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claims adjuster associate - wc

medical claims adjuster

Wipro

<div>Job Description<div><div><ul><li><div> 
 
</div></li></ul></div></div><div><div><div><div>Job Title: Medical Claims Adjuster
</div></div></div></div><div><div><div><div>City: Tampa
</div></div></div></div><div><div><div><div>State/Province: Florida
</div></div></div></div><div><div><div><div>Posting Start Date: 4/17/26
</div></div></div></div><div><div><div><div>Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients&rsquo; most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.
</div></div></div></div><div><div><div><div>Job Description:
<div><div><div><h2 class="jobSectionHeader">Job Description
</h2></div><div>Claims Adjustment Examiner
Location : Remote
Work authorization: US Citizen or US Green Card only
Hours: Mon- Fri 7:30AM -3:30 PM EST or 8:00 AM - 4:30 PM EST
Compensation : $23 per hour 
Position Summary: The Claims Adjustment Examiner position is integral to ensuring the accuracy and integrity of medical, dental, and vision claims processing. Your role involves thorough examination and adjustment of claims to align with the outlined plan guidelines, providing a crucial link between our clients and their health benefits. By diligently reviewing each submission, you will play an essential part in upholding the trust that our clients place in us, contributing significantly to their overall experience with our services. 
This role demands not only keen analytical skills but also a compassionate approach, as you will often be interacting with clients to clarify and resolve issues related to their claims. As you navigate the complexities of the claims process, you will find yourself immersed in a diverse and dynamic environment that values accuracy, efficiency, and customer satisfaction. 
Additional Job Duties:
<ul><li>Examine and process medical claims in adherence to plan guidelines while ensuring completion within set turnaround times.
</li><li>Interpret and apply medical plan guidelines to guarantee proper coding in our systems.
</li><li>Assess the legitimacy and correctness of claims to maintain a high standard of accuracy.
</li><li>Meet and exceed the production and quality benchmarks established for adjusters, contributing to the overall efficiency of the team.
</li><li>Allocate over-payments and refunds appropriately to resolve any existing financial discrepancies.
</li><li>Assist in addressing customer service inquiries regarding claims, providing clarity and guidance to enhance the client experience.
</li><li>Review additional documentation swiftly to adjust claims accordingly, ensuring that all submissions are processed accurately based on newly provided information.
</li>Undertake other responsibilities as delegated to support the overall objectives of the claims department. 
<li>
</li></ul>Requirements:
<ul><li>High School Diploma or GED is required.
</li><li>Proven problem-solving skills and the ability to interpret benefit plans effectively.
</li><li>Familiarity with CPT codes, ICD9/ICD10 coding, and medical terminology is an asset.
</li><li>Adept at working independently, demonstrating initiative and self-motivation in daily tasks.
</li><li>Proficient in computer operations with the capability to engage with relevant software effortlessly.
</li>Possess average typing skills to ensure timely input of data and communication 
<li>
</li></ul>Preference:
Associate's degree or higher. 
<ul><li>
</li></ul></div></div></div></div></div></div></div><div><div><div><div>The expected compensation for this role ranges from $22 to $23/per hour.
Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro&rsquo;s standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.
 
 
Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.
Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.
Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention.</div></div></div></div></div>

Medical Claims Adjuster

M.E. Wilson Company

<div>
 
 
 Job Description
 
 
 
 At ME Wilson, our
 
 Claims Advocate
 
 position offers a refreshing alternative. Instead of managing claims files and fielding calls from claimants, you'll serve as a strategic partner and trusted advisor to our commercial clients. You'll guide them through the claims process, collaborate with carriers, and ensure issues are resolved with clarity and professionalism.
 
