Claims Representative Jobs in Wakefield, MA

- 217 Jobs
All
Claims Representative
Claim Specialist
Adjuster
Claims Adjuster
Senior Claims Representative
Claims Supervisor
Representative
  • Quality Claims Specialist / ISO Auditor

    Ledvance

    Claims Representative Job 6 miles from Wakefield

    This unique position will support both the Customer Quality Management (CQM) Team with warranty claims as well as support the organization with ISO audits and programs. You will support the CQM team by reviewing and responding to warranty replacement requests and product safety and liability claims through resolution, fielding and discussing technical issues, answering questions from internal and external customers on status of warranty claims. This position will be responsible for approving warranty payments within the limits described in the process. This position will work closely with the Head of Government Affairs and our Product Engineering team with ensuring our newly launched products meet federal, regional and local regulations. This position will also function as lead auditor for our ISO 9001 and ISO 14001 programs at our HQ facility. Customer Quality Engineering Support You will provide secondary support to our customer quality engineering team with resolving customer claims through applying resolution within our written warranty terms as quickly and efficiently as possible to meet our customers' needs while remaining fiscally accountable. Claim management includes communicating resolution to customers and sales representatives for those accounts. You will work closely with relevant manufacturing teams to share analysis trends and product feedback to improve future products. Assignments may include: Provide first level phone or email technical support to provide updates on the claim status Respond to customers product safety inquiries and liability claims involving our product via email or phone communications. Respond to customers and team members questions regarding product quality, certification, expected performance, etc. Ensure that all claims handled are appropriately reported within Customer Quality Management. Managing extended warranty submittals and risk tracking Review stock for obsolete product to insure it is reserved for future warranty claims as well as managing risk reviews through an established process for extended warranty requests. Regularly administer data review and analysis of customer claim data, return data and reviews Assess warranty hold quantities before the product is sold, and reserve stock for warranty use. Regulatory and Auditing You will work closely with the Head of Government Affairs and our Product Engineering team with ensuring our newly launched products meet federal, regional and local regulations. You will also function as lead auditor for our ISO 9001 and ISO 14001 programs. Assignments may include: Maintain product launch certification matrix, used to identify required product certification and compliance regulations Enter and/or update the Department of Energy and National Resources of Canada (nr CAN) submissions for reporting requirements of regulated products. Support the Internal ISO 9001/14001 corporate and internal audits, including follow up, with ability to lead future audits. Manage continuous improvement program as a result of the audit. Assist in ISO 14001 monthly activities for headquarters Maintain and manage improvement actions for quality and HQ business processes In this entry level role you will be exposed to several business functions, teams and levels of our organization which include different business locations. Experience in our quality team will prepare you for many growth opportunities within our organization nationally and globally. Requirements and Qualifications: Bachelor's degree in business or engineering or similar fields of study Preferred candidate will have a minimum of 1 year of experience Awareness with ISO 9001-2015 and ISO 14001 standards Demonstrated ability to work within a team structure with cross-functional relationships. Experience with SAP is a plus and Microsoft Office Suite is required Must have excellent written and verbal communication. Communications must be in English with concise verbiage that leaves no ambiguity and requires no review / editing prior to submittal directly to customers. Auditing experience is a plus Previous lighting experience is a plus Additional Information: Relocation and/or work sponsorship are not available with this position. Position is located in Wilmington, MA and is Monday - Friday, standard business hours A minimum of 3 days per week in the office is required Domestic travel is limited to 1-2 business trips per year
    $41k-68k yearly est. 30d ago
  • Claims Representative, Auto Total Loss

