insurance claim representative

Great American Insurance Group

<div><p><b>Be Here. Be Great. </b>Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a &quot;small company&quot; culture where your ideas will be heard with &quot;big company&quot; expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.</p><p></p><p>
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.</p><p></p><div><div>
Job Description</div></div><div><div><div><div><div><div><div><div><div><p>
Great American's Equine Mortality Division is one of the world's leading providers of equine mortality insurance and related coverages. The division is staffed with experts in all breeds and disciplines such as racing, showing, cutting, dressage, hunter/jumper, driving, reining, and pleasure riding.</p><p></p><p>
The Equine Division is currently searching for a Claims Representative in Ocala, FL. Great American&rsquo;s culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely. Core in‑office days are Tuesday&ndash;Thursday, with the fourth day determined by business needs.</p></div></div></div></div></div></div></div></div></div><p></p><p><b>
Essential Job Functions and Responsibilities</b></p><ul><li><p>
Manages an inventory of claims to evaluate compensability/liability.</p></li><li><p>
Conducts claim investigations to confirm coverage and to determine liability, compensability and damages.</p></li><li><p>
Determines and may negotiate appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.</p></li><li><p>
Conveys routine to moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.</p></li><li><p>
May authorize payments in accordance with assigned authority limit and ensures payments are made in a timely manner.</p></li><li><p>
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.</p></li><li><p>
Performs other duties as assigned.</p></li></ul><p></p><p><b>
Job Requirements</b></p><ul><li><p><b>
Education: </b>Bachelor&rsquo;s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.</p></li><li><p><b>
Experience: </b>Generally, a minimum of 6 months of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).</p></li><li><p><b>
Scope of Job/Qualifications: </b>Works within specific limits and authority on assignments of moderate technical complexity and coordination. Demonstrates functional analytical, negotiation, and problem-solving skills. Demonstrates knowledge of insurance policies, coverage, and claims handling procedures. Develops and maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims. Strong interpersonal and communication skills with the ability to build relationships and handle negotiations. Proven ability to handle confidential information with discretion.</p></li></ul><p></p><p><b>
Business Unit:</b></p>
Equine Mortality<p></p><p><b>
Benefits:
</b></p><p>We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.</p><p></p><p><br>
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.</p><p></p><ul><li><br>
<b>Excludes seasonal employees and interns.</b></li></ul></div>

