Claims Adjuster Trainee
Claims Adjuster Job In Baton Rouge, LA
Join Forbes' 2024 Best Employer for Diversity! As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like.
Duties & responsibilities (upon completion of training)
* Determine coverage
* Determine liability (who's at fault for the damages)
* Interview customers, claimants, and witnesses
* Partner with appraisers/estimators to manage vehicle repairs
* Negotiate with customers and other insurance carriers and resolve claims
Duties & responsibilities (upon completion of training)
* Determine coverage
* Determine liability (who's at fault for the damages)
* Interview customers, claimants, and witnesses
* Partner with appraisers/estimators to manage vehicle repairs
* Negotiate with customers and other insurance carriers and resolve claims
Must-have qualifications
* Three years work experience OR
* Bachelor's degree OR
* Two years work experience and an associate degree
Training Schedule: Monday-Friday, 8:30 am to 5:30 pm
Onboarding Training Schedule: Monday-Friday, 8:00 am to 5:00 pm
Work Schedule: Monday-Friday, 9:00 am to 6:00 pm
Location: Baton Rouge, LA
Compensation
* Once you complete training and pass any necessary testing requirements, your salary will range from $52,500 - $56,000 year, however, during training, you'll be paid hourly based on your annual salary.
* Gainshare annual cash incentive program up to 16% of your eligible earnings based on company performance
Benefits
* 401(k) with dollar-for-dollar company match up to 6%
* Medical, dental & vision, including free preventative care
* Wellness & mental health programs
* Health care flexible spending accounts, health savings accounts, & life insurance
* Paid time off, including volunteer time off
* Paid & unpaid sick leave where applicable, as well as short & long-term disability
* Parental & family leave; military leave & pay
* Diverse, inclusive & welcoming culture with Employee Resource Groups
* Career development & tuition assistance
Energage recognizes Progressive as a 2024 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.
Equal Opportunity Employer
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at **************************************************************
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Sr. Claims Specialist , Workers Compensation
Claims Adjuster Job In Baton Rouge, LA
121654 Zurich is seeking an experienced Workman's Compensation Claims Specialist to join our team! This will be a hybrid role based out of our Woodland Hills office, or remote in the U.S. The Sr. Workers Compensation Claims Specialist will handle multi-party personal or commercial line Workman's Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
In this role you will be responsible for:
+ Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity.
+ Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
+ Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.
+ Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate.
+ Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims.
+ Assess damages by calculating applicable damages or range of damages allowed by law.
+ Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.
+ Meet quality standards by following best practices
Basic Qualifications:
+ Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.AND
+ Must obtain and maintain required adjuster license(s)
+ Microsoft Office experience
+ Knowledge of insurance regulations, markets and products
Preferred Qualifications:
+ 6+ experience handling Worker Compensation claims
+ 6+ years of experience in litigation management
+ Effective verbal and written communication skills
+ Strong analytical, critical thinking and problem-solving skills
+ Strong multi-tasking and prioritization skills
+ Experience collaborating in a team environment and building cross functional working relationships
+ Proactively shares and promotes sharing of insights
+ Ability to gather unique perspectives from other teams/functions to optimize outcomes.
+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims
+ Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
+ Ability to determine the scope and exposure for complex claims
+ Ability to leverage trend and relationships to provide high-quality customer service
+ Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.
+ Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims
+ Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere (****************************************** . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply, as they will be considered based on their experience, skills, and education. The salary indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary rangefor this position is $74,300.00 - $121,700.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time ( ************************************ ).
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (********************************* to learn more.
As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers' expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - California Virtual Office, AM - Remote Work (US), AM - Woodland Hills
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-HYBRID
Claims Adjuster
Claims Adjuster Job In Baton Rouge, LA
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
Claims Adjuster
**PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
+ Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
+ Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
+ Manages subrogation of claims and negotiates settlements.
+ Communicates claim action with claimant and client.
+ Ensures claim files are properly documented and claims coding is correct.
+ May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
+ Maintains professional client relationships.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred.
**Experience**
Four (4) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skill
+ Good interpersonal skills
+ Excellent negotiation skills
+ Ability to work in a team environment
+ Ability to meet or exceed Service Expectations
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**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
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
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.