    Plymouth Rock Assurance 4.7company rating

    Claims Representative Job 12 miles from Wakefield

    The Total Loss Unit within our Auto Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants. The Total Loss Claims Representative processes payments and is responsible for the documentation of assigned claims as well as coordinating disposition of the total loss salvage vehicle. He or she is responsible for controlling total loss expenses and salvage recoveries on all total losses assigned. Perks: 4 weeks accrued paid time off + 9 paid national holidays per year Robust wellness & health and fitness reimbursement programs 401(k) bonus program Tuition reimbursement Auto and home insurance discounts Volunteer opportunities 2:1 donation matching program Company-paid life and disability insurance plans Optional medical, dental, vision, legal, pet insurance, FSA and identity theft protection plans Responsibilities: Negotiates and communicates all total loss and diminished value settlements per company and state guidelines. Multi jurisdictions, including MA, NH, CT, NY, and others as required Understands the total loss evaluation methodology processes with the ability to effectively communicate these to vehicle owners. Has a basic understanding of vehicle financing / leasing. Reviews damage estimates to confirm vehicles are total losses. Documents all settlements and actions in the claim file system. Works directly with salvage vendor to move vehicles and obtains salvage bids where necessary Negotiates and settles claims within his/her individual authority. Submits claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate. Escalates claims to supervisor that are not moving in a positive direction. Maintains an effective diary system on pending files. Prioritize and handle multiple tasks simultaneously. Quickly adjusts to fluctuating workload and responsibilities. Keeps involved parties and agents updated on the status of the claim and emerging issues. Ensures that service, loss and expense control are maintained at all times. Adheres to privacy guidelines, law and regulations pertaining to claims handling. Prepares payments to vehicle owners, banks and lease companies. This role will report in person to our Boston office, located directly across from South Station. Knowledge/Skills: Property and casualty claims handling experience desired Ability to work independently and in a team environment Excellent oral and written communication skills Excellent organizational skills Solid problem solving skills Proficient in Word, Excel, MS Outlook Educational Requirements: Bachelor's degree from four-year college or university or commensurate work experience preferred Previous auto claims handling State Adjusting licenses or the ability to obtain them within 6 months of employment The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 2,000 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
    $41k-52k yearly est. 29d ago
  • Practice Representative

    Pride Health 4.3company rating

    Claims Representative Job 12 miles from Wakefield

    Pride Health is hiring a Practice Representative for one of its clients in Boston, Massachusetts. This is a 3-month contract with a possible extension with competitive pay and benefits. Length of assignment - 3 months (Possibility of Extension) Pay range - $20 - $23 per hour (Based upon relevant experience) Shift and Schedule - Monday - Friday - 07:30 AM - 04:00 PM Job Summary The Practice Reps manage the front desk operations, greeting and checking in patients, checking out patients, scheduling their next visits, assessing patient flow through the clinic, managing referral work queues in Epic and working directly with the Ophthalmic Technicians and providers. Practice Reps also are responsible for fully registering patients, confirming insurance coverage and collecting co-pays. Requirements High School diploma or GED required. Associate's degree preferred. 1-3 years of experience in a front desk or administrative role, preferably in a healthcare setting required. The candidates must have EPIC experience. Strong organizational skills and the ability to handle multiple tasks simultaneously. Excellent verbal and written communication skills. Ability to maintain a calm and professional demeanor in a fast-paced environment. Basic knowledge of insurance verification and payment collection Benefits Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Equal Opportunity Employer As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
    $20-23 hourly 18d ago
  • Auto Physical Damage Claim Representative

    The Travelers Companies 4.4company rating

    Claims Representative Job 33 miles from Wakefield

    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. 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 3 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. * 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 *********************************************************
    $53.7k-88.6k yearly 5d ago
  • Auto Physical Damage Claim Representative

    Travelers Indemnity Co

    Claims Representative Job 33 miles from Wakefield

    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$53,700.00 - $88,600.00Target Openings3What 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. 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 *********************************************************
    $53.7k-88.6k yearly 2d ago
  • Auto Claims Resolution Representative Hybrid Schedule

    Liberty Mutual 4.5company rating

    Claims Representative Job 32 miles from Wakefield

    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 This position is not 100% remote. There will be a minimum requirement of 2 days per month in office. Candidates must reside within a 50 mile radius of Clifton Park, NY and Wesborough, MA. All interviews will take place in person. This position will give you the opportunity to earn a promotion between 6 to 12 months. Career Opportunity: Do you thrive in a high-volume, fast-paced environment? Do you enjoy the challenge of a role where no two days are alike? We are looking for positive, high-energy, passionate customer service professionals. Qualities like these cannot be taught, but they can be sharpened, strengthened and appropriately compensated when you join Liberty Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be fulfilling the promise we made to our customers when they purchased their policy by working with those who have been in an auto accident and need our help. In this role, you will guide our insureds and claimants through the auto claims process from start to finish. There are many moving pieces you will manage. You need to have strong organizational skills and be a time management expert, love problem solving and helping others. Your job is speaking to and engaging customers who have just been in an accident and need your help - this is where the passion for service comes into play. We strive to treat our customers as we would want to be treated! This role is a steppingstone into your claims career. With limitless growth opportunities, you are in-charge of your future. Bring your unique talents to our Fortune 100 company and receive paid and licensing. Prior claims or insurance experience is not required! Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory You'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. A Front Lines Liaison: You rise to the role of representing the Liberty brand, you believe in delivering on our promise. A Reliable Teammate: Whether you work at the office or from home, you adapt well to different environments, schedules and the varying needs of our customers. A Customer-Centric Claims Representative: Integrity is in your nature. That means you sincerely care that customers get exactly what they paid for and need to embrace today and confidently pursue tomorrow. Qualifications * Ideally, your qualifications should include: * An engaging, outgoing personality and passion for helping customers * Able to think critically, use resources and seek answers when needed in virtual environment * Excellent oral, written, decision-making and organizational skills * Strong typing and multi-tasking capabilities in a structured paperless work environment * Requires strong working knowledge and ability to utilize multiple systems during virtual training and to handle/process claims. * General understanding of overall claim operations and key stakeholders. * College degree preferred, and/or 1-3 years of related customer service experience or applicable insurance knowledge. 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
    $41k-52k yearly est. 19d ago
  • Bodily Injury Claims Specialist