 
 This role is perfect for a seasoned adjuster who&rsquo;s ready to leverage their experience in a collaborative, client-facing environment, while stepping away from the pressures of high-volume claims handling. The ideal candidate has extensive experience in claims adjusting and a strong understanding of Auto Bodily Injury Liability claims.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 &bull; Review and analyze carrier handling, investigation, reserves, and resolution strategies for assigned claims
 
 
 &bull; Facilitate and maintain proactive communication between clients and carrier adjusters
 
 
 &bull; Lead and participate in claim reviews, conference calls, and client meetings
 
 
 &bull; Prepare detailed periodic status reports for clients and producers
 
 
 &bull; Counsel clients on the insurance claims and litigation processes
 
 
 &bull; Provide clients with claims resources, education, and support materials
 
 
 &bull; Review and advise on clients&rsquo; internal claim investigation procedures
 
 
 &bull; Advocate for clients in claim disputes or coverage issues with carriers
 
 
 
 
 
 
 Desired Skills and Experience
 
 
 
 &bull; Associate or bachelor&rsquo;s degree required
 
 
 &bull;
 
 Minimum of 7 years of experience
 
 as a licensed commercial adjuster, specifically in
 
 Auto Bodily Injury Liability
 
 
 
 &bull; Ability to work independently and manage multiple cases effectively
 
 
 &bull; Strong verbal and written communication skills
 
 
 &bull; Excellent organizational skills and keen attention to detail
 
 
 &bull; Proven ability to prioritize tasks and meet critical deadlines
 
 
 
 
 
 
 Physical Requirements:
 
 
 <ul>
 <li>
 Prolonged periods of sitting at a desk and working on a computer.
 </li>
 </ul>
 
 
 
 
 
 Benefits &amp; Perks
 
 
 
 We value our employees and are committed to providing a comprehensive benefits package that supports your well-being and work-life balance, here&rsquo;s what we offer:
 
 
 
 
 
 
 Health &amp; Wellness
 
 
 <ul>
 <li>
 Medical, Dental, and Vision Insurance
 </li>
 <li>
 Employer-Sponsored Life Insurance
 </li>
 <li>
 Long-Term Disability &amp; Employer Sponsored Short-Term
 </li>
 </ul>
 
 
 Financial Benefits
 
 
 <ul>
 <li>
 401(k) with Company Match
 </li>
 </ul>
 
 
 Work-Life Balance
 
 
 <ul>
 <li>
 Generous Paid Time Off (Starts at 4 Weeks)
 </li>
 <li>
 Additional
 
 Volunteer PTO
 
 to Give Back to Your Community
 </li>
 </ul>
 
 
 
 
 
 EEOC Statement:
 
 
 
 ME Wilson is an equal employment opportunity firm and strives to comply with all laws prohibiting discrimination based on race, color, religion, age, sex (including sexual orientation and gender identity), national origin or ancestry, disability, military status, marital status, and any other category protected by federal, state, or local laws. All such discrimination is unlawful, and all persons involved in the operations of the firm are prohibited from engaging in this conduct.
 
</div>

Claims Advocate

USAA

<div>
 
 Why USAA?
 
 
 
 At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
 
 
 Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
 
 
 
 The Opportunity
 
 
 
 As a dedicated Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members&rsquo; life events, as appropriate.
 
 
 This hybrid role requires an individual to be
 
 in the office 3 days per week
 
 . This position can be based in one of the following locations:
 
 San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Tampa, FL or Chesapeake, VA
 
 . Relocation assistance is
 
 not
 
 available for this position.
 
 
 This is an
 
 experienced desk based Property Adjuster
 
 role working in a telephone concentrated environment without physical inspection of loss. This is an hourly, non-exempt position with paid overtime available. Training will be approximately 12 weeks, Monday to Friday and hours may vary by location. Upon successful completion of training, employees will transition to an eight-hour work shift ranging between 8:00 am &ndash; 5:30 pm (local time) Monday to Friday with availability for occasional evenings and weekends based on business needs.
 
