Bodily Injury Claims Adjuster
Claims Representative Job In Denver, CO
Network Adjusters is seeking
skilled bodily injury insurance claims adjusters
for a liability claims adjuster position. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. is a third-party administrative commercial line handling company that has built a reputation as a leading provider of insurance claims administration and independent adjusting services. We exemplify trust, integrity and reliability, and deliver consistent, high-quality claims management. All adjusters are licensed and bonded and operate under our strict standards for "BEST Claims Practices" that meet or exceed industry standards. Become a part of a dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of training and development opportunities.
CLAIMS ADJUSTER JOB DESCRIPTION:
· Handle primarily Commercial Auto & General Liability injury claims with varying degrees of complexity and severity.
As a Bodily Injury Adjuster at Network, you will investigate, evaluate, negotiate, and adjust moderate to complex commercial insurance claims in compliance with all state regulatory requirements. This will include taking statements, analyzing policy language, handling litigated matters and negotiating settlements as needed. Our Adjusters handle claims from inception to closure, communicating claim decisions and key developments to policyholders, claimants, attorneys and other involved parties.
CLAIMS ADJUSTER RESPONSIBILITIES:
· Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients
· Investigative, negotiate & manage bodily injury claim investigations
· Conduct comprehensive interviews, securing testimonies and gathering evidence from claimants, witnesses, medical providers, and law enforcement agencies while determining and establishing reserve requirements
· Evaluate claims against insurance contracts to interpret how the policy applies and write professional correspondence to involved parties summarizing your analysis
· Determine settlement amounts based on independent judgment, application of applicable limits and deductibles, collaborating with legal counsel when necessary
· Review medical records, police reports, and other relevant documents to determine the extent of injuries and liability.
· Assure compliance with state specific regulations along with meeting all quality standards and expectations based on Network's Best Practices
· Ability to work autonomously, maintaining accurate and up-to-date claim files, diaries, and documentation.
· Utilize conflict resolution and customer service skills to deliver claims decisions with empathy and confidence
CLAIMS ADJUSTER QUALIFICATIONS:
· Minimum of 1 year handling bodily injury claims
· Strong verbal and written communication skills
· General software skills including MS Word, Outlook and Excel
· Customer service and empathy skills
· Solid analytical and decision-making skills in order to evaluate claims and make sound decisions
· Excellent negotiation & investigative skills with ability to effectively handle conflict to achieve optimal results
· Strong organization and time management skills
· Ability to multi-task and adapt to a changing environment
· Attention to detail, ensuring accuracy
· Ability to maintain confidentiality
· College or Technical degree or equivalent business experience (preferred)
· Obtain Adjusters licenses as required to meet business needs & continuing education to maintain licenses
· Knowledge of Security Industry and/or Rideshare Industry is beneficial
CLAIMS ADJUSTER BENEFITS:
· Training/Development and growth opportunities
· 401(k) with company match / retirement planning
· Paid time off / company paid holidays
· Comprehensive health plans including dental and vision coverage
· Flex spending account
· Company paid life insurance
· Company paid long term disability
· Supplemental life insurance
· Opportunity to buy into short term disability
· Strong work/family and employee assistance programs
About Network Adjusters, Inc.
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
This role is located in Denver, CO; no remote or hybrid offers available at this time.
The starting salary for this position is $70,000+; factors such as licensing, certifications, work, and relative experience will be taken into consideration.
Experienced Auto Claim Representative
Claims Representative Job In Centennial, CO
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$53,700.00 - $88,600.00
**Target Openings**
1
**What Is the Opportunity?**
This position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. This may include applying laws and statutes for multiple state jurisdictions. Claim types include multi-vehicle (2 or more cars) auto damage with unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto, property related damage. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
As of the date of this posting, Travelers anticipates that this posting will remain open until April 20th, 2025.
**What Will You Do?**
Customer Contacts/Experience:
+ Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC).
Coverage Analysis:
+ Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration other issues relevant to the jurisdiction.
Investigation/Evaluation:
+ Investigates each claim to obtain relevant facts necessary to determine coverage, causation, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, etc.) Takes recorded statements as necessary.
+ Recognizes and requests appropriate inspection type based on the details of the loss and coordinates the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling.
+ Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e., Subrogation, SIU, Property, Adverse Subrogation, etc.).
Reserving:
+ Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner.
Negotiation/Resolution:
+ Determines settlement amounts based upon appraisal estimate, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants.
+ May provide support to other parts of Auto Line of Business (e.g. Total Loss, Salvage, etc.) when needed.
Insurance License:
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's degree preferred.
+ Demonstrated ownership attitude and customer centric response to all assigned tasks
+ Ability to work in a high volume, fast paced environment managing multiple priorities
+ Attention to detail ensuring accuracy
+ Keyboard skills and Windows proficiency, including Excel and Word - Intermediate
+ Verbal and written communication skills - Intermediate
+ Analytical Thinking- Intermediate
+ Judgment/Decision Making- Intermediate
+ Negotiation- Intermediate
+ Insurance Contract Knowledge-
+ Basic
+ Principles of Investigation- Intermediate
+ Value Determination- Basic
+ Settlement Techniques- Basic
**What is a Must Have?**
+ High School Diploma or GED required.
