insurance claim representative

AAA The Auto Club Group

<div>It&rsquo;s a great time to join AAA The Auto Club Group!
JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
Job Type:
Full time 
<div><div>Exempt/Non Exempt: 
</div></div>Salary
Job Description: 
 
 
***This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. ***
<h2 class="jobSectionHeader">APD Claim Representative II (Michigan) &ndash; The Auto Club Group
</h2>Reports to: APD Claim Manager I
What you will do: (Primary Duties &amp; Responsibilities)
<h2 class="jobSectionHeader">The Auto Club Group is seeking an Auto Claim Representative II who works under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units. Resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims.
</h2><h2 class="jobSectionHeader">In this position, you will have the opportunity to:
</h2>Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills.
Employees assigned to Auto Physical Damage (&ldquo;APD&rdquo;) claim unit will handle moderately complex claims involving settling Total Losses, inspecting vehicles and preparing estimates of damage. If in the DRS Examiner role, manage Direct Repair Shops for compliance with our program. Additional responsibilities may include the following: determining cause of damage, establishing liability, identifying subrogation potential, monitoring repairs and approving car rental expense. May handle simple APD Litigation cases.
Supervisory Responsibilities (briefly describe, if applicable, or indicate None):
None
<h2 class="jobSectionHeader">How you will benefit :
</h2><h2 class="jobSectionHeader">Claim Representative II will earn a competitive salary of $54,643.68- $78,000 annually with annual bonus potential based on performance.
</h2><h2 class="jobSectionHeader">Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
</h2><ul><li><h2 class="jobSectionHeader">401k Match
</h2></li><li><h2 class="jobSectionHeader">Medical
</h2></li><li><h2 class="jobSectionHeader">Dental
</h2></li><li><h2 class="jobSectionHeader">Vision
</h2></li><li><h2 class="jobSectionHeader">PTO
</h2></li><li><h2 class="jobSectionHeader">Paid Holidays
</h2></li><li><h2 class="jobSectionHeader">Tuition Reimbursement
</h2></li></ul>II. Required Qualifications (these are the minimum requirements to qualify)
Education (include minimum education and any licensing/certifications):
<ul><li>Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
</li><li>In states where an Adjuster&rsquo;s license is required, the candidate must be eligible to acquire a State Adjuster&rsquo;s license within 90 days of hire and maintain as specified for appropriate states.
</li><li>A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members
</li></ul>Experience:
<ul><li>One year of experience with:
</li></ul><ul><li>negotiating claim settlements
</li></ul><ul><li>securing and evaluating evidence
</li></ul><ul><li>preparing manual and electronic estimates
</li></ul><ul><li>subrogation claims, including identifying recovery opportunities
</li></ul><ul><li>resolving coverage questions
</li><li>taking statements
</li><li>establishing clear evaluation and resolution plans for claims
</li></ul>Knowledge and Skills:
Knowledge of:
<ul><li>Essential Insurance Act (Michigan)
</li><li>Fair Trade Practices Act as it relates to claims
</li><li>subrogation procedures and processes
</li><li>intercompany arbitration/dispute resolution
</li><li>Negligence Laws and Statutes
</li><li>No-Fault Law and No-Fault Reform
</li><li>Collision repair techniques
</li></ul>Ability to:
<ul><li>handle claims to the line Claim Handling Standards
</li><li>follow and apply ACG Claim policies, procedures and guidelines
</li></ul><ul><li>work within assigned ACG Claim systems including basic PC software
</li><li>perform basic claim file review and investigations
</li><li>demonstrate effective communication skills (verbal and written)
</li><li>demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
</li><li>analyze and solve problems while demonstrating sound decision making skills
</li><li>prioritize claim related functions
</li><li>process time sensitive data and information from multiple sources
</li><li>manage time, organize and plan workload and responsibilities
</li><li>safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
</li><li>research analyze and interpret subrogation laws in various states
</li><li>travel outside of assigned territory which may involve overnight stay
</li><li>relocate, work evenings or weekends
</li><li>strong negotiating skills
</li></ul>III. Preferred Qualifications
Education:
<ul><li>Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
</li><li>Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
</li><li>CPCU coursework or designation
</li><li>I-Car 2000 training
</li><li>CCC training
</li><li>Xactware Training
</li></ul>Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Important Note: THE ABOVE STATEMENTS DESCRIBE THE PRINCIPAL AND ESSENTIAL FUNCTIONS, BUT NOT ALL FUNCTIONS THAT MAY BE INHERENT IN THE JOB. THIS JOB REQUIRES THE ABILITY TO PERFORM DUTIES CONTAINED IN THE JOB DESCRIPTION FOR THIS POSITION, INCLUDING, BUT NOT LIMITED TO, THE ABOVE REQUIREMENTS. REASONABLE ACCOMMODATIONS WILL BE MADE FOR OTHERWISE QUALIFIED APPLICANTS, AS NEEDED, TO ENABLE THEM TO FULFILL THESE REQUIREMENTS.
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life&rsquo;s journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you&rsquo;ll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit www.aaa.com
Important Note:
ACG&rsquo;s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.</div>

