health insurance adjuster

Takagi & Associates, Inc. Professional Insurance Consultants

Takagi &amp; Associates Inc. is currently seeking a professional, skilled and dedicated Licensed Insurance Adjuster to join the team.About Us:We are a leading insurance company committed to providing exceptional service and support to our valued policyholders. With a strong focus on customer satisfaction, we pride ourselves on offering comprehensive insurance solutions and swift claims handling. As an integral part of our team, you will have the opportunity to make a meaningful impact on our clients' lives and contribute to our continued success.Responsibilities:As a Licensed Insurance Adjuster, you will play a vital role in assessing and evaluating insurance claims, ensuring fair and accurate settlements. Your primary responsibilities will include:Conducting thorough investigations of insurance claims by gathering relevant information, inspecting damaged properties, vehicles, reviewing medical files and interviewing involved parties.Analyzing policy coverage and determining the extent of liability and applicable compensation.Documenting all findings, including photographs, videos, and written reports, to support claim evaluations.Collaborating with experts such as engineers, medical professionals, and legal advisors to assist in claim evaluations.Negotiating settlements with claimants, attorneys, and other stakeholders, adhering to industry guidelines and company policies.Providing exceptional customer service and addressing inquiries from policyholders, ensuring their concerns are resolved promptly and professionally.Staying up-to-date with industry trends, regulations, and changes in insurance policies to effectively handle claims.Requirements:To excel in this role, you should meet the following requirements:Possess a valid Guam Insurance AdjustersProven experience as a Licensed Insurance Adjuster for at least 7 years+, demonstrating expertise in claim assessment, investigation, and negotiation.Experience in multi-lines Adjusting such as Auto, Workers Compensation, Bodily Injury, Liability, personal and commercial property ect...Strong knowledge of insurance policies, coverage, and regulations, including an understanding of property and casualty claims.Excellent communication and interpersonal skills to effectively interact with policyholders, legal professionals, and other stakeholders.Detail-oriented approach with exceptional analytical and problem-solving abilities.Ability to work independently and make sound decisions in a fast-paced environment.Strong commitment to compliance, on-going training and growthProficiency in using relevant software and tools for claim processing and documentation.How to Apply:Please submit your resume, along with a cover letter highlighting your relevant experience and accomplishments, to humanresources@taaguam.com. We will review applications on a rolling basis and contact qualified candidates for further assessment.We value diversity and are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, disability, or age.Join our team of dedicated professionals and embark on a fulfilling career as a Licensed Insurance Adjuster.Job Type: PermanentBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Health insurance</li><li>Paid time off</li><li>Relocation assistance</li><li>Vision insurance</li></ul>Work Location: In person

Licensed Insurance Claims Adjuster

GUARANTEE TRUST LIFE INS

<div><div><div>Guarantee Trust Life Insurance Company (GTL) is currently seeking a Medical Claims Adjuster II to join our team!</div></div>
<div><div>Since 1936, GTL has offered cutting-edge insurance solutions and personalized service for our policyholders and distributors, while supporting personal growth and civic involvement from our employees. We&rsquo;re seeking candidates who are looking for meaningful work, who want to invest in their growth, and contribute to a company built on timeless virtues and best business practices.</div></div>
<div><div>This position is required to work on-site in our Chicagoland (Glenview, IL) office most days. Everyone receives 3 flexible remote days per month and 6 additional Friday PTO days each year! And, we offer half-day Fridays &ndash; every Friday!</div></div>
<div><div>Summary of Responsibilities:</div></div><div><div>
The primary responsibilities are to adjudicate claims based on variable contract provisions and benefits according to state guidelines. The person in this position must understand policy contract language, insurance applications, medical terminology, and medical aspects.</div></div>
What you should bring to the table:<ul><li>
2-3 years of medical health claim adjusting experience, preferably hospital indemnity claims</li><li>
Experience reading and referencing policy language for benefit administration</li><li>
Experience in preexisting or investigations a plus</li><li>
Basic knowledge of Microsoft Office Word and Excel</li><li>
Strong data entry skills</li><li>
Excellent verbal and written communication</li><li>
Ability to analyze risk</li><li>
Must have good judgment and strong prioritizing and organizational skills</li><li>
Pay range for this role is $24-29 per hour, commensurate with experience</li></ul>
The pay range provided is not a guarantee of compensation. The range reflects potential pay for the job grade for this role at the time of this posting. Compensation will depend on several factors such as specific competencies, relevant education and experience, qualifications, and industry certifications. Compensation ranges are subject to change and may be higher or lower than the range described above.
Provided eligibility requirements are met employees will be eligible for the following benefits:<ul><li>
Medical</li><li>
Health Savings Account (including employer contribution)</li><li>
Dental</li><li>
Vision</li><li>
Basic Life Insurance (full premium paid by employer)</li><li>
Voluntary Employee, Spouse and Child Life Insurance</li><li>
Short-Term and Long-Term Disability</li><li>
Paid Holidays</li><li>
Paid time off including vacation, personal days, and sick time<ul><li>
The amount of time off varies based on tenure and hours worked</li></ul></li><li>
401(k) and Profit-Sharing retirement plan<ul><li>
The company matches contributions up to 2% provided the employee contributes a minimum of 3%</li><li>
The company may make a discretionary contribution to the Profit-Sharing plan</li></ul></li></ul>
We invite you to learn more about Guarantee Trust Life by visiting our website: www.gtlic.com
Stay connected with GTL News Via:
Facebook | Twitter | LinkedIn:
https://twitter.com/GTLNews
http://www.linkedin.com/company/guaranteetrustlifeinsurance
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EOE m/f/d/v</div>