+ A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
Experienced Catastrophe Claims Representative
Claims Representative Job In Denver, CO
may not be available at this time. * There are multiple positions open across the 26 states in which we operate. The current locations for which we are seeking CAT Claim Reps are located in the job posting.*
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated experienced Claims professional to join our team. The position requires the person to:
* Be available for frequent travel up to 21 days at a time. Travel is required upon short notice to location of catastrophe, which would most likely be out of state.
* Meet the physical demands required for the position including carrying and climbing a ladder.
* Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
* Be familiar with insurance coverage by studying insurance policies, endorsements, and forms.
* Work towards the resolution of claims, possibly attending arbitrations, mediations, depositions, or trials as necessary.
* Ensure that claims payments are issued in a timely and accurate manner.
Desired Skills & Experience
* Bachelor's degree or equivalent experience
* Minimum of 2 years claims handling experience or comparable experience
* Field claims experience with multi-line property and casualty claims and wind/hail
* Proficient with Xactimate software
* Above average communication skills (written and verbal)
* Ability to resolve complex issues
* Organize and interpret data
* Ability to handle multiple assignments
* Possess a valid driver's license
* Military experience is considered
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent package. Along with a matched 401(k), fully-funded pension plan (once vested), Auto-Owners offers medical, prescription, dental and vision insurance; associate, spouse and child life insurance; supplemental sick pay; long term disability; health care flexible spending accounts and dependent care flexible spending accounts. Additional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program, a student loan assistance program and a gym membership and fitness class reimbursement program. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Compensation
Auto-Owners offers a generous compensation package. For this position, the anticipated annualized starting base pay range is: $50,000.00 - $88,800.00. Other components of the compensation package include benefit dollars used to purchase certain benefits and several bonus opportunities.
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
* Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
Inside Auto Claim Representative Trainee
Claims Representative Job In Denver, CO
Who Are We?
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job CategoryClaimCompensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range$42,100.00 - $69,500.00Target Openings1What Is the Opportunity?This position is part of a formal training program to advance to a Auto claim representative position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
As of the date of this posting, Travelers anticipates that this posting will remain open until April 22, 2025.What Will You Do?
Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
The on the job training includes practice and execution of the following core assignments:
Participates in on-going training sessions for the inside auto business.
Works closely with Unit Manager or mentor to promptly resolve assigned claim.
Customer Contacts/Experience:
Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file.
Coverage Analysis:
Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply.
Investigation/Evaluation:
Investigates each claim to obtain relevant facts necessary to determine coverage, causation, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, etc.) Takes recorded statements as necessary.
Recognizes and requests appropriate inspection type based on the details of the loss and coordinate the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling.
Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e., Subrogation, SIU, Property, Adverse Subrogation, etc.).
Reserving:
Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner.
Negotiation/Resolution:
Determines settlement amounts based upon appraisal estimate, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants.
May provide support to other parts of Auto Line of Business (e.g. Total Loss, Salvage, etc.) when needed.
Insurance License:
In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
Perform other duties as assigned.
What Will Our Ideal Candidate Have?
Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred.
Demonstrated ownership attitude and customer centric response to all assigned tasks - basic
Ability to work in a high volume, fast paced environment managing multiple priorities - basic
Attention to detail ensuring accuracy - basic
Keyboard skills and Windows proficiency, including Excel and Word - Intermediate
Verbal and written communication skills -Intermediate
Analytical Thinking - Basic
Judgment/Decision Making - Basic
What is a Must Have?
High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
What Is in It for You?
Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
Claim Representative Trainee (Hybrid - Denver, CO)
Claims Representative Job In Englewood, CO
Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community.
Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It's our promise to you.
Who we are
At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups.
Intact's Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following opportunity is for our U.S. team.
The opportunity
We have a great opportunity for a Claim Representative Trainee to join our Specialty Claims team in our Denver, CO office. This accelerated program is designed to give the trainee a broad overview of Intact Specialty Solutions. Trainees will rotate among a minimum of two claim units which include Workers Compensation, Auto Liability Insurance, Property Damage and Non-Trucking Liability for a twelve-month rotation.
Under close supervision as part of the formal training program, trainees will develop skills and knowledge to provide efficient and effective disposition of assigned claims through timely investigation, evaluation and resolution.
Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for routine claims.
Determines exposure, establishes adequate initial reserves and makes timely adjustments within authority level, as required.
Within authority level, assigns and directs activities of internal and external resources as required; including independent adjusters and appraisers. Identifies questionable claims and consults with SIU for further direction as appropriate.
Under close supervision, may determine settlement value of the loss and negotiate proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level. May utilize liability tools.
Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity as appropriate.
As this is a developmental role, completes required learning programs and on the job training as needed. Depending on the case load and business, may be working toward getting state approved license or certificate.
Anticipates and meets all customer needs (internal and external).