Claims Representative-Equine Division

Amica Insurance

<div>
 <strong>
  Description
  <br/>
  <br/>
 </strong>
 <strong>
  Associate APD Claims Representative
  <br/>
  <br/>
 </strong>
 Atlanta Regional
 <br/>
 <br/>
 2180 Satellite Boulevard, Suite 350, Duluth, GA 30097
 <br/>
 <br/>
 <strong>
  Thank you for considering Amica as part of your career journey, where your future is our business.
  <br/>
  <br/>
 </strong>
 <strong>
  Ready to Join Us?
  <br/>
  <br/>
 </strong>
 Are you a detail-oriented professional with a passion for resolving complex issues and supporting customers in a time of need? We&rsquo;re looking for a Claims Representative who thrives in a fast-paced environment and is committed to delivering exceptional service. As an Associate Auto Physical Damage (APD) Claims Representative in our Atlanta Regional office, you will play a vital role in handling automobile insurance claims.
 <br/>
 <br/>
 At Amica, we recruit the best talent and believe that an investment in our people is an investment in us. Our frontline customer service representatives carry out our guiding philosophy &ndash; that empathy is our best policy &ndash; to our valued customers every day.
 <br/>
 <br/>
 We believe in promoting from within and providing our employees with opportunities for growth and advancement. This entry-level position offers a high level of growth potential, including the possibility to advance to team lead and supervisory roles. We are committed to helping our employees build long-term careers with us.
 <br/>
 <br/>
 Thinking about a career in Claims?
 <strong>
  Watch this employee testimonial
 </strong>
 to see how Amica employees grow their skills, take on new opportunities, and build lasting careers.
 <br/>
 <br/>
 <strong>
  As a key member of our claims team, you will:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Own your caseload: Manage a backlog of claims using a diary system to ensure timely communication, monitoring, and reporting.
  </li>
  <li>
   Investigate: Conduct in-depth research to evaluate coverage and determine claim outcomes.
  </li>
  <li>
   Communicate effectively: Monitor claim-related communications and respond to customer's needs.
  </li>
  <li>
   Collaborate and contribute: Build strong relationships across departments and help foster a culture of teamwork.
  </li>
  <li>
   Stay informed: Develop a working knowledge of laws and regulations impacting claims handling.
  </li>
  <li>
   Stay compliant: Maintain active licenses in designated states and complete continuing education as required.
  </li>
  <li>
   Adapt and support: Take on additional responsibilities as needed to support team success.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What We&rsquo;re Looking For
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   A high school diploma or equivalent &ndash; college coursework or additional training is a plus!
  </li>
  <li>
   Willingness to obtain required state insurance licenses (Don&rsquo;t worry &mdash; we&rsquo;ll provide study materials, paid time to study and cover the exam costs!)
  </li>
  <li>
   Prior experience in insurance or claims handling is helpful, but not required
  </li>
  <li>
   Prior experience providing support to customers or clients is valued and can contribute to success in this role
  </li>
  <li>
   Strong decision-making skills
  </li>
  <li>
   A calm, empathetic communicator who can confidently support people during tough situations
  </li>
  <li>
   Excellent written and verbal communication skills
  </li>
  <li>
   Comfortable using Microsoft Word and Outlook
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Compensation And Schedule
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Starting annual salary of $40,950, overtime is paid for any excess hours
  </li>
  <li>
   Annual Success Sharing Plan - Paid to eligible employees if the company meets or exceeds the combined ratio, growth and/or service goals.
  </li>
  <li>
   37.5-hour schedule, Monday through Friday, 8:45 a.m. to 5 p.m.
  </li>
  <li>
   Potential to work holidays for additional pay
  </li>
  <li>
   Work from home up to two days per week once trained to work independently
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  We&rsquo;ve Got The Whole Package
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Medical, dental, vision coverage, short- and long-term disability, and life insurance
  </li>
  <li>
   Paid Vacation &ndash; you will receive at least 13 vacation days in the first 12 months; amounts could be greater depending on the role. While able to use prior to accrual, vacation time will accrue monthly.
  </li>
  <li>
   Holidays - 14 paid holidays observed
  </li>
  <li>
   Sick time - 6 days sick time at hire, 6 additional days sick time at 90 days of employment
  </li>
  <li>
   Generous 401k with company match and immediate vesting. Additionally, annual 3% non-elective employer contribution
  </li>
  <li>
   Annual Success Sharing Plan - Paid to eligible employees if the company meets or exceeds combined ratio, growth and/or service goals
  </li>
  <li>
   Generous leave programs, including paid parental bonding leave
  </li>
  <li>
   Student Loan Repayment and Tuition Reimbursement programs
  </li>
  <li>
   Generous fitness and wellness reimbursement
  </li>
  <li>
   Employee community involvement
  </li>
  <li>
   Strong relationships, lifelong friendships
  </li>
  <li>
   Opportunities for advancement in a successful and growing company
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why Amica?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Our People Are Our Priority: We&rsquo;re a mutual company where people come first, including empathetic employees who represent the diversity of our policyholders. That&rsquo;s why we welcome employees who represent differences in opinion, life experience and perspectives, who enrich a culture where everyone can contribute and grow.
  </li>
  <li>
   The Opportunities Are Wide Open: We know growth isn&rsquo;t always linear. We encourage our employees to be curious about their career at Amica and explore the options available to them. We believe that what&rsquo;s best for our employees is best for the company.
  </li>
  <li>
   Commitment Goes Both Ways: What employees get in return for what they bring to Amica includes compensation and benefits of a Total Rewards package. But it goes further to include flexible work environments and opportunities to advance their careers. The support we offer is designed to help you build a stable and fulfilling career that&rsquo;s uniquely Amica.
   <br/>
   <br/>
  </li>
 </ul>
 Amica conducts background checks which includes a review of criminal, educational, employment and social media histories, and if the role involves use of a company vehicle, a motor vehicle or driving history report. The background check will not be initiated until after a conditional offer of employment is made and the candidate accepts the offer. Qualified applicants with arrest or conviction records will be considered for employment.
 <br/>
 <br/>
 The safety and security of our employees and our customers is a top priority. Employees may have access to employees&rsquo; and customers&rsquo; personal and financial information in order to perform their job duties. Candidates with a criminal history that imposes a direct or indirect threat to our employees&rsquo; or customers&rsquo; physical, mental or financial well-being may result in the withdrawal of the conditional offer of employment.
 <br/>
 <br/>
 <strong>
  About Amica
  <br/>
  <br/>
 </strong>
 Amica Mutual Insurance Company is America&rsquo;s oldest mutual insurer of automobiles. A direct national writer, Amica also offers home, marine and umbrella insurance. Amica Life Insurance Company, a wholly owned subsidiary, provides life insurance and retirement solutions. Amica was founded on the principles of creating peace of mind and building enduring relationships for and with our exceptionally loyal policyholders, a mission that thousands of employees in offices nationwide share and support
 <br/>
 <br/>
 Equal Opportunity Policy: All qualified applicants who are authorized to work in the United States will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, family status, ethnicity, age, national origin, ancestry, physical and/or mental disability, mental condition, military status, genetic information or any other class protected by law. The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are 40 years of age or older. Employees are subject to the provisions of the Workers' Compensation Act.
 <br/>
 <br/>
 Amica Mutual Insurance Company is committed to protecting job seekers from recruitment fraud. We never request sensitive personal information or payment during the interview process. All legitimate job opportunities are listed on our official careers site:
 <strong>
  https://careers.amica.com
 </strong>
 . Learn more in the "Is Amica hiring?" section of our
 <strong>
  FAQ
 </strong>
 .
 <br/>
 <br/>
 rp
</div>


