health insurance adjuster

National Fire Adjustment Co., Inc.

Company DescriptionNFA National Fire Adjustment Co., Inc., established in 1922, is North America's largest licensed public adjusting firm, headquartered in Buffalo, NY. As a 4th generation company, NFA specializes in advocating for policyholders during insurance claims to help maximize their settlement outcomes. Licensed in over 40 states, NFA operates a &quot;Catastrophe and Large Loss Unit&quot; capable of assisting clients in disaster-affected locations across the US. With a team of over 30 experienced adjusters alongside accountants, appraisers, and estimators, NFA handles claims ranging from residential cases to multi-million dollar commercial losses.Role DescriptionThis is a full-time on-site role for a Public Adjuster based in Jamestown, NY. The Public Adjuster will advocate for policyholders, evaluate property damages, assess insurance claims, and negotiate settlements. They will be responsible for managing claims processes from start to finish, ensuring clients maximize the benefits of their insurance policies. Collaboration with internal teams, such as appraisers and estimators, as well as maintaining strong client relationships, is a key aspect of the role.Qualifications<ul><li>Proficiency in Property Damage assessment and Property Claims handling</li><li>Strong expertise in Insurance Claims and Adjustments</li><li>Solid knowledge of insurance policies and coverage types</li><li>Excellent negotiation and interpersonal communication skills</li><li>Ability to manage multiple claims while maintaining attention to detail</li></ul>Additional Benefits<ul><li>Monthly car allowance</li><li>Gas card</li></ul>Job Type: Full-timePay: $75,000.00 - $85,000.00 per yearBenefits:<ul><li>401(k)</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li></ul>Work Location: In person

Public Insurance Adjuster

Somoza Law Firm

Overview: We are seeking an experienced Insurance Adjuster to join our team in a training-focused role. This position is ideal for a seasoned adjuster who not only excels in claims evaluation and negotiation, but also has the ability to mentor and develop less experienced team members.Key Responsibilities:<ul><li>Evaluate insurance claims, including liability, damages, and coverage</li><li>Review medical records, bills, and supporting documentation</li><li>Negotiate settlements with carriers and opposing parties</li><li>Identify claim value and risk exposure with precision</li><li>Train and mentor junior team members on claims handling and negotiation strategies</li><li>Assist in developing internal processes and best practices</li><li>Collaborate with legal and case management teams to maximize outcomes</li></ul>Qualifications:<ul><li>3+ years of experience as an insurance adjuster (personal injury required)</li><li>Strong understanding of liability, medical damages, and claims valuation</li><li>Proven negotiation skills with a track record of favorable outcomes</li><li>Experience reviewing medical records and billing</li><li>Ability to train, guide, and develop others</li><li>Highly organized with strong attention to detail</li><li>Excellent communication skills</li></ul>Preferred:<ul><li>Experience working with plaintiff-side personal injury firms</li><li>Familiarity with Utah claims practices (or willingness to learn quickly)</li></ul>What We Offer:<ul><li>Competitive hourly compensation ($40&ndash;$60/hour DOE)</li><li>Opportunity to step into a leadership and training role</li><li>Collaborative, high-performance team environment</li><li>Flexible scheduling options</li></ul>Pay: $40.00 - $60.00 per hourWork Location: Hybrid remote in Provo, UT 84601

Experienced Insurance Adjuster (Training Role)

United Automobile Insurance Company

<div>COMPANY OVERVIEW 
 
Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for [a] Coverage and Qualification Adjuster(s) to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business. 
 
Auto PIP Claims experience required - This is a fully remote opportunity, and the ideal candidate will have an active adjuster's license, in Florida or Texas. 
 
SCOPE: 
 
As a Coverage and Qualification Adjuster, you will be responsible for reviewing and processing Personal Injury Protection claims, ensuring compliance with company policies and state regulations. This role involves assessing the validity of claims, determining coverage limits, and facilitating timely and accurate settlements. 
 
DUTIES:<ul><li>
Review and assess PIP claims to determine coverage eligibility.</li><li>
Analyze medical records, police reports, and other relevant documents to evaluate the extent of injuries and to establish proof of loss.</li><li>
Interpret insurance policies, contracts, and state regulations to determine the extent of coverage applicable to each claim.</li><li>
Communicate with claimants, medical professionals, attorneys, and other parties involved in the claim process to gather necessary information and documentation.</li><li>
Provide clear and concise explanations of coverage decisions to claimants.</li><li>
Conduct interviews with claimants to gather necessary information that supports an objective final disposition of the claims. These interviews may be conducted under oath or via phone.</li><li>
Maintain accurate and organized claim files with all pertinent information, including correspondence, medical records, and assessment reports.</li><li>
Issue payments for approved claims in accordance with company policies.</li><li>
Ensure compliance with state laws, regulations, and company policies in all claim handling activities.</li><li>
Generate and submit reports on claims activity, trends, and performance metrics.</li><li>
Identify and investigate potentially fraudulent activities related to PIP claims.</li><li>
Collaborate with the special investigation unit (SIU) when fraud is suspected.</li><li>
Provide excellent customer service by addressing inquiries, concerns, and providing timely updates to claimants.</li><li>
Prepare reports and documentation for internal purposes, regulatory compliance, and potential legal proceedings.</li></ul> 

