customer claims specialist

lonestar

<div>As an Auto Bodily Injury Claims Specialist and embrace a role that offers the thrill of tackling complex cases while championing customer well-being. You'll be empowered to innovate solutions, ensuring clients receive the support they truly deserve. The position's work-from-home flexibility allows you to create your ideal work environment, promoting a healthy work-life balance without sacrificing productivity. Contribute to a fun and energetic team that thrives on high performance and forward-thinking ideas.
Your empathetic approach and problem-solving skills will shine as you build meaningful connections while resolving claims efficiently. With Lonestar, you'll not only advance your career but also make a positive impact in the lives of others. You will be provided great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health Savings Account, Flexible Spending Account. Commitment to Training &amp; Development, Competitive Salary, and Paid Time Off. Take the leap and bring excellence and integrity to the forefront of our claims process!<h3 class="jobSectionHeader">
WHAT WOULD YOU DO AS A AUTO BODILY INJURY CLAIMS SPECIALIST</h3>
As an Auto Bodily Injury Claims Specialist at Lonestar, you can expect a dynamic day filled with engaging responsibilities and meaningful client interactions. Each day will involve reviewing and assessing new claims, investigating details, and communicating with policyholders to gather necessary information. You'll collaborate with medical professionals to evaluate claims and determine appropriate compensations, using your problem-solving skills to navigate complex situations.
Your schedule will be Monday to Friday, either from 8 AM to 5 PM or 8:30 AM to 5:30 PM, after training, this position is hybrid (3 days in-office/2 days work from home), allowing you ample time to focus, strategize, and innovate. You'll participate in regular team meetings to share insights, ensuring everyone stays aligned and empowered to provide exceptional customer service. Expect an energetic environment where your contributions matter, and every day brings new challenges and opportunities to excel!<h3 class="jobSectionHeader">
DOES THIS SOUND LIKE YOU?</h3>
To thrive as an Auto Bodily Injury Claims Specialist at Lonestar, you will need a blend of technical knowledge and superior interpersonal skills. With 3-5 years of experience in Auto Bodily Injury/Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus. Proficiency in legal and medical terminology will aid in conducting thorough investigations and preparing accurate claim evaluations. Strong negotiation and analytical skills are essential for effectively resolving claims and presenting them for settlement authority. You should be comfortable in an automated claims processing environment, utilizing various software tools to document policy status, coverage, liability, and damages accurately.
A knack for organization and the ability to maintain positive relationships with customers, co-workers, and third parties will be key to your success. You will also benefit from knowledge of fraud reduction practices and state-specific regulations, ensuring a compliance-driven approach to your role.
Knowledge and skills required for the position are:<ul><li>
Review &amp; determine course of action on each file assigned</li><li>
utilizing technical knowledge &amp; experience for the purpose of supporting final disposition of a loss.</li><li>
Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage</li><li>
liability status</li><li>
and damages that are applicable for each claim.</li><li>
Process Bodily Injury</li><li>
and coverage claims in accordance with established office procedures.</li><li>
Work closely with Third Parties</li><li>
plaintiff counsel and Claims Director to determine necessary injury and coverage investigation.</li><li>
Research case and statutory law in order to conduct proper claim investigation.</li><li>
Document policy status</li><li>
coverage</li><li>
liability and damages on all claims and notify re-insurer on qualifying claims.</li><li>
Prepare and present claim evaluations for the appropriate settlement authority.</li><li>
Maintain reasonable expense factors.</li><li>
Handle other duties as assigned.</li></ul>
QUALIFICATIONS REQUIRED:<ul><li>
Minimum of 3-5 years in Auto Bodily Injury/Casualty claims experience a MUST!</li><li>
Texas Licensed Adjuster - All Lines is required (Multi-State licensing is preferred)</li><li>
Non-Standard insurance experience a plus, not required</li><li>
Bi-lingual a preferred but not required!</li><li>
Knowledge of legal and medical terminology.</li><li>
Excellent negotiation, analytical, organizational, and interpersonal and communication (verbal, written, and phone) skills.</li><li>
Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships.</li><li>
Experience in an automated claims processing work environment</li><li>
Knowledge of fraud reduction practices</li><li>
General working knowledge of policies</li><li>
file procedures</li><li>
state rules and regulations.</li><li>
Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster.</li></ul><h3 class="jobSectionHeader">
MAKE YOUR MOVE</h3>
If this sounds like the right job for you, don't wait - apply today to join our team. We look forward to hearing from you!</div>

