insurance claims specialist

Blue Star Claims - Auto Physical Damage Claims Specialist

Old Republic International

<div><p><b>WHO ARE WE?</b><br>
Old Republic Surety Company underwrites contract, fidelity, and commercial bonds, serviced through a strong and partnered network of independent insurance agencies. Solutions provided include bid bonds, performance and payment bonds, and maintenance bonds for large, middle market and smaller growing contractors. ORSC consistently offers superior service and creative underwriting options in all 50 states and some of the U.S. territories.</p><p></p><p>
ORSC continues to expand it geographic footprint and product offering while consistently delivering significant, market-leading growth and maintaining a strong underwriting margin.</p><p></p><div>
Are you ready to take your career to the next level as a <b>Claims Specialist</b> with a company known for stability, expertise, and integrity? At Old Republic Surety Company, we&rsquo;re looking for a driven and detail-oriented <b>Claims Specialist</b> who thrives in a fast-paced environment and is passionate about delivering fair, timely, and strategic claim resolutions.</div><div></div><div><br>
</div><div>
As a <b>Claims Specialist</b>, you&rsquo;ll play a role in protecting our clients and our business by managing complex commercial surety claims from investigation through resolution.</div><div></div><div><br>
</div><div>
We&rsquo;re seeking a <b>Claims Specialist</b> who is analytical, proactive, and confident in decision-making. If you enjoy interpreting complex legal documents, negotiating outcomes, and collaborating with professionals across industries, this role is designed for you.</div><div>
</div><h3 class="jobSectionHeader"><b>
What You&rsquo;ll Do as a Claims Specialist</b></h3><ul><li>
Ensure equitable claim service is performed in a timely and professional manner involving commercial surety claims</li><li>
Interpret bond language to determine company liability and identify issues requiring escalation</li><li>
Coordinate investigations, working closely with internal teams and external partners</li><li>
Evaluate resolution strategies and recommend effective courses of action</li><li>
Establish and maintain appropriate reserves while proactively mitigating loss</li><li>
Negotiate and settle claims within authority limits, clearly communicating liability decisions</li><li>
Develop surety defenses and manage complex coverage issues</li><li>
Pursue salvage opportunities, including indemnification and subrogation efforts</li><li>
Control Loss Adjustment Expenses through strategic use of attorneys, consultants, and accountants</li></ul><h3 class="jobSectionHeader"><b>
What You Bring</b></h3><div>
As a successful <b>Claims Specialist</b>, you combine technical expertise with strong communication and organizational skills. You&rsquo;re comfortable working independently while managing multiple priorities with precision.</div><ul><li>
High School Diploma or equivalent required</li><li>
Minimum 2 years of related experience or 3 years in insurance claims</li><li>
Strong ability to interpret complex legal and financial documents</li><li>
Excellent negotiation and communication skills</li><li>
Proficiency with Microsoft Office and computer systems</li><li>
Exceptional attention to detail and organizational abilities</li><li>
Ability to maintain confidentiality and exercise sound judgment</li><li>
Strong proofreading and recordkeeping skills</li></ul><p><b>
COMPANY BENEFITS</b></p><p><b>
Financial:</b></p><ul><li>
Competitive salary</li><li>
401k Savings &amp; Profit-Sharing Plan, including company match contribution</li><li>
Roth investment options</li><li>
529 Education Savings Plan</li><li>
Employee Referral Bonus Program</li></ul><p><b>
Health:</b></p><ul><li>
Health Insurance</li><li>
Dental Insurance</li><li>
Flexible Spending &amp; Health Savings Account options</li><li>
Life Insurance</li><li>
Vision Insurance</li><li>
Supplement Life Insurance</li><li>
Long-Term Disability Insurance</li><li>
Paid Leave of Absence Benefits</li><li>
Accident &amp; Critical Illness Insurance</li><li>
Pet Insurance</li></ul><p><b>
Work-Life Balance:</b></p><ul><li>
37.5 hour standard work week</li><li>
Casual business attire</li><li>
Generous paid time-off (PTO)</li><li>
Paid holidays</li><li>
Volunteer opportunities</li><li>
Company-sponsored events and outings</li></ul><div><div><div><div><b>
#LI-VG1</b></div></div></div></div><p><i>
Old Republic Surety Company is an Equal Opportunity Employer and is committed to maintaining a diverse workplace.</i></p></div>