EDUCATION:<ul><li>
Associate or bachelor&rsquo;s degree preferred and/or a minimum of 3 years of related work experience, preferably with PIP claims.</li><li>
Active Adjuster&rsquo;s license required</li></ul> 

SKILLS &amp; EXPERIENCE:<ul><li>
Bilingual (English &amp; Spanish) preferred</li><li>
Knowledge of insurance principles, policies, and procedures.</li><li>
Strong analytical, negotiation, and communication skills.</li><li>
Ability to work independently and efficiently manage a caseload.</li><li>
Proficient in Guidewire, Word, Excel, Windows-based applications and internet usage.</li><li>
Must be familiar with forms, procedures, regulations, coverages, and claims processes.</li><li>
Must be able to exercise good judgment and state opinions assertively.</li><li>
Must be able to write and speak clearly and concisely.</li><li>
Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously.
</li><li>Must illustrate analytical skills to identify, gather, and organize information.
</li><li>Must be able to work independently in a team environment.</li></ul> 

BENEFITS:<ul><li>
401(k) Retirement Savings Plan with employer match.</li><li>
Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance</li><li>
Paid Time Off, Holidays, and Leave programs.</li><li>
Flexible spending accounts</li><li>
Basic Life Insurance and Voluntary Life/ADD</li><li>
Short Term and Long-Term Disability</li></ul>
UAIC participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. For more information about E-Verify, please visit https://www.e-verify.gov/. 
 
UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. PIP Coverage and Qualification Adjuster
NmTQGfLFHj</div>

PIP Coverage and Qualification Adjuster

Crawford & Company

<div>Under general supervision, evaluates and settles casualty claims of modest to complex exposure (including fatalities) by investigating losses, interpreting coverage, negotiating settlements and reporting obtained information in a timely and efficient manner, while maintaining adequate production levels.<ul>
<li>Examines claims forms, policies and endorsements, client instructions and other records to determine coverages.</li>
<li>Investigates claims by interviewing insureds, claimants and witnesses, obtaining official reports, and by comparing claim information with evidence.</li>
<li>Sets loss reserves.</li>
<li>Prepares reports by collecting and summarizing information required by client, local, state and federal government and by Crawford.</li>
<li>Settles claims by determining client's coverages, liability, client's instructions and authority levels required by obtaining demands and making offers to claimants, issuing settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.</li>
<li>Controlling claim costs.</li>
<li>Recommends litigation when appropriate.</li>
<li>Presents evidence at legal proceedings; producing reports and other documents as evidence.</li>
<li>Maintains expected case load.</li>
<li>Maintains company reputation and integrity of insurance products by complying with federal and state regulations and service standards.</li>
<li>Maintain acceptable product quality through compliance with service standards and compliance with internal quality control initiatives.</li>
<li>Maintains professional and technical knowledge through continuing education.</li>
<li>May assist junior adjusters.</li>
<li>Participates in special projects or performs duties in other areas as requested.</li>
<li>Upholds the Crawford Code of Conduct</li>
</ul><ul><li>College degree or equivalent combination of education and experience.</li>
<li>Minimum 6 months previous experience as a Claims Adjuster</li>
<li>Strong verbal and written communication skills.</li>
<li>Good attention to detail.</li>
<li>Strong analytical and mathematical ability.</li>
<li>Ability to handle multiple tasks.</li>
<li>Strong interpersonal skills.</li>
<li>Highly organized and self-directed.</li>
<li>Flexible and able to change plans quickly.</li>
<li>Good problem solver.</li>
<li>Ability to handle a variety of situations with tact and diplomacy.</li>
<li>Depending on case load you may be required to work beyond normal business hours when necessary.</li>
<li>Must complete continuing education requirements as outlined by Crawford Educational Services.</li>
<li>Must be licensed as required by state and local jurisdictions.</li>
<li>Must pass New York and Hawaii independent adjuster licensing exams</li>
</ul>Why Crawford?
 