Auto Bodily Injury Claims Specialist

Simpson General Hospital

<div>Join Our Team at Simpson General Hospital!
Position: Medical Billing Specialist 
Location: Business Office Financial Services 
Schedule: MondayFriday | 8:00 AM 4:30 PM | Full-Time 
Reports to: Business Office Director
At Simpson General Hospital (SGH), we pride ourselves on delivering high-quality healthcare in a warm, hometown environment. We're currently seeking a Medical Billing Specialist to join our Financial Services team. If you're detail-oriented, experienced in healthcare billing, and passionate about supporting patient care behind the scenes, we'd love to hear from you!<h3 class="jobSectionHeader">
Position Summary:</h3>
The Medical Billing Specialist is responsible for preparing insurance claims, following up on denials, and ensuring accurate billing through patient demographic and insurance updates. This role involves regular communication with patients, families, insurance companies, and internal departments.<h3 class="jobSectionHeader">
Essential DutiesResponsibilities:</h3><ul><li>
Edit and submit UB and 1500 claim forms</li><li>
File insurance claims and follow up on billing work queues</li><li>
Correct and rebill claims as needed</li><li>
Assist with claims data for audits</li><li>
Provide excellent customer service</li><li>
Demonstrate professionalism aligned with SGH's mission and values</li><li>
Comply with HIPAA, infection control, and safety guidelines</li><li>
Perform other duties as assigned</li></ul><h3 class="jobSectionHeader">
Qualifications:</h3><ul><li>
Education: High School Diploma or GED (Required); Associate degree (Preferred)</li><li>
Experience: 
<ul><li>
35 years in a healthcare billing/business office setting (Preferred)</li><li>
Proficiency in Microsoft Word, Excel, and customer service</li></ul></li><li>
Strong communication and interpersonal skills</li><li>
Knowledge of claims submission for Medicare, Medicaid, and major insurers</li><li>
Efficient data entry and reconciliation skills</li><li>
Ability to work independently and meet deadlines under pressure</li><li>
Familiarity with healthcare laws and regulations</li></ul><h3 class="jobSectionHeader">
Physical Requirements:</h3><ul><li>
Clear speech and hearing for effective communication</li><li>
Visual acuity for close and distant tasks</li><li>
Occasionally lift up to 25 lbs.</li></ul><h3 class="jobSectionHeader">
Benefits Include:</h3><ul><li>
Health Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Company-paid Life and AD&amp;D Insurance</li><li>
Supplemental Insurance Options</li><li>
403(b) Retirement Plan</li><li>
Paid Time Off (PTO)</li><li>
Sick Time Off (STO)</li><li>
Discounted In-House Services at SGH ClinicsHospital</li></ul><h3 class="jobSectionHeader">
Ready to Apply?</h3>
Be part of a team that values accuracy, compassion, and community care. Apply today and help us continue providing exceptional service to our patients and families!</div>

Billing Specialist

Curri

<div>
 
 The role:
 
 
 
 Curri is seeking candidates for a Claims Specialist to join our Legal and Compliance Department. This role reports to the Manager, Operational Risk &amp; Insurance and is fully remote or can be based at Curri HQ in Ventura, CA.
 
 
 The Claims Specialist plays a key role in administering transportation-related claims from initial notice through resolution. This position is responsible for investigating incidents submitted by both internal and external stakeholders while ensuring timely, accurate, and fair outcomes. The role requires regular interaction with peers, customers, carrier owners, drivers, and third parties to gather information and communicate claim status. A strong focus is placed on mitigating claim expenses through proactive investigation while adhering to company policies and expectations. Key metrics that will form the basis for evaluating performance in this role will be based on customer experience and satisfaction and the financial value of claims that are mitigated or recovered. The Claims Specialist also supports continuous improvement efforts by identifying trends and opportunities to reduce future losses.
 