    Concord Group Insurance 3.2company rating

    Claims Representative Job 32 miles from Wakefield

    This Branch Claims Specialist handles complex commercial and personal lines bodily injury and general liability claims through their life-cycle including - but not limited to - investigation, evaluation and claim resolution. The purpose of this position is to provide service to agents, insureds and others to ensure claims resolve accurately and timely. Work is performed under general supervision. Responsibilities Investigate assigned claims, confirm coverage, and verify damages Take loss reports directly from insured and/or claimants and/or their representatives Initiate initial claims handling Recommend and maintain appropriate claim file reserves Evaluate, negotiate and settle claims Other related duties as assigned by supervisor Requirements Associate's or bachelor's degree preferred 5+ years of experience adjusting third-party liability claims; 10+ years experience preferred Experience handling litigated and/or multi-party claims that may involve risk transfer preferred Ability to analyze coverage and prepare coverage position letters Ability to meet continuing education requirements for licensing purposes Commercial lines experience a plus Excellent understanding and skill level of claim handling and customer service Understanding of policy contracts, insurance laws, regulation, the legal environment, and procedures Possess excellent oral and written communication skills via in person, on the phone, or electronically Excellent interpersonal, negotiation, and organizational skills Benefits Concord Group employees are eligible for a comprehensive total compensation package including but not limited to medical, vison, dental, life, and disability insurance. We offer a generous Paid Time Off Program that includes vacation, personal, sick time and holiday pay. Invest in your future with our competitive 401(k) plan with company match! About Us As a leading regional provider of property and casualty insurance, The Concord Group helps protect the families and small businesses that enable our communities to thrive. Our positive work environment, competitive benefits, and rapid growth make The Concord Group a great place to build your career. The Concord Group is an Equal Opportunity Employer. The Concord Group participates in E-Verify.
    $82k-120k yearly est. 8d ago
  • Auto Claims Resolution Representative Hybrid Schedule

    Unavailable

    Claims Representative Job 32 miles from Wakefield

    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 This position is not 100% remote. There will be a minimum requirement of 2 days per month in office. Candidates must reside within a 50 mile radius of Clifton Park, NY and Wesborough, MA. All interviews will take place in person. This position will give you the opportunity to earn a promotion between 6 to 12 months. Career Opportunity: Do you thrive in a high-volume, fast-paced environment? Do you enjoy the challenge of a role where no two days are alike? We are looking for positive, high-energy, passionate customer service professionals. Qualities like these cannot be taught, but they can be sharpened, strengthened and appropriately compensated when you join Liberty Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be fulfilling the promise we made to our customers when they purchased their policy by working with those who have been in an auto accident and need our help. In this role, you will guide our insureds and claimants through the auto claims process from start to finish. There are many moving pieces you will manage. You need to have strong organizational skills and be a time management expert, love problem solving and helping others. Your job is speaking to and engaging customers who have just been in an accident and need your help - this is where the passion for service comes into play. We strive to treat our customers as we would want to be treated! This role is a steppingstone into your claims career. With limitless growth opportunities, you are in-charge of your future. Bring your unique talents to our Fortune 100 company and receive paid and licensing. Prior claims or insurance experience is not required! Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory You'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. A Front Lines Liaison: You rise to the role of representing the Liberty brand, you believe in delivering on our promise. A Reliable Teammate: Whether you work at the office or from home, you adapt well to different environments, schedules and the varying needs of our customers. A Customer-Centric Claims Representative: Integrity is in your nature. That means you sincerely care that customers get exactly what they paid for and need to embrace today and confidently pursue tomorrow. Qualifications Ideally, your qualifications should include: An engaging, outgoing personality and passion for helping customers Able to think critically, use resources and seek answers when needed in virtual environment Excellent oral, written, decision-making and organizational skills Strong typing and multi-tasking capabilities in a structured paperless work environment Requires strong working knowledge and ability to utilize multiple systems during virtual training and to handle/process claims. General understanding of overall claim operations and key stakeholders. College degree preferred, and/or 1-3 years of related customer service experience or applicable insurance knowledge. 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
    $37k-57k yearly est. 18d ago
  • Associate Claims Representative I

