home office claim specialist

Advocate Construction

<div>
 
 Are you a highly organized professional who loves solving problems, finalizing property claims, and working from home?
 
 
 
 Advocate Construction, a Top 100 Roofing Contractor spanning 6 states, is looking for an Insurance Processing Specialist to join our team! You will act as the vital bridge between our customers, our internal teams, and homeowner insurance providers. Your daily focus will be facilitating the release of funds for roofing and exterior property claims, securing final customer payments, and ensuring all documentation is flawlessly submitted. Bring your detail-oriented mindset to a growing company that values exceptional service and team collaboration!
 
 
 
 Schedule &amp; Location:
 
 
 
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 Location: 100% Remote / Work from Home
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 Hours: Monday &ndash; Friday, 8:00 AM to 5:00 PM CST (Includes a required 1-hour unpaid lunch break)
 
 
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 Visit our career page at https://advocateconstruction.com/careers/ to learn more about who we are and what we do!
 
 
 
 Key Responsibilities
 
 
 
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 Fund Recovery: Proactively contact homeowner insurance companies to secure and facilitate the release of approved job funds for property claims.
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 Claim Resolution: Act as a liaison between customers and their property insurance providers to resolve outstanding issues and successfully finalize property claims.
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 Payment Processing: Securely collect and process final payments directly from customers.
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 Cross-Functional Collaboration: Maintain clear and consistent interdepartmental communication to ensure smooth project workflows across the company.
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 Compliance: Ensure all documentation and daily actions strictly adhere to internal company policies and procedures.
 
 
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 Requirements
 
 
 
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 Detail-Oriented: Strong attention to detail and a commitment to accuracy in all documentation and data entry.
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 Time Management: Excellent organizational skills with the ability to manage priorities and work effectively in a fast-paced environment.
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 Technical Proficiency: Basic computer skills with a strong comfort level using data entry software and internal tracking systems.
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 Communication Skills: A customer service-oriented mindset backed by clear, professional communication skills (both written and verbal).
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 Discretion &amp; Confidentiality: Proven ability to handle sensitive personal, financial, and insurance information with the utmost confidentiality. (Previous experience with homeowner/property claims is a plus!)
 
 
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 Benefits
 
 
 
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 100% Remote Work Environment (Save on time and gas!)
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 10 days Paid Time Off annually
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 9 paid holidays per year
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 Comprehensive health benefits program including medical, dental, vision, short and long-term disability.
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 401(k) retirement plan with generous company match
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 Monthly communication stipend
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 Robust technology and tools to help you thrive in your role
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 Career path growth/leadership opportunities
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</div>

Insurance Processing Specialist - Homeowner Property Claims (Remote) $18 - $20/hr

Selective Insurance

<div>About Us:
<div>
At Selective, we don't just insure uniquely, we employ uniqueness. 
 
Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2024 and certification as a Great Place to Work&reg; in 2024 for the fifth consecutive year. 
 
Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.</div>
Overview:
<div>
Selective Insurance is seeking a Property Field Claim Specialist to cover the Northern New Jersey area. This is a fully remote position and includes a company vehicle. No relocation assistance is offered with this role so you must reside in the nearby area or be willing to relocate at your own expense.</div><div></div><div> 
It is the responsibility of this position to provide superior property claims service to all regions by handling Property and Inland Marine claims, generally with dollar exposures of $25,000 to $100,000. This person will investigate the claim, estimate the property damages, select and deploy experts, obtain appropriate claim documentation, and effect accurate settlement within the prescribed authority and standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.</div>
Responsibilities:
<ul><li>Handles property/inland marine claims for assigned region with availability to assist as needed in all other regions.</li><li>
Evaluates and settles property-related damages (primarily) between $25,000 and $100,000 (aggregate). This position will occasionally handle losses that exceed $100,000 in aggregate claim value.</li><li>
Handles typical Business Income losses.</li><li>
This position will join the LLU as part of the corporate catastrophe team. As catastrophe needs arise throughout our claims organization, the PCS will serve as an initial responder for catastrophe claim events within the various regions.</li><li>
Responsible for all coverage determinations, negotiations, reserving and settlement within established authority.</li><li>
Provides coverage and/or estimating assistance to regional CMS&rsquo; as may be required by management.</li><li>
Responds to all legal, regulatory or appeals situations or requests.</li><li>
Must be able to drive an automobile to travel within territory. Car travel represents approximately 75% of employee&rsquo;s time.</li></ul>
Qualifications:
<div>
Knowledge and Requirements</div><ul><li>
Must have the ability to work varying shifts.</li><li>
Have knowledge of and proficiency in standard business and claim-specific computer software programs and the ability to keyboard in an efficient and productive manner.</li><li>
Must have valid state-issued driver&rsquo;s license in good standing and be able to drive an automobile.</li></ul><div> 
Education and Experience</div><ul><li>
College degree preferred.</li><li>
Prefer 5 years claims experience.</li><li>
Thorough knowledge of Commercial and Personal Lines coverages and computer-based damage estimating.</li></ul>
Total Rewards:
<div>
Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and paid time off plans. Additional details about our total rewards package will be provided during the recruiting process. 
 
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.</div>
Pay Range: USD $83,000.00 - USD $108,000.00 /Yr. Additional Information:
<div>
Selective is an Equal Employment Opportunity employer. That means we respect and value every individual&rsquo;s unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences &ndash; and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.</div></div>

Property Field Claims Specialist - Northern, NJ (Remote)

ForFutures Financial, Planning, a financial advisory practice of Ameriprise Financial Services LLC

<div>
 
 Who We Are
 
 
 
 ServiceMac is a new sub-servicing entity backed by some of the leading practitioners of the mortgage servicing industry. ServiceMac is focused on providing superior technology, products, and services for the mortgage and real estate industries backed by highly personalized service and support. Through continuous innovation and acquisition, our offerings comprise of personalized solutions that span the mortgage continuum and enhance security, compliance, customer satisfaction, and profitability. Our inclusive, people-first culture has earned our company numerous accolades, including being named to the Fortune 100 Best Companies to Work For&reg; list for ten consecutive years. We have also earned awards as a best place to work for women, diversity and LGBTQ+ employees, and have been included on more than 50 regional best places to work lists. First American will always strive to be a great place to work, for all.
 
 
 
 What We Do
 
 
 
 ServiceMac is a new sub-servicing entity backed by some of the leading practitioners of the mortgage servicing industry. ServiceMac is focused on providing superior technology, products, and services for the mortgage and real estate industries backed by highly personalized service and support. Through continuous innovation and acquisition, our offerings comprise of personalized solutions that span the mortgage continuum and enhance security, compliance, customer satisfaction, and profitability.
 
 
 The Claims Specialist is responsible for monitoring and completing activities related to claim filing in accordance with statutory compliance, regulatory compliance, and company guidelines. This position is responsible for monitoring claims timelines and workflow processes on files in which a claim must be filed. These files should be managed in accordance with established work rules, goals &amp; objectives to improve timeline and performance. The candidate will be expected to establish/maintain a culture of team collaboration, accountability, operational excellence, and unwavering commitment to customer service and satisfaction.
 
 
 
 What You'll Do
 
 
 
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 Responsible for servicing mortgage accounts to ensure title and claim activities are processed in compliance with all state and federal laws while maintaining compliance with Investor, Insurer, Agency and company guidelines. This includes the following:
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 Monitors loans to ensure required milestone(s) are met.
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 Completes claim and title activities by interacting and instructing various parties such as attorneys, investors, insurers, and any other party involved with the claim.
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 Must ensure acceptable quality assurance metrics are met
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 Provides recommendations to management on process improvement opportunities within the department and outside where applicable to minimize risk exposure.
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 Follows departmental and business policies with strict adherence.
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 Prioritizes allocated work to ensure timely and accurate resolution to both external and internal partners.
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 Monitors vendors performance by reviewing system/database activities throughout the default process
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 Diligently follows up on outstanding requests and telephone calls from internal and external partners
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 Monitors exception reporting used as key controls for minimizing risk
 
