Claims Representative Jobs

Job Title: Team Leader, Disability Claims Company: Prudential Location: Portland, ME Description: Responsible for staffing, training and supervising the activities of a disability claims unit. Responsible for determination and payment authorization of disability claims. Supervises employees and provides guidance to subordinates regarding general claim policy, contracts and terminology. Reviews and settles problematic cases, but otherwise extends settlement authority to subordinates. Communicates with clients, state insurance departments and other internal and external areas. Has both technical and administrative responsibilities. May report Claim Manager or Director. This job is exempt and therefore not eligible for overtime.Prudential and its affiliates, Newark, New Jersey are Equal Opportunity/Affirmative Action Employers and are committed to diversity in our workforce.Prior experience with disability claims.Strong communication and time management skills required.Proficiency in PC-based programs such as Word and Excel, as well as DCMS.Strong mathematical, problem solving, decision making & analytical skills are desired.Detail oriented.Interpersonal skills.Customer Service skills

Job Title: Defined Contribution/Benefit Associate Company: Prudential Financial Location: Scranton, PA Description: Prudential Financial, Inc. is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth. The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services. For more information, please visit www.prudential.com. Service Delivery Support Associate This is an entry level role within Prudential Retirement Operations.Responsibilities include but not limited to: Perform various Business Support functions which include Forms and Retirement Workbook Fulfillment, Participant Statement Production, and various Production Support functions. Perform complex reconciliations and working with customized options available for clients. Research and resolve production issues related to logic, templates, plan/market design, and technology. Work closely with multiple and diverse business partners such as Technology, Client Facing, Product Development, and Print Facilities. May includes cross training with other units of the larger organization such as the Imaging Liaison Team and Office Services. This position will also require the completion of the Mutual Fund Restitution Project for Discontinued/Terminated Plans.Bachelor's Degree preferred or 1 plus years experience in a business environment (banking, insurance, healthcare, etc)Experience in Microsoft Excel and Word (Intermediate Excel skills)Must be detail oriented and meticulous. Must be able to work independently and as part of team. Strong written and verbal communication skills. Knowledge of OMNI, CFE a plus.Knowledge of Mutual Fund Restitution a plus. Must have positive attitude in line with Prudential's Cultural Annual Performance Objective. Must be confident to proactively reach out to business partners and stakeholders. The Prudential Insurance Company of America and its affiliates, Newark, New Jersey are Equal Opportunity/Affirmative Action Employers and are committed to diversity in our workforce. Prudential is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity unless contracted with Staffing. Agencies must work with Staffing as the primary point of contact and follow the Prudential application process to be considered for business. Regardless of past practice, all resumes submitted by search firms to any employee at Prudential via-email, the Internet or directly to hiring managers at Prudential in any form without a valid written search agreement in place for that position will be deemed the sole property of Prudential, and no fee will be paid in the event the candidate is hired by Prudential as a result of the referral or through other means. Note: Any search agreement entered into with Prudential before January 2004 is null and void. Search firms are essential to the recruitment and staffing efforts at Prudential and we value the partnerships we have built with our preferred vendors. For this reason, Prudential has established and regularly maintains a preferred vendor list. Please note that even preferred vendors need to have a written search agreement signed by the Director, Recruiting Programs, Staffing at Prudential in place for the specific position in order for a fee to be paid for any candidate referrals.