APD Claim Representative II - Michigan

Nodak Insurance Company

<div><div><div>Summary: We are seeking a detail-oriented Inside Liability Claims Representative to investigate, evaluate, negotiate, and settle complex liability claims within assigned authority. This position plays a key role in providing prompt, professional claim service while maintaining strong relationships with policyholders, agents, attorneys, and others involved in the claim process. 
 
Essential Duties and Responsibilities:</div></div><ul><li><div>
Conduct thorough investigations, gathering statements, medical records, police reports, photographs, and expert testimony as needed.</div></li><li><div>
Analyze coverage and liability issues, interpreting policy language and legal precedent to determine appropriate claim outcomes.</div></li><li><div>
Prepare clear and well-documented claim files, including worksheets, forms, and supporting materials for accurate tracking and follow-up.</div></li><li><div>
Review bills, estimates, and other documentation to ensure accuracy and compliance with policy provisions.</div></li><li><div>
Negotiate fair and timely settlements within authority limits; prepare and present settlement recommendations when additional authority is needed.</div></li><li><div>
Communicate claim decisions and coverage determinations effectively and professionally, including preparing denial documentation when warranted.</div></li><li><div>
Engage external specialists or vendors when necessary to support cost-effective and efficient claim resolution.</div></li></ul><div><div>
Authority: Operate within established company policies and claim-handling procedures, exercising sound judgment, initiative, and independence in decision-making.</div> 
</div><div><div>Education &amp; Experience: Bachelor's Degree or equivalent work experience required. Prior insurance claims handling experience strongly preferred. 
Promotional potential and organizational progressions: Senior Claim Representative. 
 
Required Knowledge and Skills:</div></div><ul><li>
Communication: Excellent verbal and written communication skills; able to explain complex information clearly and handle sensitive interactions with professionalism and empathy.</li><li>
Technical: Proficient in computer systems, data entry, and claims software; strong organizational, time management, and multitasking abilities.</li><li>
Analytical: Ability to interpret policy language, legal principles, and medical documentation accurately.</li><li>
Decision-Making: Strong problem-solving and judgment skills; comfortable interpreting contracts and applying company policy.</li><li>
Mathematical: Competent in basic math concepts for accurate claim calculations.</li>
Reliability: Consistent attendance, punctuality, and accountability. 
<li>
</li></ul><div><div>Special Relationships (to other people, internally and externally, cost control, etc.): Has broader personal settlement authority subject to normal supervisory review. Generally, can work independently with normal supervision and accountability for results. Has considerable contact by telephone or in person with claimants, insureds, agents, attorneys, Company personnel, and the general public. Must continually be aware of being a Company representative and 
projecting a favorable image. Must have the ability to communicate effectively with upset, angry individuals to resolve disputes and disagreements.</div> 
</div><div><div>Physical Requirements: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to stand, walk, sit, use hands to finger, handle, or feel, reach with hands and arms, climb or balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee must may occasionally lift and/or move up to 25 pounds. The noise level in the work environment is usually moderate.</div></div><div><div>
Nodak Insurance Company complies fully with all federal, state, and local employment laws and shall provide equal employment and advancement opportunities for all persons regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, the presence of any mental or physical disability, status with regard to public assistance or marriage, or any other category protected by local, state or federal law.</div></div></div>

Inside Claims Representative

<div>It&rsquo;s a great time to join AAA The Auto Club Group!
JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
Job Type:
Full time 
<div><div>Exempt/Non Exempt: 
</div></div>Salary
Job Description: 
 