The expertise you bring
Bachelor's degree preferred, with some business or insurance background.
0 - 1 years of claims experience.
The starting base salary for this position is $64,500. In addition to base salary, full time Intact employees are also eligible for bonus potential and a full range of benefits to include:
Comprehensive medical, dental and vision insurance with no waiting period
Competitive paid time off programs
401(k) savings and annual contributions of up to 12% of annual salary
Mental health support programs, life and disability insurance, paid parental leave and a variety of additional voluntary benefits
Why choose Intact
We live our Values: We are committed to acting with the highest of ethical standards through our five core values: integrity, respect, customer driven, excellence and social responsibility.
Our commitment to Diversity: Founded in our values, we see diversity as a strength and aspire to create an environment where everyone can be themselves, grow and succeed. Together, we will stand up for what's right to build an inclusive society.
Manage your Time: What you accomplish matters more than hours in the office. We are committed to creating a positive and supportive environment in which you perform your best. Our Time-Off and Flexible Work Arrangement options help foster a healthy work-life balance.
Check out our Glassdoor reviews to see why people love working for Intact!
Our promise to you
Our Values are foundational to our success at Intact. You'll make a difference every day when you live our Values, do your best work, are open to change, and invest in yourself.
In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can:
Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
Win as a team: Collaborate with inspiring people to do your best work every day and together, stand up for what is right.
Grow with us: Refresh and reinvent your skills, learn from our diverse teams, lift others up, and grow.
About Intact
At Intact Insurance Specialty Solutions we are experts at what we do. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups. Today, we help protect over a dozen industries with tailored coverages and services.
#LI-US
#LI-HYBRID
#LI-DA1
Claim Representative Trainee (Hybrid - Denver, CO)
Claims Representative Job In Englewood, CO
Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It's our promise to you.
Who we are
At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups.
Intact's Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following opportunity is for our U.S. team.
The opportunity
We have a great opportunity for a Claim Representative Trainee to join our Specialty Claims team in our Denver, CO office. This accelerated program is designed to give the trainee a broad overview of Intact Specialty Solutions. Trainees will rotate among a minimum of two claim units which include Workers Compensation, Auto Liability Insurance, Property Damage and Non-Trucking Liability for a twelve-month rotation.
Under close supervision as part of the formal training program, trainees will develop skills and knowledge to provide efficient and effective disposition of assigned claims through timely investigation, evaluation and resolution.
* Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for routine claims.
* Determines exposure, establishes adequate initial reserves and makes timely adjustments within authority level, as required.
* Within authority level, assigns and directs activities of internal and external resources as required; including independent adjusters and appraisers. Identifies questionable claims and consults with SIU for further direction as appropriate.
* Under close supervision, may determine settlement value of the loss and negotiate proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level. May utilize liability tools.
* Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity as appropriate.
* As this is a developmental role, completes required learning programs and on the job training as needed. Depending on the case load and business, may be working toward getting state approved license or certificate.
* Anticipates and meets all customer needs (internal and external).
The expertise you bring
* Bachelor's degree preferred, with some business or insurance background.
* 0 - 1 years of claims experience.
The starting base salary for this position is $64,500. In addition to base salary, full time Intact employees are also eligible for bonus potential and a full range of benefits to include:
* Comprehensive medical, dental and vision insurance with no waiting period
* Competitive paid time off programs
* 401(k) savings and annual contributions of up to 12% of annual salary
* Mental health support programs, life and disability insurance, paid parental leave and a variety of additional voluntary benefits
Why choose Intact
We live our Values: We are committed to acting with the highest of ethical standards through our five core values: integrity, respect, customer driven, excellence and social responsibility.
Our commitment to Diversity: Founded in our values, we see diversity as a strength and aspire to create an environment where everyone can be themselves, grow and succeed. Together, we will stand up for what's right to build an inclusive society.
Manage your Time: What you accomplish matters more than hours in the office. We are committed to creating a positive and supportive environment in which you perform your best. Our Time-Off and Flexible Work Arrangement options help foster a healthy work-life balance.
Check out our Glassdoor reviews to see why people love working for Intact!
Our promise to you
Our Values are foundational to our success at Intact. You'll make a difference every day when you live our Values, do your best work, are open to change, and invest in yourself.
In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can:
* Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
* Win as a team: Collaborate with inspiring people to do your best work every day and together, stand up for what is right.
* Grow with us: Refresh and reinvent your skills, learn from our diverse teams, lift others up, and grow.
About Intact
At Intact Insurance Specialty Solutions we are experts at what we do. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups. Today, we help protect over a dozen industries with tailored coverages and services.
#LI-US
#LI-HYBRID
#LI-DA1
Claims Adjuster
Claims Representative Job In Colorado
Who We Are
With a comprehensive lineup of Vehicle Protection plans, Sonsio offers industry-leading programs that cover Tire Road Hazard Protection, Appearance, Parts & Labor Warranties, Mechanical Advisory, and other critical consumer services. These benefits provide vehicle owners with affordable and valuable coverages to keep their vehicles on the road safely, and also maximize the resale value by keeping the appearance of their vehicles like-new.
