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customer service specialist i

claims service specialist

GEICO

<div>At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers&rsquo; expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That&rsquo;s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Claims Specialist &ndash; Tampa, Florida 
Salary: $28.29 - $34.24 per hour / $57,000 - $69,000 annually 
Claim your career growth as a Claims Service Specialist at GEICO&rsquo;s Tampa, Florida office and be a part of one of the fastest-growing auto insurers in the United States! If you are motivated, all about solutions, and empathetic to the needs of customers, come grow a fulfilling career with us! 
 
Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our policyholders when they need us the most &ndash; during an accident. As a Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Our policyholders will count on your patience, support, and attention to detail to get them back on the road as quickly as possible. GEICO will also give you the space and grace to explore your abilities and learn new ones. So if you are ready to start growing your career, let&rsquo;s talk! 
 
Many associates see a base salary increase of 10% within their first year as a Claims Specialist. Top associates can see increases up to 15%! 
 
Qualifications &amp; Skills:<ul><li>
Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction</li><li>
Solid computer multitasking skills</li><li>
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities</li><li>
Ability to work comfortably and grow in a fast-paced, high-volume call center environment</li><li>
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred</li><li>
Eagerness to explore new skills and openness to different career paths</li></ul>
#geico300 

At this time, GEICO will not sponsor a new applicant for employment authorization for this position. 
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life&rsquo;s twists and turns. Our mission is to protect people when they need it most and we&rsquo;re constantly evolving to stay ahead of their needs.
We&rsquo;re an iconic brand that thrives on innovation, exceeding our customers&rsquo; expectations and enabling our collective success. From day one, you&rsquo;ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people&rsquo;s lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career &ndash; and your potential &ndash; in mind. You&rsquo;ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.<ul><li>
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family&rsquo;s overall well-being.</li><li>
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.</li><li>
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.</li><li>
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.</li></ul>
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.</div>

Claims Service Specialist

CorVel Corporation

<div>The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers&rsquo; compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel.

This is a hybrid role.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives claims, confirms policy coverage and acknowledgement of the claim</li>
<li>Determines the validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within established reserving authority limits</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent customer service skills</li>
<li>Excellent written and verbal communication skills</li>
<li>Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheets</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year industry experience and claim handling</li>
<li>WC experience required</li>
<li>Licensed as required jurisdictionally</li></ul> 


PAY RANGE:

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

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

Pay Range: $16.74 - $26.92 per hour

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

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


ABOUT CORVEL:

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

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

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

#LI-Hybrid</div>

Medical Only Claims Specialist

Zoeli Rx, LLC

Overview We are seeking a dynamic and detail-oriented Lead Pharmacy Intake Coordinator / Billing Specialist to join our healthcare team. This vital roll combines leadership in pharmacy intake processes with expert medical billing responsibilities. You will oversee the coordination of patient intake, ensure accurate documentation, and manage billing workflows to optimize revenue cycle management. Your proactive approach will enhance patient service experiences while maintaining compliance with healthcare regulations such as HIPAA. If you thrive in a fast-paced environment and possess strong administrative and clinical skills, this opportunity is perfect for you!Duties<ul><li>Lead the pharmacy intake process by supervising patient registration, medication histories, and insurance verification to ensure seamless onboarding.</li><li>Review documentation for accuracy and completeness, ensuring compliance with HIPAA and other regulatory standards.</li><li>Coordinate with insurance providers to verify coverage, process claims efficiently, and resolve billing discrepancies or denials promptly.</li><li>Manage electronic health records (EHR) systems and maintain meticulous medical records for accuracy and confidentiality.</li><li>Provide training and guidance to staff on billing procedures, coding updates, and system usage to improve departmental performance.</li><li>Support front desk operations by handling patient inquiries via multi-line phone systems with excellent phone etiquette while managing appointment scheduling and office workflows.</li></ul>Skills<ul><li>Extensive experience in medical collection processes, insurance verification, and billing workflows.</li><li>Strong knowledge of HIPAA regulations, medical terminology, ICD-9/10 coding standards, CPT coding, and Medicare guidelines.</li><li>Demonstrated ability to review complex documentation related to care plans and medical records accurately.</li><li>Bilingual skills are highly desirable to serve diverse patient populations effectively.</li><li>Prior pharmacy experience with office management responsibilities including intake procedures and medical administrative support.</li><li>Excellent computer skills with proficiency in Microsoft / Google Office Suite (Word, Excel), typing, and familiarity with health information management software like LifeFile.</li><li>Exceptional customer service skills combined with professional phone etiquette for handling patient interactions at the front desk or via phone calls.</li></ul>Strong organizational skills for filing, documentation review, and multi-tasking within busy healthcare environments.Join us in making a positive impact on patient care through efficient intake coordination and precise billing practices! We are committed to supporting your professional growth while fostering a collaborative team environment dedicated to excellence in healthcare administration.Pay: $20.00 - $25.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li></ul>Work Location: Hybrid remote in Tampa, FL 33619