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 ($47,000-65,000)(bonus eligibility, if applicable). 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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**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.**
**Taking care of people is at the heart of everything we do. Caring counts**
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)
Field Claims Adjuster
Claims Adjuster Job In Baton Rouge, LA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Independent Insurance Claims Adjuster in Baton Rouge, Louisiana
Claims Adjuster Job In Baton Rouge, LA
div class="col col-xs-7 description" id="job-description" pspan style="display:none;" /span/pp style="margin-bottom:11px;"span style="display:none;" /spanspan style="font-size:36px;"bIS IT TIME FOR A CAREER CHANGE?/b/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!/span/span/u/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:14pt;"span style="line-height:107%;"Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement./span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Why This Opportunity Matters:/span/span/u/b/span/span/span/pulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand./span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives./span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation./span/span/span/span/span/li/ulspan style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Join Our Team:/span/span/u/b/span/span/spanulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? /span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:12pt;"span style="line-height:107%;"If so,/span/span/bspan style="font-size:12pt;"span style="line-height:107%;" bthat's great!/b bIf not,/b bno problem!/b Let us help you on your career path as a Licensed Claims Adjuster. /span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"You're welcome to sign up on our jobs roster if you meet our guidelines./span/span/span/span/span/li/ulspan style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"How We Can Help You Succeed:/span/span/u/b/span/span/spanulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting./span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges./span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster./span/span/span/span/span/li/uldiv class="WordSection1"div class="WordSection1"p style="margin-bottom:11px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Calibri, sans-serif;"bspan style="font-size:24pt;"span style="line-height:107%;"span style="font-family:'Times New Roman', serif;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:14pt;"span style="background:#FFFFFF;"span style="line-height:107%;"span style="font-family:'Aptos Display', sans-serif;"span style="color:#0d0d0d;"Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals./span/span/span/span/span/b bspan style="font-size:14pt;"span style="line-height:107%;"With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals./span/span/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Seize the Opportunity Today!/span/span/u/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Contact us now at ************ or /span/spana href="/cdn-cgi/l/email-protection#abc2c5cdc4ebc6c2c7cec3c2ccc3cacfc1ded8dfced9d8c3c4ded8dfc4c585c8c4c6" style="color:#467886;text-decoration:underline;"span style="font-size:12pt;"span style="line-height:107%;"span class="__cf_email__" data-cfemail="2940474f**********4c41404e41484d435c5a5d4c5b5a41465c5a5d4647074a4644"[email protected]/span/span/span/aspan style="font-size:12pt;"span style="line-height:107%;" to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at /span/spana href="**************************************** style="color:#467886;text-decoration:underline;"span style="font-size:12pt;"span style="line-height:107%;"************************************************ style="font-size:12pt;"span style="line-height:107%;" to explore our offerings and view our 375+ Five-Star Google Reviews. /span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"You can also find us on YouTube at: (/span/spana href="********************************************************* style="color:#467886;text-decoration:underline;"span style="font-family:Calibri, sans-serif;"span style="color:#0563c1;"************************************************************************* style="font-family:Calibri, sans-serif;"span style="color:#0563c1;") /span/span/u/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"and Facebook at: (/span/spana href="************************************************** style="color:#467886;text-decoration:underline;"span style="font-family:Calibri, sans-serif;"span style="color:#0563c1;"****************************************************************** style="font-family:Calibri, sans-serif;"span style="color:#0563c1;") /span/span/uspan style="font-size:12pt;"span style="line-height:107%;"for additional resources and updates./span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"a href="*************************************** style="color:#467886;text-decoration:underline;"span style="font-size:16pt;"span style="line-height:107%;"APPLY HERE/span/span/a/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:12pt;"span style="line-height:107%;"#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston/span/span/b/span/span/span/span/span/span/b/span/span/span/p/div/divp style="margin-bottom:11px;"/pp /p
p"Discover a wealth of valuable resources on our YouTube channel! Dive into a trove of insightful videos at ******************************************************** to explore expert tips, and testimonials to enhance your skills and knowledge. Subscribe now for exclusive content and stay ahead in your journey with MileHigh Adjusters Houston!"/p /div
Adjusters Needed NOW for the Storm Season
Claims Adjuster Job In Baton Rouge, LA
Are you Interested in becoming an Independent Claims Adjuster?
The storm season is in at an all-time HIGH this past year and it is predicted that the next 5 years to be as Active as this year was, that means TONS of work as ADJUSTERS, and Adjusters are needed “Everywhere” to help with the winter storm season. As a top firm that trains, licenses and staff's adjusters for the upcoming storm season. Insurance companies send Jet Adjusters claims and our Adjusters write estimates so the carrier can pay the claim. Adjusters make either 37.50 to 62.25/per hour or from $500 to $1000 per claim (Average). The average Adjuster can process 2-5 claims a day during storm season. Travel to the storm area, cash in and go home. A sixfigure income potential/year and up. Start working right away and make what you are worth this year while helping others put their lives back together!
Visit -******************************* - or call Charles or Mike for details. ************.
Must be 18 years and older, valid driver's license, and a good working vehicle, energetic with a positive attitude a must. Basic computer skills and strong customer service skills.
Claims Lead Analyst
Claims Adjuster Job In Baton Rouge, LA
We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- together. At Ford, we're all a part of something bigger than ourselves. Are you ready to change the way the world moves?
**In this position...**
You will be a part of a unique team with an opportunity to be at the birth of a brand new order processing system that is replacing a 44 year old system/process. You will also gain more exposure of other areas of the business such as; purchasing, supply chain, transportation, etc.
**This position is located in Dearborn, MI and is a hybrid role.**
**What you'll do...**
Lead development efforts for claims/returns modernization, ensuring current and future business requirements are met with new system design:
\> Claims workflows and automation
\> Re-routing claims for high damage parts from air to truck
\> Reverse logistics setup
\> 60-day returns
+ Develop process maps and system specifications for the new order management system related to claims and returns
+ Develop and perform test cases and analysis to ensure system output meets specifications
+ Develop training document for internal and external users
+ Collaborate with internal and external users (Dealers, Distributors, Commercial/Fleet, Export, etc.) to develop system design
+ Develop metrics and analytics to ensure system performance
**You'll have:**
+ Previous experience with legacy claims processing system
+ Knowledge of warehouse operations with respect to claims processing
+ 2 years experience in NA warehouse transportation, with a strong understanding of NA transportation processes
+ Prior experience with system improvement implementation
+ Analytical skills (data analysis, test case development, etc.)
+ Ability to work in a global team environment - strong collaboration skills required
+ Strong communication and listening skills
+ Experience with MS Office (Word, Excel, PowerPoint, etc.)