 
***This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. ***
<h2 class="jobSectionHeader">APD Claim Representative II (Regional)&ndash; The Auto Club Group
</h2>Reports to: APD Claim Manager I
What you will do: (Primary Duties &amp; Responsibilities)
<h2 class="jobSectionHeader">The Auto Club Group is seeking an Auto Claim Representative II who works under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units. Resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims.
</h2><h2 class="jobSectionHeader">In this position, you will have the opportunity to:
</h2>Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills.
Employees assigned to Auto Physical Damage (&ldquo;APD&rdquo;) claim unit will handle moderately complex claims involving settling Total Losses, inspecting vehicles and preparing estimates of damage. If in the DRS Examiner role, manage Direct Repair Shops for compliance with our program. Additional responsibilities may include the following: determining cause of damage, establishing liability, identifying subrogation potential, monitoring repairs and approving car rental expense. May handle simple APD Litigation cases.
Supervisory Responsibilities (briefly describe, if applicable, or indicate None):
None
<h2 class="jobSectionHeader">How you will benefit :
</h2><h2 class="jobSectionHeader">Claim Representative II will earn a competitive salary of $59,134.30- $79,000 annually with annual bonus potential based on performance.
</h2><h2 class="jobSectionHeader">Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
</h2><ul><li><h2 class="jobSectionHeader">401k Match
</h2></li><li><h2 class="jobSectionHeader">Medical
</h2></li><li><h2 class="jobSectionHeader">Dental
</h2></li><li><h2 class="jobSectionHeader">Vision
</h2></li><li><h2 class="jobSectionHeader">PTO
</h2></li><li><h2 class="jobSectionHeader">Paid Holidays
</h2></li><li><h2 class="jobSectionHeader">Tuition Reimbursement
</h2></li></ul>II. Required Qualifications (these are the minimum requirements to qualify)
Education (include minimum education and any licensing/certifications):
<ul><li>Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
</li><li>In states where an Adjuster&rsquo;s license is required, the candidate must be eligible to acquire a State Adjuster&rsquo;s license within 90 days of hire and maintain as specified for appropriate states.
</li><li>A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members
</li></ul>Experience:
<ul><li>One year of experience with:
</li></ul><ul><li>negotiating claim settlements
</li></ul><ul><li>securing and evaluating evidence
</li></ul><ul><li>preparing manual and electronic estimates
</li></ul><ul><li>subrogation claims, including identifying recovery opportunities
</li></ul><ul><li>resolving coverage questions
</li><li>taking statements
</li><li>establishing clear evaluation and resolution plans for claims
</li></ul>Knowledge and Skills:
Knowledge of:
<ul><li>Essential Insurance Act (Michigan)
</li><li>Fair Trade Practices Act as it relates to claims
</li><li>subrogation procedures and processes
</li><li>intercompany arbitration/dispute resolution
</li><li>Negligence Laws and Statutes
</li><li>No-Fault Law and No-Fault Reform
</li><li>Collision repair techniques
</li></ul>Ability to:
<ul><li>handle claims to the line Claim Handling Standards
</li><li>follow and apply ACG Claim policies, procedures and guidelines
</li></ul><ul><li>work within assigned ACG Claim systems including basic PC software
</li><li>perform basic claim file review and investigations
</li><li>demonstrate effective communication skills (verbal and written)
</li><li>demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
</li><li>analyze and solve problems while demonstrating sound decision making skills
</li><li>prioritize claim related functions
</li><li>process time sensitive data and information from multiple sources
</li><li>manage time, organize and plan workload and responsibilities
</li><li>safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
</li><li>research analyze and interpret subrogation laws in various states
</li><li>travel outside of assigned territory which may involve overnight stay
</li><li>relocate, work evenings or weekends
</li><li>strong negotiating skills
</li></ul>III. Preferred Qualifications
Education:
<ul><li>Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
</li><li>Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
</li><li>CPCU coursework or designation
</li><li>I-Car 2000 training
</li><li>CCC training
</li><li>Xactware Training
</li></ul>Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Important Note: THE ABOVE STATEMENTS DESCRIBE THE PRINCIPAL AND ESSENTIAL FUNCTIONS, BUT NOT ALL FUNCTIONS THAT MAY BE INHERENT IN THE JOB. THIS JOB REQUIRES THE ABILITY TO PERFORM DUTIES CONTAINED IN THE JOB DESCRIPTION FOR THIS POSITION, INCLUDING, BUT NOT LIMITED TO, THE ABOVE REQUIREMENTS. REASONABLE ACCOMMODATIONS WILL BE MADE FOR OTHERWISE QUALIFIED APPLICANTS, AS NEEDED, TO ENABLE THEM TO FULFILL THESE REQUIREMENTS. 
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life&rsquo;s journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you&rsquo;ll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit www.aaa.com
Important Note:
ACG&rsquo;s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.</div>