Medical Claims Adjuster II

Brown & Brown Insurance

<div>Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.<div>
Brown &amp; Brown is Seeking a Front End Adjuster to join our growing team in Dallas, TX.</div><div><div><div><div><div>
The Front End Adjuster is responsible for evaluating and processing insurance claims related to property damage and personal injury. This role involves conducting thorough investigations, assessing damages, and determining liability based on policy coverage. The adjuster will collaborate with policyholders, service providers, and legal teams to ensure timely and accurate claim resolution.
How You Will Contribute:<ul><li>
Handles claims from initial contact through to conclusion.</li><li>
Thoroughly investigates claims and verifies eligibility</li><li>
Responsible for maintaining positive customer relationships seeking to enhance organizational skills.</li><li>
Manages a high call volume with exception communication and customer service skills</li><li>
Successfully works independently and in a team atmosphere.</li><li>
Skillfully adapts and uses critical thinking and problem-solving issues.</li></ul>
Skills &amp; Experience to Be Successful:<ul><li>
Great customer service skills</li><li>
Excellent written and verbal communication skills</li><li>
Proficient with Microsoft Office Suite and industry standard web applications</li><li>
Ability to maintain a high level of confidentiality</li><li>
Bilingual is a plus, not required</li><li>
Service Advisor, Warranty, or Service Drive experience a plus</li><li>
Basic mechanical knowledge of automotive systems.</li></ul></div></div></div></div></div>
Teammate Benefits &amp; Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:<ul><li>
Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
</li><li>Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement</li><li>
Mental Health &amp; Wellness: Free Mental Health &amp; Enhanced Advocacy Services</li><li>
Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.</li></ul>
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion &amp; Belonging (DIB) motto, &ldquo;The Power to Be Yourself&rdquo;.</div>

Front End Adjuster

WCF Insurance

<div>WCF Insurance, an &quot;A&quot; rated insurance carrier, continues to grow and is seeking a motivated professional to join our outstanding Claims team. At WCF, we take pride in our strong culture, comprehensive benefits, and collaborative environment.
Our team is committed to delivering exceptional customer service to our policyholders and agents. We support our adjusters with caseloads well below industry standards, allowing the time and focus needed to manage claims effectively. In addition, our proprietary claims system-designed by claims professionals-prioritizes efficiency, usability, and strong claim outcomes. 
Position Overview
The Claims Department has an immediate opening for a Worker's Compensation Disability Adjuster to manage claims in Utah and Nevada. This is a full time, exempt position that offers the opportunity for hybrid work (3 days per week in office, based on location.)
This role may be filled at the Disability Adjuster or Senior Adjuster level, based on experience and qualifications.
Candidates must reside within 50 miles of one of the following offices:<ul><li>
Sandy, Utah</li><li>
St. George, Utah</li><li>
Las Vegas, Nevada</li></ul>
All new hires are required to attend onboarding at our home office in Sandy, Utah for their first week of employment with WCF Insurance. Training will then continue in person at the designated office location. 
Key Responsibilities<ul><li>
The Worker's Compensation Disability Adjuster is responsible for managing claims from initial report through resolution, including:</li><li>
Investigating claims, documenting findings, and determining coverage and liability</li><li>
Managing industrial accident and occupational disease claims</li><li>
Reviewing and interpreting medical records and supporting documentation</li><li>
Coordinating the legal, medical, and disability components of each claim</li><li>
Collaborating with injured workers, policyholders and agents, medical providers and vendors, internal WCF departments, and Jurisdictional Divisions of Industrial Relations and other stakeholders.</li><li>
Ensuring compliance with all applicable statutory and regulatory requirements</li></ul> 
Qualifications
The ideal candidate will have:<ul><li>
Minimum of 2 years of workers' compensation disability adjusting experience</li><li>
Strong understanding of Nevada DIR rules and procedures and/or Utah statutes and regulations</li><li>
Working knowledge of medical terminology</li><li>
Excellent communication and interpersonal skills</li><li>
Strong investigative, organizational, and analytical abilities</li><li>
High attention to detail</li><li>
Multi-line claims experience (preferred)</li></ul>
Licensing Requirement: Candidates residing outside Nevada must obtain a Nevada adjuster license within 45 days of hire, as required by state law.
Internal applicants must have at least six months in their current role, maintain acceptable performance, and notify their current supervisor prior to applying. 
Benefits
WCF Insurance offers an extensive compensation package. Benefits include Medical, Dental, and Vision insurance, company paid life insurance, 401K with a generous 6% employer match and additional benefits such as an Employee Assistance Program and time off to volunteer. All employees earn 4 weeks of vacation their first year. 
Compensation<ul><li>
Disability Adjuster: $69,400 - $95,300 annually.</li><li>
Senior Adjuster: $80,000 - $109,900 annually.</li></ul>
Compensation is based on location, experience, and education. 
OUR PEOPLE
WCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive 
WCF INSURANCE IS AN EQUAL OPPORTUNITY EMPLOYER
WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.</div>