Lead Pharmacy Intake Coordinator / Billing Specialist

USAA

<div>Location Tampa, Florida
<div><div><div>Job ID</div><div>
R0116560</div></div>
<div><div>Date posted</div><div>
04/02/2026</div></div>
</div><div>Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated Manager, Claims Operations, you will manage and be accountable for auto and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. Develops engaged employees through regular coaching and feedback to deliver business results. Executes process improvements, provides feedback on the process and leads organizational process changes. Drives execution of operational risk management, regulatory compliance training, policies and, procedures.
We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: Tampa, FL Crosstown. Relocation assistance is not available for this position.
What you&rsquo;ll do:<ul><li>
Inspects and reviews quality of claim files and provide feedback to employees as appropriate.</li><li>
Responsible for ongoing coaching and driving awareness so employees understand how their work and contributions support the overall claims and Enterprise strategies.</li><li>
Proactively identifies opportunities to improve operational effectiveness, member experiences and processes providing feedback to internal partners</li><li>
Creates conditions for success removes obstacles, leads and champions change.</li><li>
Achieves optimal productivity through managing workload volumes, staffing, training needs, and identifying and implementing appropriate solutions.</li><li>
Responsible for ongoing monitoring of work to ensure consistent execution of processes and adherence to guidelines and frameworks.</li><li>
Handles escalations and makes appropriate decisions based on the policy.</li><li>
Facilitates and guides employees through skill identification and developing for career progression Supports projects by serving as a subject matter expert.</li><li>
Hires, develops, and coaches claims employees for results delivery.</li><li>
Consistently coaches employees on claims handling and identifies opportunities to improve overall process and engagement</li><li>
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>
What you&rsquo;ll have:<ul><li>
Bachelor&rsquo;s degree: OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>
6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.</li><li>
2 years of direct team lead, supervisory or management experience.</li><li>
Experience using and interpreting data to make decisions.</li><li>
Demonstrated leadership, initiative, customer service and/or claims handling skills.</li><li>
Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.</li></ul>
What sets you apart<ul><li>
Current or previous experience as a Claims Manager/Supervisor.</li><li>
Experience handling complex non-Injury auto coverage and liability issues.</li><li>
Experience handling Auto total loss claims.</li><li>
Experience handling physical damage claims.</li><li>
Strong experience coaching and developing claims adjusters to meet organizational and development goals.</li><li>
Master&rsquo;s Degree and/or CPCU designation.</li><li>
US military experience through military service or a military spouse/domestic partner.</li><li>
Ability to work out of the Tampa, FL Crosstown location.</li></ul>
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Compensation range:
The salary range for this position is: $103,450 - $186,210.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.</div></div>

Manager, Claims Operations- Complex Auto

<div>
 
 Why USAA?
 
 
 
 At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
 
 
 Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
 
 
 
 The Opportunity
 
 
 
 As a dedicated Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members&rsquo; life events, as appropriate.
 
 
 This hybrid role requires an individual to be
 
 in the office 3 days per week
 
 . This position can be based in one of the following locations:
 
 San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Tampa, FL or Chesapeake, VA
 
 . Relocation assistance is
 
 not
 
 available for this position.
 
 
 This is an
 
 experienced desk based Property Adjuster
 
 role working in a telephone concentrated environment without physical inspection of loss. This is an hourly, non-exempt position with paid overtime available. Training will be approximately 12 weeks, Monday to Friday and hours may vary by location. Upon successful completion of training, employees will transition to an eight-hour work shift ranging between 8:00 am &ndash; 5:30 pm (local time) Monday to Friday with availability for occasional evenings and weekends based on business needs.
 
