Assembly Adjuster Job Description Samples

Results for the star of Assembly Adjuster

Field Homeowner Claims Adjuster

Automobile Club of Southern California

Field Homeowners Claims Adjuster

Full Time

Who we are:

AAA is a member service organization affiliated with the national AAA network. With offices across the U.S., we're united by common mission and common values of excellent member service.

With more than 13,000 employees in 21 states, we provide legendary service to 15 million loyal members. With a constantly growing membership, we are always welcoming dedicated professionals looking to challenge themselves and build a career within our dynamic organization. You will find that being part of a very successful team is extremely rewarding. If you are a career-minded, service-driven professional looking to join a fast paced organization then you have come to the right place.

What you’ll do:

When you join the Automobile Club of Southern California as a

Field Homeowner Claims Adjuster , you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members.

As an Claims Representative within our Homeowner/Property Claims department you will:

·

This position handles higher complex homeowner claims matters involving property lines of Insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements.

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The primary functions include investigation, evaluation, estimating and negotiating complex claims.

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Involves policy interpretation, coverage identification, exposure analysis and related claims processing procedures/systems.

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Employs discretion and independent judgment to ensure compliance with state and federal law; and with historical company, technical, and customer service best practices.

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This position requires leadership skills and may involve mentoring and training of less experienced personnel.

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Conduct field investigations, evaluate and estimate claim values on very severe damage including total loss fires, earthquakes, landslides, explosions and collapse. Write structural repair estimates in excess of several hundred thousand dollars.

What you bring:

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Four year college degree or equivalent combination of education and experience required.

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Experience servicing claims of the highest complexity required.

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Experience in homeowner property, contracting areas preferred.

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Comprehensive understanding, of building repair procedures and issues.

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Must be proficient with Xactimate estimating program.

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Proficiency with Microsoft Office and industry-related software preferred.

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Advanced understanding of insurance principals necessary.

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Advanced technical knowledge skills among peers required.

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Strong organizational skills.

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Strong oral and written communication skills

What’s in it for me? + A career with growth potential. + Our comprehensive and employee centric training facility located in Costa Mesa provides training programs to help employees acquire various skills necessary to do their jobs and to support career development. + The satisfaction of knowing you provide a meaningful service to our insured’s’ who rely on you for assistance.

Remarkable benefits: + Health Coverage for Medical, Dental, Vision + Paid time off including Vacation, Illness and Holidays +

Disability Coverage + Life Insurance, Pension and 401k Savings Plan +

Employee Rewards and Discounts + Career opportunities across multiple business lines and states

“Creating members for life by exceeding our members' expectations through valuable products and legendary service.”

AAA is an Equal Opportunity Employer.

The Automobile Club of southern California will consider qualified applicants with criminal histories for employment pursuant to the

Los Angeles Fair Chance Ordinance.

What you bring:

·

Four year college degree or equivalent combination of education and experience required.

·

Experience servicing claims of the highest complexity required.

·

Experience in homeowner property, contracting areas preferred.

·

Comprehensive understanding, of building repair procedures and issues.

·

Must be proficient with Xactimate estimating program.

·

Proficiency with Microsoft Office and industry-related software preferred.

·

Advanced understanding of insurance principals necessary.

·

Advanced technical knowledge skills among peers required.

·

Strong organizational skills.

·

Strong oral and written communication skills

Job:

Claims

Organization:

CLMS HOMEOWNERS FIELD (00214.05.1000)

Title:

Field Homeowner Claims Adjuster

Location:

California-El Cajon (CA)

Requisition ID:

15406

Other Locations:

California-Chula Vista (CA)



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Workers' Compensation Adjuster

Braum’s is looking to find a licensed Workers’ Compensation Adjuster for our team at the corporate office. Under general supervision, performs a variety of professional duties in support of Braum’s Workers Compensation including reviewing, examining, and analyzing workers’ compensation claims.