Job Title: Property Field Claims Rep - COMPANY CAR PROVIDED! Company: Kemper, A Unitrin Business Location: Sunnyside, IL Description: Looking for a New Career Opportunity as a Property Field Claims Representative?     Discover for yourself what makes Kemper, a Unitrin Business, the insurance company for U!     Apply online at: https://home.eease.com/recruit/?id=419297 Learn more at: www.ekemper.com     Position Description   Minimum of 2-3 years of progressive 1st Party personal lines property claims experience as a claim representative which includes at least two years as a  Property Field Claims Representative or the equivalent in related work experience; Investigates, processes, and settles first and third party claims requiring a high level of technical expertise that involves large amounts of damage and/or questions of coverage   Education equivalent to a college degree or the equivalent in related work experience with solid PC and keyboarding skills; Strong experience using claims payment and diary systems; Strong experience utilizing estimating software such as Xactimate; highly skilled at using required property equipment to include measuring devices, digital cameras, ladders, etc.; claims documentation and handling; related insurance policies and coverage’s; complex property claims; must be able to provide guidance to other personnel on investigations, appraisals of damages, liability, coverage’s and settlement techniques. Assists with training of claims representatives and performs special projects as assigned   Demonstrated interpersonal skills, customer service skills, communication skills, (both orally and written) Strong investigative, analytical, problem solving, planning and organization and time management skills. Must be able to manage time effectively and work independently to achieve claims objectives. Must also be able to effectively work with team members. Must be flexible and able to adapt to changing situations and needs.   This is a home worker field position and must reside the N. Cook County, Lake County, McHenry County or Kenosha (WI) County. Job entails some overnight travel and must be available to perform CAT duty.   Company Car is provided.     About Us   The Unitrin Property and Casualty Insurance Group is made up of Kemper and Unitrin Specialty, which sell personal lines and commercial auto insurance through a network of independent agents; and Unitrin Direct, which sells personal auto and homeowners insurance directly to consumers.   This group represents 73% of Unitrin's $2.5 billion of annual insurance premiums.   Our employees enjoy great Benefits ·         Choice of healthcare plans ·         Choice of dental plans ·         Flexible paid time off program ·         Business casual dress ·         401(k) with matching ·         Defined Contribution Retirement Plan ·         Employee referral bonuses ·         Education assistance ·         Certification assistance ·         Charitable giving We value diversity and strive to be an employer of choice. An Equal Opportunity Employer, M/F/D/V.   Job Requirements: Req. Code : 1930 Division/Department : Kemper, A Unitrin Business

Job Title: CA MD Master Claims Rep #35301 Company: Nationwide Insurance Location: San Bernardino, CA Description: **This position will be located in Inland Empire (CA)and a company car is provided. Ideal candidate must have: - prior auto claims experience and knowledge (material damage), - estimating skills (prefer CCC Pathways), - daily travel in the Inland Empire territory. JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical damage claims and limited commercial lines claims of a moderate to severe nature. Responsible for the handling of claims in accordance with prescribed authorization and claims best practices. RELATIONSHIP: Reports to Claims Manager JOB RESPONSIBILITIES: 1. Handles to conclusion claims involving moderate to severe material/physical damage. 2. Determines proper policy coverages and applies best claims practices to conclude assigned cases in accordance with company guidelines. Adheres to high standards of professional conduct while providing delivery of superior claims service. 3. Participates in preferred/direct repair shop claims management. 4. Establishes and authorizes adequate reserves and claims payments within the delegated authority. 5. Maintains current knowledge of: multiple insurance lines; court decisions; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars and/or training sessions. 6. Initiates and conducts follow-ups via proficient use of claims systems and related business systems. 7. Submits administrative reports as required. 8. Properly maintains all assigned company equipment. 9. Performs other related duties as assigned. NOTE: Representatives may be assigned a claims segment such as fire, theft, total loss, direct repair, etc. JOB REQUIREMENTS: Education: Undergraduate degree preferred. On-going job-related continuing education preferred. Licenses/Designations: State licensing where required. Successful completion of required claims certification schools/courses. Experience: Four years related experience in material/physical damage claims handling or related automotive repair industry experience. Knowledge: Insurance company operations and multiple property casualty insurance lines of business. Material/physical damage repair processes, vendor management, customer service techniques, and all related claims systems Demonstrated knowledge and adherence to best claims practices. Skills/Competencies: Analytical skills necessary to make decisions and resolve conflict in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for material damage and property losses. Ability to educate and successfully negotiate BI claims. Organizational skills to effectively prioritize work. Command of written and verbal communication skills for contact and/or negotiate with policyholders, claimants, repairpersons, attorneys, agents and the public in general. Ability to operate a PC and related software. Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors. Staffing Exceptions to the above minimum job requirements must be approved by the: Director, and HR Consultant. JOB CONDITIONS: Overtime Eligibility: Eligible (Nonexempt). Working Conditions: Working Conditions: Field or office environment. Representatives may be required to operate an automobile and have a valid driver's license with a safe driving record. Must be able to make physical inspections of accident scenes and property loss sites. Must be able to climb ladders, balance at various heights, stoop, bend and/or crawl to inspect vehicles and structures. Must be able to work out-of- doors in all types of weather. Must be willing to work irregular hours and to travel with possible overnight requirements. May be on-call. Must be available to work catastrophes (CAT). Extended and/or non-standard hours as required. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Credit Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process. Safety Sensitive (SS): N/A.