Worker's Compensation Disability Adjuster

Knight Management

<div>Personal Auto Bodily Injury (BI) Claims Adjuster

Los Angeles | Onsite/Hybrid | Claims

Onward Insurance- A Knight Insurance Company

Pay Range: $60,000- $75,000 Per Year. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable.

Onward Insurance, a Knight Insurance Company, specializes in private passenger auto coverage for standard and non-standard drivers throughout California. We are seeking a Bodily Injury Claims Adjuster to join our growing California claims operation.

This role is responsible for investigating, evaluating, negotiating, and resolving bodily injury claims. We are seeking an adjuster with BI experience or a strong PD adjuster looking to advance into bodily injury claim handling.

What You'll Do as a Personal Auto Bodily Injury (BI) Claims Adjuster:
<ul>
<li>Manage a dedicated inventory of personal auto bodily injury claims</li>
<li>Investigate liability, causation, and damages</li>
<li>Review medical records and supporting injury documentation</li>
<li>Establish and maintain appropriate reserves</li>
<li>Negotiate settlements with claimants and attorneys</li>
<li>Analyze liability and comparative negligence issues under California law</li>
<li>Draft Large Loss Reports for high exposure claims</li>
<li>Intake and summarize lawsuits Coordinate to retain defense counsel when necessary</li>
<li>Handle and monitor litigated claims</li>
<li>Attend mediations as needed</li>
<li>Identify subrogation opportunities and SIU referrals when appropriate</li>
<li>Maintain accurate claim documentation and regulatory compliance</li>
</ul>
Qualifications

What do we look for in our Personal Auto Bodily Injury (BI) Claims Adjuster?
<ul>
<li>1&ndash;3+ years of personal auto claims experience</li>
<li>Bodily Injury claims experience preferred</li>
<li>Property Damage adjusters seeking advancement into BI are encouraged to apply</li>
<li>California claims handling experience preferred</li>
<li>Strong investigation, negotiation, and documentation skills</li>
<li>Ability to manage claim inventory independently</li>
<li>Experience with Microsoft Office and claims management systems</li>
<li>Bilingual Spanish is a plus</li>
</ul>
Work Arrangement

This is a primarily in-office position located in Los Angeles. Following successful completion of training and demonstrated performance, employees may be eligible for up to one work-from-home day per week, subject to business needs and manager approval. Candidates should be comfortable working onsite the majority of the workweek.

Benefits

What do we offer?
<ul><li>Medical, Dental, and Vision benefits.</li>
<li>Supplemental life insurance policies for you and your dependents</li>
<li>Long term disability insurance</li>
<li>Flexible Spending Account (FSA)</li>
<li>Employer paid life insurance</li>
<li>Retirement plans: Employer match, 401(k) and Employee Stock Ownership Plan (ESOP)</li>
<li>Metro-link Reimbursement</li>
<li>Career Path Opportunities</li>
<li>Onsite Gym with group Yoga and Pilates; classes</li>
<li>UKG Wallet (access to your pay before payday)</li>
<li>Tickets at Work- Discounts on parks, museums, movie tickets and much more</li>
<li>AT&amp;T Wireless Discounts</li>
<li>Midway Rent a Car- Rental car Discounts</li>
<li>Dell Member Purchase Program</li>
</ul>
This is a full-cycle bodily injury claims handling position with ownership of files from investigation through resolution.<h4 class="jobSectionHeader"> 
Experience</h4>
Required<ul><li>
1 - 3 years: 1&ndash;3+ years of personal auto claims experience</li></ul>
Preferred<ul><li>
Bodily Injury claims experience preferred</li></ul>
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Personal Auto Bodily Injury (BI) Claims Adjuster