Reviews claims documentation for compensability, computes indemnity benefits and relevant payments, provides information and assistance to Braum’s personnel, injured employees, claims administrators, and medical and legal professionals. Responsibilities: + Contact employee supervisors and determine events involved in the employee injury + Contact employee and verify occurrence and injury + Verify lost time with employee and appropriate wage + Pay appropriate wage replacement benefits per State law + Contact medical provider and authorize appropriate treatment + Continue to monitor treatment with medical provider and employee until the employee is released to return to work + Pay any benefits due to the employee per the State laws where the injury occurred + Properly reserve claim filed for exposure to company + Work with nurse case managers, medical providers and legal counsel when appropriate to bring a resolution to the claim Minimum Qualifications: + High School Diploma or equivalent + Must be an active Licensed Workers’ Compensation Adjuster + Excellent oral & written communication skills.

  • Proficient in Microsoft Office products

  • Proficient in the use of a personal computer + Previous Worker’s Comp Adjuster experience in the State of Oklahoma is preferred Benefits available: + Competitive salary + Major medical and STD available + Dental & vision care program + 401K with company match + Paid vacations and holidays + Product Discounts at our stores! ID: 2017-4225 Street: 3000 NE 63rd Street External Company Name: Braum's External Company URL: http://www.braums.com/

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Claims Adjuster

Blaze a trail. Bring your expertise to California Casualty, a family-owned property & casualty insurance company since 1914.

We provide protection and peace of mind for the people that serve our communities including educators, firefighters, law enforcement, and nurses. The insurance industry is always evolving. Our dedicated teams ensure we stay one step ahead.

Now is your chance to join our topnotch specialists who make a real difference in the lives of our customers. Claims Adjuster Accidents happen. And when they do, our claims department is right there, investigating and evaluating claims; and then negotiating settlements that are fair to our customers and our company.

As an Inside Claims Adjuster, you will conduct investigations of various auto and property claims over the phone, accurately recording information, and analyzing photos and police/medical reports. You will also determine coverage by applying provisions of policy contracts in compliance with regulatory requirements and internal quality procedures. Use your people skills and business smarts to provide excellent customer service by communicating with policyholders, claimants and vendors to promptly resolve problems.

We seek candidates with: + Knowledge of investigation and negotiation techniques, as well as legal and medical terminology, homeowner and comparative negligence concepts, fraud recognition and insurance coverages + Bodily Injury experience (preferred, not required) + Excellent verbal/written communication skills and sound judgment + A strong sense of organization to keep you on top of the large volume of calls you'll be working + High School diploma (some college preferred) + Ability to meet state licensing requirements Launch your insurance career with us and you’ll make a huge impact on our future, as well as your own. Here, we are one big team and collaborative working is the backbone of our culture. We not only expect our people to share ideas and support each other; we value individual contributions and recognize the unique talents of each employee.

Our insurance company offers competitive salaries, a comprehensive benefits package, career support and a great work environment. Experience why California Casualty is such a dynamic place to work — and the right place for you! Minimum starting annualized salary: $47,229 + (Can increase depending on experience).



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Claims Adjuster - Auto

American Guardian Warranty Services, Inc. is the leading provider of extended repair protection for auto and RV dealers and marketers across the U.S. This individual will report to the Claims Adjuster Supervisor and is responsible for providing exemplary customer service through authorization of vehicle service contract claims for vehicle problems. You will be challenged to solve problems in a fast-paced working environment. This position is responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs and to accurately determine coverage and liability based on the reported fact scenario. You will be measured on your ability to provide accurate benefit and adjustment amounts on claims and reach fair and efficient claims resolutions while managing costs in accordance with policies and procedures.

  • Competencies

  • To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.

  • Problem solving—the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.

  • Interpersonal Skills—the individual maintains confidentiality, remains open to others’ ideas and exhibits willingness to try new things.

  • Oral communication—the individual speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings.

  • Written Communication—the individual edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information.

  • Planning/organizing—the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.

  • Quality control—the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.

  • Adaptability—the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.

