telephone claims representative

Farm Bureau Financial Services

<p></p><div><p>Do you thrive in a work environment where you must multi-task and have strong organizational skills? Are you a go-getter with high initiative and a positive attitude? Do you have past MedPay/PIP experience or a background in the medical field with a strong customer service mindset? If so, this Claims Service Representative opportunity could be a great fit for you!</p><p><b>
Who We Are: </b>With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership and accountability are at the heart of every decision we make and every action we take. We&rsquo;re proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive.</p><p><b>
What You&rsquo;ll Do:</b> As a Claim Service Representative &ndash; MedPay/PIP, you will review, investigate, and evaluate medical and Personal Injury Protection (PIP) claims payments. You will project a positive image of Farm Bureau by fairly and efficiently negotiating and settling claims with all customers. You will also assure claims are settled in accordance with regulations and policy language by reviewing medical bills submitted for accuracy, necessity and reasonableness. You will be responsible for adjusting or denying claims, considering deductible amounts and policy limits. You will take recorded statements from claimants and witnesses, as well as work with defense and plaintiff attorneys to settle claims. It is your responsibility to ensure only justifiable claims are paid by the company by reviewing the policy and external medical records to determine applicable coverage.</p><p><b>
What It Takes to Join Our Team:</b></p><ul><li> Associates degree or equivalent plus 1-3 years of experience. Prior Med Pay/PIP handling OR Medical claims experience is preferred.</li><li> Strong negotiation and communication skills are required in order to explain your decisions to insureds, claimants, and agents.</li><li> It will be necessary to maintain a professional and productive relationships with agents, policyholders, claimants, doctors, attorneys and others, to bring credit to the claims department and company.</li><li> Ability to keep a service-oriented attitude at all times.</li><li> Strong written communication skills are important to prepare running documentation and written reports.</li><li> Ability to spend up to 50% of your day on the telephone, while spending the majority of your time at a desk.</li><li> You will be expected to learn and keep up to date on Unfair Claims Practice Act, policy knowledge, and other governmental or company rules and regulations.</li><li> The ability to exercise independent judgment and arrive at decisions through sound, logical reasoning in order to handle more complex claims is required.</li><li> Ability to work from our office located in West Des Moines, IA.</li></ul><p><b>
What We Offer You: </b>When you&rsquo;re on our team, you get more than a great paycheck. You&rsquo;ll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. Add to that an onsite wellness facility with fitness classes and programs, a daycare center, a cafeteria, and for many positions, even consideration for a hybrid work arrangement. <b>Farm Bureau....where the grass really IS greener!</b></p><p><b>
Work Authorization/Sponsorship:</b> At this time, we are not considering candidates that need any type of immigration sponsorship now or in the future, such as additional or permanent work authorization. Applicants must be currently authorized to work in the United States on a full-time, permanent basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not considering candidates with OPT status.</p></div>