Mountain Star Roofing

Roofing Licensed AdjusterMountain Star Roofing Systems &ndash; El Paso, TXIn-Person | Full-TimeCompensation:<ul><li>Base Salary: Starting at $30,000/year</li><li>Starting pay may increase based on experience</li><li>Additional performance-based incentives may be available</li></ul>About the Role:Mountain Star Roofing Systems is looking for a knowledgeable and detail-oriented Licensed Adjuster to support our team with insurance-based roofing projects. This role focuses on working with homeowners and insurance companies to ensure roofing claims are properly assessed, documented, and approved.The ideal candidate understands the insurance claims process and can confidently advocate for accurate scope and fair coverage.Responsibilities:<ul><li>Inspect roofs for storm-related damage (hail, wind, etc.)</li><li>Assist homeowners with filing and navigating insurance claims</li><li>Meet with insurance adjusters on-site</li><li>Review and interpret insurance scopes and estimates</li><li>Supplement claims when necessary to ensure proper coverage</li><li>Communicate clearly with homeowners throughout the process</li><li>Work closely with the sales and production teams</li></ul>Qualifications:<ul><li>Valid Adjuster License (required)</li><li>Experience with roofing or property claims preferred</li><li>Strong understanding of insurance claims and Xactimate (preferred)</li><li>Excellent communication and negotiation skills</li><li>Detail-oriented and organized</li><li>Ability to represent the company professionally on-site</li></ul>What We&rsquo;re Looking For:<ul><li>Someone confident working with insurance companies</li><li>Strong advocate for homeowners and proper claim approval</li><li>Knowledgeable in storm damage and roofing systems</li><li>Professional, reliable, and solution-oriented</li></ul>Why Join Mountain Star Roofing Systems:<ul><li>Opportunity to grow with a fast-growing company</li><li>Hands-on experience in roofing and insurance claims</li><li>Supportive team environment</li><li>High-demand industry with consistent opportunity</li></ul>If you have experience in insurance claims and want to be part of a growing roofing company, we&rsquo;d love to hear from you.Pay: From $30,000.00 per yearWork Location: In person

Roofing Licensed Adjuster

Claims Service Bureau of New York Inc.

Experienced Casualty Claims Adjuster &ndash; Long Island, NYWell-established Third-Party Administrator (TPA) with over 60 years of continuous operation is seeking a skilled and motivated Casualty Claims Adjuster to join our team.Position Overview:The ideal candidate will have a minimum of 3-5 years of experience handling casualty claims, with the ability to independently manage a full caseload from inception through resolution. This role requires strong analytical, negotiation, and communication skills, as well as a thorough understanding of claims handling practices.This position is in-office initially, with the opportunity to transition to a hybrid schedule following successful training and onboarding.Key Responsibilities:<ul><li>Investigate, evaluate, and manage casualty claims (including liability and bodily injury)</li><li>Determine liability exposure</li><li>Negotiate settlements within authority limits</li><li>Coordinate / communicate with attorneys and insureds</li><li>Maintain accurate and timely claim documentation</li></ul>Qualifications:<ul><li>Minimum 3-5 years of casualty claims adjusting experience</li><li>Strong knowledge of claims handling procedures and litigation management</li><li>Excellent written and verbal communication skills</li><li>Ability to work independently and manage a high-volume caseload</li></ul>What We Offer:<ul><li>Competitive salary commensurate with experience</li><li>Performance-based bonuses</li><li>401(k) plan</li><li>Health Insurance</li><li>Paid time off and holidays</li><li>Stable, long-standing company with a strong industry reputation</li><li>Collaborative and professional work environment</li><li>Opportunity for hybrid work schedule following training</li></ul>Who We Are:We are a family-owned Third-Party Administrator with over 60 years of experience delivering high-quality claims management services. Our longevity reflects our commitment to exceptional client service, industry expertise, and strong employee relationships. We provide a supportive, team-oriented environment where employees are empowered to make decisions, contribute ideas, and play a meaningful role in the success of our clients and company. We offer the stability of a well-established organization combined with the flexibility and personal touch of a family-owned business.Pay: $55,000.00 - $85,000.00 per yearBenefits:<ul><li>401(k)</li><li>Health insurance</li><li>Paid time off</li></ul>Work Location: In person

General Liability Claims Adjuster

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