  • Dependability—the individual is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance. * * * Essential Functions: *

  • Answer inbound calls for Recreational Vehicle (RV), Auto, Light Truck and mechanical breakdown claims

  • Provide information about claim processing and explain the different levels of contract coverage and terms

  • Must be able to use good judgment and general repair best practices for claim resolution

  • Accurately establish, review and authorize claims utilizing corporate data entry system

  • Investigate and determine company liability based on cause of failure and vehicle coverage terms offered in vehicle service contracts as cost effectively as possible

  • Use of other available means of evaluation of a vehicle repair claim, such as reading inspection reports and vehicle maintenance records as recommended by the vehicle’s manufacturer

  • Return phone messages and emails within one business day

  • Provide accurate updates on computer files for calls received

  • Make use of problem solving/decision making skills to achieve the highest level of customer satisfaction and resolution of disputes

  • Read, understand and apply contract language

  • Understanding of general automotive repair procedures and processes The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

  • Benefits:* * * A comprehensive and competitive benefit program is designed to meet the needs of our employees and their families. Benefits eligibility depends on employment classification, location, and other variables. Comprehensive benefits offered include:
  • Competitive Salary

  • Medical Insurance

  • Dental Insurance

  • Vision Insurance

  • Basic Life and AD&D Insurance for Employee

  • Additional Life and AD&D Insurance for Employee, Spouse and Children

  • Long Term Disability

  • Employee Assistance Program

  • 401(k) Savings Plan with Match

  • Monday-Friday work week

  • Position shift is 9am-6pm (including 1 hour unpaid lunch period)

  • Paid Holidays

  • Paid Vacation

  • Paid Sick Days

  • Tuition Reimbursement

  • Requirements*
  • High School diploma or equivalent required

  • Minimum 2-4 years of experience adjusting RV, Automobile or Powersports mechanical claims

  • 2-5 years of experience as an automotive or RV mechanic or service advisor in a dealership service department or independent repair shop

  • Previous experience using vehicle tracking systems or databases is a plus

  • Current ASE certifications a plus

  • A degree or certificate from an accredited service technician program is preferred

  • Highly skilled in diagnosing auto mechanical failures

  • Knowledge of parts and repair costs for vehicles

  • Knowledge of Motorcycles and marine is a plus

  • Demonstrated proficiency with MS Office products (Outlook, Word, Excel) and related software applications

  • Proven call center experience

  • Ability to maneuver through multiple systems within a windows type environment

  • Strong organizational and customer service skills with ability to problem solve and multi-task

  • Detail oriented with a high level of accuracy in data entry skills

  • Ability to maintain confidentiality of sensitive information

  • Excellent written and verbal communication skills An Equal Employment Opportunity Employer and Drug Free Workplace

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Senior Claims Adjuster

Minimum Qualifications: Bachelor's degree in business/finance or a related field and three years of experience in claims adjusting or a high school diploma or GED with seven years of related experience in risk management and/or claims adjusting with a minimum of one year in claims adjusting; OR any equivalent combination of experience and training. Associate's degree in claims (AIC designation) is preferred. Good knowledge of efficient and effective claims adjustment processes and practices and the Virginia Workers Compensation Act, EDI requirements, Section 111 Secondary Payer Mandatory Reporting, HIPPA, FMLA, and VRS. Ability to obtain and document key facts during an investigation and apply applicable laws, rules and regulations to make an informed decision on liability. Ability to perform in a multi-task environment and maintain organization while providing excellent customer service to both internal and external customers. Ability to prioritize tasks and perform duties to meet deadlines and maintain regulatory compliance. Considerable skill in operating a personal computer and related software. Ability to develop and maintain effective working relationships with peers, internal and external customers and to perform as an integral part of the Risk Management team. Ability to communicate effectively both orally and in writing with employees and all levels of officials in the public/private sector. (Must have an acceptable DMV record for operation of a county vehicle.) Good driving required. Must not reflect a total accumulation of six or more negative points within the past three years or a major violation within the past four years. Pre-employment drug testing, FBI criminal background check and education/degree verification required. # Duties: Performs professional and technical work in providing efficient and effective claims administration to the County and Public Schools in accordance with all applicable laws, regulations, policies and procedures. Claims include Virginia Workers' Compensation lost time and medical only claims. Duties include providing efficient and effective claims services through prompt investigation, determination of liability, timely communication with all parties, payment of benefits and claims in accordance with applicable laws and regulations, required reporting to regulatory agencies and excess insurance carriers and making recommendations for cost-effective disposition of claims. Requires comprehensive electronic file documentation and use of claim diary system. Perform other work as required.