Associate APD Claims Representative

Chubb Insurance

<div><p>Major Duties &amp; Responsibilities
</p><ul><li>Under close supervision, receive assignments and review claim and policy information to provide background for investigation and may determine the extent of the policy&rsquo;s obligation to the insured, depending on the line of business.
</li><li>Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc., to secure necessary claim information.
</li><li>Evaluate facts supplied by the investigation to determine the extent of liability of the insured, if any, and the extent of the company&rsquo;s obligation to the insured under the policy contract.
</li><li>Prepare reports on investigations, settlements, denials of claims, and individual evaluations of involved parties.
</li><li>Set reserves within authority limits and recommend reserve changes to the Team Leader.
</li><li>Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions.
</li><li>Prepare and submit to the Team Leader any unusual or potentially undesirable exposures.
</li><li>Assist the Team Leader in developing methods and improvements for handling claims.
</li><li>Settle claims promptly and equitably.
</li><li>Obtain releases, proofs of loss, or compensation agreements and issue company drafts for payments on claims.
</li><li>Inform claimants, insureds/customers, or attorneys of claim denials when applicable.
</li><li>Assist the Team Leader and company attorneys in preparing cases for trial by arranging for witness attendance and taking statements. Continue efforts to settle claims before trial.
</li><li>Participate in claim file reviews and audits with customers/insureds and brokers.
</li><li>Administer benefits timely and appropriately. Maintain control of the claims resolution process to minimize current exposure and future risks.</li></ul></div>
<br><div><ul><li>Preferred Qualifications: 1-3 years' experience in handling workers' compensation claims in Florida/Georgia/Alabama is preferred, with prior experience at ESIS or similar third-party administrators being advantageous, and/or Bachelor&rsquo;s degree or equivalent experience.
</li><li>Industry Knowledge: Strong familiarity with workers' compensation laws, medical terminology, and best practices in claims handling is preferred.
</li><li>Technical Skills: Demonstrated proficiency in claims management systems and the Microsoft Office Suite.
</li><li>Communication Skills: Excellent written and verbal communication skills, enabling effective interactions with external investigative sources and insureds over the phone.
</li><li>Team Collaboration: Proven ability to contribute effectively within a team environment, providing and receiving constructive feedback while identifying growth opportunities for both self and colleagues.
</li><li>Analytical Skills: Strong analytical and problem-solving abilities to navigate complex scenarios efficiently.
</li><li>Organizational Skills: Capable of managing multiple priorities and meeting deadlines in a fast-paced work environment.
</li><li>Customer Focus: Strong commitment to customer service, with a proactive approach to addressing and supporting customer needs.
</li><li>Judgment and Decision-Making: Confidence in personal judgment, with the ability to support and defend decisions made.
</li><li>Commitment to Excellence: Dedicated to maintaining high standards of behavior and performance.
</li><li>Adaptability: Flexible in adapting approaches and behaviors to fit specific situations effectively.
</li><li>Positive Representation: Strong focus on building and maintaining a positive image for Chubb and ESIS.</li></ul></div>
<br><div><div>Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.<br>
</div><div></div><br>
<div>At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.</div></div>

