to eligible employees if the company meets or exceeds combined ratio, growth and/or service goals
  </li>
  <li>
   Generous leave programs, including paid parental bonding leave
  </li>
  <li>
   Student Loan Repayment and Tuition Reimbursement programs
  </li>
  <li>
   Generous fitness and wellness reimbursement
  </li>
  <li>
   Employee community involvement
  </li>
  <li>
   Strong relationships, lifelong friendships
  </li>
  <li>
   Opportunities for advancement in a successful and growing company
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why Amica?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Our People Are Our Priority: We&rsquo;re a mutual company where people come first, including empathetic employees who represent the diversity of our policyholders. That&rsquo;s why we welcome employees who represent differences in opinion, life experience and perspectives, who enrich a culture where everyone can contribute and grow.
  </li>
  <li>
   The Opportunities Are Wide Open: We know growth isn&rsquo;t always linear. We encourage our employees to be curious about their career at Amica and explore the options available to them. We believe that what&rsquo;s best for our employees is best for the company.
  </li>
  <li>
   Commitment Goes Both Ways: What employees get in return for what they bring to Amica includes compensation and benefits of a Total Rewards package. But it goes further to include flexible work environments and opportunities to advance their careers. The support we offer is designed to help you build a stable and fulfilling career that&rsquo;s uniquely Amica.
   <br/>
   <br/>
  </li>
 </ul>
 Amica conducts background checks which includes a review of criminal, educational, employment and social media histories, and if the role involves use of a company vehicle, a motor vehicle or driving history report. The background check will not be initiated until after a conditional offer of employment is made and the candidate accepts the offer. Qualified applicants with arrest or conviction records will be considered for employment.
 <br/>
 <br/>
 The safety and security of our employees and our customers is a top priority. Employees may have access to employees&rsquo; and customers&rsquo; personal and financial information in order to perform their job duties. Candidates with a criminal history that imposes a direct or indirect threat to our employees&rsquo; or customers&rsquo; physical, mental or financial well-being may result in the withdrawal of the conditional offer of employment.
 <br/>
 <br/>
 <strong>
  About Amica
  <br/>
  <br/>
 </strong>
 Amica Mutual Insurance Company is America&rsquo;s oldest mutual insurer of automobiles. A direct national writer, Amica also offers home, marine and umbrella insurance. Amica Life Insurance Company, a wholly owned subsidiary, provides life insurance and retirement solutions. Amica was founded on the principles of creating peace of mind and building enduring relationships for and with our exceptionally loyal policyholders, a mission that thousands of employees in offices nationwide share and support
 <br/>
 <br/>
 Equal Opportunity Policy: All qualified applicants who are authorized to work in the United States will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, family status, ethnicity, age, national origin, ancestry, physical and/or mental disability, mental condition, military status, genetic information or any other class protected by law. The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are 40 years of age or older. Employees are subject to the provisions of the Workers' Compensation Act.
 <br/>
 <br/>
 Amica Mutual Insurance Company is committed to protecting job seekers from recruitment fraud. We never request sensitive personal information or payment during the interview process. All legitimate job opportunities are listed on our official careers site:
 <strong>
  https://careers.amica.com
 </strong>
 . Learn more in the "Is Amica hiring?" section of our
 <strong>
  FAQ
 </strong>
 .
 <br/>
 <br/>
 rp
</div>


Associate APD Claims Representative

Plymouth Rock Assurance

<p></p><div><p>The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our &ldquo;Auto PD Claim Unit.&rdquo; This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is needed for this role.</p><br>
<p>
RESPONSIBILITIES</p>
<ul>
<li>Policy Analysis:</li>
<li><ul><li>Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.</li>
<li>Identify and investigate contested coverage claims that may require a roundtable discussion.</li>
</ul></li><li>Claim Investigation:</li>
<li><ul><li>Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.</li>
<li>Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages.</li>
</ul></li><li>Claims Management:</li>
<li><ul><li>Evaluate and adjust reserves as necessary.</li>
<li>Prepare dispatch instructions for field personnel to inspect vehicles.</li>
<li>Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance.</li>
<li>Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status.</li>
<li>Act as an intermediary between the company, preferred vendors, and customers to resolve disputes.</li>
<li>Ensure adherence to privacy guidelines, laws, and regulations in claims handling.</li>
<li>Backup to Commercial Claims handling.</li>
</ul></li><li>Subrogation and Legal Handling:</li>
<li><ul><li>Investigate and initiate subrogation processes when applicable.</li>
<li>Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims.</li>
</ul></li><li>Administrative Duties:</li>
<li><ul><li>Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly.</li>
<li>Process incoming and outgoing mail timely and in accordance with state guidelines.</li>
<li>Complete other duties as assigned.</li>
</ul></li>
</ul><p></p><p>QUALIFICATIONS</p>
<ul>
<li>Bachelor's degree required.</li>
</ul><ul><li>A minimum of 2 year of related PD claim experience is required.</li>
<li>Licensed in CT, NH, RI and other foreign states is preferred.</li>
<li>Proficiency in personal computer skills, including Microsoft Office Suite.</li>
<li>Ability to prioritize and manage multiple tasks effectively.</li>
<li>Excellent communication, organizational, and customer service skills.</li>
</ul>
<p></p><p>SALARY RANGE</p>
<p>
The pay range for this position is $50,000 to $65,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.<br>
</p><p></p><br>
<p>PERKS &amp; BENEFITS</p>
<ul>
<li>4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays</li>
</ul><ul><li>Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)</li>
<li>Annual 401(k) Employer Contribution</li>
<li>Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
</li><li>Robust health and wellness program and fitness reimbursements</li>
<li>Various Paid Family leave options including Paid Parental Leave</li>
<li>Tuition Reimbursement
</li></ul><p></p><p>ABOUT THE COMPANY</p>
<p><i>
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of &ldquo;A-/Excellent&rdquo;.</i></p><p><br>
#LI-DNI</p></div>