 
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 What You'll Bring
 
 
 
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 2+ years of Default Liquidation Claim Experience Required
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 GSE and Government Claim experience
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 ICE technology: MSP and LoanSphere Claims experience
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 Knowledge of advance computer software programs to include Windows, Microsoft Word and Excel, Internet and Microsoft Outlook experience preferred
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 Requires attention to detail and ability to adhere to strict guidelines and procedures
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 Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary internal and external customer service
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 Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
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 Excellent oral communication skills, including ability to effectively coach, motivate, and lead staff
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 Medical, Dental and Vision Insurance
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 Company-paid Life Insurance, Vacation and Holiday Pay
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 401k Retirement Plan Contribution &ndash; dollar for dollar match (up to 5%) with immediate vesting
 
 
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 The above provides the general nature and level of work to be performed. They are not intended to be an exhaustive list of all associated responsibilities, skills, efforts or working conditions. ServiceMac reserves the rights to change, amend, add or delete any responsibility or requirement.
 
 
 ServiceMac is an Affirmative Action and Equal Opportunity Employer.
 
 
 ServiceMac extends equal employment opportunities to qualified applicants and employees on an equal basis regardless of an individual's age, race, color, sex, religion, national origin, disability, sexual orientation, gender identity or expression, military or veteran status, genetic disposition or any other legally protected status.
 
 
 Pay Range: $21.24 - $28.31 Hourly
 
 
 This hiring range is a reasonable estimate of the base pay range for this position at the time of posting. Pay is based on a number of factors which may include job-related knowledge, skills, experience, business requirements and geographic location.
 
 
 
 What We Offer
 
 
 
 By choice, we don&rsquo;t simply accept individuality &ndash; we embrace it, we support it, and we thrive on it! Our People First Culture celebrates diversity, equity and inclusion not simply because it&rsquo;s the right thing to do, but also because it&rsquo;s the key to our success. We are proud to foster an authentic and inclusive workplace For All. You are free and encouraged to bring your entire, unique self to work. First American is an equal opportunity employer in every sense of the term.
 
 
 Based on eligibility, First American offers a comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave and other great benefits like an employee stock purchase plan.
</div>

Default Claims Specialist (remote)

The Cincinnati Insurance Companies

<div></div><div><div>US-OH-Fairfield<div>
</div></div><div>
Description<div></div> 
Make a difference with a career in insurance
At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we&rsquo;re looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person&reg;.
If you&rsquo;re ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
This position will be based in the HQ (Cincinnati) area. This is an exempt (salaried) role.
The pay range for this position is $52,000 - $65,000 annually. Pay is based on the applicant&rsquo;s education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be ready to:
The express claims department is seeking a qualified candidate to fill the role of private client claims specialist. The ECC currently handles property jewelry claims, in 42 states. Over time, this will also be expanded to include other business lines and coverages.<ul><li>
Directly handle scheduled jewelry claims up to policy limits with HQ assistance/oversight</li><li>
Complete through, detailed claim investigations including recorded statements, retention of counsel, partnership with SIU and onboarding experts when needed</li><li>
Analyze property coverage forms including specialized Capstone property forms featuring enhanced replacement cost language and specialized valuation</li><li>
Prepare detailed narrative factual reports and statements of loss on large ($100,000+) files</li><li>
Monitoring and supporting exceptional claim service to ensure high customer satisfaction</li></ul>
Be equipped with:<ul><li>
The ability to work independently and make informed decisions</li><li>
Exceptional communication skills</li><li>
Demonstrated experience and knowledge of CIC property and Private Client forms</li><li>
Prior claims experience preferred but not required</li></ul>
You&rsquo;ve earned:<ul><li>
Associate or bachelor&rsquo;s Degree (preferred)</li><li>
Pursuit of AINS or AIC designation exam study or completion of either. The selected candidate will be expected to complete AIC coursework within two-years of hire date</li></ul> 
Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you&rsquo;re new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional &ndash; all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to about those rights.</div></div>

Claims - Private Client Claims Specialist I

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

The Acadian Companies

<div>Acadian Client Services has an immediate opening for a full-time Vendor Management Billing Specialist to join their team in Lafayette, LA.