 
 
 What you will do:
 
 
 
 <ul>
 <li>
 Receive, review, and investigate all incidents reported to the department including cargo damage or loss, third party property damage or loss, driver vehicle damage, paint spills, or driver injury.
 </li>
 <li>
 Gather necessary statements, documentation, and evidence from customers, drivers, and third parties to determine next steps and the appropriate outcome for all parties involved.
 </li>
 <li>
 Evaluate coverage, determine liability, and recommend appropriate claim resolutions.
 </li>
 <li>
 Communicate clearly and professionally with customers and internal stakeholders regarding claim status and outcomes.
 </li>
 <li>
 Control claim costs by verifying documentation, identifying opportunities to recover claim expenses, and submitting claims to insurance carriers whenever possible.
 </li>
 <li>
 Maintain up-to-date and organized claim files in accordance with established processes to ensure accurate reporting.
 </li>
 <li>
 Assist department with enrollment and maintenance of Curri&rsquo;s Loss Waiver Program designed to offset claim related losses.
 </li>
 <li>
 Support department projects and initiatives as needed.
 
 
 </li>
 </ul>
 
 What you need to have:
 
 
 
 <ul>
 <li>
 Strong organizational skills with the ability to manage multiple claims simultaneously while meeting deadlines
 </li>
 <li>
 High attention to detail and sound judgment when reviewing facts, documentation, and claim details
 </li>
 <li>
 Excellent customer service skills, including the ability to professionally de-escalate hostile or high-stress situations with customers and drivers
 </li>
 <li>
 Comfort communicating frequently with customers during sensitive or complex claim scenarios
 </li>
 <li>
 Ability to work cross-functionally and understand how claims impact broader transportation and operations teams
 </li>
 <li>
 Working knowledge of the transportation industry, including cargo handling and logistics processes (strongly preferred)
 
 
 </li>
 </ul>
 
 Who are we?
 
 
 
 We are Curri, and our mission is to be the way the world delivers construction and industrial supplies. Curri provides on-demand, last-mile logistics for construction and adjacent industries with our nationwide fleet of cars, trucks, and flatbeds.
 
 
 Founded in 2018 and part of the YC S19 Batch, we&rsquo;re solving the massive inefficiencies that exist in the construction industry. Our team works remotely across the U.S., with headquarters in Ventura, CA. Learn more at curri.com.
 
 
</div>

Claims Specialist

Planes

<div>
 
 Claims Specialist &ndash; Household Goods
 
 
 
 
 Location:
 
 Cincinnati, OH (On-site only)
 
 
 
 Company:
 
 Planes Moving &amp; Storage
 
 
 
 Pay:
 
 $43,000&ndash;$52,000 a year (based on experience)
 
 
 Full-time, Monday&ndash;Friday, first shift
 
 
 
 About Us
 
 
 
 Planes Moving &amp; Storage is a global company with local values. What began with a single truck in Cincinnati in 1921 has grown into a third-generation, family-owned business dedicated to helping people and organizations move forward with confidence. Whether it's a local residential move or a complex supply chain project, our goal is to guide our customers to their next big milestone.
 
 
 
 Position Summary
 
 
 
 We are seeking an experienced
 
 Claims Specialist
 
 with
 
 household goods, moving, or relocation industry experience
 
 . This role manages household goods claims from start to finish, ensuring timely, accurate, and customer-focused resolutions. This position is
 
 100% on-site
 
 at our Cincinnati, OH office.
 
 
 
 Key Responsibilities
 
 
 
 
 Claims Handling
 
 
 
 <ul>
 <li>
 Manage household goods claims involving damage, loss, delay, and valuation disputes.
 </li>
 <li>
 Investigate claims by reviewing inventories, delivery documentation, photos, driver reports, and customer statements.
 </li>
 <li>
 Coordinate with repair firms, inspectors, and internal operations to assess damages and determine settlements.
 </li>
 <li>
 Negotiate settlements in accordance with regulations, valuation coverage, and carrier liability guidelines.
 </li>
 <li>
 Ensure full compliance with DOT/FMCSA timelines and documentation standards.
 