Regional Auto Claim Representative II (Desk)

Great American Insurance Group

<div>Be Here. Be Great. 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.
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.
Corporate Claims is currently seeking a Claims Representative/Senior Claims Representative/Claim Specialist to join the Reinsurance Claims department located in Cincinnati, Ohio. 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. Open to full-time work from home for candidates living outside of greater Cincinnati.
The job grade will be commensurate with the years of experience and skill level of the candidate hired for the position.
Responsibilities
This individual will be part of a team responsible for the daily handling of reinsurance claims, including:<ul><li>
Reviews assumed reinsurance claims comprised primarily of asbestos, environmental, and other long-tail claims.</li><li>
Ensures that reinsurance claim cessions are within applicable contract requirements.</li><li>
Verifies coverage and cession amounts, and requests information from ceding companies to evaluate claim cessions.</li><li>
Prepares claim summaries on billed claims, posts claim reserves and prepares support for claim payments.</li><li>
Identifies potential claims issues and makes recommendations to management regarding claim disposition.</li><li>
Communicates reinsurance coverage positions as directed by management.</li><li>
Alerts management of substantial losses.</li><li>
Assists management with the preparation of summaries on significant losses for monthly reports to senior management.</li><li>
Documents and maintains records of loss submissions, reserves, queries, and payments.</li><li>
Ensure reinsurance claim transactions are recorded in a timely and accurate manner.</li><li>
Participates in reinsurance projects as needed.</li><li>
Provides guidance and assistance to other functional areas.</li><li>
Performs other duties as assigned.</li></ul>
Qualifications<ul><li>
Bachelor&rsquo;s degree or equivalent experience.</li><li>
Experience: 0-10 years of reinsurance claims experience. Some knowledge of reinsurance is preferred.</li><li>
Proficiency in Microsoft365 suite of products, specifically Excel.</li><li>
Familiarity with reinsurance contracts is a plus.</li><li>
Professional writing and oral communication skills.</li><li>
Ability to manage and prioritize concurrent assignments and responsibilities</li></ul>
This job is non-exempt in California and Washington
Business Unit:
Corporate Claims
Benefits:
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. 
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.<ul><li> 
Excludes seasonal employees and interns.</li></ul></div>

Claims Representative/Senior Claims Representative/Claims Specialist-Assumed Reinsurance

Donegal Insurance Group

<div>
 
 
 
 
 
 Donegal Insurance Group
 
 &nbsp;is an insurance holding company whose insurance subsidiaries offer personal and commercial property &amp; casualty lines of insurance.
 
 
 
 
 Headquartered in Lancaster County, Pennsylvania, along with four (4) regional offices located in:&nbsp;
 
 Athens, GA, Grand Rapids, MI, Albuquerque, NM, and Glen Allen, VA
 
 , our steady growth and successes have allowed us to establish a culture of which we're proud. Check out our&nbsp;
 
 Glassdoor
 
 &nbsp;profile where our rating speaks for itself.
 
 
 
 
 At Donegal, our values are founded on supporting the independent agency system, providing best-in-class service, and building relationships customers can trust. By joining the Donegal family, you would be joining a team of dedicated, hard-working employees, all with a common goal of providing peace of mind to our policyholders and being there when it matters most.
 
 
 
 
 
 
 
 
 
 
 
 Job Summary
 
 
 
 
 
 
 
 
 Donegal Insurance Group has an opening for a&nbsp;
 
 Claim Representative&nbsp;
 
 on our Casualty Claims team handling Bodily Injury Claims.
 
 
 
 
 
 
 
 
 As a member of our Claims team, this position&nbsp;is responsible for the handling casualty claims in compliance with established company standards and guidelines. Ideal candidate will possess strong interpersonal and analytical skills with a strong technical knowledge of claim handling procedures.
 
 
 
 
 
 
 
 
 
 
 
 Responsibilities and Duties
 
 
 
 
 
 
 
 
 <ul>
 <li>
 
 
 Investigate, evaluate, and settle claims as assigned by the Supervisor
 
 
 </li>
 <li>
 
 
 Monitor and direct file handling being performed by Independent Adjusters, Appraisers, and Defense Counsel
 
 
 </li>
 <li>
 
 
 Report all pertinent information to the Underwriting Department
 
 
 </li>
 <li>
 
 
 Experience handling claims in litigation required
 
 
 </li>
 <li>
 
 
 Experience handling claims in Ohio, Indiana, and Michigan preferred
 
 
 </li>
 </ul>
 
 
 