**Even better, you may have...**
+ Experience with Ford Parts, Supply & Logistics Systems (MMP, PCS, EPRS, uSAP preferred)
You may not check every box, or your experience may look a little different from what we've outlined, but if you think you can bring value to Ford Motor Company, we encourage you to apply!
As an established global company, we offer the benefit of choice. You can choose what your Ford future will look like: will your story span the globe, or keep you close to home? Will your career be a deep dive into what you love, or a series of new teams and new skills? Will you be a leader, a changemaker, a technical expert, a culture builder...or all of the above? No matter what you choose, we offer a work life that works for you, including:
+ Immediate medical, dental, and prescription drug coverage
+ Flexible family care, parental leave, new parent ramp-up programs, subsidized back-up childcare and more
+ Vehicle discount program for employees and family members, and management lease
+ Tuition assistance
+ Established and active employee resource groups
+ Paid time off for individual and team community service
+ A generous schedule of paid holidays, including the week between Christmas and New Year's Day
+ Paid time off and the option to purchase additional vacation time.
For a detailed look at our benefits, click here: **********************************
This position is a range of salary grades **SG7-SG8** .
**Visa sponsorship is not available for this position.**
**Requisition ID** : 34629
Oncology Claims Analyst 1
Claims Adjuster Job In Baton Rouge, LA
The Oncology Claims Analyst 1 will coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line. This individual will be responsible for drug authorizations, managing and working the edit and denial coding work queues for inpatient, outpatient clinic, and hospital based infusion departments and will provide coding and reimbursement feedback for education opportunities identified to the Service Line and FMOLHS. Prepares and presents coding education to providers and works in collaboration with various hospital and FMOLHS departments as a liaison related to NCCN, ASCO, and FDA guidelines. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand current professional coder workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for inpatient, outpatient, and infusion records based on knowledge of coding systems. Additionally serves as business/reimbursement specialist for oncology drug regimens for both the Service Line and FMOLHS.
Responsibilities
Coding/Program Management
Reviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc.) and is expert on prior authorization using FDA, National Comprehensive Cancer Network (NCCN), and American Society of Clinical Oncology (ASCO) for specialty practices like inpatient chemotherapy hospitalizations, outpatient oncology visits, hospital based outpatient infusion centers for both oncology and non-oncology patients.
Is consultant/expert for FMOLHS business office and external agencies in clarification of coding regarding reimbursement infusion issues, especially new FDA and new clinical pathways of National Comprehensive Cancer Network (NCCN). Manages data gathering and chart auditing as necessary for FMOLHS Revenue Cycle, LPG, and Oncology Service Line.
Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways, drug replacement programs, and Southern Oncology Association of Practices (SOAP) to determine business best practices and clinical education opportunities for physicians/providers. Reports findings consistently to Director of Pharmacy and VP of Oncology Service Line.
Advises the executive team on best practices for drug purchase opportunities to ensure potential profitability is maximized while working with FMOLHS contract director to verify profitability of managed care contracts related to drug margins.
Works with various national oncology specific institutions, like MD Anderson, Bone Marrow transplant centers, etc. alongside physicians/payers directly whether clinical pathways/treatment regimens fall within proper coding/maximum reimbursement of clinical trials, off label, NCCN guideline, etc. to manage proper clean claims and decrease likelihood of claim denial.
Works directly with business, administrative team, and physicians/providers to perform at least monthly education on chart audits, new treatment pathways, governmental payer requirements, and others.
Coding/Program Management
Reviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc.) and is expert on prior authorization using FDA, National Comprehensive Cancer Network (NCCN), and American Society of Clinical Oncology (ASCO) for specialty practices like inpatient chemotherapy hospitalizations, outpatient oncology visits, hospital based outpatient infusion centers for both oncology and non-oncology patients.
Is consultant/expert for FMOLHS business office and external agencies in clarification of coding regarding reimbursement infusion issues, especially new FDA and new clinical pathways of National Comprehensive Cancer Network (NCCN). Manages data gathering and chart auditing as necessary for FMOLHS Revenue Cycle, LPG, and Oncology Service Line.
Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways, drug replacement programs, and Southern Oncology Association of Practices (SOAP) to determine business best practices and clinical education opportunities for physicians/providers. Reports findings consistently to Director of Pharmacy and VP of Oncology Service Line.
Advises the executive team on best practices for drug purchase opportunities to ensure potential profitability is maximized while working with FMOLHS contract director to verify profitability of managed care contracts related to drug margins.
Works with various national oncology specific institutions, like MD Anderson, Bone Marrow transplant centers, etc. alongside physicians/payers directly whether clinical pathways/treatment regimens fall within proper coding/maximum reimbursement of clinical trials, off label, NCCN guideline, etc. to manage proper clean claims and decrease likelihood of claim denial.
Works directly with business, administrative team, and physicians/providers to perform at least monthly education on chart audits, new treatment pathways, governmental payer requirements, and others.
Analysis and Collaboration
Proactively researches and understands payer issues. Troubleshoots and resolves issues that impact revenue. Works collectively with FMOLHS denial management team to audit Medicare, Medicaid, and Insurance claims for accurate coding, charging, and modifier usage as requested by the FMOLHS. Considered expert for high dollar drug appeals across FMOLHS.
Considered expert for the Physician Group, Revenue Management Department, Pharmacy, and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities for performance improvement.
Continually analyzes reports/margin analyzers to communicate business performance to the administrative team, revenue cycle team, physician practice managers, and physicians to determine efficacy and suggests opportunities for improvement.
Acts as a liaison for Professional Billing and FMOLHS Central Billing Office Management assisting in any special requests/research for information/proper documentation to aid in billing processes especially high dollar denials/write offs/analysis.