Claims Specialist, Commercial

Curri

<div>
 <strong>
  The role:
  <br/>
  <br/>
 </strong>
 Curri is seeking candidates for a Claims Specialist to join our Legal and Compliance Department. This role reports to the Manager, Operational Risk &amp; Insurance and is fully remote or can be based at Curri HQ in Ventura, CA.
 <br/>
 <br/>
 The Claims Specialist plays a key role in administering transportation-related claims from initial notice through resolution. This position is responsible for investigating incidents submitted by both internal and external stakeholders while ensuring timely, accurate, and fair outcomes. The role requires regular interaction with peers, customers, carrier owners, drivers, and third parties to gather information and communicate claim status. A strong focus is placed on mitigating claim expenses through proactive investigation while adhering to company policies and expectations. Key metrics that will form the basis for evaluating performance in this role will be based on customer experience and satisfaction and the financial value of claims that are mitigated or recovered. The Claims Specialist also supports continuous improvement efforts by identifying trends and opportunities to reduce future losses.
 <br/>
 <br/>
 <strong>
  What you will do:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Receive, review, and investigate all incidents reported to the department including cargo damage or loss, third party property damage or loss, driver vehicle damage, paint spills, or driver injury.
  </li>
  <li>
   Gather necessary statements, documentation, and evidence from customers, drivers, and third parties to determine next steps and the appropriate outcome for all parties involved.
  </li>
  <li>
   Evaluate coverage, determine liability, and recommend appropriate claim resolutions.
  </li>
  <li>
   Communicate clearly and professionally with customers and internal stakeholders regarding claim status and outcomes.
  </li>
  <li>
   Control claim costs by verifying documentation, identifying opportunities to recover claim expenses, and submitting claims to insurance carriers whenever possible.
  </li>
  <li>
   Maintain up-to-date and organized claim files in accordance with established processes to ensure accurate reporting.
  </li>
  <li>
   Assist department with enrollment and maintenance of Curri&rsquo;s Loss Waiver Program designed to offset claim related losses.
  </li>
  <li>
   Support department projects and initiatives as needed.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What you need to have:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Strong organizational skills with the ability to manage multiple claims simultaneously while meeting deadlines
  </li>
  <li>
   High attention to detail and sound judgment when reviewing facts, documentation, and claim details
  </li>
  <li>
   Excellent customer service skills, including the ability to professionally de-escalate hostile or high-stress situations with customers and drivers
  </li>
  <li>
   Comfort communicating frequently with customers during sensitive or complex claim scenarios
  </li>
  <li>
   Ability to work cross-functionally and understand how claims impact broader transportation and operations teams
  </li>
  <li>
   Working knowledge of the transportation industry, including cargo handling and logistics processes (strongly preferred)
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Who are we?
  <br/>
  <br/>
 </strong>
 We are Curri, and our mission is to be the way the world delivers construction and industrial supplies. Curri provides on-demand, last-mile logistics for construction and adjacent industries with our nationwide fleet of cars, trucks, and flatbeds.
 <br/>
 <br/>
 Founded in 2018 and part of the YC S19 Batch, we&rsquo;re solving the massive inefficiencies that exist in the construction industry. Our team works remotely across the U.S., with headquarters in Ventura, CA. Learn more at curri.com.
 <br/>
 <br/>
</div>