    Concord General Mutual Insurance Company 4.5company rating

    Claims Representative Job 15 miles from Wakefield

    Associate Claims Adjusters handle entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation and claim resolution. The purpose of this position is to provide service to agents, insureds and others to ensure claims resolve accurately and timely. Associate Claims Adjusters are enrolled in a structured training program that is designed to promote professional development and advancement within our company through extensive hands-on training, as well as educational resources to gain a strong foundation of industry knowledge. Successful Claims Adjusters will excel in this role and be prepared for future roles within Concord Group Insurance. Responsibilities Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational product knowledge Learn and comply with Company claim handling procedures Develop claim negotiation and settlement skills Meet and communicate with claimants, legal counsel, and third parties Develop specialized skills including but, not limited to estimating and use of designated computer-based programs for loss adjustment Requirements Associate's degree required; bachelor's degree preferred, or equivalent industry exposure/experience Ability to succeed with key training milestones Apply basic problem resolution skills and effective interpersonal skills Read, interpret, and respond to documents such as insurance policies, procedure manuals, and legal documents at a foundational level Accurately solve mathematical problems, including basic geometry (area and volume) and financial statements (such as accuracy in sums and unit costs) Benefits Concord Group employees are eligible for a comprehensive total compensation package including but not limited to medical, vison, dental, life, and disability insurance. We offer a generous Paid Time Off Program that includes vacation, personal, sick time and holiday pay. Invest in your future with our competitive 401(k) plan with company match!
    $33k-45k yearly est. 41d ago
  • Billing Claims Specialist

    Reliable Respiratory 3.9company rating

    Claims Representative Job 22 miles from Wakefield

    Billing Claims Specialist - Reliable Respiratory is a Durable Medical Equipment (DME) company that provides the highest quality level of service for patients in need of respiratory, diabetes, urology, and maternity support. Equipment provided includes, CPAPs, BiPAPs, AutoPAPs, nebulizers, oxygen equipment, ventilators, CGM devices, insulin pumps, and breast pumps. Each patient is treated with professionalism, understanding, and attentive service. We care about our customers, work closely with the medical community, and have highly skilled staff ready to assist customers in receiving the best care possible. Job Purpose The Claims Specialist focuses on claims and procurement of authorizations and medical documentation to ensure Reliable is reimbursed in accordance with the procedures provided. This position reports to the Billing Manager, but will perform duties that pertain to customer service, documentation retrieval, medical billing and coding, and reimbursement. The primary purpose of this position is to identify reasons for claim denials and take all corrective action to resubmit the claim and obtain full reimbursement for the services rendered. Additional duties include: Review claims for denied procedures, identify issues, and take appropriate action to correct issue, resubmit claim, and procure maximum reimbursement for specific service. Duties include obtaining authorization, collecting medical documentation directly from facilities, and working with payers and provider services. Organize and report back denial trends to Management to implement measures to improve claim health and reduce payer AR times. Create and/or update written material and documentation related to insurance procedures and programs (i.e., insurance guidelines and processes and procedures). Assist in reviewing and analyzing relevant organizational and payer data (i.e., reviews payments and denials of insurance and communicates when changes need to be made for payment and profit margins) Develop and implement a system for working denials, ranging from dollar value to payor specialization, to age of invoice Issue invoices and bills and send them to customers through various channels (mail, e-mail etc.) Receive payments through various methods (cash, online payments etc.) and check for credibility. Answer questions and handle complaints from customers and payors regarding claims Reconcile deposits and invoices posted. Basic Qualifications 18 years of age or older Must be eligible to work in the United States and not require work authorization from us now or in the future Bachelor's Degree required At least 2 years of medical billing, coding, reimbursement or health insurance experience preferred Required Skills Strong health insurance knowledge of New England payers and Massachusetts ACO plans Proficient in obtaining authorizations in the most efficient manner (portal, fax form, phone in submission) Ability to learn Billing functions and be adaptable to the needs of the position. Strong interdepartmental communication Effective and professional verbal and written communication abilities Professional computer experience (especially Microsoft Office Suite) Ability to investigate problems and make decisions independently. Strong analytical skills Competencies Computer skills Interpersonal skills Product expertise Communication skills Results driven Conflict management Customer service Organizational skills Work Environment & Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate and convey information with the appropriate parties. The job requires assuming a stationary position for long periods of time This role routinely uses standard office equipment such as computers, phones, and printers/scanners The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This job operates in a professional office environment The noise level in the work environment is usually moderate to loud Direct Reports - None Other Duties Please note this is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. My signature below indicates that I acknowledge that I have read and understand this job description.
    $53k-94k yearly est. 16d ago
  • Total Loss Adjuster

