medical claims representative

Mitsui Sumitomo Insurance Group

<div><p>MSIG USA continues to grow!</p><p></p><p><b>
Company Overview:</b></p><p></p><p>
MSIG USA is the US-based subsidiary of MS&amp;AD Insurance Group Holdings, Inc., one of the world&rsquo;s top P&amp;C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business&rsquo;s unique risks.</p><p></p><div><h1 class="jobSectionHeader"><b>
Launch Your Career: Multi-Line Claims Trainee Program</b></h1><div><b>
Locations:</b> Cincinnati, OH AND Atlanta, GA<br>
<b>Program Start Date:</b> August 3, 2026<br>
<b>Training Requirement:</b> Participants must attend a <b>4-week in-person training program in Cincinnati, OH beginning August 10, 2026</b></div><p></p><h2 class="jobSectionHeader"><b>
Build Your Future in Claims</b></h2><p>
Looking to kick-start a career where you make a real impact every day? Our Multi-Line Claims Trainee Program is your opportunity to gain hands-on experience, learn from industry experts, and build a strong foundation in the world of insurance claims.</p><p></p><p>
This program is designed to develop high-potential talent into future claims professionals through immersive training, mentorship, and real-world exposure across multiple lines of business.</p><h2 class="jobSectionHeader"><b>
What You&rsquo;ll Experience</b></h2><p>
As a Claims Trainee, you won&rsquo;t just learn&mdash;you&rsquo;ll do.</p><ul><li>
Gain exposure to <b>property, auto, workers&rsquo; compensation, liability, and specialty claims</b></li><li>
Work alongside experienced professionals to <b>investigate claims and uncover key facts</b></li><li>
Participate in <b>field investigations</b> and real-time claim scenarios</li><li>
Learn how to <b>analyze coverage, evaluate liability, and support fair claim resolutions</b></li><li>
Build confidence navigating conversations with <b>customers, agents, attorneys, and vendors</b></li><li>
Partner with cross-functional teams including <b>Underwriting, Loss Engineering, and SIU</b></li></ul><h2 class="jobSectionHeader"><b>
A Structured Path to Success</b></h2><p>
We invest in your development from day one:</p><ul><li><b>
In-person training kickoff:</b><br>
A <b>4-week immersive training program in Cincinnati (beginning August 10, 2026)</b></li><li>
Ongoing <b>mentorship and coaching</b> from seasoned leaders</li><li>
Clear progression with increasing responsibility as you grow</li><li>
Company-sponsored enrollment in the <b>Associate in Claims (AIC)</b> designation program, with completion expected within 12 months</li></ul><h2 class="jobSectionHeader"><b>
What You&rsquo;ll Do</b></h2><ul><li>
Conduct claim investigations by reviewing policies, gathering information, and documenting findings</li><li>
Support claim resolution decisions with a focus on accuracy, fairness, and compliance</li><li>
Maintain detailed, organized claim files in accordance with regulatory standards</li><li>
Deliver a <b>high level of customer care</b> during critical moments for policyholders</li><li>
Manage multiple priorities and develop strong organizational discipline</li></ul><h2 class="jobSectionHeader"><b>
What You Bring</b></h2><p>
We&rsquo;re looking for individuals who are motivated, curious, and ready to learn:</p><ul><li>
Strong <b>communication and interpersonal skills</b></li><li>
Ability to <b>build relationships</b> across teams and with external partners</li><li>
Solid <b>analytical mindset and problem-solving ability</b></li><li>
Strong organizational skills with the ability to manage competing priorities</li><li>
Comfort working in a <b>fast-paced, team-oriented environment</b></li><li>
A proactive, <b>self-starter attitude with a passion for learning</b></li></ul><h2 class="jobSectionHeader"><b>
Why Join Us</b></h2><ul><li>
Launch a <b>long-term career path</b> in a stable, growing industry</li><li>
Gain exposure to multiple areas of the business early in your career</li><li>
Learn from leaders who are invested in your success</li><li>
Work in a collaborative environment where your contributions matter</li></ul><h2 class="jobSectionHeader"><b>
Important Program Details</b></h2><ul><li>
Positions are based in <b>Cincinnati, OH AND Atlanta, GA</b></li><li><b>
Travel to Cincinnati is required</b> for the initial 4-week training program</li><li>
Candidates should be available to start on <b>August 3, 2026</b></li></ul><h3 class="jobSectionHeader"><b>
Your Career Starts Here</b></h3><p>
If you&rsquo;re ready to build a career where you can grow, learn, and make an impact&mdash;this program is your starting point.</p></div><p></p><p>
It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!</p><p><br>
It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.</p></div>