Claims Service Representative- Claims Medical Team

DAVIES

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><b><br>
Our Story</b></div><div>
Imagine being part of a team that&rsquo;s not just shaping the future but actively driving it. At <b>Davies North America</b>, we&rsquo;re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.</div><div>
<br>
Davies Claims North America is seeking a Claims Representative I to join our team supporting the Maryland Transit Administration (MTA).<br>
</div><div>In this role, you will be responsible for managing, investigating, and resolving minor property damage and bodily injury claims arising from MTA operations. You will work under close supervision while developing foundational claims handling skills in a fast-paced, high-volume environment.</div><br>
<h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><br>
<ul>
<li>
Manage a caseload of approximately 150&ndash;175 claims, including files with multiple claimants</li>
<li>Investigate claims involving automobile property damage, bodily injury, and general liability</li>
<li>Evaluate claim details to determine liability and exposure</li>
<li>Assist in establishing and maintaining appropriate reserves (typically $10,000 or less)</li>
<li>Maintain accurate and timely documentation, diary entries, and claim notes</li>
<li>Communicate with claimants, insureds, witnesses, and internal stakeholders</li>
<li>Support the resolution of claims through investigation and settlement activities</li>
<li>Ensure compliance with client guidelines, company standards, and regulatory requirements</li>
<li>Perform additional duties as assigned to support team and operational goals</li></ul><br>
<h3 class="jobSectionHeader"><b>
Skills, knowledge &amp; expertise</b></h3><br>
<ul>
<li>
High school diploma or GED required</li>
<li>Minimum 1 year of experience handling or supporting claims involving: Automobile property damage<br>
Bodily injury<br>
General liability claims</li>
<li>Basic understanding of claims investigation and settlement processes</li>
<li>Strong attention to detail and organizational skills</li>
<li>Effective written and verbal communication skills</li>
<li>Ability to manage a high-volume workload in a fast-paced environment</li>
<li>Proficiency in Microsoft Office Suite</li></ul><br>
<h3 class="jobSectionHeader"><b>
Benefits</b></h3><div><b><br>
Benefits</b></div><div>
At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:</div><ul>
<li>Medical, dental, and vision plans to ensure your health and that of your family.</li>
<li>A 401k plan with employer matching to help you build a secure financial future.</li>
<li>Our time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.</li>
<li>Paid holidays.</li>
<li>Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.</li>
</ul><div></div><div>
<b>Massachusetts Notice</b><br>
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.<br>
</div><div><b>Diversity and Inclusion</b></div><div>
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.<br>
<br>
<b>Compensation Transparency:</b>
<br>
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
<br>
<br>
<i>We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at </i><i>recruitment@davies-group.com</i></div><br>
<h3 class="jobSectionHeader"><b>
About Davies</b></h3><div>
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.<br>
<br>
We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation &amp; risk, customer experience, human capital, digital transformation &amp; change management.<br>
<br>
Our global team of more than 8,000 professionals operate across ten countries, including the UK &amp; the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research &amp; development, innovation &amp; automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.</div></div>

P & C Claim Rep 1 - MTA

Wells Fargo

<div><b>About this role:</b><br>
<br>
Wells Fargo is seeking a Fraud &amp; Claims Operations Representative in Detection Operations as part of Fraud &amp; Claims Management. Learn more about the career areas and business divisions at wellsfargojobs.com
<br>
<br>
<b>In this role, you will:</b><ul><li>
Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity</li><li>
Perform moderately complex customer support tasks by utilizing solid communication, and verbal and written skills to establish rapport with customer and to deescalate difficult, as well as sensitive information as a part of resolving a claim</li><li>
Oversee multiple claim types, take appropriate action to decision the case using multiple systems and applications, and may contact third parties for research, as needed</li><li>
Receive direction from supervisor and escalate questions or issues</li><li>
Interact with immediate team and functional area on wider range of information, plus internal or external customers</li></ul><b>
Required Qualifications:</b><ul><li>
1+ year of customer service support experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education</li></ul><b>
Desired Qualifications:</b><ul><li>
Customer service focus with the ability to listen to customer needs and recommend solutions</li><li>
Call center customer service experience in the financial services industry</li><li>
Ability to navigate multiple computer system windows, applications, and utilize search tools to find information</li><li>
Banking industry experience</li><li>
Check negotiability experience</li><li>
Bilingual speaking proficiency in Spanish/English</li><li>
Excellent verbal, written, and interpersonal communication skills</li><li>
Ability to perform in a fast-paced and high-pressure phone queue environment</li><li>
Outstanding problem solving and decision-making skills</li><li>
Basic Microsoft Office (Word, Excel, and Outlook) skills</li></ul><b>
Job Expectations:</b><ul><li>
7 weeks paid Training. Must be able to attend full duration of required training period</li><li>
Ability to work additional hours as needed</li><li>
Must work on-site at the location posted</li></ul><b>
Post-Training Work Schedule:</b><ul><li>
Schedules will be assigned after an offer is extended and will fall within the hours of operation.</li><li>
Hours of Operation: Monday - Friday 5am - 5pm; Saturday 6:00am - 3pm (AZ time).</li><li>
Schedules are based on business needs and may includes working Saturdays and some holidays.</li></ul><b>
Location:</b>
<ul><li>2850 S Price Rd, Chandler, AZ 85286</li></ul><b>
Posting End Date:</b>
<br>
13 May 2026<br>
<b>*Job posting may come down early due to volume of applicants.</b>
<br>
<br>
<b>We Value Equal Opportunity</b><br>
<br>
Wells Fargo 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, status as a protected veteran, or any other legally protected characteristic.<br>
<br>
Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite and all risk and compliance program requirements.<br>
<br>
Candidates applying to job openings posted in Canada: Applications for employment are encouraged from all qualified candidates, including women, persons with disabilities, aboriginal peoples and visible minorities. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process.<br>
<br>
<b>Applicants with Disabilities</b><br>
<br>
To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo .<br>
<br>
<b>Drug and Alcohol Policy</b><br>
<br>
Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy to learn more.<br>
<br>
<b>Wells Fargo Recruitment and Hiring Requirements:</b><br>
<br>
a. Third-Party recordings are prohibited unless authorized by Wells Fargo.<br>
<br>
b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.</div>