 
Because a claim is more than a number &mdash; it&rsquo;s a person, a child, a friend. It&rsquo;s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community &ndash; one claim at a time.
 
 
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We&rsquo;re looking for the next generation of leaders to take this journey with us.
 
 
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
 
 
When you accept a job with Crawford, you become a part of the One Crawford family.
 
 
Our total compensation plans provide each of our employees with far more than just a great salary
 
<ul><li>Pay and incentive plans that recognize performance excellence</li>
<li>Benefit programs that empower financial, physical, and mental wellness</li>
<li>Training programs that promote continuous learning and career progression while enhancing job performance</li>
<li>Sustainability programs that give back to the communities in which we live and work</li>
<li>A culture of respect, collaboration, entrepreneurial spirit and inclusion</li>
</ul>Crawford &amp; Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford &amp; Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.</div>

A&H Affinity Benefits Adjuster

AMERICAN FREEDOM INSURANCE

<div>Description:

Key Responsibilities
As a Sr. Claim Adjuster, you&rsquo;ll be a lead worker in the Claim Department, helping staff and clients navigate the claim process, including complex losses:<ul><li>
Investigate &amp; Resolve Claims: Assess and resolve all types of auto claims with moderate supervision, focusing on coverage, liability, and damages</li><li>
Judgment &amp; Decision-Making: Use sound judgment to analyze claim exposure and determine the best course of action</li><li>
Cost Control: Manage claim expenses while ensuring favorable outcomes</li><li>
Collaboration: Work closely with all parties involved in the claim process</li><li>
Process Improvement: Identify opportunities to enhance efficiency and effectiveness</li><li>
Timely Documentation: Document and communicate claims activity clearly and efficiently</li><li>
Train: Review the work of less experienced personnel and provide training as appropriate</li></ul>
Requirements:

What We&rsquo;re Looking For
We're searching for a seasoned claims professional who is customer-focused and skilled in effective, cost-conscious claims handling. Ideal candidates will have:<ul><li>
At least 3 years of experience in personal auto claim processing</li><li>
Strong problem-solving skills and attention to detail</li><li>
Proficiency with technology and excellent communication skills</li><li>
Spanish fluency is a plus</li><li>
A positive, team-oriented attitude and &quot;street smarts&quot;</li><li>
Superior skills in coverage analysis and negotiation</li><li>
Bachelor/Associate Degree a plus</li></ul>
Benefits: AFIC offers a competitive salary and a comprehensive benefits package to support you<ul><li>
Competitive Salary: Rewarding your expertise and experience</li><li>
Financial Security: 401K with up to a 6% company match</li><li>
Health &amp; Wellness: Choice of Blue Cross Blue Shield PPO, HMO, or HSA plans, Dental and vision coverage, Access to telemedicine services</li><li>
Growth/Stability: Over 12 consecutive years of profitable growth, confirmed by A+ Superior rating by A.M. Best</li><li>
Work-Life Balance: Monday-Friday, 8 am-5 pm CST</li><li>
Holidays: At Least 6 Paid Holidays</li><li>
Paid Time Off (PTO): PTO that can be used for vacation, personal, or sick time</li><li>
Personal Days: Separate personal days for sickness, family needs, appointments or personal matters</li><li>
Employee Recognition: We celebrate work milestones to show appreciation for your contributions</li><li>
Professional Growth: Paid training, state licensing reimbursement, and opportunities for advancement</li><li>
Positive Culture: Enjoy our inclusive holiday events, employee referral bonuses, virtual team meetings, and more</li></ul></div>

Senior Auto Insurance Claims Adjuster – Hybrid

Gallagher

<div>Introduction 
<div>
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it&rsquo;s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people&rsquo;s lives. It takes empathy, precision, and a strong sense of partnership&mdash;and that&rsquo;s exactly what you&rsquo;ll find here. We&rsquo;re a team of fast-paced fixers, empathetic experts, and outcomes drivers &mdash; people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you&rsquo;ll play a vital role in helping businesses and individuals move forward with confidence. Here, you&rsquo;ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you&rsquo;re here, you&rsquo;re part of something bigger. You&rsquo;re part of a team that shows up, stands together, and leads with purpose.
</div> 
Overview<div> 
Role specifics: 
<ul><li>Jurisdictions: US</li><li>Licenses: Required</li><li>Location: This role is eligible for fully remote work.</li></ul></div> 
 
How you'll make an impact 
<ul><li>
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims.</li><li>
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.</li><li>
Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process</li><li>
Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.</li><li>
Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.</li></ul>
 