Shift:


Monday

  • Friday; 8:30a.m.

  • 5:00p.m.

Work Location:


Risk Management Job Title: Senior Claims Adjuster Closing Date/Time: Thu. 06/01/17 5:00 PM Eastern Time Salary: $54,488.00 - $64,127.00 Annually Job Type: Full-Time Requisition #: 17-00589 Department: Risk Management


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Claims Adjuster

Vanliner Insurance Company is a subsidiary of National Interstate Insurance Company (NASDAQ: NATL) and leading provider of transportation insurance. We’ve been providing customized insurance products to the moving and storage industry since 1978. Our success is driven by the expertise, innovation and commitment to customer service our employees provide. Vanliner Insurance is headquartered in Fenton, Missouri, a suburb of St. Louis. The primary responsibility of this position is to investigate and handle traditional property damage claims involving first- and third-party non-injury claimants utilizing state specific guidelines. The incumbent should develop a fundamental understanding of the claims environment while providing quality customer service.

  • Initiate the investigation of new claims, make liability decisions, and evaluate and negotiate settlements of collision, comprehensive, and property damage losses, as appropriate.

  • Manage and oversee the work of outside adjusters, appraisers, and experts.

  • Develop a basic understanding of liability and coverage principles.

  • Recognize state specific laws and claims regulations throughout the United States to insure proper compliance in claims investigation, including sending and securing proper documentation.

  • Complete research to determine the market value on automobiles and heavy equipment in order to make recommendations on total loss settlement values using proper state valuation methods.

  • Summarize and make recommendations for the disposition of claims in excess of the individual settlement authority.

  • Audit fees of independent adjusters, appraisers, and other vendors in order to properly manage and pay expense invoices. Consult with the supervisor for guidance on the use of outside experts.

  • Document claim file notes clearly with all communications and activities that occur during the handling of the claim using factual and objective information.

  • Respond to time sensitive materials, including but not limited to inter-company arbitration hearings and departments of insurance complaints.

  • Manage a diary system to systematically review and resolve claims within the specified state compliance guidelines.

  • Maintain state license(s) by completing continuing education coursework and/or work towards a claims designation.

  • Other duties as assigned.

  • Bachelor’s degree preferred.

  • Customer service experience.

  • Claims designation and/or state licensing is a plus.

  • Ability to read and interpret insurance policies, state laws and regulations, and vehicle and property appraisals and invoices.

  • Ability to compose professional letters, e-mails, reports, and comprehensive file notes.

  • Ability to speak effectively before vendors, customers, claimants, attorneys, and company management.

  • Working knowledge of Microsoft Office. Experience strongly preferred in Word, Excel and Outlook Express + General knowledge of Internet use.

  • Must be able to interpret policies, perform analytical research and investigations, and make sound judgments from data and records collected.

  • Must have strong analytical skills. Posting Title: Claims Adjuster ID: 2016-2175 External Company URL: www.nationalinterstate.com

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Field Auto Damage Adjuster

10755BR

Title:

Field Auto Damage Adjuster Target Openings:

1 Primary Job Duties & Responsibilities: Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going effective communication, and follow-through and meeting commitments to achieve optimal outcome on every file. Effectively manages work assignments and promptly travel to location of vehicle / equipment.

Arranges to view vehicle / equipment if not readily accessible. Scopes claims utilizing technical expertise and information gathered to accurately determine physical claim value of claims using company recognized resources, estimating and evaluation software. Establishes the physical damage claim value of assigned losses.

Prepares and documents accurate vehicle / equipment damage appraisals, Actual Cash and Replacement values according to applicable regulatory and corporate guidelines. Partners with the assigned Claim Professional throughout the life of the claim. Partners from initial investigation through final recovery to ensure appropriate claim resolution and pursuit of alternative recovery sources (e.g.

