insurance claims adjuster

Insurance Administrative Solutions, an Integrity Company

Health Insurance Claims Adjuster Insurance Administrative Solutions Clearwater, FL About Insurance Administrative Solutions Insurance Administrative Solutions, L.L.C. (&ldquo;IAS&rdquo;), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States. Job Summary: Analyze medical claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Primary Responsibilities other duties may be assigned as necessary: Examine/perform/research &amp; make decisions necessary to properly adjudicate claims and written inquiries. Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions. Interpret contract benefits in accordance with specific claim processing guidelines. Coordinate daily workflow to coincide with check cycle days to meet all service guarantees. Based on established guidelines and/or historical knowledge an adjuster will need to recognize red flags for potential fraud or waste and escalate accordingly. Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing. Maintain external contact with providers/agents/policyholders. Primary Skills &amp; Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. A high school diploma or GED equivalent Minimum of 1 year proven health insurance claims adjudication experience. Insurance background preferred; previous Medical/prescription claims preferred. Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims required. Familiarity with medical terminology, procedures and diagnosis codes preferred. Ability to read and interpret EOB&rsquo;s claim history, and excellent research skills. Familiarity with Microsoft Office products; familiarity with Qiclink software a plus. Ability to calculate deductible and co-insurance amounts. Ability to adapt and respond to different types of people and tasks. Excellent communication and documentation skills. Ability to multi-task, prioritize, and manage time effectively and efficiently. Reliable transportation and the ability to be punctual and dependable. Benefits Available We value flexibility and recognize the importance of work‑life balance. This role will begin as fully onsite to support learning and team integration. As proficiency is demonstrated, hybrid work opportunities may be introduced, dependent on business needs and department practices. Medical/Dental/Vision Insurance 401(k) Retirement Plan Paid Holidays PTO Community Service PTO FSA/HSA Life Insurance Short-Term and Long-Term Disability About Integrity Integrity is one of the nation&rsquo;s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you&rsquo;ll love, and we&rsquo;ll love you back. We&rsquo;re proud of the work we do and the culture we&rsquo;ve built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are &mdash; in person, over the phone or online. Integrity&rsquo;s employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

Health Insurance Claims Adjuster

MileHigh Adjusters Houston

<div>
 
 IS IT TIME FOR A CAREER CHANGE?
 
 
 
 
 INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!
 
 
 
 Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
 
 
 
 Why This Opportunity Matters
 
 
 
 <ul>
 <li>
 With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
 </li>
 <li>
 As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
 </li>
 <li>
 This is not just a job&mdash;it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
 
 
 </li>
 </ul>
 
 Join Our Team:
 
 
 
 <ul>
 <li>
 Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
 </li>
 <li>
 If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
 </li>
 <li>
 You're welcome to sign up on our jobs roster if you meet our guidelines.
 
 
 </li>
 </ul>
 
 How We Can Help You Succeed:
 
 
 
 <ul>
 <li>
 At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
 </li>
 <li>
 Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
 </li>
 <li>
 Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
 
 
 </li>
 </ul>
 
 
 Don't miss out on this opportunity&mdash;let us assist you in advancing your career in claims adjusting and achieving your professional goals.
 
 
 With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
 
 
 
 
 Seize the Opportunity Today!
 
 
 
 Contact us now at 281-741-8505 or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
 
 
 You can also find us on YouTube at: (https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg)
 
 
 and Facebook at: (https://www.facebook.com/milehighadjustershouston) for additional resources and updates.
 
 
 APPLY HERE
 
 
 
 #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
 
 
 
 
 By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
</div>

Independent Insurance Claims Adjuster in Canton, Ohio

<div>
 
 IS IT TIME FOR A CAREER CHANGE?
 
 
 
 
 INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!
 
 
 
 Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
 
 
 
 Why This Opportunity Matters
 
 
 
 <ul>
 <li>
 With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
 </li>
 <li>
 As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
 </li>
 <li>
 This is not just a job&mdash;it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
 
 
 </li>
 </ul>
 
 Join Our Team:
 
 
 
 <ul>
 <li>
 Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
 </li>
 <li>
 If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
 </li>
 <li>
 You're welcome to sign up on our jobs roster if you meet our guidelines.
 
 
 </li>
 </ul>
 
 How We Can Help You Succeed:
 
 
 
 <ul>
 <li>
 At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
 </li>
 <li>
 Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
 </li>
 <li>
 Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
 
 
 </li>
 </ul>
 
 
 
 Don't miss out on this opportunity&mdash;let us assist you in advancing your career in claims adjusting and achieving your professional goals.
 
 
 With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
 
 
 
 
 Seize the Opportunity Today!
 
 
 
 Contact us now at 281-741-8505 or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
 
 
 You can also find us on YouTube at: (https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg)
 
 
 and Facebook at: (https://www.facebook.com/milehighadjustershouston) for additional resources and updates.
 