Qualifications
Experience: 3 years of medical revenue cycle experience
Education: High School Diploma
Oncology Claims Analyst 1
Claims Adjuster Job In Baton Rouge, LA
The Oncology Claims Analyst 1 will coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line. This individual will be responsible for drug authorizations, managing and working the edit and denial coding work queues for inpatient, outpatient clinic, and hospital based infusion departments and will provide coding and reimbursement feedback for education opportunities identified to the Service Line and FMOLHS. Prepares and presents coding education to providers and works in collaboration with various hospital and FMOLHS departments as a liaison related to NCCN, ASCO, and FDA guidelines. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand current professional coder workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for inpatient, outpatient, and infusion records based on knowledge of coding systems. Additionally serves as business/reimbursement specialist for oncology drug regimens for both the Service Line and FMOLHS.
* Coding/Program Management
* Reviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc.) and is expert on prior authorization using FDA, National Comprehensive Cancer Network (NCCN), and American Society of Clinical Oncology (ASCO) for specialty practices like inpatient chemotherapy hospitalizations, outpatient oncology visits, hospital based outpatient infusion centers for both oncology and non-oncology patients.
* Is consultant/expert for FMOLHS business office and external agencies in clarification of coding regarding reimbursement infusion issues, especially new FDA and new clinical pathways of National Comprehensive Cancer Network (NCCN). Manages data gathering and chart auditing as necessary for FMOLHS Revenue Cycle, LPG, and Oncology Service Line.
* Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways, drug replacement programs, and Southern Oncology Association of Practices (SOAP) to determine business best practices and clinical education opportunities for physicians/providers. Reports findings consistently to Director of Pharmacy and VP of Oncology Service Line.
* Advises the executive team on best practices for drug purchase opportunities to ensure potential profitability is maximized while working with FMOLHS contract director to verify profitability of managed care contracts related to drug margins.
* Works with various national oncology specific institutions, like MD Anderson, Bone Marrow transplant centers, etc. alongside physicians/payers directly whether clinical pathways/treatment regimens fall within proper coding/maximum reimbursement of clinical trials, off label, NCCN guideline, etc. to manage proper clean claims and decrease likelihood of claim denial.
* Works directly with business, administrative team, and physicians/providers to perform at least monthly education on chart audits, new treatment pathways, governmental payer requirements, and others.
* Coding/Program Management
* Reviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc.) and is expert on prior authorization using FDA, National Comprehensive Cancer Network (NCCN), and American Society of Clinical Oncology (ASCO) for specialty practices like inpatient chemotherapy hospitalizations, outpatient oncology visits, hospital based outpatient infusion centers for both oncology and non-oncology patients.
* Is consultant/expert for FMOLHS business office and external agencies in clarification of coding regarding reimbursement infusion issues, especially new FDA and new clinical pathways of National Comprehensive Cancer Network (NCCN). Manages data gathering and chart auditing as necessary for FMOLHS Revenue Cycle, LPG, and Oncology Service Line.
* Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways, drug replacement programs, and Southern Oncology Association of Practices (SOAP) to determine business best practices and clinical education opportunities for physicians/providers. Reports findings consistently to Director of Pharmacy and VP of Oncology Service Line.
* Advises the executive team on best practices for drug purchase opportunities to ensure potential profitability is maximized while working with FMOLHS contract director to verify profitability of managed care contracts related to drug margins.
* Works with various national oncology specific institutions, like MD Anderson, Bone Marrow transplant centers, etc. alongside physicians/payers directly whether clinical pathways/treatment regimens fall within proper coding/maximum reimbursement of clinical trials, off label, NCCN guideline, etc. to manage proper clean claims and decrease likelihood of claim denial.
* Works directly with business, administrative team, and physicians/providers to perform at least monthly education on chart audits, new treatment pathways, governmental payer requirements, and others.
* Analysis and Collaboration
* Proactively researches and understands payer issues. Troubleshoots and resolves issues that impact revenue. Works collectively with FMOLHS denial management team to audit Medicare, Medicaid, and Insurance claims for accurate coding, charging, and modifier usage as requested by the FMOLHS. Considered expert for high dollar drug appeals across FMOLHS.
* Considered expert for the Physician Group, Revenue Management Department, Pharmacy, and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities for performance improvement.
* Continually analyzes reports/margin analyzers to communicate business performance to the administrative team, revenue cycle team, physician practice managers, and physicians to determine efficacy and suggests opportunities for improvement.
* Acts as a liaison for Professional Billing and FMOLHS Central Billing Office Management assisting in any special requests/research for information/proper documentation to aid in billing processes especially high dollar denials/write offs/analysis.