Subrogation, SIU, etc.). Negotiates the claim with the customer and/or repair facilities leveraging appropriate resources and achieve agreement on value including required payments. For applicable Total Loss claims, determines settlement amounts, including applicable coverages and deductibles. Negotiates and conveys claim settlements within authority and initiate payment to the customer, including total loss, rental reimbursement, etc.

Partners with the Auto Claim Professional throughout the life of the claim. Partners from initial investigation through final recovery to ensure appropriate claim resolution and pursuit of alternative recovery sources (e.g.

Subrogation, SIU, etc.). Provides all lines of business and departments, i.e. property, Boat and Yacht, Inland Marine, Public Sector, etc. with inspection assistance as needed, including Catastrophe response.

Effectively manages work assignments and tracks savings and referrals. For claim types that meet the specific criteria as defined by Auto Product guidelines for complete claim handling ( i.e. first notice of loss through the resolution/settlement and payment process) the following duties are concurrent with those listed above: Reviews and analyzes coverage and apply policy conditions, provisions, exclusions, and endorsements pertinent to a variety of 1st party auto damage claims.

Conducts damage management including properly managing the repair process. Establishes timely and maintains appropriate claim and expense reserves. Develops, documents and continually updates a plan of action, including maintaining an effective diary to manage file inventory and bring the claim to resolution in a timely manner.

Communicates claim damage assessment following negotiation of value with repair facilities. Obtains authorization to initiate payment to the customer/repair facility. Perform other duties as assigned.

Job Opening ID: 10755BR Environmental/Work Schedules/Other: Environmental Exposure to Excess Noise (Frequently) Exposure to Dirt, Dust, Fumes, Smoke, Gases, or Other Irritating Substance (Frequently) Exposure to Variable Weather Conditions (Frequently) Operate or work around moving machinery (Frequently) Work Schedules Weekend work hours (Occasionally) Overnight work hours (Occasionally) Holiday work hours (Federal and religious) (Occasionally) Other Travel (Occasionally) This position will require participation in our Catastrophe Response Program which could include deployment away for up to 21 days to assist our customers in other states. (Occasionally) Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position. As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application. You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company. (Occasionally)

Equal Employment Opportunity Statement: Travelers is an equal opportunity employer.

Job Specific & Technical Skills & Competencies: Strong technical background including extensive knowledge of auto repair and repair techniques, including thorough understanding of auto terminology and vehicle construction. Thorough knowledge of claims appraisal systems and overall claim operations.

Demonstrated ownership attitude and customer centric response to all assigned tasks. Commitment to continuous education, i.e. I-CAR, ASE.

Ability to promptly travel, with little or no advance notice, demonstrating effective planning, expense and cost control skills. Competency Levels: Analytical Thinking

  • Basic Judgment/Decision Making

  • Basic Communication

  • Basic Negotiation

  • Intermediate Insurance Contract Knowledge

  • Basic Principles of Investigation

  • Basic Value Determination

  • Intermediate Settlement Techniques

  • Intermediate Auto Technical

  • Intermediate

Job Category:

Claim

Job Summary: This position is responsible for inspecting, estimating, evaluating, and negotiating 1st and 3rd party auto physical damage claims, including both personal and business insurance claims. The claim types will be basic to moderate physical damage coverages as it relates to damage assessment.

Also has responsibility for complete claim handling (i.e. first notice of loss through resolution /settlement and payment process) on claims that meet specific criteria as defined by Auto Product guidelines. This position will serve as a technical resource for inside auto claim staff and will provide advice and direction to claim professionals on claim physical damages to achieve optimal outcomes. This job does not manage others This job works under Moderate Supervision: Incumbent performs standard and routine assignments independently to conclusion; unusual problems which may require exceptions to procedures or processes are referred to the supervisor.

Position Type: Experienced/Professional Education, Work Experience & Knowledge: 2-Year College Degree, Bachelors Level Degree or Technical School preferred. 2 years auto appraisal experience preferred 1 year prior experience with insurance carrier preferred.