ESIS Claims Representative, WC

Auto-Owners Insurance

<div>
 A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
 <br/>
 <br/>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company&rsquo;s claims training program for the assigned line of insurance and requires the person to
 <br/>
 <br/>
 <ul>
  <li>
   Investigate, evaluate, and settle entry-level insurance claims
  </li>
  <li>
   Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
  </li>
  <li>
   Learn and comply with Company claim handling procedures
  </li>
  <li>
   Develop entry-level claim negotiation and settlement skills
  </li>
  <li>
   Build skills to effectively serve the needs of agents, insureds, and others
  </li>
  <li>
   Meet and communicate with claimants, legal counsel, and third-parties
  </li>
  <li>
   Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
  </li>
  <li>
   Study, obtain, and maintain an adjuster&rsquo;s license(s), if required by statute within the timeline established by the Company or legal requirements
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Desired Skills &amp; Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree or direct equivalent experience with property/casualty claims handling
  </li>
  <li>
   Ability to organize data, multi-task and make decisions independently
  </li>
  <li>
   Above average communication skills (written and verbal)
  </li>
  <li>
   Ability to write reports and compose correspondence
  </li>
  <li>
   Ability to resolve complex issues
  </li>
  <li>
   Ability to maintain confidentially and data security
  </li>
  <li>
   Ability to effectively deal with a diverse group individuals
  </li>
  <li>
   Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
  </li>
  <li>
   Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company&rsquo;s underwriting guidelines for coverage
  </li>
  <li>
   Continually develop product knowledge through participation in approved educational programs
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Benefits
  <br/>
  <br/>
 </strong>
 Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
 <br/>
 <br/>
 <strong>
  Equal Employment Opportunity
  <br/>
  <br/>
 </strong>
 Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
 <br/>
 <br/>
 <ul>
  <li>
   Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
   <br/>
   <br/>
  </li>
 </ul>
</div>


Auto Claims Representative

Plymouth Rock Assurance

<p></p><div><p>We are seeking a highly skilled and motivated candidate with specialized experience in <b>NJ provider/PIP initiatives</b> to join our team in order to assist with <b>Major Case Investigation</b>. The ideal candidate will have a strong background in identifying, investigating, and resolving complex cases of insurance fraud within the Personal Injury Protection (PIP) and healthcare provider space. Proficiency in investigative techniques, industry regulations, and PIP claim regulations is essential.</p>
<p>
</p><p>RESPONSIBILITIES</p>
<ul>
<li>Lead and conduct comprehensive investigations into major fraud cases, including healthcare fraud, staged accidents, exaggerated injuries, and fraudulent billing practices related to PIP claims.</li>
<li>Analyze and review claims data to identify red flags, trends, and patterns indicative of fraudulent activity, particularly focusing on NJ provider claims.</li>
<li>Collaborate with internal teams, external stakeholders, and law enforcement agencies to gather evidence and build cases.</li>
<li>Interview witnesses, claimants, and providers as part of the investigative process, documenting findings thoroughly.</li>
<li>Provide detailed reports and recommendations on cases for potential legal action or denial of claims.</li>
<li>Stay current with NJ PIP regulations, fraud detection techniques, and industry best practices.</li>
<li>Work closely with legal, compliance, and claims teams to ensure that investigative findings align with company policies and regulatory requirements.</li>
<li>Provide testimony and expert witness support in legal proceedings when necessary.</li>
</ul>
<p></p><p>QUALIFICATIONS</p>
<ul>
<li>Minimum of 5 years of experience in insurance fraud investigation, with a focus on <b>PIP claims</b> and <b>NJ provider networks</b>.</li>
<li>Proven expertise in the detection, investigation, and resolution of complex fraud cases in the insurance or healthcare industry.</li>
<li>Strong understanding of <b>New Jersey PIP laws</b>, regulations, and claims processing.</li>
<li>Proficiency in utilizing investigative tools, claims management software, and fraud detection systems.</li>
<li>Excellent written and verbal communication skills, with the ability to present complex findings clearly and effectively.</li>
<li>Ability to work independently, manage multiple investigations simultaneously, and meet deadlines.</li>
<li>Strong analytical and problem-solving skills.</li>
<li>Bachelor's degree or equivalent experience in criminal justice, insurance, or a related field.</li>
</ul>
<p></p><p>SALARY RANGE</p>
<p>
The pay range for this position is $70,000 to $103,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
</p><p></p><p>PERKS &amp; BENEFITS</p>
<ul>
<li>4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays</li>
<li>Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)</li>
<li>Annual 401(k) Employer Contribution</li>
<li>Free onsite gym and health center at our Woodbridge Location
</li><li>Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
</li><li>Robust health and wellness program and fitness reimbursements</li>
<li>Various Paid Family leave options including Paid Parental Leave</li>
<li>Tuition Reimbursement
</li></ul><p></p><p>ABOUT THE COMPANY</p>
<p><i>
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of &ldquo;A-/Excellent&rdquo;.</i></p></div>