Fraud & Claims Operations Representative- TFS/PCC

National General Insurance

<div><p>National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers&rsquo; evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.</p><p></p><p><b>
Job Description</b></p>
Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority.<p></p><p>
*** <b>We&rsquo;re seeking experienced Auto Adjusters to join our growing team. In this role, you&rsquo;ll investigate automobile claims by reviewing police reports, gathering witness statements, verifying coverage, and determining liability. The ideal candidate is detail-oriented, analytical, and committed to helping customers navigate challenging situations with confidence and care. </b><b>***</b></p><p></p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><ul><li>For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome</li><li>Recognizes and identifies body parts of a vehicle and understanding of other potential property damage</li><li>Identifies customer needs and works to meet those needs using appropriate customer service skills</li><li>Determines subrogation or fraud potential and how to handle</li><li>Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department</li><li>Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority</li></ul><p></p><p>
#LI-LS2</p><p></p><p><b><br>
Skills</b></p>
Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Detail-Oriented, Insurance Claims Investigations, Insurance Policies, Investigative Skills, Multitasking<p></p><p><b><br>
Compensation</b></p><div><p>
Base compensation offered for this role is:</p><p><br>
Adjuster Analyst II: $47,500.00 &ndash; $61,600.00<br>
Adjuster Analyst III: $50,000.00 &ndash; $65,300.00<br>
Adjuster Cons I: $53,500.00 &ndash; $77,800.00<br>
Adjuster Cons II: $56,000.00 &ndash; $82,500.00<br>
Adjuster Sr. Cons I: $68,500.00 &ndash; $104,100.00</p><p><br>
And is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role.</p></div><p><b>
Joining our team isn&rsquo;t just a job &mdash; it&rsquo;s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger &ndash; a winning team making a meaningful impact.</b></p><p></p><p>
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.</p><p></p><p>
For jobs in San Francisco, please click &ldquo;here&rdquo; for information regarding the San Francisco Fair Chance Ordinance.</p><p><br>
For jobs in Los Angeles, please click &ldquo;here&rdquo; for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.</p><p></p><p>
To view the &ldquo;EEO Know Your Rights&rdquo; poster click &ldquo;here&rdquo;. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.</p><p></p><p>
To view the FMLA poster, click &ldquo;here&rdquo;. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.</p><p></p><p>
It is the Company&rsquo;s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee&rsquo;s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.</p><p></p><p>
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A&ndash; (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.</p><p></p><p><b>
Companies &amp; Partners</b></p><p></p><p>
Direct General Auto &amp; Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.</p><p></p><p><b>
Benefits</b></p><p></p><p>
National General Holdings Corp. is an Equal Opportunity (EO) employer &ndash; Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.</p></div>