Physical Requirements: Operates standard office equipment (Continuously) Sitting (Can stand at will) (Occasionally) Standing (Frequently) Climbing unprotected heights (ladder, rooftop, stairs, loading dock (Occasionally) Use of Keyboards, Sporadic 10-Key (Frequently) Working in a confined or restricted area (Frequently) Driving (Continuously) Lifting items up to (enter weight) (36-50 lbs) (Occasionally)

Minimum Qualifications: High School Diploma or GED required. Minimum of 1 year auto appraisal experience required.

Experience utilizing computer technology; such as Microsoft Office, e-mail, Web-enabled applications, and database software LICENSING OR CERTIFICATIONS REQUIRED: In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, License(s) are required to be obtained within three months. Valid driver's license

Company Information: Solid reputation, passionate people and endless opportunities. That's Travelers.

Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

Licensing or Certificates: Repair industry certification such as Automotive Service Excellence (ASE) I-CAR Gold Class Professional level in Collision Repair

Primary Location: Baltimore

  • Maryland

  • United States

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Claims Adjuster

Claims Adjuster

SUMMARY The role of the Claims Adjuster is to handle the processing of claims; act as a liaison between the carrier and the representative and/or end client; be a strong advocate for the client; be a consultant to the client on claim issues.

JOBDUTIES

  • Workwith accounts to ensure efficient, prompt and smooth flow of handling of allclaims, ensuring that established processes are followed.

  • Provideguidance to client as to claim process along with direction regarding likelyoutcome and timelines.

  • Liaisewith carriers and representatives through claim process.

  • Maintainclaim files, diary, and/or record keeping, etc.

  • Reviewand audit regularly.

  • Answerbasic coverage questions.

  • Interpretpolicy language.

  • Workwith team on the accurate filing of claims.

  • Settingeducational goals to improve personal performance/continuing education forlicense if required.

  • Otherduties that may be assigned from time to time. +

Job Required Skills + Experiencein insurance industry + Claims handling experience and working knowledge of auto and mortgage Lender placed or Force placed Insurance preferred + CustomerService experience + Experience in the mortgage industry with Real Estate owned (REO) or foreclosed/Lender owned properties a plus + Experience in the auto industry with lender placed insurance or repossessed collateral a plus + Intermediateto Advanced Level of Microsoft Office Suite (e.g. Word, Excel, and Outlook) + Generalfamiliarity with handling high volume of paperwork + Basicmath skills.

  • Industrylicense may be required

Job Required Experience The physical and environmental demands described hereare representative of those that must be met by an employee to successfullyperform the essential functions of this job. Reasonable accommodationsmay be made to enable individuals with disabilities to perform the essentialfunctions of the job. *LI-EC

Location:

United States, Texas, Lewisville

Required Education:

High school or equivalent

Required Experience: 1-2 years

Required Travel:

No travel required

Date published: 11-Jan-2017

Department:

Claims Management Ref#: P111_20161222 HUB International Limited is an equal opportunity and affirmative action employer that does not discriminate on the basis of race/ethnicity, national origin, religion, age, color, sex, sexual orientation, gender identity, disability or veteran's status, or any other characteristic protected by local, state or federal laws, rules or regulations. The EEO is the Law poster and its supplement is available here at http://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm . We endeavor to make this website accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the US Recruiting Team toll-free at (844) 300-9193 or USRecruiting@hubinternational.com . This contact information is for accommodation requests only; do not use this contact information to inquire about the status of applications.


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Claims Adjuster

Claims Adjuster Apply Johns Hopkins Health Care, Glen Burnie, MD Requisition # 152613 Day Shift Full Time (40 hours) Weekend Work Not Required Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees.

Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field. Reports directly to the Adjustment Manager in the Claims Cost Management Department.

Responsible for: Investigation and analysis of requests/appeals from inside and outside the company for multiple lines of business, including complex cases and special reports and determines extent of company and liability based upon established department policies and procedures, making any necessary corrections to ensure appropriate settlement; Maintaining up-to-date information on changes to policies and procedures; Tracking error trends and reporting to management with suggestions for improvement, and assisting in the testing of approved changes prior to implementation. High School Diploma or Equivalent; some college level courses preferred.