Job Title: Bodily Injury Claims Specialist - Norcross, GA Company: Liberty Mutual Insurance Company Location: Norcross, GA Description: Advance your Claims career at Liberty Mutual - A Fortune 100 Company!Are you looking for an opportunity to join a claims adjusting team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available .Asa Bodily InjuryClaims Specialist, you will help people resolve problems and live safer more secure lives. You will get the opportunity to use your investigative and negotiation skills in a fast paced environment while protecting the assets of the company. We offer variety in your position - in the people you interact with and the cases you handle. This position concentrates on general liability and auto liability with an opportunity to handle both property and injury losses and litigated cases. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.Responsibilities:In thisBodily Injury Claims Specialist role you will:Assess policy coverage, contact insured, determine and establish reserve requirementsReview and set-up claims in the tracking system and describe the loss to reflect actual circumstancesPlan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability , compensability and damages of claimsDetermine need for independent adjusters, cause and origin experts and independent medical examiners.Evaluate claim for potential fraudAssess actual damages associated with claims and conduct negotiations to settle claimsMay be involved with litigation as necessary.Bodily Injury Specialist will be based out of the Liberty Norcross, GA.

Job Title: Claims Specialist Rotational Pro Company: Liberty Mutual Location: Boston, MA Description: Title: Claims Specialist Rotational Program - New England RegionLocation: MA-WestboroughAdvance your Claims career at Liberty Mutual - A Fortune 100 Company!As a Liberty Mutual Claims Specialist, you'll put your investigative and analytical skills to work and fulfill Liberty Mutual's mission of "helping people live safer, more secure lives." You will provide service to our policyholders by quickly and effectively resolving their claims. Through the rotation program you will have the opportunity to gain exposure to several Claims functions such as, property, auto, bodily injury, special investigation, and catastrophic events, over three 9-12 month assignments.Responsibilities:* Communicate with policyholders, witnesses, legal, and medical professionals* Perform field investigations using the latest technology* Collect and analyze details and data to draw sound conclusions* Travel for catastrophe duty, and facilitate repairs of damaged property* Participate in our training program to learn about the job and the company, and enhance your performance skillsQualifications:* Bachelors degree* GPA of 3.0 or higher* Strong interpersonal, written and verbal, analytical and organizational skills* Demonstrated customer service and negation skills* Attention to detail in a fast-paced work environmentBenefits:We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following:* 401K and Company paid pension plan* Medical coverage* Dental coverage* Paid time-off* Pay-for-Performance* Discounts on automobile and homeowner's insurance* Discount fitness memberships* Flexible spending accounts* Tuition reimbursement* Vision care coverage* Work/Life resources* Credit Union membership* Employee and Dependent life insurance* Disability insurance* Long-term care insuranceOverview:We believe strongly that commercial success can be achieved in a manner consistent with principles and ideals that bind us together as one company, that set us apart from our competitors, and that in the end will allow us to say we have succeeded commercially by doing the right thing the right way.We believe that the Company's success is inextricably linked to our employees' satisfaction and success: satisfaction that they work for an industry leader committed to improving safety, satisfaction that they work for a company that does the right thing, and satisfaction that the company will reward them for their contributions and provide opportunities for personal growth and success.We believe our employees take pride in knowing that they help people live safer more secure lives everyday.Responsibility. What's your policy?

Job Title: Claim Representative - Property Company: State Auto Insurance Companies Location: Indianapolis, IN Description: State Auto Insurance Company, an eighty-eight-year-old, A+ (Superior Rated) property-casualty insurance company has an opening for an experienced property claim representative to work in our Indianapolis, Indiana, office.  Duties will include investigation, evaluation, and settlement of both personal lines and commercial lines property claims.  The incumbent will also be required to travel overnight when necessary as member of the company's severe storm response team. The incumbent must be able perform field adjuster duties such as handling of ladders, climbing on roofs and other physical demands involving outside property claim handling. Qualified applicants must possess at least five years of property claim adjusting experience with solid technical proficiency including knowledge of personal and commercial property coverages.  Excellent communication, interpersonal, and organization skills are required.  A college degree is preferred.  Professional insurance designations are desired. State Auto offers competitive compensation, a quarterly bonus program, an excellent benefit program including medical, dental, vision, and prescription insurance coverage, life insurance, pension, matching 401(k) plan, flexible spending accounts, tuition assistance, and a stock purchase plan. State Auto is a smoke-free work environment. We also utilize drug screening as a condition of employment. Third Party Candidates Will Not Be Accepted. For confidential consideration of your background, please e-mail your resume to Doug Haybarker at Register to View or send to: Doug HaybarkerState Auto Insurance CompaniesP.O. Box 1980Indianapolis, IN Register to View  State Auto is an equal opportunity employer.  http://www.StateAuto.com