 
 
 What You'll Do
 
 
 
 <ul>
 <li>
 Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage.
 </li>
 <li>
 Partners with vendors and internal business partners to facilitate low to moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
 </li>
 <li>
 Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.
 </li>
 <li>
 Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving low to moderate complexity policy terms and contingencies.
 </li>
 <li>
 Determines and negotiates low to moderate complexity claims settlement. Coordinates with management for guidance on assessing settlement amounts outside of authority limits to support managing claims outcomes.
 </li>
 <li>
 Maintains accurate, thorough, and current claim file documentation throughout the claims process.
 </li>
 <li>
 Applies knowledge of estimating technology platforms and virtual inspection tools to prepare and manage low to moderate complexity property insurance claims estimates
 </li>
 <li>
 Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.
 </li>
 <li>
 Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
 </li>
 <li>
 May be assigned CAT deployment travel with minimal notice during designated CATs.
 </li>
 <li>
 Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
 </li>
 <li>
 Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
 
 
 </li>
 </ul>
 
 What You Have
 
 
 
 <ul>
 <li>
 High School Diploma or General Equivalency Diploma.
 </li>
 <li>
 1 year of customer service, military leadership, construction related industry/insurance experience and/or experience handling low complexity property claims
 </li>
 <li>
 Knowledge of estimating losses using Xactimate or similar tools and platforms.
 </li>
 <li>
 Demonstrated negotiation, investigation, communication, and conflict resolution skills.
 </li>
 <li>
 Working knowledge and understanding of claims contracts as well as application of case law and state laws and regulations.
 </li>
 <li>
 Ability to prioritize and multi-task, including navigating through multiple business applications.
 </li>
 <li>
 May need to travel up to 25% of the year (local &amp; non-local) and/or work catastrophe duty when needed.
 </li>
 <li>
 Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
 
 
 </li>
 </ul>
 
 What Sets You Apart
 
 
 
 <ul>
 <li>
 1+ years relevant property adjusting claims of moderate complexity
 </li>
 <li>
 Experience desk adjusting residential property claims to include water, roof, and personal property
 </li>
 <li>
 File ownership handling claims from start to finish (scoping the loss, assessing damages, estimating, interpreting policy, making coverage decisions, settlement)
 </li>
 <li>
 Proficient in estimate writing using Xactimate and virtual tools (such as Claim X, Hover, and Hosta)
 </li>
 <li>
 Currently hold an active P&amp;C Adjuster license
 </li>
 <li>
 Experience working directly for a standard insurance carrier
 </li>
 <li>
 Experience in a all center environment
 </li>
 <li>
 US military experience through military service or a military spouse/domestic partner
 
 
 </li>
 </ul>
 
 Physical Demand Requirements
 
 
 
 <ul>
 <li>
 May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.
 </li>
 <li>
 May need to meet all USAA safe driving requirements including verification of driving record through MVR &amp; possession of valid driver&rsquo;s license.
 </li>
 <li>
 May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.
 </li>
 <li>
 May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.
 
 
 </li>
 </ul>
 
 Compensation range:
 
 The salary range for this position is: $57,970 - $97,820.
 
 
 
 USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
 
 
 
 
 Compensation:
 
 USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
 
 
 Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
 
 
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 Benefits:
 
 At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
 
 
 For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
 
 
 
 Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
 
 
 
 
 USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
 
</div>

Inside Property Adjuster

Amerisure Insurance

<div>
 
 Amerisure creates exceptional value for its partners, policyholders, and employees.
 
 As a property and casualty insurance company, Amerisure&rsquo;s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best &ldquo;A&rdquo; (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property &amp; Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.
 
 
 
 Amerisure
 
 is hiring for a
 
 Claims Adjuster Associate
 
 to help support the claims department. This role will assist adjusters with all phases of the claim lifecycle. This role will specifically align to support two of our Workers&rsquo; Compensation teams. This is a hybrid role with 2 days being onsite. The ideal candidate will also possess the following skill set.
 