Claims Representative, Auto Property Damage

CCMSI

<div><h2 class="jobSectionHeader"><b>Overview
</b></h2><div><div><div><div><b>Multi-Line Claim Representative I (Auto/Property) &ndash; National Accounts</b></div><div></div><div><div><b><br>
Location:</b> Remote<br>
<b>Schedule:</b> Full-Time<br>
<b>Salary Range:</b> $60,000 - $65,000</div><h3 class="jobSectionHeader"><b>
Build Your Career With Purpose at CCMSI</b></h3><div>
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><div></div><h3 class="jobSectionHeader"><b><br>
Job Summary</b></h3><div>
The <b>Multi-Line Claim Representative I</b> is responsible for the investigation and adjustment of assigned <b>commercial auto and property claims</b> within a <b>national accounts environment</b>. This role manages claims from assignment through resolution (cradle to grave) while adhering to CCMSI claim handling standards, client-specific instructions, and applicable state regulations.</div><div></div><div><br>
This position is designed for early-career adjusters with <b>1&ndash;2 years of claim handling experience</b> who possess a foundational understanding of coverage and liability investigation. The ideal candidate demonstrates accountability, attention to detail, and a strong desire to grow within a multi-line claims environment.</div><div></div><div><br>
This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take ownership of their files, maintain consistent communication, and deliver quality outcomes through strong follow-through and sound judgment.</div></div><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Responsibilities<br>
</b></h2>
<div></div><div><div><div><ul><li>Investigate, evaluate, and adjust commercial auto and property claims in accordance with corporate standards, client guidelines, and jurisdictional requirements</li></ul><ul><li>
Apply knowledge of <b>commercial auto policies</b> and coverage to determine compensability and exposure</li></ul><ul><li>
Conduct thorough <b>liability investigations</b>, including fact gathering, analysis, and documentation</li></ul><ul><li>
Apply principles of <b>comparative/contributory negligence</b> in claim evaluation and decision-making</li></ul><ul><li>
Establish and maintain appropriate reserves within authority guidelines</li></ul><ul><li>
Review damage estimates, invoices, and related documentation for accuracy and claim relevance</li></ul><ul><li>
Negotiate settlements within authority limits and in alignment with client expectations</li></ul><ul><li>
Issue claim payments in accordance with CCMSI procedures and industry standards</li></ul><ul><li>
Maintain accurate and timely claim documentation, diary management, and file updates</li></ul><ul><li>
Communicate effectively with clients, claimants, and vendors, ensuring responsiveness and clarity</li></ul><ul><li>
Identify and pursue subrogation opportunities where applicable</li></ul><ul><li>
Manage claims across <b>multiple accounts</b> within a national account structure</li></ul><ul><li>
Ensure compliance with all service commitments and corporate claim handling standards</li></ul><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Qualifications<br>
</b></h2>
<div></div><div><div><div><div><h3 class="jobSectionHeader"><b>Required Qualifications</b></h3><ul><li><b>
1&ndash;2 years of claim handling experience</b> (commercial auto and/or property)</li><li>
Foundational understanding of <b>commercial auto coverage</b></li><li>
Experience or training in <b>liability investigations and negligence evaluation</b></li><li>
Strong verbal and written communication skills</li><li>
Ability to manage multiple priorities and maintain organization in a fast-paced environment</li><li>
Self-starter with strong follow-through and accountability</li><li>
Proficiency in Microsoft Office applications</li><li>
Reliable, predictable attendance during assigned client service hours</li><li><b>
Current adjuster license in home state</b></li></ul><h3 class="jobSectionHeader"><b>
Nice to Have</b></h3><ul><li>
Experience handling <b>multiple accounts</b> in a national or carrier environment</li><li>
Prior <b>TPA experience</b></li><li>
Additional state adjuster licenses are a plus</li><li>
Exposure to general liability claims</li><li><b>
Bilingual (Spanish) proficiency preferred</b></li></ul><h3 class="jobSectionHeader"><b>
Why You&rsquo;ll Love Working Here</b></h3><ul><li>
4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year</li><li>
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance</li><li>
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li>
Career growth: Structured development into multi-line and advanced claim roles</li><li>
Culture: A supportive, team-based work environment</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
How We Measure Success</b></h3><div>
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:</div><ul><li>
Quality claim handling &ndash; thorough investigations and strong documentation</li><li>
Timeliness &amp; responsiveness &ndash; proactive communication and dependable follow-through</li><li>
Compliance &ndash; adherence to client and jurisdictional standards</li><li>
Client satisfaction &ndash; consistent and reliable service delivery</li><li>
Professional growth &ndash; development of technical knowledge and claim expertise</li></ul><h3 class="jobSectionHeader"><b>
Compensation &amp; Compliance</b></h3><div>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.</div><div></div><div><br>
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.</div><div></div><div><br>
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.</div><div>
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</div><div>
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</div><div></div><div><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</div><div></div><h3 class="jobSectionHeader"><b><br>
Our Core Values</b></h3><div>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><ul><li>
Lead with transparency We build trust by being open and listening intently in every interaction.</li><li>
Perform with integrity We choose the right path, even when it is hard.</li><li>
Chase excellence We set the bar high and measure our success. What gets measured gets done.</li><li>
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.</li><li>
Win together Our greatest victories come when our clients succeed.</li></ul><div></div><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #ClaimsCareers #CommercialAutoClaims #PropertyClaims #EntryLevelClaims #RemoteJobs #IND123 #LI-Remote</div></div></div></div></div></div><div></div>

Multi-Line Claim Adjuster I (Auto/Property)

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