Sonsio Vehicle Protection is committed to innovation and excellent customer service. Since our inception in 1984, Sonsio has been a leader in the automotive industry-serving more than 74,000 dealerships, F&I service providers, manufacturers, insurance companies, parts suppliers, retail chains, and many independent retailers across all 50 states, Canada, and Puerto Rico.
We understand the challenges and complexities that our partners face when it comes to offering vehicle protection plans. There is no one-size-fits-all. Every business we help is different and has their own set of challenges. That's why, when you partner with Sonsio, we work with you to provide a custom solution designed to improve customer acquisition and retention and increase profitability.
And when it comes to managing claims, you don't have the time or resources to worry about the headaches. Sonsio provides end-to-end support and decades of expertise to give customers the highest quality services with a world-class customer experience.
Base Pay Range:
$18.00 to $19.00/HR
Claims Adjuster, Tire Operations, L1 Responsibilities
To have thorough knowledge of all service agreement (terms and conditions), claims guidelines and updating\settlement claim procedures. Standard: Quality Assurance scores above 90% with at least half having a 100% score.
In a timely manner and accurately process each claim you are in. This is to be done by following through each step of a claim. Standard: From audits to have no more than 2% in errors.
Handle all claim inquiries from customers and repair facilities. Notes must have as much detail as possible including, who you talked with, complete description of the failure, location of the failed component, and any other information that would be needed in a claim. Standard: Level 1 claims adjuster standard for calls is minimum of 55 calls each day. All claims adjusters should be on the phone 80% of the time and calls should be answered within the first 45 seconds. Average length of calls at 5 1\2 minutes. Claims comment worksheet is followed for all notes.
Establish good working relationships with customers and repair facilities. Standard: No complaints from contract holders or shops.
Process all photos received on claims where damage verification is needed. Standard: Verify and document all information gathered in a timely manner.
Handle calls from specific tire programs in the claim department, this will include Dealer Tire and other level 1 calls once fully trained. Standards: Have complete understanding of all programs and be able to process claims under each program.
Attendance is a must on all scheduled days of work. Standard: Keep from calling in at a minimum-being a call center it is essential to be staffed appropriately.
Be punctual when showing up to work and coming off of breaks and lunches. Standard: Be ready to take phone calls at the start of scheduled shifts.
Update claims throughout the day when call volume is low. Standard: Update a minimum of 7 claims per day while waiting for a call.
Seeks additional work when assigned work is completed.
Other Duties as Assigned
This position is targeted to be closed on:
2025-05-26
Why Sonsio: An amazing opportunity to join a growing organization, built on the efforts of hard working, innovative, and team-oriented people. The compensation offered for this position will depend on qualifications, experience, and geographic location. The total compensation package may also include commission, bonus or profit sharing. We offer a competitive & comprehensive benefit package including: paid time off, medical, dental, vision, and 401k match (50% on the dollar up to 7% of employee contribution). For more information on our benefit offerings, please visit our Dealer Tire Family of Companies Benefits Highlights Booklet.
EOE Statement: Sonsio is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status or disability (in compliance with the Americans with Disabilities Act*), or any other legally protected status, with respect to employment opportunities.
*ADA Disclosure: Any candidate who feels that they may need an accommodation to complete this application, or any portions of same, based on the impact of a disability should contact Sonsio's Human Resources Department to discuss your specific needs. Please feel free to contact us at ************** x6550.
Automotive Mechanical Claims Adjuster
Claims Representative Job In Denver, CO
*HIRING FOR MAY 2025*
Founded in 2002, American Auto Shield (AAS) specializes in 3rd party home and vehicle service contract claims administration. AAS has a headquarters in Lakewood, Colorado, and we operate a satellite office in St. Peters, Missouri. For more than two decades, American Auto Shield has experienced tremendous growth, which equates to fantastic career opportunities for our employees. The American Auto Shield General Claims Adjuster is a full-time, on-site position at our Lakewood, CO office. This position is responsible for adjudicating claims while adhering to various written contracts and internal standard operating procedures.
Mechanics, service writers, advisors, and technicians are encouraged to apply!
Job Location
Lakewood, CO
Compensation
The General Claims Adjuster earns competitive compensation from
$30/hr. *
Responsibilities
What You Will Do in This Role
Provide excellent customer service.
Adjudicate and document claims according to coverage terms and standard operating procedures.
Provide accurate and timely information to all external and internal customers concerning claim status and other claim inquires.
Recommend further action on claims exceeding authority limits.
Other duties as assigned.
Qualifications
What You Need to Join Our Team
Able to adhere to a defined work schedule.
Able to work independently and meet or exceed production targets with minimum supervision.
Friendly, courteous, and service-orientated.
Able to recognize problems, identify possible causes, and resolve routine problems.
Able to read and interpret vehicle service contracts after completing company provided training.
Able to comprehend and carry out verbal instructions.
Basic knowledge of Microsoft Office and Internet navigation.