 
 
 Summary Statement
 
 
 
 The Claims Associate provides quality assistance to adjusters at all phases of the claim lifecycle to drive the claim to timely conclusion. Supports the success of the organization through interactions with agencies, policyholders, and employees. This individual will handle incoming calls and mail for the claims department and facilitate tasks and processes to aid the adjuster to process claims accurately and efficiently.
 
 
 
 Essential Tasks/Major Duties
 
 
 
 <ul>
 <li>
 Respond to inquiries from policyholders, claimants, injured workers, and other stakeholders regarding claim status, receipt of payment or bills, and other claim-related questions.
 </li>
 <li>
 Obtain and verify information by gathering missing or incomplete details from relevant parties, including policyholders, claimants, witnesses, and external vendors, to support accurate claim processing.
 </li>
 <li>
 Assist with claim documentation by preparing and submitting require state filings, closing documents, and other administrative support requests on behalf of adjusters.
 </li>
 <li>
 Draft and distribute correspondence to policyholders, claimants, injured workers, or agents in accordance with company standards and regulatory requirements.
 </li>
 <li>
 Maintain accurate claim records by entering data into the claims management system and ensuring all documentation is complete and up to date.
 </li>
 <li>
 Coordinate external vendors by engaging appraisers, attorneys, and contractors, to support the claims process.
 </li>
 <li>
 Process payments and invoices by reviewing and issuing payments in accordance with company policies and adjuster direction.
 
 
 
 </li>
 </ul>
 
 Knowledge, Skills &amp; Abilities
 
 
 
 <ul>
 <li>
 Associate's degree or equivalent combination of education and experience.
 </li>
 <li>
 1 year of experience in insurance, claims, or customer service is preferred.
 </li>
 <li>
 Ability to obtain appropriate state licensing as required.
 </li>
 <li>
 Proficiency in Microsoft Office Suite.
 </li>
 <li>
 Familiarity with claims management software preferred.
 </li>
 <li>
 Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
 </li>
 <li>
 Excellent verbal and written communication skills with the ability to interact with internal and external customers.
 </li>
 <li>
 Demonstrated ability to organize and prioritize work to ensure timely deadlines.
 </li>
 <li>
 Demonstrated ability to input data with a high accuracy rating, and strong attention to detail.
 
 
 
 </li>
 </ul>
 
 Just as we are committed to creating exceptional value for our Partners For Success&reg; agencies and policyholders, Amerisure also remains committed to being an employer of choice.
 
 We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the
 
 Best and Brightest&reg; Companies to Work For in the Nation
 
 and one of Business Insurance magazine&rsquo;s
 
 Best Places to Work in Insurance
 
 , we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you.
 
 
 Amerisure Mutual Insurance Company is an Equal Employment Opportunity employer. Amerisure provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (to include sexual orientation and gender identity), national origin, age, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local laws. Amerisure complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Amerisure prohibits harassment or discrimination of any kind and is committed to maintaining a workplace free from unlawful harassment or discrimination. Amerisure prohibits retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices. Any improper interference with an employee&rsquo;s ability to perform their job duties may result in disciplinary action, up to and including termination.
</div>

Claims Adjuster Associate - WC

<div>
 
 Why USAA?
 
 
 
 At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
 
 
 Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
 
 
 
 The Opportunity
 
 
 
 As a
 
 Senior Auto Adjuster your work will focus on adjusting non-injury auto claims.
 
 You will investigate and determines coverage and liability, evaluate, negotiate, and settle highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues, attorney representation, non-owned vehicles, mechanical breakdown, property damage lawsuits) property damage liability, and rental vehicle coverages for repairable vehicles and total losses.
 
 
 We offer a flexible work environment that requires an individual to be in the office 3 days per week, after completing 3 months in office.
 
 This position will be based in our Tampa, FL locations only.
 
 Relocation assistance is not available for this position.
 