* Experience: 3 years of medical revenue cycle experience
* Education: High School Diploma
Independent Insurance Claims Adjuster in Baker, Louisiana
Claims Adjuster Job 10 miles from Baton Rouge
div class="col col-xs-7 description" id="job-description" pspan style="display:none;" /span/pp style="margin-bottom:11px;"span style="display:none;" /spanspan style="font-size:36px;"bIS IT TIME FOR A CAREER CHANGE?/b/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!/span/span/u/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:14pt;"span style="line-height:107%;"Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement./span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Why This Opportunity Matters:/span/span/u/b/span/span/span/pulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand./span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives./span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation./span/span/span/span/span/li/ulspan style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Join Our Team:/span/span/u/b/span/span/spanulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? /span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:12pt;"span style="line-height:107%;"If so,/span/span/bspan style="font-size:12pt;"span style="line-height:107%;" bthat's great!/b bIf not,/b bno problem!/b Let us help you on your career path as a Licensed Claims Adjuster. /span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"You're welcome to sign up on our jobs roster if you meet our guidelines./span/span/span/span/span/li/ulspan style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"How We Can Help You Succeed:/span/span/u/b/span/span/spanulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting./span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges./span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster./span/span/span/span/span/li/uldiv class="WordSection1"div class="WordSection1"p style="margin-bottom:11px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Calibri, sans-serif;"bspan style="font-size:24pt;"span style="line-height:107%;"span style="font-family:'Times New Roman', serif;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:14pt;"span style="background:#FFFFFF;"span style="line-height:107%;"span style="font-family:'Aptos Display', sans-serif;"span style="color:#0d0d0d;"Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals./span/span/span/span/span/b bspan style="font-size:14pt;"span style="line-height:107%;"With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals./span/span/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Seize the Opportunity Today!/span/span/u/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Contact us now at ************ or /span/spana href="/cdn-cgi/l/email-protection#e38a8d858ca38e8a8f868b8a848b**********978691908b8c9690978c8dcd808c8e" style="color:#467886;text-decoration:underline;"span style="font-size:12pt;"span style="line-height:107%;"span class="__cf_email__" data-cfemail="1970777f**********7c71707e71787d736c6a6d7c6b6a71766c6a6d7677377a7674"[email protected]/span/span/span/aspan style="font-size:12pt;"span style="line-height:107%;" to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at /span/spana href="**************************************** style="color:#467886;text-decoration:underline;"span style="font-size:12pt;"span style="line-height:107%;"************************************************ style="font-size:12pt;"span style="line-height:107%;" to explore our offerings and view our 375+ Five-Star Google Reviews. /span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"You can also find us on YouTube at: (/span/spana href="********************************************************* style="color:#467886;text-decoration:underline;"span style="font-family:Calibri, sans-serif;"span style="color:#0563c1;"************************************************************************* style="font-family:Calibri, sans-serif;"span style="color:#0563c1;") /span/span/u/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"and Facebook at: (/span/spana href="************************************************** style="color:#467886;text-decoration:underline;"span style="font-family:Calibri, sans-serif;"span style="color:#0563c1;"****************************************************************** style="font-family:Calibri, sans-serif;"span style="color:#0563c1;") /span/span/uspan style="font-size:12pt;"span style="line-height:107%;"for additional resources and updates./span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"a href="*************************************** style="color:#467886;text-decoration:underline;"span style="font-size:16pt;"span style="line-height:107%;"APPLY HERE/span/span/a/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:12pt;"span style="line-height:107%;"#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston/span/span/b/span/span/span/span/span/span/b/span/span/span/p/div/divp /p
p"Discover a wealth of valuable resources on our YouTube channel! Dive into a trove of insightful videos at ******************************************************** to explore expert tips, and testimonials to enhance your skills and knowledge. Subscribe now for exclusive content and stay ahead in your journey with MileHigh Adjusters Houston!"/p /div
Commercial Large Loss, National General Adjuster - Property
Claims Adjuster Job In Baton Rouge, LA
122211 Zurich North America is hiring an Commercial Large Loss, National General Adjuster - Property to join our team! We are open to hiring talent in one of the following states remotely: Remote - TX, OK, LA, AR, KS, MO, NE, IL, MN, WI, CO, NM, AZ, NV, UT, OR, WA, or WI.
The Property Claims organization is dedicated to helping our customers at the moments that matter the most. Our adjusters oversee commercial property and business income claims resulting from weather events, theft, water, vandalism and other perils. We guide our customers through the claim process and help them mitigate damages and recover from those losses as quickly as possible.
As a General adjuster, you will leverage your technical property claims expertise, analytical and negotiation skills, as well as your leadership capabilities. You will manage a caseload of high exposure and complexity large loss property claims from assignment to resolution.
As a colleague of the Property Claims team, you will:
+ Manage a caseload of high complexity property & business income claims from assignment through resolution.
+ Apply your knowledge of insurance contracts, coverage, and other relevant documents and information to adjust losses.
+ Leverage litigation claims management expertise.
+ Learn and apply knowledge of Property Team Best Practices and other internal processes in claim handling.
+ Partner with other internal business functions to facilitate quality claims resolution.
+ Collaborate with colleagues in a team environment to resolve complex claims issues.
+ Partner with customers, brokers, vendors and other external stakeholders that are critical to the success of the claim's lifecycle.
+ Support Catastrophe responses as needed.
You will be an ambassador for Property Claims and Zurich North America, delivering the highest standards of claims service excellence and best practices, and effectively developing partnerships with key customers, brokers and other internal and external stakeholders that are critical to the success of the claim lifecycle. You will have direct accountability for your overall results and contributions in support of Claims strategy and goals.
Our highly successful Property Team will provide you with the tools you need to succeed and progress in your insurance career!
You will work out of a home-based office.
Approximately 50% domestic travel is needed.
To optimize the needs of the business and our customers, this position will ideally be located in the western half of the States.
Basic Qualifications:
+ Bachelor's Degree and 6 or more years of experience in the Claims or Litigation area including commercial property claims handling experience.OR
+ High School Diploma or Equivalent and 8 or more years of experience in the Claims or Litigation area including commercial property claims handling experience.OR
+ Zurich approved Apprenticeship program including an associate degree and 6 or more years of experience in the Claims Handling area within the Insurance industry including commercial property claims handling experience.AND
+ Must obtain and maintain required adjuster license(s).