Required Education/Certifications
High School Diploma or General Education Degree (GED).
Automotive mechanical experience and/or training required.
Why work for us?
We are excited to provide
Competitive compensation from
$30/hr *
Comprehensive benefits package
Medical
Dental
Vision
Short/Long Term Disability
Life Insurance
Flex Spending Account
401 (k) **
PTO
Paid Sick/Wellbeing Time Off
Employee Assistance Program
Voluntary Benefits
Pet Insurance
Life Insurance
Wellness Program
Satisfaction of work with a highly skilled team to make a company-wide impact
*Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related aspects.
**Eligible for 401 (k) the first of the month after the 1st 90 days.
Company Core Values
Our company core values are integrity, respect, accountability, collaboration, and innovation. These values serve as cultural cornerstones and the foundation of behaviors that drive our organization to excellence.
Senior Claims Examiner
Claims Representative Job In Denver, CO
Senior Claims Examiner
K2 Claims Services, LLC (“K2 Claims”), a subsidiary of K2 Insurance Services, seeks a full-time Senior Claims Examiner to join its team. This position is remote with occasional business travel.
The ideal candidate will possess 8+ years of liability experience in commercial and homeowner claims, demonstrating initiative and a drive to contribute to a top-tier TPA.
At K2 Claims, you'll have the chance to join a thriving company. As a third-party administrator, we handle property, general liability, auto, professional liability, and worker's compensation claims for specialty programs. Our compensation package includes competitive salary, bonuses, medical, dental, and vision insurance, paid time-off from day one, and a matching 401(k).
Pay Range: 85,000-100,000 USD/year
Key Responsibilities:
Adhering to state-specific regulations and K2 Claims' Best Practices.
Managing a range of liability claims, from straightforward to complex, such as dog bites, slip/falls, and general business disputes.
Conducting thorough investigations, including obtaining statements and analyzing relevant documents.
Negotiating settlements within designated authority.
Assessing risk transfer options and insurance priorities.
Handling time-sensitive demands and lawsuits efficiently.
Initiating subrogation and/or SIU referrals.
Drafting detailed large loss reports for senior management and clients.
Analyzing coverage and drafting reservation of rights or coverage declination letters.
Overseeing litigated cases, including engaging counsel, establishing legal budgets, and providing settlement authority.
Obtaining and maintaining adjuster licenses.
Occasional travel for training, mediations, and trials.
Preferred Qualifications:
Bachelor's Degree.
Previous experience handling liability claims in both homeowner and commercial programs within a TPA or insurance carrier setting.
Knowledge of statutory requirements for claims handling across multiple states.
Strong customer service orientation.
Excellent communication skills, both verbal and written.
Ability to multitask in a fast-paced environment.
Proficiency in Word, Excel, and Outlook.
Willingness to travel occasionally for business purposes.
Join K2 Claims and be part of a growing team dedicated to delivering exceptional claims handling services.
Desk Claims Adjuster
Claims Representative Job In Denver, CO
What You Can Expect In this role you will work on handling claims for either the property line of business or auto liability. Training is provided! Compensation: $55,000-$90,000 / year In this primarily home-based role, you will spend approximately 80% of your time (4+ days per week) working from home, proximate to one of our office locations (within approximately 35-50 miles). On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events.
Am Fam Group Locations:
Madison, WI 53783; Boston, MA 02110; Atlanta, GA metro area; Denver, CO 80112; Eden Prairie, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034; Nashville, TN 37214
Position Compensation Range:
Pay Rate Type:
Salary
Compensation may vary based on the job level and your geographic work location.
Relocation support is offered for eligible candidates.
Primary Accountabilities
•Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc.
•Identifies complex issues and seeks assistance as needed. Handles claims on a good faith basis.
•Handles both 1st party and 3rd party claims under multiple policy types and numerous endorsements.
•Conducts on-site inspections when needed, evaluates damages, and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
•Responds to customer inquiries, makes appropriate decisions and closes file as needed.
•Interprets and determines policies, leases, by-laws, declarations, articles and contract coverages and applies to all parties for assigned losses.
•Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas.
Specialized Knowledge & Skills Requirements
•Demonstrated experience providing customer-driven solutions, support, or service.
•Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience.
•Demonstrated experience handling moderately complex claims, or other equivalent experience.
•Solid knowledge and understanding of policies and endorsements related to casualty coverages, or other equivalent knowledge.
•Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge.
Licenses
•Obtain state specific property casualty claims licensing as required.
Travel Requirements
•Up to 10%.
•Catastrophe duty up to 75% as applicable.
Physical Requirements
•Work that primarily involves sitting/standing.
Working Conditions
•Not applicable.
We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
Sr. Injury Adjuster (Sign-On Bonus)
Claims Representative Job In Colorado Springs, CO
Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury and UM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion.
This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: Phoenix, AZ or Colorado Springs, CO. Relocation assistance is not available for this position.
For new hires starting, we are offering a signing bonus of $2,500. Bonus will be paid in one lump sum (minus applicable taxes) after 45 days of employment.