 
 
 Start Date
 
 : May 3rd or June 1st
 
 
 
 Hours
 
 : Monday &ndash; Friday (9:00 &ndash; 5:30pm ET)
 
 
 
 What You&rsquo;ll Do
 
 
 
 <ul>
 <li>
 Investigates to determine coverage, liability, and physical damage including total loss settlements for highly complex auto claims.
 </li>
 <li>
 Negotiates liability for comparative negligence (claimant or adverse carrier).
 </li>
 <li>
 Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit (SIU) referrals, when appropriate.
 </li>
 <li>
 Interacts with multiple parties to gather information (police reports, recorded statements, witness statements) determine liability.
 </li>
 <li>
 Analyzes information obtained to establish compliance for regulatory requirements and settlement value.
 </li>
 <li>
 Evaluates and negotiates settlement of automobile first and third-party physical damage claims within established settlement authority limits and negotiates any excessive storage charges.
 </li>
 <li>
 Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.
 </li>
 <li>
 Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions.
 </li>
 <li>
 Collaborates and sets expectations with external and internal business partners to facilitate claims resolution.
 </li>
 <li>
 Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
 </li>
 <li>
 Applies proficient knowledge of P&amp;C insurance industry products, services, to include P&amp;C insurance policy contracts, coverages and internal claims handling process and procedures.
 </li>
 <li>
 May serve as an informal resource for team members.
 </li>
 <li>
 Applies proficient knowledge of Auto Physical Damage to adjust claims.
 </li>
 <li>
 Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
 </li>
 <li>
 May be assigned CAT deployment travel with minimal notice during designated CATs.
 </li>
 <li>
 Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
 </li>
 <li>
 Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
 
 
 </li>
 </ul>
 
 What You Have
 
 
 
 <ul>
 <li>
 High School Diploma or General Equivalency Diploma.
 </li>
 <li>
 2 years of customer service experience.
 </li>
 <li>
 1 year of experience handling low to moderately complex auto non injury liability claims.
 </li>
 <li>
 Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
 </li>
 <li>
 Experience determining auto liability coverage.
 </li>
 <li>
 Proficient knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
 </li>
 <li>
 Demonstrated negotiation, investigation, communication, and conflict resolution skills.
 </li>
 <li>
 Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.
 </li>
 <li>
 Ability to organize, analyze, and effectively determine risk and appropriate response.
 </li>
 <li>
 Successful completion of a job-related assessment may be required.
 
 
 </li>
 </ul>
 
 What Sets You Apart
 
 
 
 <ul>
 <li>
 1 to 2 years recent multi-vehicle claims liability to include comparative negligence.
 </li>
 <li>
 Contract Interpretation experience: Liability &amp; Physical Damage Coverage and Uninsured/Underinsured Motorists Property Damage.
 </li>
 <li>
 Dispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits.
 </li>
 <li>
 Arbitration/Subrogation knowledge.
 </li>
 <li>
 Guidewire Claims Center experience.
 </li>
 <li>
 Bachelor's degree.
 </li>
 <li>
 Active Adjuster's License.
 </li>
 <li>
 US military experience through military service or a military spouse/domestic partner.
 
 
 </li>
 </ul>
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 What We Offer
 
 
 
 
 Compensation
 
 : The salary range for this position is:
 
 $54,550 - $92,060.
 
 
 
 
 USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
 
 
 
 
 Compensation:
 
 USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
 
 
 Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
 
 
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 Benefits:
 
 At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
 
 
 For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
 
 
 
 Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
 
 
 
 
 USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
 
</div>

Senior Auto Adjuster – Complex Non-Injury

<div>
 
 Why USAA?
 
 
 
 At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
 
 
 Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
 
 
 
 The Opportunity
 
 
 
 We offer a flexible work environment that requires an individual to be in the office 3 days per week,
 
 after completing 6 months in office
 
 . This position is based in our Tampa, FL locations only. Relocation assistance is not available for this position.
 