    Safety Insurance Group, Inc. 4.6company rating

    Claims Representative Job 12 miles from Wakefield

    Job Details Position Type: Full Time Education Level: Bachelor's Degree Salary Range: Undisclosed Travel Percentage: None Job Shift: Day Job Category: Insurance Benefits of Working for Safety Safety Insurance has become one of the leading property and casualty insurance providers in Massachusetts mainly because of our unwavering commitment to independent agents and their customers. Our success is built on a philosophy of offering the highest quality insurance products at competitive rates and providing the best service at all costs. Through our supportive career, educational and family policies, we enable our employees to be their best. We respect the balance of work and leisure by offering flexible schedules and a 37.5 hour workweek. Safety employees enjoy a positive environment in our convenient downtown office located in the heart of Boston's financial district. Along with our competitive salaries, we offer a comprehensive benefits package including medical and dental insurance, 100% matching 401k retirement plan, 100% tuition reimbursement and much, much more! Job Summary Completes fair and accurate disposition of pending total loss claims through evaluation, settlement, or recommendation Duties * Evaluates total loss appraisals to effect settlement within authority * Uses available resources to determine accurate actual cash value * Negotiates vehicle value with 1st and 3rd parties and their representatives * Controls salvage costs and resolution. * Works with manager to resolve difficult situations * Develops and maintains claim files that document all activities * Evaluates and settles 1st and 3rd party substitute transportation claims. * Performs other activities as required Qualifications * College degree or equivalent work experience required * 1+ years of property claims experience required * Total loss negotiation experience preferred
    $50k-65k yearly est. 60d+ ago
  • Claims Serv Specialist IV - Commercial Lines

    Arbella 4.6company rating

    Claims Representative Job 17 miles from Wakefield

    Under minimal supervision, investigate and resolve first and third party material damage, WC, PIP and BI claims which may involve coverage, liability, damage and legal issues. • Effort may concentrate around large exposure, Commercial Auto, Homeowner liability, and/or Commercial Property claims among other market/line combinations. • Provide guidance and direction to legal counsel during the litigation process in order to ensure favorable resolution. • Act as a mentor to new employees to facilitate the on-boarding process. • Prior Commercial Auto Bodily Injury experience preferred Key Responsibilities Timely completion of all case activities, maximizing customer service and minimizing net loss payout. Contacts all insureds, claimants and witnesses that may have information relating to the loss, either in person, by telephone or in writing. This may include visiting the accident location to examine, photograph and diagram physical facts and conduct neighborhood canvasses. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. Evaluates case facts determining coverage, liability and reserves, and reports on settlement; maintains a reminder system. Evaluates case facts confirming coverage and appropriate damages. Interprets and evaluates medical reports to determine if they are applicable to the claim; monitors legal and medical billings and investigates for proper charges and pays accordingly. Negotiates settlements with individuals, attorneys, and other insurance carriers within their granted settlement authority level. Pursues subrogation and may arrange for salvage to obtain the maximum recovery. Prepares detailed scope of damages on property losses and brings to resolution. Assists, when requested, in the selection and evaluation of experts as needed. Manages litigation, checking to ensure that coverages are not exceeded, that legal expenses are adequate, and confers with attorney about case direction and disposition. Will participate in special projects or training programs. Successfully completes all required training and applies. Will assist in the training of Claims Service Specialists III and below. Will keep management informed of activities and issues within assigned area of responsibility. Performs other related duties as required or requested. Requirements Prior Commercial Auto Bodily Injury experience highly preferred Strong customer service, communication and collaborations skills Strong organizational skills with attention to detail.
    $65k-88k yearly est. 27d ago
  • Claims Representative