Auto Telephone Claims Adjuster - National General

Erie Insurance Group

<div><div><div><div><div><p><b>Division or Field Office:<br>
</b></p></div><div><p>Casualty Claims Division</p></div><br>
</div><br>
<div><div><b>Department of Position:</b></div> <div>Zones Dept</div></div><br>
<div>
<div><p><b>Work from:</b></p>
</div>
<div> Raleigh Office- Remote</div>
</div><br>
<div><div><b>Salary Range:</b></div>
<div>
<p>$44,936.00 - $71,781.00 *</p>
<p><i>
salary range is for this level and may vary based on actual level of role hired for</i></p>
</div>
</div><br>
</div></div><ul><li><i>This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.</i></li></ul><br>
<p></p>
<p>
At Erie Insurance, you&rsquo;re not just part of a Fortune 500 company; you&rsquo;re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.<br>
<br>
<b>Benefits That Go Beyond The Basics</b></p>
<p>
We strive to be Above all in Service&reg; to our customers&mdash;and to our employees. That&rsquo;s why Erie Insurance offers you an exceptional benefits package, including:</p>
<ul>
<li><b>Premier health, prescription, dental, and vision benefits for you and your dependents.</b> Coverage begins your first day of work.</li>
<li><b>Low contributions to medical and prescription premiums.</b> We currently pay up to 97% of employees&rsquo; monthly premium costs.</li>
<li><b>Pension. </b>We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.</li>
<li><b>401(k) with up to 4% contribution match.</b> The 401(k) is offered in addition to the pension.</li>
<li><b>Paid time off.</b> Paid vacation, personal days, sick days, bereavement days and parental leave.</li>
<li><b>Career development. </b>Including a tuition reimbursement program for higher education and industry designations.</li><br>
</ul>
<p>Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.</p><p></p><div><div><div><h2 class="jobSectionHeader"><b><br>
Position Summary</b></h2>
</div><div><p><i>
Under close supervision, handles liability and property claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations, and procedures.</i></p>
</div></div><div><div><h2 class="jobSectionHeader"><b>
Duties and Responsibilities</b></h2>
</div><div><ul><li>Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws. Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports and records. Obtains additional information as required to determine liability. Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential recovery.</li>
<li>Establishes contact with all parties involved in the claim in accordance with ERIE&rsquo;s expectations.</li>
<li>Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates action. Sets up and/or issues payment using ERIE&rsquo;s approved payment methods for settlement; or declines payment within designated authority.</li>
<li>Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others.</li>
<li>Learns and maintains knowledge of liability laws for each state. Learns and maintains knowledge of motor vehicle codes.</li>
<li>Learns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims.</li>
<li>With supervisor guidance, responds to intercompany arbitration applications. Files contentions and supporting documents on behalf of the insured/driver.</li>
<li>Conducts research, attends industry-related training programs and other training sessions to stay current on policy changes, interpretation, or new legislation.</li>
<li>Provides support for property claims during periods of heavy volume.</li></ul><br>
<p><br>
<i>The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.</i><br>
<br>
<i>This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become clear.</i></p>
</div></div><div><div><h2 class="jobSectionHeader"><b>
Duties and Responsibilities (cont'd if applicable)</b></h2>
</div></div><div></div><div><div><h2 class="jobSectionHeader"><b>Capabilities</b></h2>
</div><ul><li>Self-Development
</li><li>Collaborates
</li><li>Cultivates Innovation
</li><li>Instills Trust
</li><li>Decision Quality
</li><li>Values Diversity
</li><li>Nimble Learning
</li><li>Customer Focus
</li><li>Optimizes Work Processes (IC)
</li><li>Ensures Accountability
</li><li>Detail Orientation
</li><li>Information Management Skills
</li><li>Job-Specific Knowledge
</li></ul></div><div><div><h2 class="jobSectionHeader"><b>Qualifications</b></h2>
</div><div><p><b>
Minimum Educational and Experience Requirements</b></p>
<ul>
<li>High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.</li>
<li>Bachelor&rsquo;s or Associate&rsquo;s degree preferred.</li></ul><br>
<p><br>
<b>Designations and/or Licenses</b></p>
<ul>
<li>Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.</li>
<li>Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>Physical Requirements</b></h2>
</div><ul><li>Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)
</li><li>Climbing/accessing heights; Rarely
</li><li>Ability to move over 50 lbs using lifting aide equipment; Rarely
</li><li>Driving; Never
</li><li>Lifting/Moving 0-20 lbs; Rarely
</li><li>Lifting/Moving 20-50 lbs; Rarely
</li><li>Pushing/Pulling/moving objects, equipment with wheels; Rarely</li></ul></div></div><br>
<p><br>
<b>Nearest Major Market: </b>Raleigh</p></div>