 
 
 Start Date:
 
 June 15th
 
 
 
 Hours
 
 : 9:00am &ndash; 5:30pm ET
 
 
 
 As a dedicated Auto Adjuster you will manage file ownership including investigation, taking statements, reviewing policy and coverages, determination of liability, setting and managing services throughout life of the claim while providing excellent service.
 
 
 
 Within defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering best in class service, through setting appropriate expectations, proactive communications, advice, and empathy.
 
 
 
 What You&rsquo;ll Do
 
 
 
 <ul>
 <li>
 Investigates liability and applies appropriate coverage, evaluates, negotiates, and settles moderately complex auto claims.
 </li>
 <li>
 Negotiates liability for comparative negligence (claimant or adverse carrier).
 </li>
 <li>
 Identifies coverage concerns, reviews prior loss history, determines, and builds Special Investigation Unit (SIU) referrals, when appropriate.
 </li>
 <li>
 Interacts with multiple parties to gather information needed to determine liability (police reports, recorded statements, witness statements).
 </li>
 <li>
 Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.
 </li>
 <li>
 Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions
 </li>
 <li>
 Collaborates and sets expectations with external and internal business partners to facilitate claims resolution.
 </li>
 <li>
 Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through outstanding service.
 </li>
 <li>
 Applies developing knowledge of P&amp;C insurance industry products, services, to include P&amp;C insurance policy contracts, coverages and internal claims handling process and procedures.
 </li>
 <li>
 Applies intermediate knowledge of Auto Physical Damage to adjust claims.
 </li>
 <li>
 Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
 </li>
 <li>
 May be assigned CAT deployment travel with minimal notice during designated CATs.
 </li>
 <li>
 Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
 </li>
 <li>
 Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
 
 
 </li>
 </ul>
 
 What You Have
 
 
 
 <ul>
 <li>
 High School Diploma or General Equivalency Diploma.
 </li>
 <li>
 1 year of customer service experience.
 </li>
 <li>
 Progressive experience handling low complexity auto non injury liability claims.
 </li>
 <li>
 Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
 </li>
 <li>
 Developing knowledge and understanding of auto claims contracts as well as application of case law and state laws and regulations.
 </li>
 <li>
 Proven negotiation, investigation, communication, and conflict resolution skills.
 </li>
 <li>
 Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.
 </li>
 <li>
 Successful completion of a job-related assessment may be required.
 
 
 </li>
 </ul>
 
 What Sets You Apart
 
 
 
 <ul>
 <li>
 One or more years of auto liability claims experience managing claims from initial contact through resolution.
 </li>
 <li>
 Minimum one year of experience managing a pending inventory with demonstrated organization and prioritization skills.
 </li>
 <li>
 Proven experience with comparative negligence and shared liability determinations.
 </li>
 <li>
 At least two years of customer service experience, demonstrating strong communication and problem-solving.
 </li>
 <li>
 Strong analytical and communication skills with the ability to interpret policy language, assess coverages, and make sound decisions.
 </li>
 <li>
 Proficiency with Guidewire or similar claims management systems.
 </li>
 <li>
 Bachelor&rsquo;s degree or industry designation (e.g., AIC, CPCU).
 </li>
 <li>
 Military experience through service or as a military spouse.
 
 
 </li>
 </ul>
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 What We Offer
 
 
 
 
 Compensation
 
 : The salary range for this position is:
 
 $51,370 - $86,680.
 