 
 
 </li>
 </ul>
 
 Customer Communication
 
 
 
 <ul>
 <li>
 Communicate professionally with customers to explain findings, set expectations, and resolve disputes.
 </li>
 <li>
 Request missing documentation and provide timely claim updates.
 </li>
 <li>
 Handle sensitive or complex customer issues with professionalism and discretion.
 
 
 
 </li>
 </ul>
 
 Administrative &amp; Operational Support
 
 
 
 <ul>
 <li>
 Maintain accurate claim files and perform detailed data entry.
 </li>
 <li>
 Coordinate with drivers, warehouse teams, and third-party vendors as needed.
 </li>
 <li>
 Support claims adjusters by gathering required documents and records.
 </li>
 <li>
 Assist with cross-training across Risk, Support, and Non-HHGDs departments.
 </li>
 <li>
 Identify and implement process improvements to increase efficiency.
 
 
 
 </li>
 </ul>
 
 Other Responsibilities
 
 
 
 <ul>
 <li>
 Understand and apply repair procedures and valuation coverage rules.
 </li>
 <li>
 Remain calm and solution-focused in high-stress situations.
 </li>
 <li>
 Collaborate with cross-functional teams to proactively plan for potential issues.
 </li>
 <li>
 Uphold company core values of TEAM: Trust, Empowerment, Accountability, Mesh.
 
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Household goods, moving, or relocation industry experience is required.
 </li>
 <li>
 High school diploma or GED required.
 </li>
 <li>
 Minimum 2 years of customer service or related experience.
 </li>
 <li>
 Strong organizational skills and attention to detail.
 </li>
 <li>
 Excellent written and verbal communication skills.
 </li>
 <li>
 Ability to work independently with minimal supervision.
 </li>
 <li>
 Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint).
 </li>
 <li>
 Customer service&ndash;driven with the ability to manage needs efficiently.
 
 
 
 </li>
 </ul>
 
 Pay &amp; Benefits
 
 
 
 <ul>
 <li>
 Pay: $43,000&ndash;$52,000 a year (based on experience)
 </li>
 <li>
 Health, dental, and vision insurance, HSA company match
 </li>
 <li>
 Life and disability insurance
 </li>
 <li>
 Accident and critical illness coverage
 </li>
 <li>
 401(k) retirement plan, company match
 </li>
 <li>
 Paid time off and paid holidays
 
 
 
 </li>
 </ul>
 
 Our Culture
 
 
 
 At Planes, everything starts with culture. Our TEAM values guide how we communicate, collaborate, and serve our customers. We believe our culture is what sets us apart&mdash;and what helps us grow together.
 
 
 
 Planes is an equal opportunity employer.
 
</div>

Planes Moving and Storage

Claims Specialist &ndash; Household Goods Location: Cincinnati, OH (On-site only) Company: Planes Moving &amp; Storage Pay: $43,000&ndash;$52,000 a year (based on experience) Full-time, Monday&ndash;Friday, first shift About Us Planes Moving &amp; Storage is a global company with local values. What began with a single truck in Cincinnati in 1921 has grown into a third-generation, family-owned business dedicated to helping people and organizations move forward with confidence. Whether it's a local residential move or a complex supply chain project, our goal is to guide our customers to their next big milestone. Position Summary We are seeking an experienced Claims Specialist with household goods, moving, or relocation industry experience. This role manages household goods claims from start to finish, ensuring timely, accurate, and customer-focused resolutions. This position is 100% on-site at our Cincinnati, OH office. Key Responsibilities Claims Handling Manage household goods claims involving damage, loss, delay, and valuation disputes. Investigate claims by reviewing inventories, delivery documentation, photos, driver reports, and customer statements. Coordinate with repair firms, inspectors, and internal operations to assess damages and determine settlements. Negotiate settlements in accordance with regulations, valuation coverage, and carrier liability guidelines. Ensure full compliance with DOT/FMCSA timelines and documentation standards. Customer Communication Communicate professionally with customers to explain findings, set expectations, and resolve disputes. Request missing documentation and provide timely claim updates. Handle sensitive or complex customer issues with professionalism and discretion. Administrative &amp; Operational Support Maintain accurate claim files and perform detailed data entry. Coordinate with drivers, warehouse teams, and third-party vendors as needed. Support claims adjusters by gathering required documents and records. Assist with cross-training across Risk, Support, and Non-HHGDs departments. Identify and implement process improvements to increase efficiency. Other Responsibilities Understand and apply repair procedures and valuation coverage rules. Remain calm and solution-focused in high-stress situations. Collaborate with cross-functional teams to proactively plan for potential issues. Uphold company core values of TEAM: Trust, Empowerment, Accountability, Mesh. Qualifications Household goods, moving, or relocation industry experience is required. High school diploma or GED required. Minimum 2 years of customer service or related experience. Strong organizational skills and attention to detail. Excellent written and verbal communication skills. Ability to work independently with minimal supervision. Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint). Customer service&ndash;driven with the ability to manage needs efficiently. Pay &amp; Benefits Pay: $43,000&ndash;$52,000 a year (based on experience) Health, dental, and vision insurance, HSA company match Life and disability insurance Accident and critical illness coverage 401(k) retirement plan, company match Paid time off and paid holidays Our Culture At Planes, everything starts with culture. Our TEAM values guide how we communicate, collaborate, and serve our customers. We believe our culture is what sets us apart&mdash;and what helps us grow together. Planes is an equal opportunity employer.