    D Francis Murphy Insurance Agency 3.5company rating

    Claims Representative Job 26 miles from Wakefield

    Full-time Description Looking for an attractive opportunity in a vibrant office setting? Explore our independent, family-owned Agency situated in popular downtown Hudson, MA, and discover the benefits of joining our team as Claims Representative. At Murphy, we prioritize treating you like part of the family! Job Summary: The Claims Representative provides prompt, effective assistance to clients and third parties reporting claims to the Agency. In addition, they act as a liaison between the agency and carriers and assist co-workers with service regarding claims activity. This position is located in our Hudson, MA office and services clients in a busy environment via in-person, phone and email. The work hours are: M-TH 8am-4:30pm; F 8am-4pm. Responsibilities: · Process initial claim reports for personal and business/commercial lines. Advise clients on coverage and procedural steps in settling the claim. Assist third parties by reporting claims and/or providing claims information. · Maintain complete and accurate electronic file information within the agency database (EPIC) on all claims reports, activity, payments and conversations. Report claims to appropriate carriers. · Review each account for coverage adequacy and accurate processing. Recommend appropriate coverage to client. Refers client to appropriate Account Manager for changes or additions to coverage. · Diligently and reliably follow up on each open claim to ensure proper and timely settlement. · Conduct claim satisfaction survey. Send questionnaire surveys when claims are closed. When surveys are received, review, analyze and escalate to management, when appropriate. Maintain accurate survey records that are easily accessible for review by ownership. · Deal promptly and with full integrity with all carrier claims personnel, responding to any request. · Answer client inquiries, as needed, or directs the inquiry to the person best able to answer. Requirements Knowledge & Skills Desired: · Strong customer service skills and the ability to empathize with claimants and customers · Proven problem solving skills · In-depth knowledge of insurance products and usage · Strong knowledge of industry practices, standards, coverages, and concepts and ability to apply them to the job utilizing analytical skills · Excellent computer skills with working knowledge of agency management software and Microsoft 365 · Must possess strong verbal and written communication skills · Must have the ability to handle multiple and changing priorities and a moderate to heavy daily workload in a fast-paced environment with excellent organizational skills · Must possess a solid work ethic, strong attention to detail, and be a team player Education & Experience: High school diploma/GED required. Property and Casualty license required. Minimum 3 years of experience as an insurance claims representative required. Working knowledge of EPIC agency management system desired. Strong background in customer service oriented roles helpful. Bilingual ability is considered a strong plus, but not required. Care to know what is important to us and drives our success? Check out our Join Our Team video on YouTube! ******************************************* Benefit Highlights: medical/dental/vision HRA plan pays significant portion of medical deductible Flexible Spending Account company paid life/STD/LTD 401k company match vac/sick/floater time off educational support 4pm close on Fridays monthly office lunches additional voluntary benefits
    $37k-42k yearly est. 60d+ ago
  • Senior Claims Representative, Liability

    Plymouth Rock Assurance Corporation 4.7company rating

    Claims Representative Job 12 miles from Wakefield

    If you are a seasoned claims professional with a passion for delivering exceptional results and have a proven track record in homeowner liability claims, we invite you to apply and join our dynamic team at Plymouth Rock Home Assurance. Together, let's make a difference in the lives of our policyholders and uphold our commitment to excellence. Responsibilities: Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Ability to read medical records and properly evaluate values in multiple jurisdictions to ensure proper reserve practices. Ability to recognize potential subrogation opportunities. Review insurance policies to determine coverage and assess the applicability of policy terms and conditions to the claims being investigated. Provide clear and accurate coverage opinions to internal stakeholders and insured parties. Engage in negotiation with claimants, legal representatives, and other involved parties to reach fair and timely settlements of both 1st and 3rd party claims. Maintain detailed and organized claim files, documenting all relevant information, communications, and decisions. Ensure compliance with industry standards and best practices in claims handling. Demonstrate a commitment to delivering exceptional customer service by responding to inquiries, addressing concerns, and keeping all parties informed throughout the claims process. Ability to handle multiple responsibilities and be adept at conflict resolution while working in a team environment. Work well under pressure. Able to think strategically, solve problems, set priorities, make the necessary decisions to resolve complex/regular issues/claims. Qualifications: Bachelor's degree from an accredited four year college or university. Must have experience handling Litigated files. Capable of working independently without close supervision and ability to effectively manage workload while maintaining diary and focus on claim quality Minimum of 5 years of experience in liability claims adjusting. Strong knowledge of insurance policies, coverage issues, and relevant legal principles. Excellent negotiation and communication skills. Proficient in claims management software and Microsoft Office Suite. Ability to handle complex and high-exposure claims with a focus on resolution and customer satisfaction. Perks and Benefits: 4 weeks accrued paid time off + 9 paid national holidays per year Free onsite gym at our Boston Location Tuition Reimbursement Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) Robust health and wellness program and fitness reimbursements Auto and home insurance discounts Matching gift opportunities Annual 401(k) Employer Contribution (up to 7.5% of your base salary) Various Paid Family leave options including Paid Parental Leave Resources to promote Professional Development (LinkedIn Learning and licensure assistance) Convenient location directly across from South Station and Pre-Tax Commuter Benefits About the Company The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”
    $64k-120k yearly est. 4h ago
  • Auto Physical Damage Claim Representative