+ Microsoft Office experience.
Preferred Qualifications:
+ 5 or more years of commercial property claims experience.
+ Large loss property claims handling experience.
+ Negotiation experience.
+ Analytical skills.
+ Strong communication skills.
+ Ability to work independently.
+ Experience collaborating across work groups.
+ Insurance designations such as SCLA, CPCU, AIC.
Compensation for roles at Zurich varies depending on a wide array of factors including but not limited to the specific office location, role, skill set, and level of experience. As required by local law, Zurich provides in good faith a reasonable range of compensation for roles. For additional information about our Total Rewards, Click here (****************************************** . Other rewards may include short term incentive bonuses and merit increases. **Candidates with salary expectations outside of the range are encouraged to apply, and will be considered based on experience, skill, and education.** The salary provided is a nationwide market range and has not been adjusted for the applicable geographic differential associated with the location where the position may be filled. The starting salary range for this position is $100,000.00 - $125,000.00,with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time ( ************************************ ).
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (********************************* to learn more.
As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers' expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - Texas Virtual Office, AM - Arizona Virtual Office, AM - Arkansas Virtual Office, AM - Colorado Virtual Office, AM - Illinois Virtual Office, AM - Kansas Virtual Office, AM - Louisiana Virtual Office, AM - Montana Virtual Office, AM - Nebraska Virtual Office, AM - Nevada Virtual Office, AM - New Mexico Virtual Office, AM - Oklahoma Virtual Office, AM - Oregon Virtual Office, AM - Utah Virtual Office, AM - Washington St Virt. Office, AM - Wisconsin Virtual Office
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-LC1 #LI-ASSOCIATE #LI-REMOTE
GL Adjuster
Claims Adjuster Job In Baton Rouge, LA
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
GL Adjuster
**PRIMARY PURPOSE** **:** To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Examines claim forms and other records to determine insurance coverage.
+ Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance.
+ Prepares report of findings and negotiates settlement with claimant.
+ Recommends litigation by legal department when settlement cannot be negotiated.
+ Attends litigation hearings.
+ Revises case reserves in assigned claims files to cover probably costs.
+ Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organizations quality program(s).
**QUALIFICATIONS**
**Education & Licensing**
High School diploma or GED required.
**Experience**
Six (6) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
**Skills & Knowledge**
+ Knowledge of professional liability claims
+ Ability to review information and ensure accuracy and applicable policy placement
+ Oral and written communication skills
+ PC literate, including Microsoft Office products
+ Attention to detail and accuracy
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**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
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
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.
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 ($65,000 - $80,000 USD annually). 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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**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.**
**Taking care of people is at the heart of everything we do. Caring counts**
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)
Adjusters Needed NOW for the Storm Season
Claims Adjuster Job 43 miles from Baton Rouge
Are you Interested in becoming an Independent Claims Adjuster?
The storm season is in at an all-time HIGH this past year and it is predicted that the next 5 years to be as Active as this year was, that means TONS of work as ADJUSTERS, and Adjusters are needed “Everywhere” to help with the winter storm season. As a top firm that trains, licenses and staff's adjusters for the upcoming storm season. Insurance companies send Jet Adjusters claims and our Adjusters write estimates so the carrier can pay the claim. Adjusters make either 37.50 to 62.25/per hour or from $500 to $1000 per claim (Average). The average Adjuster can process 2-5 claims a day during storm season. Travel to the storm area, cash in and go home. A sixfigure income potential/year and up. Start working right away and make what you are worth this year while helping others put their lives back together!
Visit -******************************* - or call Charles or Mike for details. ************.
Must be 18 years and older, valid driver's license, and a good working vehicle, energetic with a positive attitude a must. Basic computer skills and strong customer service skills.
Property Desk Adjuster
Claims Adjuster Job In Baton Rouge, LA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Position Overview:
Join EAC Claims Solutions as a Desk Adjuster, where you will play a crucial role in resolving significant losses, including complex property claims. Under limited supervision, you'll investigate claims, negotiate settlements, and handle claims while maintaining high productivity levels. You'll also engage in calls and presentations as required.
Key Responsibilities:
- Evaluate claims forms, policies, endorsements, and carrier instructions to determine coverage.
- Conduct thorough investigations, gather official reports as needed, and inspect physical damage or write estimates for damages based on a conducted inspection.
- Set loss reserves and prepare detailed reports for clients and regulatory agencies.
- Manage claim settlements by adhering to carrier instructions and obtaining necessary information. Issue settlement checks, file regulatory documents, and handle salvage and subrogation as applicable.
- Maintain an expected caseload efficiently.
- Utilize technology and automation tools for efficient claim handling.
- Perform virtual roof inspections and other duties as required.
Requirements:
- Hold an active Property Adjuster License; multi-state licenses preferred.
- Prior experience handling property claims a plus but not required.
- Strong communication, analytical, organizational, and interpersonal skills.
- Proficiency in computer applications.
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Fidelity Senior Claims Professional (Attorney)
Claims Adjuster Job In Baton Rouge, LA
122311 Zurich North America is hiring a Fidelity Senior Claims Professional (Attorney) to join our team! **We are open to hiring talent in who is located within the U.S.. This is a virtual position so you will have a home-based office.** In this role, you will manage a caseload of moderate to high complexity Fidelity and Crime claims under primary and excess commercial crime policies, financial institution bonds, and crime coverage parts of package policies. The ideal candidate will have experience reviewing fidelity proofs of loss and supporting documents, performing coverage analysis, determining potential exposure and setting appropriate reserves. They will resolve claims according to Best Practices and within authority limits. They will regularly communicate with customers and brokers and may be dedicated to handle claims for specific accounts. There may be opportunities to handle Surety claims in the future.