Oak Harbor Freight Lines

Auto & Property Claims Specialist I
 
Oak Harbor Freight Lines is an established, successful regional trucking company operating in Washington, Oregon, Idaho, Nevada, Utah, Arizona, and California. As a premier carrier offering superior service, we are always interested in exceptional people with excellent skills who strive to achieve their best. We are searching for an energetic and upbeat individual to join our team as an Auto & Property Claims Specialist I.
 
The Auto & Property Claims Specialist I will be responsible for overseeing and managing driver and accident claims from initial report through resolution. This position involves a dynamic combination of managing driver incidents, accident claims, and identifying subrogation opportunities. A successful candidate will thrive in an environment that requires multitasking, investigation, information gathering, and detailed record keeping—often moving multiple claims forward simultaneously.
 
Duties include reviewing police reports, gathering photos and documentation, and preparing key
 materials for the review board’s determination. This position will work closely with the shop
 managers, operations leaders, and the Human Resources and Safety departments.
 
Essential Duties and Responsibilities: 
<ul>
<li>Manage and process accident claims from start to finish</li>
<li>Collect and process internal accident reports, including ensuring the preventable/non-preventable ruling is made timely and sent to the Terminal Manager for handling.</li>
<li>Coordinate with multiple departments to gather required documents</li>
<li>Document conversations and e-mail correspondence</li>
<li>Follow up on opening activities</li>
<li>Check claims for validity and accuracy</li>
<li>Identify and pursue subrogation opportunities, including gathering supporting documentation and coordinating recovery efforts</li>
<li>Perform other duties as assigned.</li>
</ul>
Skills, Experience, and Educational Requirements
 <ul>
<li>High School diploma/GED equivalent or higher</li>
<li>Claims or insurance experience preferred, but not required</li>
<li>Effective analytical skills to gather information, analyze facts, and make recommendations based on information collected.</li>
<li>Strong oral and written communication skills, with the ability to convey information clearly and concisely</li>
<li>Excellent time management and organizational skills</li>
<li>Strong PC skills, including Microsoft Office</li>
<li>Multi-task ability as well as detail-oriented</li>
<li>Customer service-focused</li>
<li>Ability to work independently with minimal supervision as well as collaboratively in a team environment</li>
<li>Basic English language proficiency (reading, writing, and verbal) is required.</li>
</ul>
Benefits
 <ul>
<li>Medical, dental, vision – You choose which plan suits you and our family.</li>
<li>Employee only pays 0% up to 2% of gross income.</li>
<li>Family pays 0% up to 4% of gross income.</li>
<li>401K – 100% match up to 5% of employee's contribution.</li>
<li>Accrue 80 hours of PTO within the first 11 months and 120 in your second year.</li>
<li>Holiday pay after your 90 days.</li>
<li>Company Paid Life Insurance.</li>
</ul>
http://www.oakharborbenefits.com/full-time-regular-employees.html
 Oak Harbor Freight Lines is an Equal Opportunity Employer