Job Location: Lafayette, LA - This position is based in the office, Monday-Friday, 8:00am-5:00pm. This is NOT a Work from Home position.

Summary of Duties: The Vendor Management Billing Specialist is responsible for auditing and increasing the quality standards within the revenue cycle department by reviewing claims processes, billing protocols, and write off protocols are followed according to established policies. This position will independently review claims and make recommendations to senior leadership on process improvements or educational opportunities.

Essential Functions:
<ul>
<li>Responsible for claim status checks as needed to ensure proper resolution</li>
<li>Initiating contact with insurance providers as needed</li>
<li>Review and process claim rejections and appeals for research and resolution</li>
<li>Monitor payment discrepancies and process payments</li>
<li>Review claims for Federal compliance</li>
<li>Process incoming correspondence and phone calls specific to the payer type</li>
<li>Verification of patient insurance</li>
<li>Ensure accuracy of demographic information</li>
<li>Other duties and responsibilities as assigned</li>
</ul>
Qualifications:
<ul>
<li>High school diploma or equivalent</li>
<li>Previous medical billing experience preferred</li>
<li>Proficient in Google, MS Office Suite or related software</li>
<li>Possess strong organizational skills</li>
<li>Punctual with strong attendance history</li>
<li>Ability to adhere to productivity goals, departmental and company guidelines, dress code, policy and procedures</li>
<li>Excellent interpersonal skills and time management</li>
<li>Maintain highest level of confidentiality</li>
</ul>
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. 
 
Req Benefits: We offer comprehensive insurance benefits for full-time employees, including but not limited to Medical, Dental, Vision coverages, along with 401(k) and ESOP (Employee Stock Ownership Program), and Vacation and Sick time.</div>

Billing Specialist (Vendor Management)

Innovative RCM LLC

Position SummaryA Medical Accounts Receivable (AR) Specialist is responsible for managing and collecting outstanding insurance balances for healthcare services. This role ensures timely reimbursement, resolves billing issues, and maintains accurate records in compliance with healthcare regulations.Key Responsibilities<ul><li>Review and follow up on unpaid or denied insurance claims</li><li>Investigate and resolve claim denials, rejections, and underpayments</li><li>Contact insurance companies to check claim status</li><li>Maintain accurate documentation of all account activity</li><li>Analyze aging reports and prioritize accounts for follow-up</li><li>Ensure compliance with HIPAA and healthcare billing regulations</li><li>Collaborate with billing, coding, and front-office teams to resolve discrepancies</li></ul>Required Skills &amp; Qualifications<ul><li>High school diploma or equivalent (Associate&rsquo;s or Bachelor&rsquo;s preferred)</li><li>Strong analytical and problem-solving skills</li><li>Excellent communication abilities</li><li>Attention to detail and organizational skills</li></ul>Preferred Qualifications<ul><li>Experience with denial management and appeals</li><li>Knowledge of revenue cycle management processes</li><li>Experience in medical billing, coding, or accounts receivable</li><li>Knowledge of insurance processes (Medicare, Medicaid, commercial payers)</li><li>Familiarity with CPT, ICD-10, and HCPCS codes</li><li>Proficiency with medical billing software and electronic health records (EHR) systems</li></ul>Work Environment<ul><li>Standard full-time schedule</li></ul>Key Performance Indicators (KPIs)<ul><li>Days in Accounts Receivable (AR)</li><li>Claim denial rate and resolution time</li><li>Collection rate / reimbursement rate</li><li>Accuracy of account updates and documentation</li></ul>Pay: $16.00 - $18.00 per hourBenefits:<ul><li>401(k)</li><li>Paid sick time</li><li>Paid time off</li><li>Work from home</li></ul>Work Location: Remote

Accounts Receivable Specialist

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