 
 APPLY HERE
 
 
 
 #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
 
 
 
 
 
 By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
</div>

Independent Insurance Claims Adjuster in Clearwater, Florida

Connect MGA Inc

We are looking for a TX Auto Claims Adjuster - Level 1 to join our non-standard auto insurance company. Ability to speak Spanish is a plus, but not required. We have a great working environment and nice employee benefit package. If you are looking for a new home where you can be an important and valued employee, we want to meet you!JOB TITLE: Claims Adjuster L1SUMMARY:This position is responsible for the resolution of personal auto claims in accordance with regulatory guidelines and company best practices.DUTIES AND RESPONSIBILITIES:<ul><li>Upon receipt, reviews each claim file to identify and establish a prompt investigation of coverage, liability, and damages.</li><li>Properly documents and manages all aspects of the file during the life of a claim (investigation, correspondence, negotiation, and settlement).</li><li>Investigates questions on coverage under a reservation of rights and advises the Underwriting Department of adverse findings.</li><li>Oversees assigned claims in accordance with the policy contract, internal best practices, industry standards, Fair Claim Practices, regulatory guidelines, applicable case law, and jurisdictional requirements.</li><li>Communicates timely and professionally with insureds, claimants, witnesses, attorneys, and other carriers via telephone and written correspondence to set expectations, explain rationale behind decisions made, and negotiate settlements as appropriate through resolution.</li><li>Responsible for the completion of property damage evaluations to determine reasonable and related costs.</li><li>Works within settlement authority; submits requests to management for authority to negotiate, settle, accept, or deny claims when appropriate.</li><li>Alerts claims management of potentially suspicious claims, notification of lawsuits, time limited demands, or any allegation of a deceptive trade practices violation or bad faith.</li><li>Maintains claims systems exposures, adequate reserves, and proper cause codes.</li><li>Manages claim documents, diary, and voicemail timely.</li><li>Recognizes recovery potential and submits referrals when applicable.</li><li>Provides an exemplary claims experience to insureds and claimants.</li><li>Performs other related duties as assigned by management.</li></ul>QUALIFICATIONS:<ul><li>Bachelor's Degree (BA) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience preferred</li><li>Valid TX Adjuster license</li><li>2 years of Auto Insurance Claims Adjuster experience</li><li>Computer skills required: Microsoft Office Suite; previous experience using web-based claims system interfaces (OSIS &lsquo;Oakwood Systems&rsquo; a plus)</li></ul>SALARY:<ul><li>Starting at $50,000</li></ul>We use automated systems to help screen applications. Filters may impact which candidates move forward.Job Type: Full-timePay: From $50,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Referral program</li><li>Retirement plan</li><li>Vision insurance</li></ul>Experience:<ul><li>Auto Insurance Claims Adjuster: 2 years (Required)</li><li>auto property damage adjusting : 2 years (Required)</li></ul>License/Certification:<ul><li>TX Adjuster License (Required)</li></ul>Ability to Commute:<ul><li>Plano, TX 75075 (Required)</li></ul>Ability to Relocate:<ul><li>Plano, TX 75075: Relocate before starting work (Required)</li></ul>Work Location: Hybrid remote in Plano, TX 75075

Claims Adjuster - Level 1 (Non-Standard Auto)

We are looking for a TX property and unrepresented injury Claims Adjuster to join our non-standard auto insurance company. Ability to speak Spanish is a plus, but not required. We have a great working environment and nice employee benefit package. If you are looking for a new home where you can be an important and valued employee, we want to meet you!SUMMARY:This position is responsible for the resolution of personal auto claims in accordance with regulatory guidelines and company best practices.DUTIES AND RESPONSIBILITIES:<ul><li>Upon receipt, reviews each claim file to identify and establish a prompt investigation of coverage, liability, and damages.</li><li>Properly documents and manages all aspects of the file during the life of a claim (investigation, correspondence, negotiation, and settlement).</li><li>Investigates questions on coverage under a reservation of rights and advises the Underwriting Department of adverse findings.</li><li>Oversees assigned claims in accordance with the policy contract, internal best practices, industry standards, Fair Claim Practices, regulatory guidelines, applicable case law, and jurisdictional requirements.</li><li>Communicates timely and professionally with insureds, claimants, witnesses, attorneys, and other carriers via telephone and written correspondence to set expectations, explain rationale behind decisions made, and negotiate settlements as appropriate through resolution.</li><li>Responsible for the completion of property and unrepresented injury evaluations to determine reasonable and related costs.</li><li>Works within settlement authority; submits requests to management for authority to negotiate, settle, accept, or deny claims when appropriate.</li><li>Alerts claims management of potentially suspicious claims, notification of lawsuits, time limited demands, or any allegation of a deceptive trade practices violation or bad faith.</li><li>Maintains claims systems exposures, adequate reserves, and proper cause codes.</li><li>Manages claim documents, diary, and voicemail timely.</li><li>Recognizes recovery potential and submits referrals when applicable.</li><li>Provides an exemplary claims experience to insureds and claimants.</li><li>Performs other related duties as assigned by management.</li></ul>QUALIFICATIONS:<ul><li>Bachelor's Degree (BA) from four-year college or university, or two to four years of related experience and/or training, or equivalent combination of education and experience preferred</li><li>Valid TX Adjuster license</li></ul>Computer skills required: Microsoft Office Suite; previous experience using web-based claims system interfaces (OSIS &lsquo;Oakwood Systems&rsquo; a plus)SALARY:Starting at $60,000We use automated systems to help screen applications. Filters may impact which candidates move forward.Job Type: Full-timePay: From $60,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Professional development assistance</li><li>Referral program</li><li>Retirement plan</li><li>Vision insurance</li></ul>Education:<ul><li>High school or equivalent (Preferred)</li></ul>Experience:<ul><li>bodily injury: 2 years (Required)</li><li>Auto Insurance Claims Adjuster: 2 years (Required)</li></ul>License/Certification:<ul><li>TX adjuster license that is currently active (Required)</li></ul>Ability to Relocate:<ul><li>Plano, TX 75075: Relocate before starting work (Required)</li></ul>Work Location: Hybrid remote in Plano, TX 75075