Inside Claims Representative I

<div><p>National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers&rsquo; evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.</p><p></p><p><b>
Job Description</b></p>
The Claims Inside Auto Trainee Analyst II is responsible for investigating and confirming the facts of loss for automobile accidents. This role determines coverage, liability, damages and otherwise adjusts and negotiates claims within authority.<p></p><p><b>
** </b><b>Start a rewarding career in insurance as a Claims Adjuster Trainee. You&rsquo;ll play a key role in investigating automobile accidents by reviewing police reports, speaking with witnesses, confirming coverage, and determining liability. We&rsquo;re looking for detail-oriented problem solvers who enjoy investigative work and take pride in helping others during difficult moments. </b><b>**</b></p><p></p><p>
Key Responsibilities</p><ul><li>Handles basic investigation regarding most aspects of auto claims (coverage, liability and damages)</li><li>Identifies customer needs and works to meet those needs using appropriate customer service skills</li><li>Applies a basic understanding of systems and technology used within the company</li><li>Partners to determine subrogation or fraud potential and how to handle</li><li>Exhibits basic understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department</li><li>Begins recognizing and identifying body parts of a vehicle and other potential property damage</li></ul><p></p><p>
#LI-LS2</p><p></p><p><b><br>
Skills</b></p>
Analytical Skills (Inactive), Auto Insurance Claims, Automobile Accidents, Critical Thinking, Customer Service, De-Escalation, Insurance Policies, Problem Solving<p></p><p><b><br>
Compensation</b></p><p>
Base compensation offered for the Analyst II (Trainee) role is:</p><p>
Adjuster Analyst II (Trainee): $20.77 -$29.57</p><p>
Pay is based on experience and qualifications.</p><p></p><p>
** Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) as applicable for the role.**</p><p><b>
Joining our team isn&rsquo;t just a job &mdash; it&rsquo;s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger &ndash; a winning team making a meaningful impact.</b></p><p></p><p>
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.</p><p></p><p>
For jobs in San Francisco, please click &ldquo;here&rdquo; for information regarding the San Francisco Fair Chance Ordinance.</p><p><br>
For jobs in Los Angeles, please click &ldquo;here&rdquo; for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.</p><p></p><p>
To view the &ldquo;EEO Know Your Rights&rdquo; poster click &ldquo;here&rdquo;. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.</p><p></p><p>
To view the FMLA poster, click &ldquo;here&rdquo;. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.</p><p></p><p>
It is the Company&rsquo;s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee&rsquo;s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.</p><p></p><p>
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A&ndash; (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.</p><p></p><p><b>
Companies &amp; Partners</b></p><p></p><p>
Direct General Auto &amp; Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.</p><p></p><p><b>
Benefits</b></p><p></p><p>
National General Holdings Corp. is an Equal Opportunity (EO) employer &ndash; Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.</p></div>