Multi-Line Claim Representative Trainee (RECENT GRADS)

Michigan Farm Bureau

<div>OBJECTIVE:
<div><b>
Senior Property Claims Representative Objective</b></div><div>
To assure the consistent application of company procedures and practices in commercial, residential, farm property and property damage liability claim handling, so as to have a significant and positive overall effect on the company. To provide quality service to insureds and aid in the retention of business. To make certain that claims are properly investigated, evaluated and resolved within the company's contractual and legal obligations. To ensure timely service, while providing appropriate and equitable resolution to insureds, claimants and the company.</div>
RESPONSIBILITIES:
<div><b>
Senior Property Claims Representative Responsibilities</b></div><div>
Investigate, evaluate and control property and casualty claims under minimal supervision.</div><div></div><div><br>
Maintain advanced knowledge of various types of buildings, construction, repair cost and methods, repair-estimating system and scoping damages. Assist in training others on repair estimating system and scoping of damage.</div><div></div><div><br>
Maintain advanced knowledge of farm machinery, livestock and home furnishings.</div>
QUALIFICATIONS:
<div><b>
Senior Property Claims Representative Qualifications</b></div><div></div><div><b><br>
Required</b>: Bachelor&rsquo;s degree required with focus on construction trades, agriculture-related studies, business administration or insurance related field preferred, or equivalent experience may be considered.</div><div></div><div><br>
Minimum five to seven years multi-line or property claims experience required.</div><div></div><div><br>
Advanced knowledge of insurance contracts written by the companies required.</div><div></div><div><br>
Advanced knowledge of company and divisional policies and procedures required.</div><div></div><div><br>
Must possess outstanding listening and superior customer service skills.</div><div></div><div><br>
Advanced knowledge of estimating systems and construction requirements and methods required.</div><div></div><div><br>
Must have access to high speed Internet at home if position is field-based.</div><div></div><div><br>
Must possess a valid driver license with an acceptable driving record.</div><div></div><div><br>
Designations in INS, AIC and/or similar professional insurance designation required.</div><div></div><div><b><br>
Preferred</b>: Designation in CPCU preferred.</div><div></div><div><b><br>
Note: </b><b>This is a work from home position in Michigan, primarily covering these Michigan counties: </b><b>Monroe, Wayne, Washtenaw, and Lenawee</b><b>.</b></div><div></div><div><br>
Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.</div><div></div><div><br>
PM19</div></div>