Work requires a thorough knowledge of medical claims payment policies and procedures relative to medical claims payments and adjustments, including Medicare, Medicaid and Commercial plans; a proficient usage and understanding of medical terminology, coordination of benefits and benefit accumulators as generally acquired in three years of medical claims experience; a level of English sufficient to read and understand business correspondence. Work requires a minimum of three years claims experience in a managed care environment and experience in an on-line claims adjudication system. Working knowledge of professional and institutional claims; coordination of benefits; commercial, Medicare and Medicaid insurance plans.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.



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Rcis - Crop Claims Adjuster

RCIS - AgriculturalCrop Adjuster- Full Time Territory: SouthwestIowa Incumbent will officeout of their home in the territory.

Join one of theleaders in the crop insurance industry as an Crop Claims Adjuster! RCIS providesinsurance and superior services through leading agents to protect America’sfarmers and ranchers. It’s been an innovator in crop insurance since the cropinsurance business was privatized by the federal government in 1980.

Today it’sone of the nation’s largest crop insurance providers, offering risk managementprotection in all 50 states through a national network of about 4,000professionally trained and licensed agents. This is a greatopportunity to serve the agricultural community. As a Crop Adjuster, your primary accountabilities will include:

Complete field inspections and related responsibilitiessuch as reading maps and aerial photos, measuring field and storage bins, anddiscussing findings of crop loss with farmers Perform fact finding regarding crop damage; record informationand transmit loss information to accurately determine potential damages Provide excellent service to our customers – both agentsand policyholders (farmers) Utilize company software to electronically transmitclaims information directly from the field to RCIS to ensure claims areprocessed timely and accurately Follow regulatory and company rules, policies andprocedures You will work outof a home office in your territory which is expected to include but not limitedto areas such as: Southwest Iowa - Harrison, Shelby, Cass, Mills, Montgomery,and Pottawattamie Travel: There maybe opportunity for additional work based on any flexibility to travel outsideof your territory within the States.

Benefits of beinga Crop Adjuster with RCIS include: Work outdoors Dress casually –wear jeans to work every day! Work withstate-of-the-art technology provided by the Company, and for a home-basedoffice Work independently Classroom andon-the-job training provided Opportunity toearn Overtime and Travel Incentive pay (based on business need) Opportunity totravel & work nationally on a voluntary basis Career Opportunities – the knowledge andexperience gained as a crop adjuster provide opportunity to advance into otherpositions with RCIS such as full time, benefits-eligible adjuster positions,claims management, field service/sales, and training Basic Qualifications: + High School Diploma or Equivalent and 6 ormore months of experience in the agricultural area + Crop Adjuster Proficiency ProgramCertification (CAPP) must be obtained with 180 days of hire date.

  • Reliable personal transportation and travelwithin territory + RCIS Crop Adjuster Physical Requirements:walk in agricultural fields up to 3 miles, climb agricultural storage bins upto 25 feet, lift 25 lbs to 50 lbs, work outdoors in varyingtemperatures/weather conditions. Preferred Qualifications: + Excellent verbal, written and interpersonalcommunication skills + Strong organization and prioritization skills + Intermediate Microsoft Office skills Imagine working for a company that trulycares about their employees, customers, stakeholders, and communities theyserve.

    Imagine working for a values-drivenorganization that has the ambition and desire to be the best global insuranceprovider in the world. Zurich is that place where 55,000 employeesacross approximately 200 countries and territories are all focused on helpingpeople and helping companies protect what is truly most important to them. Weare a values-driven organization that takes pride in the work that we do everyday and we have the ambition to be the best global insurer in the world.

    EOE disability/vets Zurich does not accept unsolicited resumes from search firms or employmentagencies. Any unsolicited resume will become the property of Zurich AmericanInsurance. If you are a preferred vendor, please use our Recruiting AgencyPortal for resume submission.

Title:RCIS - Crop Claims Adjuster

Location:Iowa-Shenandoah

Requisition ID:1700040D

Other Locations:United States-Iowa-Council Bluffs, United States-Iowa-Corning, United States-Iowa-Clarinda



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