Primary accountabilities include:
+ Analyzing coverage, liability and damages
+ Participating in mediations and negotiating settlements
+ Drafting coverage and denial letters, underwriter notification of claim issues, etc.
+ Drafting case summary reports in connection with significant reserve increases and trial preparation
+ Directing activities of defense counsel
You must be able to travel approximately 25% to meet with customers and for other business needs that may arise.
Basic Qualifications:
+ Juris Doctor and 5 or more years of experience in the Fidelity Legal area AND
+ JD and 5 or more years of legal practice experience in the insurance area
+ Must obtain and maintain required adjuster license(s)
+ Experience in insurance claims and the insurance legal and regulatory environment
+ Negotiation experience
+ Customer service experience
+ Microsoft Office experience
Preferred Qualifications:
+ Member of the bar
+ Detail oriented
+ Strong verbal, written and interpersonal skills
+ Claims handling experience including Fidelity and Crime policies
+ Analytical skills
+ Strong communication skills, oral and written
+ Ability to multi-task
+ Organization and time management skills
+ Ability to prioritize work tasks
+ Ability to work independently
+ Experience collaborating across work groups
Compensation for roles at Zurich varies depending on a wide array of factors including but not limited to the specific office location, role, skill set, and level of experience. As required by local law, Zurich provides in good faith a reasonable range of compensation for roles. For additional information about our Total Rewards, click here. Other rewards may include short term incentive bonuses and merit increases. **Candidates with salary expectations outside of the range are encouraged to apply, and will be considered based on experience, skill, and education.** The salary provided is a nationwide market range and has not been adjusted for the applicable geographic differential associated with the location where the position. The proposed salary range for this position is $130,000.00 - $182,000.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time ( ************************************ ).
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (********************************* to learn more.
As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers' expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - Maryland Virtual Office, AM - Alabama Virtual Office, AM - Alaska Virtual Office, AM - Arizona Virtual Office, AM - Arkansas Virtual Office, AM - California Virtual Office, AM - Colorado Virtual Office, AM - Connecticut Virtual Office, AM - Delaware Virtual Office, AM - Florida Virtual Office, AM - Georgia Virtual Office, AM - Hawaii Virtual Office, AM - Idaho Virtual Office, AM - Illinois Virtual Office, AM - Indiana Virtual Office, AM - Iowa Virtual Office, AM - Kansas Virtual Office, AM - Kentucky Virtual Office, AM - Louisiana Virtual Office, AM - Maine Virtual Office, AM - Massachusetts Virt. Office, AM - Michigan Virtual Office, AM - Minnesota Virtual Office, AM - Mississippi Virtual Office, AM - Missouri Virtual Office, AM - Montana Virtual Office, AM - Nebraska Virtual Office, AM - Nevada Virtual Office, AM - New Hampshire Virt. Office, AM - New Jersey Virtual Office, AM - New Mexico Virtual Office, AM - New York Virtual Office, AM - North Carolina Virt. Office, AM - North Dakota Virtual Office, AM - Ohio Virtual Office, AM - Oklahoma Virtual Office, AM - Oregon Virtual Office, AM - Pennsylvania Virtual Office, AM - Remote Work (US), AM - Rhode Island Virtual Office, AM - South Carolina Virt. Office, AM - South Dakota Virtual Office, AM - Tennessee Virtual Office, AM - Texas Virtual Office, AM - Utah Virtual Office, AM - Vermont Virtual Office, AM - Virginia Virtual Office, AM - Washington St Virt. Office, AM - West Virginia Virt. Office, AM - Wisconsin Virtual Office, AM - Wyoming Virtual Office
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-LC1 #LI-ASSOCIATE #LI-REMOTE
Independent Insurance Claims Adjuster in Prairieville, Louisiana
Claims Adjuster Job 17 miles from Baton Rouge
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
"Discover a wealth of valuable resources on our YouTube channel! Dive into a trove of insightful videos at ******************************************************** to explore expert tips, and testimonials to enhance your skills and knowledge. Subscribe now for exclusive content and stay ahead in your journey with MileHigh Adjusters Houston!"
Claims Examiner - Liability
Claims Adjuster Job In Baton Rouge, LA
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
Claims Examiner - Liability
**PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Assesses liability and resolves claims within evaluation.
+ Negotiates settlement of claims within designated authority.
+ Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
+ Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
+ Prepares necessary state fillings within statutory limits.
+ Manages the litigation process; ensures timely and cost effective claims resolution.
+ Coordinates vendor referrals for additional investigation and/or litigation management.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
+ Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
+ Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
+ Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
+ Travels as required.
**QUALIFICATION**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
**Experience**
Five (5) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Good interpersonal skills
+ Excellent negotiation skills
+ Ability to work in a team environment
+ Ability to meet or exceed Service Expectations
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**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
**Physical:** Computer keyboarding, travel as required
**Auditory/Visual:** Hearing, vision and talking
_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_ **_$80,000_** _. 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._
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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**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.**
**Taking care of people is at the heart of everything we do. Caring counts**
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)
Independent Insurance Claims Adjuster in Hammond, Louisiana
Claims Adjuster Job 43 miles from Baton Rouge
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
"Discover a wealth of valuable resources on our YouTube channel! Dive into a trove of insightful videos at ******************************************************** to explore expert tips, and testimonials to enhance your skills and knowledge. Subscribe now for exclusive content and stay ahead in your journey with MileHigh Adjusters Houston!"