What you'll do:
* Identifies and manages existing and emerging risks that stem from business activities and the job role.
* Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.
* Follows written risk and compliance policies, standards, and procedures for business activities.
* Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations) and UM claims, as well as all auto physical damage associated with those claims.
* Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims.
* Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines.
* Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.
* Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates.
* Collaborates and supports team members to resolve issues and identify appropriate matters for escalation.
* Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
* Supports workload surges and/or Catastrophe Operations as needed.
* May act as an informal resource for team members with less experience.
What you have:
* High School or General Equivalency Diploma.
* 1 year of injury adjusting experience.
* 2 years of auto liability claims adjusting experience
* Deep knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
* Proficient negotiation, investigation, communication, and conflict resolution skills.
* Demonstrated time-management and decision-making skills.
* Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
* Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.
* Ability to exercise sound financial judgment and discretion in handling insurance claims.
* Proficient knowledge of coverage evaluation, loss assessment, and loss reserving.
* Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts
What sets you apart:
* 4 or more years auto liability/casualty adjusting experience
* 1yr Medical experience to include coding and billing or EMT
* Ongoing Professional Development with a focus on Insurance
* Bachelors degree or higher
* US military experience through military service or a military spouse/domestic partner
Compensation Range: The salary range for this position is: $63,590 - $117,990.
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Field Property Claims Adjuster
Claims Representative Job In Colorado
Pay Philosophy
The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Description
Are you looking to use your customer service skills in a role where you can see that you are making a difference in people's lives? Do you want a purposeful career with endless opportunities for growth?
As a member of the Field Property Claims Team, you will play a vital role in providing an outstanding customer experience by using your investigative, problem solving, and negotiation skills to resolve a variety of homeowner claims in a fast paced, detail-oriented, team environment. In this role, you will frequently travel to the loss site to conduct a thorough investigation and analysis of coverage and write an estimate for repairs. Every day is a new & exciting challenge, as our Field Property Claims Adjusters use cutting edge homeowner's products and services to help our customers through the claims process.
Our commitment to providing optimal training for this position will include approximately 5 months of training with up to 2 weeks of in person training required.
**The Field Property Claims Adjuster will be traveling to insured homes within the Henderson, CO (80640) area. In order to be successful within the role, candidates should live within this area or very close to.**
In this role, you will:
Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage.
Handle moderate to complex claims independently while managing your workload {from first notice of loss to final closure}.
Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk.
Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
Work with and coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services.
May be called upon for catastrophe duty.
Qualifications
This role might be for you if you have:
Working knowledge of claims handling procedures and operations.
Demonstrated understanding of building construction principles.
Proven ability to provide exceptional customer service.
Effective negotiation skills.
Ability to effectively and independently manage workload while exhibiting good judgment.
Strong written/oral communication and interpersonal skills.
Computer skills with the ability to work with multi-faceted systems.
The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience.
Ability to obtain proper licensing as required.
The ability to handle multiple competing priorities and organize your day.
Strong Time Management Skills
Strong Organizational Skills
About Us
As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.
At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.
We are proud to support a diverse, equitable and inclusive workplace, where all employees feel a sense of community, belonging and can do their best work. Our seven Employee Resource Groups (ERGs) offer a centralized, open space to bring employees and allies together to connect, learn and engage.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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General Liability Claims Specialist
Claims Representative Job In Littleton, CO
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
This posting is for openings in the near future.
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols.
* Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
* Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
* Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
* Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
* Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
* Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
* Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
* Demonstrated ability to develop collaborative business relationships with internal and external work partners.
* Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
* Demonstrated investigative experience with an analytical mindset and critical thinking skills.
* Strong work ethic, with demonstrated time management and organizational skills.
* Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
* Developing ability to negotiate low to moderately complex settlements.
* Adaptable to a changing environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas
Education & Experience:
* Bachelor's Degree or equivalent experience.
* Typically a minimum four years of relevant experience, preferably in claim handling.
* Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Professional designations are a plus (e.g. CPCU)
#LI-AR1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
GL Adjuster
Claims Representative Job In Denver, CO
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)
Claim Clerk - In Office - Greenwood Village
Claims Representative Job In Greenwood Village, CO
Job Title: Claim Clerk
at CCMSI Greenwood Village, CO Work Schedule: Full-time, Monday - Friday, 8:00 AM - 4:30 PM (No opportunity for remote work) Pay Rate: $20-22/per hour (37.5 hours per week - 1 hour unpaid lunch)
The posted salary reflects CCMSI's good-faith estimate of the base pay range for this role, in accordance with applicable pay transparency laws. Actual compensation will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. A full summary of benefits-including Medical, Dental, Vision, Life Insurance, ESOP, and 401K-is available upon request. Please discuss any compensation and benefits questions with our hiring team.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer. Background checks are conducted in compliance with applicable laws.
About CCMSI
At CCMSI, we seek the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we're united by a common mission to deliver exceptional service to our clients. As an employee-owned company, we focus on developing our staff through structured career development programs and by rewarding individual and team efforts. Certified as a Great Place to Work, CCMSI's employee satisfaction and retention rank in the 95th percentile, reflecting our commitment to an outstanding work environment.