Job Title: Claim Representative Company: Sentry Insurance Location: Irvine, CA Description: Sentry Insurance is one of the country's largest and strongest mutual insurance companies. Sentry was founded in 1904 by members of the Wisconsin Retail Hardware Association. Today, Sentry has more than $10 billion in assets, a policyholder surplus of $2.81 billion and annual premiums in excess of $2.2 billion. Sentry Insurance is headquartered in Stevens Point, Wisconsin, with claims and service offices located throughout the United States. Sentry offers a full line of property, casualty and life insurance products to protect businesses, cars, homes, lives and retirement incomes. Responsibilities ·         Verifies coverages and investigates losses by gathering pertinent information.·         Takes recorded statements, obtains pertinent information i.e., police and medical reports, appraisals, estimates, photographs, degree of disability, rehabilitation potential, etc., and evaluates damages/eligibility for benefits, determines liability and sets reserves.·         Evaluates claims and charges submitted by insureds and medical providers to determine eligibility for benefits, checking for misrepresentation, preexisting conditions and mandated state benefits if applicable.  ·         Documents all decisions, correspondence, reports and discussions that occur during the investigation.·         Denies coverage where coverage does not exist.·         Settles and pays claims within assigned authority limits.·         Detects potential problems or trends that require additional review, investigation or research and refers to Senior Claim Representative or Claim Manager for resolution.·         Advises the Claim Department of any special problems i.e., questionable repair shops.Qualifications Bachelor's degree is preferred.  2-4 years of auto liability casualty claims experience.  Completion of insurance related courses a plus. Knowledge of insurance policies and coverages, claim payment procedures, and familiarity with medical terminology is highly desirable.  Previous insurance experience and/or coursework is beneficial.  Must possess analytical abilities to review, exercise judgment, and evaluate claims to make sound decisions.  Effective oral and written communication skills and human relations skills are critical.  Ability to maintain confidentiality is critical. Compensation and Benefits The starting salary can be up to $51,840 annually depending on experience and qualificationsSentry's excellent benefits package is designed to meet today's most important needs. Benefits for full-time Sentry Insurance employees include: Group Health And Dental Insurance Prescription Eyewear Plan Group Life Insurance 401(K) Plan With Matching Funds Retirement Plan Paid-Time Off Or Time Away From Territory Plan Pretax Dependent Care And Health Expense Reimbursement Accounts Student Loan Program Credit Union Career Education Equal Employment Opportunity It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.

Job Title: Medical Insurance Claims Specialist Company: Accountemps Location: Jupiter, FL Description: Local Jupiter firm is looking for a Medical Biller. The Medical Biller is responsible for insuring that all billing and collections are processed in a timely matter. 2+ years experience in medical billing and coding required, good overall computer skills, and some Excel required. This is an immediate need! Call Accountemps today at Register to View or fax or email your resume to Register to View or Register to View All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.

Job Title: Bodily Injury Claims Specialist-Danvers MA Company: Liberty Mutual Insurance Company Location: Danvers, MA Description: Advance your career at Liberty Mutual - A Fortune 100 Company!Are you looking for an opportunity to join a Bodily Injury Claims Team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available.As a Bodily Injury Claims Specialist, you will get the opportunity to use your investigative and negotiation skills in a fast paced environment while protecting the assets of the company. This position concentrates on general liability and auto liability with an opportunity to handle both property and injury losses and litigated cases. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.Responsibilities:Evaluate policy coverage, contact insureds, claimants, attorneys, body shops and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements.Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability, compensability, and extent of damages.Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims. Records and updates status notes, and documents results of contacts, relevant medical reports and duration information per file posting standards.Determine need for independent adjusters, cause and origin experts, independent medical examiners, economists, accident re-constructionists, and engineers.Evaluate claim for potential fraud.Assess actual damages associated with claims and conduct negotiations to settle claims.May be involved with litigation as necessary.