Senior Property Claims Representative

Sedgwick

<div><p>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
</p><p></p><p>Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
</p><p>Certified as a Great Place to Work&reg;
</p><p>Fortune Best Workplaces in Financial Services &amp; Insurance
</p><p></p>Disability Representative Sr
<p></p><p><b>Our teams connect!
</b></p><p><b>We collaborate onsite and have a hybrid work arrangement.
</b><br>
<b>All candidates must live near one of our centers of excellence:<br>
</b></p><p></p><p><b>Cedar Rapids, IA </b>: 333 1st Street SE Ste. 200 Cedar Rapids IA 52401
</p><p><b>Chicago, IL : </b>175 W. Jackson Blvd. 12th Fl. Chicago IL 60604
</p><p></p><p><b>PRIMARY PURPOSE </b>: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors.
</p><p></p><p><b>ESSENTIAL FUNCTIONS and RESPONSIBILITIES
</b></p><ul><li>Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
</li><li>Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan.
</li><li>Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines.
</li><li>Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed.
</li><li>Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
</li><li>Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system.
</li><li>Communicates with the claimants&rsquo; providers to set expectations regarding return to work.
</li><li>Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions.
</li><li>Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.
</li><li>Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.
</li><li>Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
</li><li>Negotiates return to work with or without job accommodations via the claimant&rsquo;s physician and employer.
</li><li>Refers cases to team lead and clinical case management for additional review when appropriate.
</li><li>Maintains professional client relationships and provides excellent customer service.
</li><li>Meets the organization&rsquo;s quality program(s) minimum requirements.
</li></ul><p></p><p><b>ADDITIONAL FUNCTIONS and RESPONSIBILITIES
</b></p><ul><li>Performs other duties as assigned.
</li></ul><p></p><p><b>QUALIFICATIONS
</b></p><p></p><p><b>Education &amp; Licensing
</b><br>
High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.
</p><p></p><p><b>Experience
</b><br>
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred.
</p><p></p><p><b>Skills &amp; Knowledge
</b></p><ul><li>Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
</li><li>Knowledge of state and federal FMLA regulations
</li><li>Working knowledge of medical terminology and duration management
</li><li>Excellent oral and written communication, including presentation skills
</li><li>Proficient computer skills including working knowledge of Microsoft Office
</li><li>Analytical, interpretive, and critical thinking skills
</li><li>Ability to manage ambiguity
</li><li>Strong organizational and multitasking skills
</li><li>Ability to work in a team environment
</li><li>Ability to meet or exceed performance competencies as required by program
</li><li>Effective decision-making and negotiation skills
</li><li>Ability to exercise judgement autonomously within established procedures
</li></ul><p></p><p><b>WORK ENVIRONMENT
</b><br>
When applicable and appropriate, consideration will be given to reasonable accommodations.
</p><p></p><p><b>Mental </b><b>: </b>Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
</p><p></p><p><b>Physical </b><b>: </b>Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required.
</p><p></p><p><b>Auditory/Visual </b><b>: </b>Hearing, vision and talking
</p><p></p><p>As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $21.00 - $23.00. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
</p><p></p><p>The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
</p><p></p><p>Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
</p><p></p><h2 class="jobSectionHeader"><b>If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</b></h2></div>

Disability Representative Sr

Plymouth Rock Assurance

<p></p><div><p>The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our &ldquo;Auto PD Claim Unit.&rdquo; This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is needed for this role.</p><br>
<p>
RESPONSIBILITIES</p>
<ul>
<li>Policy Analysis:</li>
<li><ul><li>Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.</li>
<li>Identify and investigate contested coverage claims that may require a roundtable discussion.</li>
</ul></li><li>Claim Investigation:</li>
<li><ul><li>Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.</li>
<li>Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages.</li>
</ul></li><li>Claims Management:</li>
<li><ul><li>Evaluate and adjust reserves as necessary.</li>
<li>Prepare dispatch instructions for field personnel to inspect vehicles.</li>
<li>Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance.</li>
<li>Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status.</li>
<li>Act as an intermediary between the company, preferred vendors, and customers to resolve disputes.</li>
<li>Ensure adherence to privacy guidelines, laws, and regulations in claims handling.</li>
<li>Backup to Commercial Claims handling.</li>
</ul></li><li>Subrogation and Legal Handling:</li>
<li><ul><li>Investigate and initiate subrogation processes when applicable.</li>
<li>Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims.</li>
</ul></li><li>Administrative Duties:</li>
<li><ul><li>Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly.</li>
<li>Process incoming and outgoing mail timely and in accordance with state guidelines.</li>
<li>Complete other duties as assigned.</li>
</ul></li>
</ul><p></p><p>QUALIFICATIONS</p>
<ul>
<li>Bachelor's degree required.</li>
</ul><ul><li>A minimum of 2 year of related PD claim experience is required.</li>
<li>Licensed in CT, NH, RI and other foreign states is preferred.</li>
<li>Proficiency in personal computer skills, including Microsoft Office Suite.</li>
<li>Ability to prioritize and manage multiple tasks effectively.</li>
<li>Excellent communication, organizational, and customer service skills.</li>
</ul>
<p></p><p>SALARY RANGE</p>
<p>
The pay range for this position is $50,000 to $65,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.<br>
</p><p></p><br>
<p>PERKS &amp; BENEFITS</p>
<ul>
<li>4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays</li>
</ul><ul><li>Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)</li>
<li>Annual 401(k) Employer Contribution</li>
<li>Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
</li><li>Robust health and wellness program and fitness reimbursements</li>
<li>Various Paid Family leave options including Paid Parental Leave</li>
<li>Tuition Reimbursement
</li></ul><p></p><p>ABOUT THE COMPANY</p>
<p><i>
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of &ldquo;A-/Excellent&rdquo;.</i></p><p><br>
#LI-DNI</p></div>