Why Join CCMSI?
Culture: Our Core Values shape how we treat employees as valued partners-with integrity, passion, and enthusiasm.
Career Development: CCMSI offers robust internships and internal training programs to support growth and advancement within the organization.
Comprehensive Benefits: Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and a benefits package that includes Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long-Term Disability, 401K, and Employee Stock Ownership Program (ESOP).
Supportive Work Environment: We believe in creating a workplace where employees enjoy coming to work each day, are provided with the resources to succeed, and manage realistic workloads.
Position Summary:
The Claim Clerk will provide essential administrative support to a team of adjusters handling Property Casualty Claims. This position requires strong organizational skills, attention to detail, and the ability to work both independently and collaboratively to ensure efficient claims processing.
Responsibilities
Organize and distribute incoming mail for assigned accounts.
Manage document processing, including scanning, filing, and organizing claim-related paperwork.
Assist in claim file setup and ensure accuracy in file documentation.
Maintain tracking systems for outstanding documents, follow-ups, and required responses.
Provide administrative support for the claim team, including summarizing correspondence and data entry.
Respond to inquiries from providers and clients as directed by adjusters.
Ensure compliance with internal procedures and service commitments.
Support adjusters with special projects and assist in learning new systems.
Perform additional clerical duties as assigned.
Performance Measurement:
Success in this role is measured by:
Timely completion of assigned tasks.
Accuracy in document handling and claim processing.
High level of customer service and responsiveness.
Demonstrating teachability and adaptability in learning new systems.
Qualifications Qualifications:
High school diploma or equivalent.
Strong organizational, time management, and problem-solving skills.
Excellent verbal and written communication abilities.
Advanced knowledge of Microsoft Office (Word, Excel, Outlook).
Ability to work independently with minimal supervision.
Reliable attendance and responsiveness to internal and external client needs.
Deductive reasoning skills and ability to follow established procedures.
Previous insurance knowledge or experience is helpful but not required.
Preferred Skills:
Ability to type 50 WPM.
Experience with learning new computer programs/systems.
Strategic planning skills.
Physical Demands and Working Conditions:
Requires the ability to sit or stand for extended periods (up to 7.5 hours).
Occasionally lift objects up to 50 pounds with mechanical or team assistance.
Sufficient visual and auditory capabilities to interact effectively with team members and clients.
CCMSI Core Values & Principles:
Employees are expected to uphold CCMSI's Core Values and Principles, which include performing with integrity; passionately focusing on client service; embracing a client-centered vision; maintaining enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality, and trust; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
Apply today to join a dynamic team focused on professional growth and delivering exceptional service!
#CCMSIGreenwoodVillage #Hiring #JoinOurTeam #ClaimsClerk #InsuranceJobs #EntryLevelJobs #InOffice #JobOpportunity #ColoradoJobs #GreatPlaceToWork #IND456 #LI-InOffice #EmployeeOwned #AdminJobs #CCMSICareers #CareerGrowth #CareerPath
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Claims Analyst II - Patient Financial Services - Full Time
Claims Representative Job In Montrose, CO
About Montrose Regional Health: * As the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the latest technology experience, and partnership, we continue to evolve and broaden our comprehensive services in 23-specialties and sub- specialties. We are the hospital, the healthcare resource, and the employer of choice in our communities. Montrose Regional Health is a not for-profit accredited by the Joint Commission meeting the highest standards of healthcare.
About The Department:
* When you are injured or ill, the last thing you want to think about is how to pay your bill. At Montrose Regional Health, our customer service representatives are available to make the payment process as easy as possible for you.
About The Career:
* The Claims Analyst II must know the essential functions of submitting clean claims to commercial payers for accurate payments of services provided by Montrose Regional Health. They must also be proficient in the Electronic Health Record system, Electronic Billing System, and all insurance portals. Can perform comprehensive follow-up with commercial payers for timely payment.
All About You:
* High school diploma or equivalent; Associate degree preferred.
* Previous Accounts Receivable / Cash Posting experience; Customer service background; Multi-task background preferred.
* 1 - 2 years hospital PFS department experience preferred.
* Ability to effectively communicate, verbally, and non-verbally, in a clear, concise manner, both orally and in writing.
What We Offer:
* Mentoring
* Continuing Education
* 401 K Retirement Plan with employer match
* Multiple health options to selection from
* Ability to earn an additional $5.00 per hour by participating in our Professional Development Ladder program
Our Brand:
* Integrity & honesty in everything we do
* Service with care and compassion
* Excellence
* Leadership with innovation & Creativity
* We care for our team like family.
* This position is located in Montrose Colorado
Independent Insurance Claims Adjuster in Montrose, Colorado
Claims Representative Job In Montrose, CO
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!"
Field Claims Adjuster
Claims Representative Job In Boulder, CO
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.
Senior Claims Examiner, Medical Malpractice
Claims Representative Job In Denver, CO
What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.
Join us and play your part in something special!