 
 
 
 
 Qualifications and Skills
 
 
 
 
 
 
 
 <ul>
 <li>
 
 
 Minimum of 3 - 5 years of claims handling experience
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Bachelor&rsquo;s Degree preferred
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to learn industry specific software applications applicable to performance of position responsibilities
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Attention to detail
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Strong organizational skills
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to communicate effectively in written correspondence&nbsp;
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 and strong verbal skills
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Strong problem solving and decision-making skills
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to meet deadlines
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to manage time effectively and work independently
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to relay coverage denials and liability denials
 
 
 
 
 
 
 
 </li>
 </ul>
 
 
 
 
 
 Starting Pay:
 
 
 
 &nbsp;The pay range for this position is $75,000 to $95,000 annually. The specific offer will vary based on an applicant's education, qualifications, professional experience, skills, abilities, and any applicable designations/certifications. The posted pay range reflects our ability to hire at different position titles and levels depending on background and experience. The pay range may also be adjusted based on an applicant's geographic location.
 
 
 The base pay is just one component of Donegal's total compensation package for employees. This role may also be eligible to participate in a discretionary annual incentive program. The amount of any bonus varies and is subject to the terms and conditions of the applicable incentive plan.
 
 
 Ongoing applications are being accepted.
 
 
 
 
</div>

Claim Representative - Bodily Injury

Fenix Protect

Home Warranty Claims Representative (Inbound)Fenix Protect | Addison, TX (On-Site) Hiring ASAPCurrently working in home warranty, insurance claims, property management, or a call center handling service issues? If you&rsquo;re looking for a more structured environment, consistent schedule, and clear processes, Fenix Protect is hiring.We are seeking a Home Warranty Claims Representative to handle inbound, high-volume claims calls and coordinate repairs for homeowners.Schedule &amp; Location<ul><li>Monday&ndash;Friday: 8:00 AM &ndash; 5:00 PM</li><li>On-site: 15510 Wright Brothers Dr, Addison, TX 75078</li></ul>Pay<ul><li>$19/hour</li></ul>What You&rsquo;ll Do<ul><li>Take inbound claims calls from homeowners</li><li>Review coverage, reports, and estimates</li><li>Communicate claim decisions clearly</li><li>Coordinate with contractors for service and repairs</li><li>Manage multiple claims in a fast-paced call center environment</li></ul>What We&rsquo;re Looking For<ul><li>Experience in home warranty, insurance claims, property management, dispatch, or call center</li><li>Comfortable handling high call volume and case management</li><li>Strong communication and problem-solving skills</li><li>Organized and detail-oriented</li></ul>Preferred<ul><li>Bilingual (English/Spanish)</li><li>Knowledge of HVAC, plumbing, electrical, or appliances</li></ul>If you&rsquo;re used to handling claims and want a stable schedule, clear expectations, and a team-focused environment, apply now.Pay: $19.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>On-site gym</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Claims Representative (Home Warranty)

Sedgwick

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
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Claims Representative (IAP) - Workers Compensation Training Program | Marlton, NJ
Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?
<ul><li>A stable and consistent work environment in an office setting.
</li><li>A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world&rsquo;s most reputable brands.
</li><li>Career development and promotional growth opportunities through increasing responsibilities.
</li><li>A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs including medical, dental, vision &amp; 401k.
</li></ul>PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you&rsquo;ll have the opportunity to grow and advance within the industry.
Next Class Date: 4/13/26
ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are:
<ul><li>Strong Communicators
</li><li>Empathetic
</li><li>Multi-Taskers
</li><li>Accountable
</li><li>Structured Thinkers
</li><li>Ambitious
</li><li>Agile Learners
</li><li>Team Collaborators
</li></ul>ESSENTIAL RESPONSIBLITIES INCLUDE
<ul><li>Attendance and completion of designated claims professional training program.
</li><li>Adjusting various levels of workers&rsquo; compensation claims under close supervision, which includes:
<ul><li>Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
</li><li>Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email.
</li><li>Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer/employee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators.
</li><li>Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements.
</li><li>Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations.
</li><li>Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance.
</li><li>Participating in virtual and/or in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings.
</li></ul></li></ul>QUALIFICATIONS
Education Requirement &ndash; High School Diploma or GED. 
EXPERIENCE
No experience required.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $25.65/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claims #entrylevel #onsite #hybrid #LI-Onsite #LI-Hybrid
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</h2></div>

Claims Representative (IAP) - Workers Compensation Training Program | Marlton, NJ

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