Claims Adjuster - Level 2 (Non-Standard Auto)

First Chicago Insurance Company

<div>Attention Recent and Upcoming College Grads!
Are you ready to rev up your career? Join First Chicago Insurance Company as a Full-Time Auto Claims Adjuster Trainee! This is your opportunity to dive headfirst into the dynamic world of insurance, surrounded by an energetic team that thrives on innovation and excellence. As you embark on this exciting journey, you'll develop invaluable skills in claims resolution while embracing a customer-centric approach. Experience the thrill of being onsite, where collaboration and fun are at the heart of everything we do. 
Be part of a culture that encourages high performance and celebrates your achievements. Your future starts here, and we can't wait to see the impact you'll make! You will be provided great benefits such as Medical, Dental, Vision Reimbursement, 401(k), Flexible Spending Account, Competitive Salary, Paid Time Off and Holidays, Tuition Reimbursement, Wellness Program, Commitment to your Training and Development, Work Hard Play Hard Days, and Fun events. Don't miss out-apply today! 
First Chicago Insurance Company (FCIC): What drives us
Are you preparing for your upcoming graduation and starting your career? Are you a recent college grad looking for that perfect opportunity? If you are looking for a rewarding career in the insurance industry, and not just a job, we have the perfect opportunity for YOU! We offer the training and support to start your career in the insurance industry! 
Are you excited about this Auto Claims Adjuster Trainee job?
As a Full-Time Auto Claims Adjuster Trainee at First Chicago Insurance Company, your day-to-day activities will be both engaging and rewarding! We will provide you with a top-notch training program, diving into training sessions designed to enhance your understanding of the claims process. Each day, you'll handle incoming claims by investigating details, corresponding with customers, and evaluating damages-all while maintaining a customer-first mindset. Your schedule will typically run Monday through Friday, allowing for a balanced work-life rhythm.
You'll have the chance to shadow experienced professionals, learn the ropes, and gradually take on more responsibilities as you grow in your role. Get ready to challenge yourself and thrive in an environment where every day is a new adventure! 
Are you the Auto Claims Adjuster Trainee we're looking for?
To excel as a Full-Time Auto Claims Adjuster Trainee at First Chicago Insurance Company, you'll need a dynamic skill set that empowers you to navigate the fast-paced insurance landscape effectively. Excellent analytical abilities are essential, as you'll be evaluating claims details and making informed decisions. Organizational skills will be your best friend, helping you manage multiple cases while staying on top of deadlines. Interpersonal skills are crucial for building rapport with clients, ensuring you can communicate effectively and empathically. Your verbal and written communication skills will shine as you engage in meaningful conversations over the phone and through documentation.
Familiarity with software tools for claims processing will be beneficial as you dive into the systems used for managing and analyzing claims data. With these skills in your arsenal, you'll be set for success in this thrilling new career path! 
Knowledge and skills required for the position are:<ul><li>
Excellent analytical, organizational, interpersonal and communication (verbal, written, and phone) skills</li><li>
Previous customer service experience</li><li>
In-Office and Hands-On Training!</li></ul> 
Ready to join our team?
So, what do you think? If you feel this is the right job for you, go ahead and apply! We look forward to meeting you! 
Estimated Compensation Range: $20/hr.-$30/hr.*<ul><li>Published ranges are estimates</li></ul></div>

Auto Claims Adjuster Trainee

Search 10000+ Insurance claims adjuster jobs near you this May. New roles added regularly across leading industries. Apply today.

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Claims Adjuster - Level 1 (Non-Standard Auto)

Claims Adjuster - Level 2 (Non-Standard Auto)

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