Auto Telephone Claims Adjuster (Trainee) - National General

SKYGEN

<div><p><b>Important things YOU should know:
</b></p><ul><li>Schedule: 8:00am - 1:00pm CST Monday - Friday
</li><li>Friday schedule includes covering a 7:00pm - 8:00pm shift on a rotational basis
</li><li>Fully Remote Opportunity
</li><li>Successfully complete a pre-employment online alphanumeric data entry assessment with a minimum score of 7000 KSPH and 98% accuracy rate.
</li><li><p>Potential to Flex Schedule<br>
</p></li></ul><p></p><p><b>What will YOU be doing for us? </b>Responsible for ensuring departmental tasks are completed in order to meet client turnaround times for claim payment and authorization determination. Manages all special handling requests to support both internal and external requirements<br>
</p><p></p><p><b>What will YOU be working on?
</b></p><ul><li>Manages daily work plan and distributes work out to the team to ensure client turnaround times are met.
</li><li>Provide second tier support to data entry processors by providing direction how to resolve submission discrepancies according to client business rules.
</li><li>Manage specialized workflows to support client requests that deviate from standard processes and procedures. Coordinate resolution with required departments as necessary.
</li><li>Responsible for ensuring all reporting is reviewed, work queues are completed, and open issues are resolved prior to claim payment and authorization review. Proactively communicate readiness to transfer data to appropriate departments.
</li><li>Proactively communicate potential issues to management to allow for timely resolution.
</li><li>Ability to multitask within multiple modules of the Enterprise System to retrieve and research information along with processing any submission requests or special handling requests received.
</li><li>Comprehensive understanding of client processing guidelines and requirements.
</li><li>Process primary insurance carries EOB&rsquo;s for appropriate payment.
</li><li>Act as a subject matter expert for items sent to the Claims Intake team; answering questions to internal and external contacts and resolving matters that may fall outside of the established workflows.
</li><li>Proactively bring forward provider submission errors and collaborate with internal teams for provider outreach and education.
</li><li>Manage and process urgent operating room (OR) authorization requests submitted via fax and coordinate with the authorization team to ensure timely review and determination outcome.
</li><li>Resolve provider data discrepancies submitted electronically that prevent the submission to proceed through the system. Utilize outside databases to validate provider credentials.
</li>Assists with training support of internal team members.<br>
<li>
</li></ul><p></p><p><b>Additional Responsibilities:
</b></p><ul><li>Partner with Claims Intake team in completing all other tasks as necessary to ensure accurate and timely completion of work to meet our client service level agreements.
</li>Assist with special projects requests assigned by leadership team.<br>
<li>
</li></ul><p></p><p><b>What qualifications do YOU need to have to be a GOOD candidate?
</b></p><p>Required Level of Education, Licenses, and/or Certificates
</p>High school diploma or equivalent.<br>
<ul><li>
</li></ul><p></p><p>Required Level of Experience
</p>1+ year(s) of related experience such as claim processing, dental assistant, dental front office administration and/or health/dental insurance such as managed care operations, accounts receivable and/or billing environment.<br>
<ul><li>
</li></ul><p></p><p>Required Knowledge, Skills, and Abilities
</p><ul><li>Successfully complete a pre-employment online alphanumeric data entry assessment with a minimum score of 7000 KSPH and 98% accuracy rate.
</li><li>Ability to work effectively with multiple interruptions.
</li><li>Ability to organize work appropriately to meet deadlines.
</li><li>Excellent attention to detail.
</li><li>Ability to multi-task.
</li><li>Ability to utilize resources to solve problems independently.
</li><li>Excellent Critical thinking skills.
</li><li>Excellent verbal and written communication skills.
</li><li>Basic Microsoft applications.
</li><li>Knowledge of insurance EOB&rsquo;s and billing codes.
</li>Knowledge of American Dental Association (ADA) forms, UB-04 Facility Claim form or Member Reimbursement forms.<br>
<li>
</li></ul><p></p><p><b>What qualifications do YOU need to have to be a GREAT candidate?
</b></p><p>Preferred Level of Education, License, and/or Certificates
</p>Bachelor&rsquo;s Degree in a related field.<br>
<ul><li>
</li></ul><p></p><p>Preferred Level of Experience
</p><ul><li>2+ years of medical, dental or vision claim processing.</li></ul></div>

Claims Intake Specialist II - Part Time Remote!

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