Claims Specialist

AmTrust Financial

<div>Overview:
<div>
Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex General Liability Claims Specialist. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed.</div><div></div><div><br>
This position will ideally require hybrid attendance in an AmTrust location and is posted remotely for nationwide visibility.</div>
Responsibilities:
<ul><li>Identifying potential risks and managing timely reserves effectively</li><li>
Evaluating coverage issues and risk transfer opportunities</li><li>
Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed.</li><li>
Effectively communicate exposures both internally and externally</li><li>
Overall responsibility for formulating proper resolution strategy to ensure best total outcome.</li><li>
Position may require periodic travel to attend meditations, trials and / or other related meetings</li><li>
Perform other duties as assigned</li></ul>
Qualifications:
<ul><li>Bachelor&rsquo;s degree or equivalent experience in insurance claims management or related field.</li><li>
Minimum of ten (10) years&rsquo; experience in the handling or litigating of commercial general liability claims and five (5) years&rsquo; experience in the handling or litigating of complex commercial general liability claims.</li><li>
Experience in handling Employers Liability/Workers Compensation 1B claims preferred.</li><li>
Proficient computer skills required to navigate our paperless claim file system.</li><li>
Possesses a high level of technical claim and legal knowledge and skills.</li><li>
Excellent communication skills both written and oral.</li><li>
Ability to professionally interact at a high level with parties both internal and external to AmTrust.</li><li>
Easily adapts to changing situations, requirements and priorities.</li><li>
Ability to effectively influence others without damaging relationships.</li><li>
Skillful negotiator.</li><li>
Designated home state adjuster license preferred.</li><li>
CPCU designation/AIC certification preferred.</li></ul><div></div><div><i><br>
The expected salary range for this role is $120K-$145K/year.</i></div><div></div><div><i><br>
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.</i></div><div></div><div><br>
#LI-BL1</div>
What We Offer:
<div>
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical &amp; Dental Plans, Life Insurance, including eligible spouses &amp; children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.</div><div></div><div><br>
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.</div><div></div><div><br>
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.</div></div>

Complex Claim Specialist, General Liability

The Cincinnati Insurance Companies

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

Claims - Private Client Claims Specialist I

CommunityCare

<b>JOB SUMMARY:</b><br>
The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims. The Specialists will take actions such as identification of outstanding overpayment of claims, collection of claim overpayments, handling third party claim liability, ensuring appropriate coordination of benefits, coordinating transplant claim processing and reporting of reinsurance claims to reinsurer.
<br><br>
<b>KEY RESPONSIBILITIES:</b><br>
<ul>
<li>Generate and update database of all applicable claims which have refunds due. Run daily reports for future provider payable amounts by line of business.</li>
<li>Access claims and recoup the proper dollar amount. Keep track of claims that cause negative balances and correct them as needed. Enter claim remarks of all recovery attempts and activities.</li>
<li>Communicates with providers regarding outstanding overpayment amounts and keep phone log records of accounts.</li>
<li>Reply to calls and emails in a timely manner. Update recoupment workflow of changes.</li>
<li>Generate reports of recouped dollars by line of business as well as reporting bad debt amounts.</li>
<li>Review and advise examiners on processing of transplant and Centers of Excellence claims.</li>
<li>Monitor, log and track members cases for reinsurance purposes.</li>
<li>Report monthly to finance and self-funded groups status of all active reinsurance members.</li>
<li>Ensure correct application of coordination of benefits for our member population.</li>
<li>Attempt subrogation for claims related to third party liability.</li>
<li>Assist in the negotiation of settlements related to third party liability claims.</li>
<li>Contribute to the creation of a pleasant working environment with peers and other departments.</li>
<li>Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations.</li>
<li>Generate reports and tracking of requests, receivables, savings and volumes.</li>
<li>Interface with various departments regarding cost containment actions.</li>
<li>Assists in researching and solving complex problems related to claim payments.</li>
<li>Perform other job-related duties as assigned.</li>
</ul>
<b>QUALIFICATIONS:</b><br>
<ul>
<li>Self-motivated and able to work with minimal direction.</li>
<li>Ability to read and understand claims processing manuals, medical terminology, CPT codes and perform claims processing procedures.</li>
<li>Knowledge of claims processing manuals and health benefit booklets.</li>
<li>Knowledge in the contracted managed care plan terms and rates for multiple lines of business.</li>
<li>Proficient in Microsoft applications.</li>
<li>Ability to perform complex mathematical calculations.</li>
<li>Demonstrated learning agility</li>
<li>Highly attentive to detail.</li>
<li>Ability to work with a variety of individuals at all levels within and outside the company.</li>
<li>Successful completion of Health Care Sanctions background check.</li>
<li>Possess strong oral and written communication skills.</li>
<li>Ability to organize time effectively and set priorities to meet deadlines.</li>
</ul>
<b>EDUCATION/EXPERIENCE:</b><br>
<ul>
<li>High school diploma or equivalent required.</li>
<li>Three years related work experience in claims processing, data entry or medical billing. One year of claims processing experience within CommunityCare or another healthcare environment is preferred.</li>
<li>One year of collections experience preferred.</li>
</ul>
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin

Claims HMO - Cost Containment Specialist 140-1027

Crawford & Company

<div><div><p><b>Your Next Career Move Starts Here &ndash; Join Us in California!</b></p>
<p><b>Position:</b> Content Claims Specialist &ndash; Field (Level I) ️<br>
<b>Work Setup:</b> Hybrid &ndash; Work From Home + Driving Role<br>
<b>Location:</b> San Diego or Los Angeles, CA<br>
<b>Salary Range:</b> $21 &ndash; $25/hour</p>
<p><b>What We&rsquo;re Looking For</b><br>
✅ Adjuster experience <b>preferred, not required</b><br>
️ Open to candidates with <b>restoration, roofing, customer service, or retail</b> experience<br>
️ Strong <b>communication</b> and <b>problem‑solving</b> skills<br>
 Ability to <b>work independently</b> and travel for inspections</p>
</div><ul>
<li>Communicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists and their respective roles/contributions in the claims handling process.</li>
<li>Complete physical inventory of the contents impacted by the covered loss. Identify claim type and apply appropriate methodology based on the circumstances of the contents loss. May be exposed to diverse conditions (cold, heat, rain, debris, etc.).</li>
<li>Ensure consistent and quality/turnaround of all claims in accordance with the Company's productivity and performance standards and our client's SLA requirements.</li>
<li>Work with the Field Support Department to organize resources (claims assistants, pricing representatives) required for completing the data entry and LKQ assessment of all damaged/destroyed total loss contents in an efficient and effective manner as per productivity standards.</li>
<li>Independently manage claim load to promote/achieve the timely turnaround/closures of all claims.</li>
<li>Communicate with all parties (adjusters/policyholders) in adherence with edjuster's commitment to timely and informative updates on the content claims process.</li>
<li>Complete/submit detailed work/time logs on a daily basis, for all claims processed.</li>
<li>Maintain claim related notes in the Company's Claims System/Web-application, exclaim, relating to incurred hours over productivity standards, as well as related to specific issues and other pertinent notes.</li>
<li>Ensure timely and accurate completion/pricing of all outstanding items, which have not been priced via other channels, and following pricing Like, Kind and Quality (LKQ) standards.</li>
<li>Maintains professional and technical knowledge through continuing education.</li>
<li>Consistently promote edjuster's brand, image and reputation in a professional and positive manner.</li>
<li>Upholds the Crawford Code of Business Conduct at all times.</li>
<li>Participate in Special Projects, CAT response, or perform duties in other areas as requested.</li>
</ul><ul><li>Secondary (High School) Diploma.</li>
<li>College degree preferred.</li>
<li>Minimum 6 months relevant work experience.</li>
<li>Good verbal and written communication skills.</li>
<li>Good attention to detail.</li>
<li>Strong analytical and problem solving skills.</li>
<li>Ability to work independently</li>
<li>Strong computer skills (MS Office/Outlook/Excel, Etc)</li>
<li>Excellent interpersonal skills including the ability to handle challenging situations and people.</li>
<li>Must have a valid driver's license and pass a background check.</li>
<li>This is a remote/work from home position. Employee must be able to provide:
<ul><li>an adequate workspace, free of noise</li>
<li>high speed internet service</li>
<li>reliable personal vehicle and valid driver's license</li>
</ul></li><li>Company equipment including laptop will be provided. It is the employee's responsibility to care and maintain the equipment, as per policy</li>
<li>Overnight travel required</li>
</ul>
<p>#LI_JC3 #Hybrid</p></div>

Content Claims Specialist - Field - Level I

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