 
 
 What You'll Do
 
 
 
 <ul>
 <li>
 Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage.
 </li>
 <li>
 Partners with vendors and internal business partners to facilitate low to moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
 </li>
 <li>
 Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.
 </li>
 <li>
 Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving low to moderate complexity policy terms and contingencies.
 </li>
 <li>
 Determines and negotiates low to moderate complexity claims settlement. Coordinates with management for guidance on assessing settlement amounts outside of authority limits to support managing claims outcomes.
 </li>
 <li>
 Maintains accurate, thorough, and current claim file documentation throughout the claims process.
 </li>
 <li>
 Applies knowledge of estimating technology platforms and virtual inspection tools to prepare and manage low to moderate complexity property insurance claims estimates
 </li>
 <li>
 Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.
 </li>
 <li>
 Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
 </li>
 <li>
 May be assigned CAT deployment travel with minimal notice during designated CATs.
 </li>
 <li>
 Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
 </li>
 <li>
 Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
 
 
 </li>
 </ul>
 
 What You Have
 
 
 
 <ul>
 <li>
 High School Diploma or General Equivalency Diploma.
 </li>
 <li>
 1 year of customer service, military leadership, construction related industry/insurance experience and/or experience handling low complexity property claims
 </li>
 <li>
 Knowledge of estimating losses using Xactimate or similar tools and platforms.
 </li>
 <li>
 Demonstrated negotiation, investigation, communication, and conflict resolution skills.
 </li>
 <li>
 Working knowledge and understanding of claims contracts as well as application of case law and state laws and regulations.
 </li>
 <li>
 Ability to prioritize and multi-task, including navigating through multiple business applications.
 </li>
 <li>
 May need to travel up to 25% of the year (local &amp; non-local) and/or work catastrophe duty when needed.
 </li>
 <li>
 Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
 
 
 </li>
 </ul>
 
 What Sets You Apart
 
 
 
 <ul>
 <li>
 1+ years relevant property adjusting claims of moderate complexity
 </li>
 <li>
 Experience desk adjusting residential property claims to include water, roof, and personal property
 </li>
 <li>
 File ownership handling claims from start to finish (scoping the loss, assessing damages, estimating, interpreting policy, making coverage decisions, settlement)
 </li>
 <li>
 Proficient in estimate writing using Xactimate and virtual tools (such as Claim X, Hover, and Hosta)
 </li>
 <li>
 Currently hold an active P&amp;C Adjuster license
 </li>
 <li>
 Experience working directly for a standard insurance carrier
 </li>
 <li>
 Experience in a all center environment
 </li>
 <li>
 US military experience through military service or a military spouse/domestic partner
 
 
 </li>
 </ul>
 
 Physical Demand Requirements
 
 
 
 <ul>
 <li>
 May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.
 </li>
 <li>
 May need to meet all USAA safe driving requirements including verification of driving record through MVR &amp; possession of valid driver&rsquo;s license.
 </li>
 <li>
 May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.
 </li>
 <li>
 May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.
 
 
 </li>
 </ul>
 
 Compensation range:
 
 The salary range for this position is: $57,970 - $97,820.
 
 
 
 USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
 
 
 
 
 Compensation:
 
 USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
 
 
 Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
 
 
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 Benefits:
 
 At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
 
 
 For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
 
 
 
 Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
 
 
 
 
 USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
 
</div>

Inside Property Adjuster

Swyfft

<div>At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service. 


Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. 


Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive. 


As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft! 


About the Position: 
Our team of experienced desk adjusters are the best of the best when it comes to handling homeowner property claims. In this role you will act as the liaison between Swyfft's policy holders and vendors by providing a fast and friendly claims experience. A &quot;Swyfft&quot; mindset equals happier policy holders. 
Our ideal candidate has previous experience adjusting homeowner claims across multiple states, and has the ability to interpret policy language and make educated coverage decisions. You are a proactive, team player who enjoys collaboration, sharing ideas, and understands the importance of a good documented claim file. (hint, hint) 

<ul><li>This position is a 100% remote U.S. based opportunity that can be based in one of the following states only: AL, AZ, FL, GA, KY, LA, MA, MO, NC, NJ, NY, OR, SC, TN, TX, UT, VA, WA, WI.</li></ul> 


Some travel for day-to-day work, team meetings, and training will be required. 