About You<div> 
Potential candidates should have the following: 
<ul><li>Claims Background: Marine Motor Truck Cargo</li><li>Jurisdictional Experience: US</li><li>Active Adjusters' licenses: Required</li></ul> 
As a key member of our Claims Adjuster team, you will:</div><ul><li>
Investigate, evaluate, and resolve complex Marine motor truck cargo claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution.</li><li>
Work in partnership with our clients to deliver innovative solutions and enhance the claims management process</li><li>
Think critically, solve problems, plan, and prioritize activities to optimally serve clients.</li></ul><div></div><div> 
REQUIRED QUALIFICATIONS: 
 
<ul><li>High School Diploma.</li><li>Minimum of 5 years related claims experience.</li><li>Appropriate licensing and/or certification in all states in which claims are being handled.</li><li>Knowledge of accepted industry standards and practices.</li><li>Computer experience with related claims and business software.</li></ul></div><div> 
DESIRED: 
<ul><li>Bachelor's Degree.</li></ul></div><div></div><div> 
#LI-DR1</div><div>
#LI-Remote</div> 
 
Compensation and benefits 
We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the minimum core benefits you&rsquo;ll get, depending on your job level these benefits may improve:
<ul><li>Medical/dental/vision plans, which start from day one!</li><li>
Life and accident insurance</li><li>
401(K) and Roth options</li><li>
Tax-advantaged accounts (HSA, FSA)</li><li>
Educational expense reimbursement</li><li>
Paid parental leave</li></ul><div>
Other benefits include:</div><ul><li>
Digital mental health services (Talkspace)</li><li>
Flexible work hours (availability varies by office and job function)</li><li>
Training programs</li><li>
Gallagher Thrive program &ndash; elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing</li><li>
Charitable matching gift program</li><li>
And more...</li></ul><div>
**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.</div><div></div><div> 
We value inclusion and diversity</div>
Click Here to review our U.S. Eligibility Requirements
Inclusion and diversity (I&amp;D) is a core part of our business, and it&rsquo;s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees&rsquo; diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as &ldquo;protected characteristics&rdquo;) by applicable federal, state, or local laws.
Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.</div>

Inland Marine General Adjuster - National General Inland Marine Adjuster

Custard Insurance Adjusters

Custard Insurance Adjusters, Inc.Property and Casualty Adjuster with opportunity to move into a management positionWe are growing our company and looking for motivated team members to grow with us! We are looking for individuals who are passionate about quality work and providing superior customer service. This is a great opportunity for an unproven and inexperienced individual interested in this dynamic industry. Custard offers hands-on training for this position.Job SummaryCustard&rsquo;s adjusting team members provide a superior work product, demonstrate positive teamwork and collaborate with integrity and dedication. We are passionate about the service we provide and the environment that we create where we value our employees&rsquo; futures. Our adjusters handle field activities outside the office including inspections, estimates, evaluations, negotiations and reports on property and casualty claims.Primary Responsibilities<ul><li>Execute thorough claim investigations; property inspections, preparing diagrams and taking photographs.</li><li>Produce a timely, clear and concise adjusting report with findings and recommendation for claim settlement within deadlines.</li><li>Negotiate and conclude claims.</li><li>Respond timely to clients, policyholders, and coworkers.</li><li>Establish and maintain collaborative working relationships with all parties of the claim process.</li><li>Flexibility to work outside regular business hours.</li><li>Perform any other job-related tasks as assigned by the Manager.</li></ul>Desired Skills and Experience<ul><li>College bachelor&rsquo;s degree or equivalent preferred</li><li>Evidence of current adjuster licensure for state of residence.</li><li>Proven ability to provide exceptional customer service.</li><li>Effective time management skills. Ability to work from home and self-manage your claim assignments.</li><li>Demonstrated proficiency in Xactimate and Xactanalysis. Symbility experience a plus.</li><li>Basic Microsoft Office 365 Skills (Word, Excel, Outlook, Teams).</li><li>Business writing skills to professional communicate with clients, policyholders, and coworkers.</li><li>Reliable transportation, valid driver&rsquo;s license and a good driving record.</li><li>Must be able to pass a criminal background check and drug screen.</li><li>Strong interest to work in outdoor weather conditions, ascend and descend ladders, walking properties and other physical activities related to job description.</li></ul>Benefits: We offer health, dental, vision, life insurance, matching 401k, paid time off.Adjuster Allowances: As a field property adjuster you are eligible for mileage reimbursement, utility and cell phone stipend.As with all positions, this function will be performed by a qualified person. No form of improper discrimination will be used as a job qualification.For more information about Custard Insurance Adjusters please visit our website at www.custard.comJob Type: Full-timePay: $50,000.00 - $65,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: On the road

Field Property and Casualty Adjuster

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