This position will be responsible for the investigation and resolution of higher complexity and higher exposure claims consisting of medical malpractice or other healthcare or allied healthcare professional liability. These claims will consist of primarily litigated matters. Under minimal supervision, this position will be able to manage a full claim workload with minimal assistance and be responsible for making sound decisions within delegated authority. Adheres to Fair Claims Practices regulations as applicable in various states. Some travel required.
Responsibilities:
* Analyzes coverage and communicates coverage positions
* Conducts, coordinates, and directs investigation into loss facts and extent of damages
* Confirms coverage of claims by reviewing policies and documents submitted in support of claims
* Drafts coverage position letters
* Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
* Handles litigated bodily injury claims with values up to $750,000 in all jurisdictions, assigning counsel as needed.
* Identify losses which should be reported to SIU.
* Monitors potential exposures in excess or reinsurance business, including occasional audits and related reporting.
* Participates in special projects or assists other team members as requested, including training and mentoring lower level examiners.
* Provides excellent and professional customer service to insureds while maintaining a high level of production.
* Represents Markel in mediations and trials, as required.
* Sets reserves within authority or makes recommendations concerning reserve changes to manager.
* Collaborates with Underwriting and other internal stakeholders.
Education
* Bachelor's degree or equivalent work experience
* JD , advanced degree, or focused technical degree a plus
Certification
* Must have or be eligible to receive claims adjuster license.
* Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or
* Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.)
Work Experience/Skill Set
* Minimum of 7-15 years of claims handling experience or equivalent combination of education and experience in insurance
* Successful completion of 5 years as a Claims Examiner
* Excellent written and oral communication skills
* Strong analytical and problem solving skills
* Strong organization and time management skills
* Experience in negotiation, mediations, arbitrations and monitoring trials on higher value complex claims
* Ability to influence claims stakeholders and to effectively direct claims strategy
* Strong vendor management skills are required including the ability to provide direction and guidance to defense attorneys, independent adjusters, building consultants, forensic accountants and other experts while controlling expenses.
* Ability to assist with technical training to team claim handlers as required
* Well developed and advanced expertise and knowledge in most technically complex claims topics
* Policy language skills enabling accurate and consistent policy wording interpretation
* Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.
* Ability to deliver outstanding customer service
* Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
* Ability to work in a team environment
* Strong desire for continuous improvement
* Markel offers hybrid working schedules of 3 days in the office and 2 days remote.
US Work Authorization
* US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Pay information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary for the Sr. Claims Examiner is $83,600 - $110,760 with 15% bonus potential.
Who we are:
Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
We're all about people | We win together | We strive for better
We enjoy the everyday | We think further
What's in it for you:
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.
* We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.
* All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.
* We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.
Are you ready to play your part?
Choose 'Apply Now' to fill out our short application, so that we can find out more about you.
Caution: Employment scams
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:
* All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.
* All legitimate communications with Markel recruiters will come from Markel.com email addresses.
We would also ask that you please report any job employment scams related to Markel to ***********************.
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
Should you require any accommodation through the application process, please send an e-mail to the ***********************.
No agencies please.
Claims Specialist
Claims Representative Job In Fort Collins, CO
Claims
Specialist
-
Fort
Collins
PRG
is
seeking
new
Claims
Recovery
Specialists
in
Fort
Collins.
Join
our
growing
third-party
property
and
utility
damage
claims
recovery
team.
Primarily
B2B
recovery,
Ideal
candidates
are
driven,
organized,
and
excel
in
negotiations.
Skills
and
experience
in collections and/or insurance adjusting are transferable. Competitive salary and commission await. Why PRG?● Competitive compensation$75,000- $100,000 annually (base pay of $20.00 - $24.00/hour plus the potential to earn substantial commissions up to $4,000 - $9,000 monthly based on performance).● Collaborative and supportive team Collaborate with a friendly and encouraging team and benefit from healthy competition to stay motivated. ● B2B recovery This is a B2B recovery role. Very rarely will you speak to consumers.● Hybrid work/home schedule Work in the office full-time or choose to work in the office 3 days per week, and home 2 days per week. **Available after 6 month evaluation** Essential Functions● Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility tort damages across multiple state lines, via phone, email, and letters.● Work directly with liable parties' insurance providers to defend and negotiate claims settlements.● Collaborate with claims departments and management of liable parties, from small businesses to large corporations to municipalities.● Learn, understand, and be able to utilize state dig laws and statutes, 811 excavator requirements, NESC standards, CGA guidelines, etc.● Develop a professional working relationship with damaging parties, on-site field investigators, management, and other personnel.● Conduct 40-50 inbound/outbound calls daily, approximately 2-2.5 hours of total talk time throughout the day. ● Enter notes and documentation throughout the recovery process into the company's proprietary Claims Database Tool.● Use a calendar and diary system to coordinate handling claims to be worked twice weekly.● Follow advanced claim handling procedures as detailed by the OPD Claims Manager.● Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately.● Participate in weekly department meetings to discuss individual and team recovery tactics, strategies, and goals.● Maintain a workin