 
 
 
 USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
 
 
 
 
 Compensation:
 
 USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
 
 
 Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
 
 
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 Benefits:
 
 At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
 
 
 For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
 
 
 
 Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
 
 
 
 
 USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
 
</div>

Auto Adjuster (Mid-Level) – Non-Injury

Safepoint MGA, LLC

<div>Safepoint Insurance is an admitted Property and Casualty Insurance carrier. We are based in Temple Terrace, FL. Our Claims Department is growing and we are looking for self-motivated professionals ready to support our organization.
Job Title: Claims Service Representative - Bilingual Preferred
Job Location: Office in Tampa (on Gunn Hwy) 
The Claims Service Representative provides prompt, effective and courteous handling of all inquiries to policy holders and claimants with special emphasis on complying with appropriate guidelines. Complete assigned administrative tasks related to the claims process function. 
Duties and responsibilities<ul><li>
Direct customer and vendor inquiry calls</li><li>
Conduct First Notice of Loss calls and corresponding documentation</li><li>
Monitor Phone Queue for proper coverage and escalate calls when needed</li><li>
Obtain police and fire reports and other reports subject to public information requests</li><li>
Responsible for dispatching examiner assignment to IA or expert</li><li>
Responsible for organizing, scanning and dispatch of incoming and outgoing correspondence such as mail, fax, and emails</li><li>
Responsible for claims projects as assigned</li><li>
Maintain accurate and complete files, updating the claims system daily</li><li>
Print, verify, and mail checks and letters daily</li><li>
Monitor claims inbox for Incoming e-mails, and distribute and file as appropriate</li><li>
Monitor new incoming claims and assign them to appropriate desk or field adjuster</li><li>
Pay invoices and update spreadsheets and claims system</li><li>
Other tasks and projects as may be assigned</li></ul> 
Essential Functions<ul><li>
Use telephone and computer systems to communicate with and service customers</li><li>
Use computer system to update claim files daily</li><li>
Ability to take and direct at least 30 &ndash; 50 phone calls per day</li><li>
Ability to print and physically mail correspondence</li><li>
Ability to work independently in a fast-paced office environment; meet deadlines and manage changing priorities effectively</li></ul> 
Qualifications<ul><li>
College degree or related experience</li><li>
2 years of customer service experience analyzing and solving customer problems</li><li>
Florida All-Lines Adjuster's license (6-20) strongly preferred; ability to obtain license required</li><li>
Proficiency with Microsoft Office products required</li><li>
Ability to use systems such as Policy Port, CMS, Unisoft.</li><li>
Bilingual in English and Spanish preferred</li><li>
Excellent communication skills and ability to interact on a professional level with internal and external personnel and partners</li></ul> 
Licensing requirements
Please note that most organizations overseeing Property and Casualty licensure requirements, including the Florida Department of Financial Services, require individuals to answer background questions about criminal history and undergo fingerprinting as part of the licensing process. Obtaining applicable licensure is a requirement for this position. 
 
Physical requirements
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to type, handle or feel; and reach with hands and arms. 
Working conditions
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, copiers, filing cabinets and fax machines. 
Compensation and Benefits
We recognize that talented professionals are attracted to companies that provide a great place to work, combined with a comprehensive and competitive pay and benefits package, along with opportunities for personal growth and job advancement. For this reason we are pleased to provide:<ul><li>
Market Competitive Wages commensurate with experience</li><li>
Prof. Development and Educational Assistance Programs</li><li>
Safe Harbor 401K Plan with Immediate Vesting and an Automatic Company Contribution</li><li>
Paid Time-Off (Discretionary, PTO, Parental Leave, and others)</li><li>
Company Paid Holidays</li><li>
Health Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Short and Long Term Disability Insurance (company paid)</li><li>
Flexible Spending Accounts with Company Contribution</li><li>
Health Savings Accounts with Company Contribution</li><li>
Employee Life and AD&amp;D Insurance</li><li>
Dependent Life and AD&amp;D Insurance</li><li>
Company paid AAA Membership</li><li>
Company paid Identity Theft Protection</li><li>
Other Ancillary Insurance Benefit Programs</li><li>
And more&hellip;</li></ul>
Safepoint Insurance is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Safepoint depends solely on your qualifications. 

FTAR7DAyn6</div>

Claims Customer Service Representative

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