Claims Representative, Auto Property Damage

CCMSI

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

Multi-Line Claim Adjuster I (Auto/Property)

Amica Insurance

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


Associate APD Claims Representative

<div><p>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
</p><p></p><p>Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
</p><p>Certified as a Great Place to Work&reg;
</p><p>Fortune Best Workplaces in Financial Services &amp; Insurance
</p><p></p>Workers Compensation Claims Representative | Entry Level | Remote
<p></p><p><b>Claims experience preferred but not required
</b></p><p><b>office experience and/or project management experience
</b></p><p></p><p>Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world&rsquo;s best brands?
</p><ul><li>Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
</li><li>Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world&rsquo;s most respected organizations.
</li><li>Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
</li><li>Leverage Sedgwick&rsquo;s broad, global network of experts to both learn from and to share your insights.
</li><li>Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
</li><li>Enjoy flexibility and autonomy in your daily work, your location, and your career path.
</li><li>Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
</li></ul><p></p><p><b>ARE YOU AN IDEAL CANDIDATE? </b>To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
</p><p></p><p><b>PRIMARY PURPOSE OF THE ROLE: </b>We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
</p><p></p><p><b>ESSENTIAL RESPONSIBILITIES MAY INCLUDE
</b></p><ul><li>Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
</li><li>Negotiating settlement of claims within designated authority.
</li><li>Communicating claim activity and processing with the claimant and the client.
</li><li>Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
</li></ul><p></p><p><b>QUALIFICATIONS
</b></p><p>Education &amp; Licensing: less than 1 year of claims management experience or equivalent combination of education and experience required.
<br>
High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
<br>
Professional certification as applicable to line of business preferred.
</p><p></p><p>Jurisdictions: Nationwide
</p><p>Licensing: not required
</p><p></p><p><b>TAKING CARE OF YOU
</b></p><ul><li>Flexible work schedule.
</li></ul><ul><li>Referral incentive program.
</li></ul><ul><li>Career development and promotional growth opportunities.
</li><li>A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
</li></ul><p><b>WORK ENVIRONMENT REQUIREMENTS </b><b>INCLUDE
</b><br>
When applicable and appropriate, consideration will be given to reasonable accommodations.
</p><p>Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
</p><p>Physical: Computer keyboarding
</p><p>Auditory/Visual: Hearing, vision and talking
</p><p></p><p>As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (45,000 - 55,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
</p><p></p><p>Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
</p><p></p><h2 class="jobSectionHeader"><b>If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</b></h2></div>

Workers Compensation Claims Representative | Entry Level | Remote

Search 8846+ Medical claims representative jobs near you this June. New roles added regularly across leading industries. Apply today.