Claims Representative, SIU

CCMSI

<div><h2 class="jobSectionHeader"><b>Overview
</b></h2><div><div><div><div><b>Multi-Line Claim Representative I (Auto/Property) &ndash; National Accounts</b></div><div></div><div><div><b><br>
Location:</b> Remote<br>
<b>Schedule:</b> Full-Time<br>
<b>Salary Range:</b> $60,000 - $65,000</div><h3 class="jobSectionHeader"><b>
Build Your Career With Purpose at CCMSI</b></h3><div>
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><div></div><h3 class="jobSectionHeader"><b><br>
Job Summary</b></h3><div>
The <b>Multi-Line Claim Representative I</b> is responsible for the investigation and adjustment of assigned <b>commercial auto and property claims</b> within a <b>national accounts environment</b>. This role manages claims from assignment through resolution (cradle to grave) while adhering to CCMSI claim handling standards, client-specific instructions, and applicable state regulations.</div><div></div><div><br>
This position is designed for early-career adjusters with <b>1&ndash;2 years of claim handling experience</b> who possess a foundational understanding of coverage and liability investigation. The ideal candidate demonstrates accountability, attention to detail, and a strong desire to grow within a multi-line claims environment.</div><div></div><div><br>
This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take ownership of their files, maintain consistent communication, and deliver quality outcomes through strong follow-through and sound judgment.</div></div><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Responsibilities<br>
</b></h2>
<div></div><div><div><div><ul><li>Investigate, evaluate, and adjust commercial auto and property claims in accordance with corporate standards, client guidelines, and jurisdictional requirements</li></ul><ul><li>
Apply knowledge of <b>commercial auto policies</b> and coverage to determine compensability and exposure</li></ul><ul><li>
Conduct thorough <b>liability investigations</b>, including fact gathering, analysis, and documentation</li></ul><ul><li>
Apply principles of <b>comparative/contributory negligence</b> in claim evaluation and decision-making</li></ul><ul><li>
Establish and maintain appropriate reserves within authority guidelines</li></ul><ul><li>
Review damage estimates, invoices, and related documentation for accuracy and claim relevance</li></ul><ul><li>
Negotiate settlements within authority limits and in alignment with client expectations</li></ul><ul><li>
Issue claim payments in accordance with CCMSI procedures and industry standards</li></ul><ul><li>
Maintain accurate and timely claim documentation, diary management, and file updates</li></ul><ul><li>
Communicate effectively with clients, claimants, and vendors, ensuring responsiveness and clarity</li></ul><ul><li>
Identify and pursue subrogation opportunities where applicable</li></ul><ul><li>
Manage claims across <b>multiple accounts</b> within a national account structure</li></ul><ul><li>
Ensure compliance with all service commitments and corporate claim handling standards</li></ul><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Qualifications<br>
</b></h2>
<div></div><div><div><div><div><h3 class="jobSectionHeader"><b>Required Qualifications</b></h3><ul><li><b>
1&ndash;2 years of claim handling experience</b> (commercial auto and/or property)</li><li>
Foundational understanding of <b>commercial auto coverage</b></li><li>
Experience or training in <b>liability investigations and negligence evaluation</b></li><li>
Strong verbal and written communication skills</li><li>
Ability to manage multiple priorities and maintain organization in a fast-paced environment</li><li>
Self-starter with strong follow-through and accountability</li><li>
Proficiency in Microsoft Office applications</li><li>
Reliable, predictable attendance during assigned client service hours</li><li><b>
Current adjuster license in home state</b></li></ul><h3 class="jobSectionHeader"><b>
Nice to Have</b></h3><ul><li>
Experience handling <b>multiple accounts</b> in a national or carrier environment</li><li>
Prior <b>TPA experience</b></li><li>
Additional state adjuster licenses are a plus</li><li>
Exposure to general liability claims</li><li><b>
Bilingual (Spanish) proficiency preferred</b></li></ul><h3 class="jobSectionHeader"><b>
Why You&rsquo;ll Love Working Here</b></h3><ul><li>
4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year</li><li>
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance</li><li>
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li>
Career growth: Structured development into multi-line and advanced claim roles</li><li>
Culture: A supportive, team-based work environment</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
How We Measure Success</b></h3><div>
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:</div><ul><li>
Quality claim handling &ndash; thorough investigations and strong documentation</li><li>
Timeliness &amp; responsiveness &ndash; proactive communication and dependable follow-through</li><li>
Compliance &ndash; adherence to client and jurisdictional standards</li><li>
Client satisfaction &ndash; consistent and reliable service delivery</li><li>
Professional growth &ndash; development of technical knowledge and claim expertise</li></ul><h3 class="jobSectionHeader"><b>
Compensation &amp; Compliance</b></h3><div>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.</div><div></div><div><br>
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.</div><div></div><div><br>
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.</div><div>
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</div><div>
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</div><div></div><div><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</div><div></div><h3 class="jobSectionHeader"><b><br>
Our Core Values</b></h3><div>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><ul><li>
Lead with transparency We build trust by being open and listening intently in every interaction.</li><li>
Perform with integrity We choose the right path, even when it is hard.</li><li>
Chase excellence We set the bar high and measure our success. What gets measured gets done.</li><li>
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.</li><li>
Win together Our greatest victories come when our clients succeed.</li></ul><div></div><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #ClaimsCareers #CommercialAutoClaims #PropertyClaims #EntryLevelClaims #RemoteJobs #IND123 #LI-Remote</div></div></div></div></div></div><div></div>