Claims Specialist Sr - Prof Liab; Coverage Specialist (Attorney experience required)
Claims Adjuster Job In Baton Rouge, LA
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
Claims Specialist Sr - Prof Liab; Coverage Specialist (Attorney experience required)
***Looking for someone with significant coverage skills who may; 1) have 15+ carrier GL coverage experience, or 2) prefer an attorney who has either been staff counsel for a carrier or did coverage work for carriers in private practice**
**PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
+ Negotiates claim settlement up to designated authority level.
+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
+ Represents Company in depositions, mediations, and trial monitoring as needed.
+ Communicates claim activity and processing with the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
+ Delegates work and mentors assigned staff.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.
**Experience**
Six (6) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent negotiation skills
+ Good interpersonal skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**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
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**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.**
**Taking care of people is at the heart of everything we do. Caring counts**
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)
Independent Insurance Claims Adjuster in Thibodaux, Louisiana
Claims Adjuster Job 50 miles from Baton Rouge
div class="col col-xs-7 description" id="job-description" pspan style="display:none;" /span/pp style="margin-bottom:11px;"span style="display:none;" /spanspan style="font-size:36px;"bIS IT TIME FOR A CAREER CHANGE?/b/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!/span/span/u/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:14pt;"span style="line-height:107%;"Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement./span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Why This Opportunity Matters:/span/span/u/b/span/span/span/pulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand./span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives./span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation./span/span/span/span/span/li/ulspan style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Join Our Team:/span/span/u/b/span/span/spanulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? /span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:12pt;"span style="line-height:107%;"If so,/span/span/bspan style="font-size:12pt;"span style="line-height:107%;" bthat's great!/b bIf not,/b bno problem!/b Let us help you on your career path as a Licensed Claims Adjuster. /span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"You're welcome to sign up on our jobs roster if you meet our guidelines./span/span/span/span/span/li/ulspan style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"How We Can Help You Succeed:/span/span/u/b/span/span/spanulli style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting./span/span/span/span/span/lili style="text-align:justify;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges./span/span/span/span/span/lili style="text-align:justify;margin-bottom:11px;margin-left:8px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster./span/span/span/span/span/li/uldiv class="WordSection1"div class="WordSection1"p style="margin-bottom:11px;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Calibri, sans-serif;"bspan style="font-size:24pt;"span style="line-height:107%;"span style="font-family:'Times New Roman', serif;"span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:14pt;"span style="background:#FFFFFF;"span style="line-height:107%;"span style="font-family:'Aptos Display', sans-serif;"span style="color:#0d0d0d;"Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals./span/span/span/span/span/b bspan style="font-size:14pt;"span style="line-height:107%;"With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals./span/span/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"buspan style="font-size:16pt;"span style="line-height:107%;"Seize the Opportunity Today!/span/span/u/b/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"Contact us now at ************ or /span/spana href="/cdn-cgi/l/email-protection#d5bcbbb3ba95b8bcb9b0bdbcb2bdb4b1bfa0a6a1b0a7a6bdbaa0a6a1babbfbb6bab8" style="color:#467886;text-decoration:underline;"span style="font-size:12pt;"span style="line-height:107%;"span class="__cf_email__" data-cfemail="8fe6e1e9e0cfe2e6e3eae7e6e8e7eeebe5fafcfbeafdfce7e0fafcfbe0e1a1ece0e2"[email protected]/span/span/span/aspan style="font-size:12pt;"span style="line-height:107%;" to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at /span/spana href="**************************************** style="color:#467886;text-decoration:underline;"span style="font-size:12pt;"span style="line-height:107%;"************************************************ style="font-size:12pt;"span style="line-height:107%;" to explore our offerings and view our 375+ Five-Star Google Reviews. /span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"You can also find us on YouTube at: (/span/spana href="********************************************************* style="color:#467886;text-decoration:underline;"span style="font-family:Calibri, sans-serif;"span style="color:#0563c1;"************************************************************************* style="font-family:Calibri, sans-serif;"span style="color:#0563c1;") /span/span/u/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"span style="font-size:12pt;"span style="line-height:107%;"and Facebook at: (/span/spana href="************************************************** style="color:#467886;text-decoration:underline;"span style="font-family:Calibri, sans-serif;"span style="color:#0563c1;"****************************************************************** style="font-family:Calibri, sans-serif;"span style="color:#0563c1;") /span/span/uspan style="font-size:12pt;"span style="line-height:107%;"for additional resources and updates./span/span/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"a href="*************************************** style="color:#467886;text-decoration:underline;"span style="font-size:16pt;"span style="line-height:107%;"APPLY HERE/span/span/a/span/span/spanbr/span style="font-size:11pt;"span style="line-height:107%;"span style="font-family:Aptos, sans-serif;"bspan style="font-size:12pt;"span style="line-height:107%;"#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston/span/span/b/span/span/span/span/span/span/b/span/span/span/p/div/divp style="margin-bottom:11px;"/pp /p
p"Discover a wealth of valuable resources on our YouTube channel! Dive into a trove of insightful videos at ******************************************************** to explore expert tips, and testimonials to enhance your skills and knowledge. Subscribe now for exclusive content and stay ahead in your journey with MileHigh Adjusters Houston!"/p /div