    Travelers Insurance Company 4.4company rating

    Claims Representative Job 33 miles from Wakefield

    **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** 3 **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. + **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 ******************************************************** .
    $53.7k-88.6k yearly 4d ago
  • Auto First Party Medical Claim Representative Trainee

    Travelers Indemnity Co

    Claims Representative Job 33 miles from Wakefield

    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$44,200.00 - $72,800.00Target Openings4What Is the Opportunity?This position is hybrid - 3 days in office, 2 days remote - per week out of the West Bridgewater, MA office location. This is an entry level position that requires satisfactory completion of a formal training program to advance to Claim Representative - Auto First Party Medical position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving First Party Medical 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.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, follow-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 assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration other issues such as Social Security, Workers Compensation or others relevant to the jurisdiction. Investigation/Evaluation: Investigates each claim to obtain relevant facts necessary to determine coverage, causation/damages, medical necessity, treatment plan, damages, and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g. policyholders, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Takes recorded statements as necessary. Reserving: Establishes timely and maintains appropriate claim and expense reserves to reflect the overall claim exposure. 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, 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. Proactively manages medical treatment based on the nature and extent of injury, mechanism of injury, type of treatment received or anticipated, and wage loss through case management and use of medical resources as needed. Proactively manages the process to ensure proper payment, (i.e. review medical bills and medical records for appropriateness of billing/fees and the services rendered ensuring that all records have a determination of medical necessity and causal relationship to the loss). 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 Demonstrated good organizational skills with the ability to prioritize and work independently Attention to detail ensuring accuracy 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 *********************************************************
    $44.2k-72.8k yearly 60d+ ago
  • Auto Claims Resolution Representative Hybrid Schedule

    Liberty Mutual 4.5company rating

    Claims Representative Job 32 miles from Wakefield

    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 This position is not 100% remote. There will be a minimum requirement of 2 days per month in office. Candidates must reside within a 50 mile radius of Clifton Park, NY and Wesborough, MA. All interviews will take place in person. This position will give you the opportunity to earn a promotion between 6 to 12 months. Career Opportunity: Do you thrive in a high-volume, fast-paced environment? Do you enjoy the challenge of a role where no two days are alike? We are looking for positive, high-energy, passionate customer service professionals. Qualities like these cannot be taught, but they can be sharpened, strengthened and appropriately compensated when you join Liberty Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be fulfilling the promise we made to our customers when they purchased their policy by working with those who have been in an auto accident and need our help. In this role, you will guide our insureds and claimants through the auto claims process from start to finish. There are many moving pieces you will manage. You need to have strong organizational skills and be a time management expert, love problem solving and helping others. Your job is speaking to and engaging customers who have just been in an accident and need your help - this is where the passion for service comes into play. We strive to treat our customers as we would want to be treated! This role is a steppingstone into your claims career. With limitless growth opportunities, you are in-charge of your future. Bring your unique talents to our Fortune 100 company and receive paid and licensing. Prior claims or insurance experience is not required! Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory You'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. A Front Lines Liaison: You rise to the role of representing the Liberty brand, you believe in delivering on our promise. A Reliable Teammate: Whether you work at the office or from home, you adapt well to different environments, schedules and the varying needs of our customers. A Customer-Centric Claims Representative: Integrity is in your nature. That means you sincerely care that customers get exactly what they paid for and need to embrace today and confidently pursue tomorrow. Qualifications Ideally, your qualifications should include: An engaging, outgoing personality and passion for helping customers Able to think critically, use resources and seek answers when needed in virtual environment Excellent oral, written, decision-making and organizational skills Strong typing and multi-tasking capabilities in a structured paperless work environment Requires strong working knowledge and ability to utilize multiple systems during virtual training and to handle/process claims. General understanding of overall claim operations and key stakeholders. College degree preferred, and/or 1-3 years of related customer service experience or applicable insurance knowledge. 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 We can recommend jobs specifically for you! Click here to get started.
    $41k-52k yearly est. 8d ago
  • Associate Claims Adjuster