Auto & Property Claims Specialist

National Truck Protection

<div>Position Summary:
The Concierge Claims Specialist is responsible for managing the end‑to‑end claims experience for strategic, high‑profile business partners and fleet customers. This role functions as a relationship manager and trusted advisor, delivering a white‑glove, account‑management approach to claims handling for medium‑ and heavy‑duty commercial vehicle service contracts. Serving as the primary liaison between elite partners, fleet customers, executive stakeholders, repair vendors, and internal leadership, the Concierge Claims Specialist exercises independent judgment to adjudicate diesel and engine‑related failures, proactively manage claim outcomes, and align claims strategies with partner expectations and organizational goals. 
Key Responsibilities
Strategic Account &amp; Relationship Management:<ul><li>
Serve as the primary account manager and point of contact for assigned strategic partners, fleet customers, and elite business accounts.</li><li>
Build and maintain strong working relationships with partner representatives, fleet managers, and senior customer contacts to ensure confidence in the claims process.</li><li>
Deliver a high‑touch, concierge‑level service experience, tailored to partner‑specific service standards and operational needs.</li><li>
Represent the organization professionally in escalated or sensitive claim situations, reinforcing trust, transparency, and brand values.</li></ul>
Claims Evaluation &amp; Decision‑Making:<ul><li>
Independently manage the full lifecycle of complex and high‑visibility claims, from first notice through resolution and payment.</li><li>
Analyze and adjudicate diesel, gas engine, and component failures in accordance with vehicle service contract terms, coverage interpretations, and authority guidelines.</li><li>
Evaluate diagnostic findings, ECM data, repair estimates, maintenance histories, and supporting documentation to determine coverage applicability and repair scope.</li><li>
Exercise discretion and judgment to approve, modify, or deny claims and related expenses within delegated authority.</li></ul>
Negotiation &amp; Cross‑Functional Coordination:<ul><li>
Collaborate with repair facilities, vendors, parts suppliers, and internal teams to validate failures, negotiate repair terms, and expedite resolutions to minimize fleet downtime.</li><li>
Lead negotiations related to repair scope, labor times, and parts pricing, balancing cost control with partner satisfaction.</li><li>
Coordinate internally with leadership, technical teams, and management to resolve non‑standard, high‑impact, or escalated claims.</li></ul>
Strategic Insight &amp; Continuous Improvement:<ul><li>
Monitor and analyze claim trends, recurring issues, and cost drivers across assigned accounts or fleets.</li><li>
Provide actionable insights and recommendations to leadership regarding service improvements, claim strategies, and product or process enhancements.</li><li>
Participate in partner‑specific calibration calls, training sessions, and joint initiatives to ensure alignment with performance expectations and service metrics.</li><li>
Maintain comprehensive and accurate documentation of all claim activity and partner interactions.</li><li>
Provide professional updates, reporting, and recommendations to upper management to support informed decision‑making.</li><li>
Ensure all claims handling activities comply with company policies, contractual obligations, regulatory requirements, and industry best practices.</li></ul> 
Qualifications<ul><li>
3+ years of experience in claims handling, account management, warranty administration, vehicle service contract adjudication, insurance, fleet manager or a related customer‑facing professional role.</li><li>
Demonstrated experience managing high‑profile customers, strategic accounts, or fleet relationships.</li><li>
Hands‑on experience with diesel engine claims or medium/heavy‑duty commercial vehicle environments strongly preferred.</li><li>
Proven ability to exercise independent judgment in resolving non‑routine, complex, or escalated issues.</li><li>
Strong negotiation, communication, and relationship‑management skills, with the ability to influence outcomes at multiple organizational levels.</li><li>
Ability to manage competing priorities while maintaining a high standard of service in a fast‑paced environment.</li><li>
Proficiency with claims management systems and Microsoft Office Suite.</li><li>
Associate&rsquo;s degree or higher, or completion of a technical or trade program, preferred.</li></ul></div>

Concierge Claims Specialist

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Auto Bodily Injury Claims Specialist

Billing Specialist

Claims Specialist

Claims Specialist

Claims Specialist

Auto & Property Claims Specialist

Concierge Claims Specialist