Key Responsibilities: (What you'll be asked to do)
<ul>
<li>Investigate, analyze, and determine the extent of liability concerning first party homeowner property losses and damages.</li>
<li>Effectively communicate with policyholders, agents, and service providers via phone, email, and internal systems to accurately document claim details.</li>
<li>Successfully manage a pending claim load at varying stages of the claims process.</li>
<li>Interpret and apply the details of an insurance policy to ensure the accuracy of payments and claims declinations.</li>
<li>Interpret and apply computer generated loss estimates, engineer&rsquo;s reports, and construction terminology.</li>
<li>Update and maintain comprehensive claim handling notations in our electronic claims management system and other related applications.</li></ul> 


The Successful Candidate: (What we're looking for)
<ul>
<li>Ensure that all assigned claims are resolved timely, reserved accurately, and handled fairly and in compliance with company guidelines.</li>
<li>You come to us with a proven track record of handling claims and homeowner property losses. Previous field adjusting and/or construction experience is extremely valuable to us.</li>
<li>You have a solid technical background that includes an excellent understanding (and hands-on experience) in loss estimating, homeowner policy coverages and construction.</li>
<li>You're comfortable working in a metrics driven claims environment.</li>
<li>Both internal (your peers) and external clients commend your excellent communication and follow up skills.</li>
<li>You're detail oriented, organized, and can multi-task like nothing anyone has ever seen before.</li>
<li>You're a get the job done, self-starter that thrives in a fast-paced, team-oriented environment.</li>
<li>HAAG Certification is a plus.</li></ul> 


Some Requirements:
<ul>
<li>5+ years of experience as a desk adjuster in the homeowner/property industry. Adjusting all perils (Plumbing (water mitigation), theft, vandalism, wind, hail, and fire.</li>
<li>Understanding of various policies and how to evaluate and apply appropriate coverage.</li>
<li>Comfortable with contractors and vendors to resolve claims efficiently and within the policy provisions. 
</li>
<li>Experience conducting recorded statements. 
</li>
<li>Exceptional written and verbal communication skills including drafting professional letters and e-mails.</li>
<li>Ability to stay calm under pressure and deescalate difficult situations.
</li><li>Proficient in handling complex claims with loss values up to $100K.</li></ul> 


Education:
<ul>
<li>Bachelor&rsquo;s degree or equivalent experience is preferred.</li>
<li>High School Diploma or its equivalent (GED) is required.</li></ul> 


Computer Skills:
<ul>
<li>Must be proficient with MS Office and other internal insurance related programs, systems or applications.</li>
<li>Ability to communicate effectively using programs such as Slack &amp; MS Teams. You are comfortable sharing screens and video chatting.</li>
<li>Previous experience using claims management systems and Cotality.</li></ul> 


Certifications or Licensing Required:
<ul>
<li>You are currently licensed or eligible for licensing as an adjuster in the states of: TX, FL, NY, NC, SC and LA (we can provide assistance with your licensing fees) NY license will be required.</li></ul> 


Other:
<ul>
<li>Reliable high-speed internet connectivity required.</li>
<li>Designated quiet work from home space.</li></ul> 


The typical base pay range for this role across the U.S. is: $60,000 - $75,000/year + benefits. There is a different range applicable to specific work locations. This salary range is a good-faith estimate of what Swyfft may pay for this position at the time of posting. Actual compensation may vary based on skills, qualifications, and experience. The range reflects annual compensation (as applicable) and does not include bonuses or other incentives that the company may choose to pay at its sole discretion. In addition to base compensation Swyfft offers a comprehensive benefit package. 
We Have a Great Benefits Package!
<ul>
<li>Medical, Dental, and Vision</li>
<li>Short- and Long-Term Disability (Company Paid)</li>
<li>Voluntary Long-Term Disability</li>
<li>Employee Life &amp; AD&amp;D (Company Paid)</li>
<li>Voluntary Employee, Spouse, and Child Life &amp; AD&amp;D</li>
<li>Healthcare, Dependent Care and Transit FSA, and Healthcare Savings Account (HSA)</li>
<li>401K with a generous matching contribution and no vesting schedule</li>
<li>20 days of PTO annually (prorated based on hire date)</li>
<li>Company Paid Holidays and 2 &ldquo;Choose Your Own Holidays&rdquo;</li></ul> 


It is the policy of Swyfft to provide equal employment opportunities to all employees and applicants for employment without regard to race, religion, color, ethnic origin, gender, gender identity, age, marital status, veteran status, sexual orientation, disability, or any other basis prohibited by applicable federal, state, or local law. EOE/AA/M/D/V/F. 


If you require accommodations during the application or interview, please contact Human Resources at hr@swyfft.com, and we will make every effort to accommodate your needs. 


Please Note: Swyfft Holdings, LLC is not accepting 3rd party agency resumes for this position, please do not forward resumes to our careers email address or Swyfft Holdings, LLC employees. Swyfft Holdings, LLC will not be responsible for any fees related to unsolicited resumes.</div>

Daily Claims Representative (P&C Insurance)

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.
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Claims Adjuster Associate - WC

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