Multi-Line Claim Adjuster I (Auto/Property)

Rocky Mountain Exteriors Holdings

<p>Job Summary:<br/>We are seeking a detail-oriented and organized Claims Pro to join our team. As a Claims Pro, you will meet with insurance adjusters on site, inspect the roof, and advocate on behalf of homeowners that insurance claims are approved and handled fairly.</p><p>Responsibilities:</p><ul><li>Perform on-site inspections of residential roofs, evaluating storm-related damage in collaboration with insurance adjusters.</li><li>Act as the homeowner's representative, negotiating and advocating for fair claim settlements.</li><li>Compile necessary documentation, photographs, and reports to support the claim process.</li><li>Use detailed knowledge of hail damage and roofing to advocate effectively for the approval of claims, ensuring customers receive the compensation they are entitled to.</li><li>Work closely with other team members, including contractors and administrative staff, to ensure seamless claim processing.</li><li>Maintain up-to-date knowledge of latest trends in hail damage, roofing technology, materials, best practices for repair and installation.</li><li>Participate in ongoing training and certification to enhance expertise in roofing, hail damage assessment, and claims adjustment processes.</li><li>Travel to locations where hail storms have been.</li></ul><p>Physical Requirements:</p><ul><li>Ability to climb ladders and work at heights</li><li>Must be able to lift 50 pounds</li><li>Ability to stand, walk, or kneel for extended periods</li></ul><p>Work Environment:</p><ul><li>Field- based role with frequent travel to residential properties</li><li>Exposure to outdoor elements, including inclement weather</li><li>Travel based on hail storms. Location may vary. For example, in this past year there was time spent in 3 different cities.</li></ul><p>Benefits:</p><ul><li>Competitive salary and bonus structure</li><li>$80,000-$120,000/year potential</li><li>Company truck and gas card provided</li></ul><p>Experience/Requirements:</p><ul><li>6 months experience in the residential roofing industry or insurance claims processing preferred.</li><li>Strong attention to detail and accuracy in data entry and documentation</li><li>Excellent organizational skills to manage multiple tasks efficiently</li><li>Proficient in using computer systems for data entry and record keeping</li><li>Strong negotiation and advocacy skills</li><li>Valid driver's license and ability to travel to various locations as needed.</li><li>Willing to travel</li></ul><p>Note: This job description is not intended to be all-inclusive. The employee may perform other related duties as required to meet the ongoing needs of the organization.</p><p>We look forward to reviewing your application.</p><p>Job Type: Full-time</p><p>Pay: $80,000.00 - $120,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Referral program</li><li>Vision insurance</li></ul><p>Physical Setting:</p><ul><li>Outdoor work</li></ul><p>Ability to Commute:</p><ul><li>Denver, CO (Preferred)</li></ul><p>Work Location: In person</p>

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