    Concord Group Insurance 3.2company rating

    Claims Representative Job 38 miles from Wakefield

    Associate Claims Adjusters handle entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation and claim resolution. The purpose of this position is to provide service to agents, insureds and others to ensure claims resolve accurately and timely. Associate Claims Adjusters are enrolled in a structured training program that is designed to promote professional development and advancement within our company through extensive hands-on training, as well as educational resources to gain a strong foundation of industry knowledge. Successful Claims Adjusters will excel in this role and be prepared for future roles within Concord Group Insurance. Responsibilities Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational product knowledge Learn and comply with Company claim handling procedures Develop claim negotiation and settlement skills Meet and communicate with claimants, legal counsel, and third parties Develop specialized skills including but, not limited to estimating and use of designated computer-based programs for loss adjustment Requirements Associate's degree required; bachelor's degree preferred, or equivalent industry exposure/experience Ability to succeed with key training milestones Apply basic problem resolution skills and effective interpersonal skills Read, interpret, and respond to documents such as insurance policies, procedure manuals, and legal documents at a foundational level Accurately solve mathematical problems, including basic geometry (area and volume) and financial statements (such as accuracy in sums and unit costs) Benefits Concord Group employees are eligible for a comprehensive total compensation package including but not limited to medical, vison, dental, life, and disability insurance. We offer a generous Paid Time Off Program that includes vacation, personal, sick time and holiday pay. Invest in your future with our competitive 401(k) plan with company match! About Us As a leading regional provider of property and casualty insurance, The Concord Group helps protect the families and small businesses that enable our communities to thrive. Our positive work environment, competitive benefits, and rapid growth make The Concord Group a great place to build your career. The Concord Group is an Equal Opportunity Employer. The Concord Group participates in E-Verify.
    $49k-59k yearly est. 8d ago
  • Total Loss Adjuster

    Safety Insurance Company 4.6company rating

    Claims Representative Job 12 miles from Wakefield

    Job Details Safety Insurance Main Office - Boston, MA Full Time Bachelor's Degree None Day InsuranceBenefits of Working for Safety Safety Insurance has become one of the leading property and casualty insurance providers in Massachusetts mainly because of our unwavering commitment to independent agents and their customers. Our success is built on a philosophy of offering the highest quality insurance products at competitive rates and providing the best service at all costs. Through our supportive career, educational and family policies, we enable our employees to be their best. We respect the balance of work and leisure by offering flexible schedules and a 37.5 hour workweek. Safety employees enjoy a positive environment in our convenient downtown office located in the heart of Boston's financial district. Along with our competitive salaries, we offer a comprehensive benefits package including medical and dental insurance, 100% matching 401k retirement plan, 100% tuition reimbursement and much, much more! Job Summary Completes fair and accurate disposition of pending total loss claims through evaluation, settlement, or recommendation Duties Evaluates total loss appraisals to effect settlement within authority Uses available resources to determine accurate actual cash value Negotiates vehicle value with 1st and 3rd parties and their representatives Controls salvage costs and resolution. Works with manager to resolve difficult situations Develops and maintains claim files that document all activities Evaluates and settles 1st and 3rd party substitute transportation claims. Performs other activities as required Qualifications College degree or equivalent work experience required 1+ years of property claims experience required Total loss negotiation experience preferred
    $50k-65k yearly est. 60d+ ago
  • Claims Specialist

    Unavailable

    Claims Representative Job 12 miles from Wakefield

    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 The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claim's management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. This is a hybrid position, however, those within 50 miles of our offices in Boston, MA; Suwanee, GA; Plano, TX; Hoffman Estates, IL must report to the office twice a month. Please note that this policy is subject to change. Responsibilities: Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Performs other duties as assigned. Qualifications BS/BA degree or equivalent work experience. Minimum of 2 years experience in claims adjustment, general insurance or formal claims training. Required to obtain and maintain all applicable licenses. Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU). Knowledge of claims investigation techniques, medical terminology and legal aspects of claims. 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
    $41k-69k yearly est. 23d ago

Learn More About Claims Representative Jobs

How much does a Claims Representative earn in Wakefield, MA?

The average claims representative in Wakefield, MA earns between $30,000 and $68,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average Claims Representative Salary In Wakefield, MA

$45,000

What are the biggest employers of Claims Representatives in Wakefield, MA?

The biggest employers of Claims Representatives in Wakefield, MA are:
  1. Elevance Health
Job type you want
Full Time
Part Time
Internship
Temporary