6 Claims Adjuster jobs in Overland Park
ESIS ProClaim Representative
66213 Overland Park, Kansas
Chubb
Posted 1 day ago
Job Viewed
Job Description
Job Description
ESIS ProClaim is seeking a Claims Representative. In this role you will manage general liability claims and other lines.
Under the direction of the AVP and VP of Claims and Claims Team Leader you will review coverage, investigates facts of third-party claims, secure evidence, assesses, addresses subro/recovery/tenders, and apportions liability and settles claims at the best outcome within established claim best practices guidelines and client instructions.
Duties include but are not limited to:
The pay range for the role is $60,700 to $103,300. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
ESIS , a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management.
ESIS Specialty continually monitors, measures, and analyzes trends while working closely with clients to identify opportunities to positively impact their program costs. ESIS Specialty applies a balanced approach to claims handling and management and continually refines approach to be sure services are customized, complementary and complete.
About Us
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
ESIS ProClaim is seeking a Claims Representative. In this role you will manage general liability claims and other lines.
Under the direction of the AVP and VP of Claims and Claims Team Leader you will review coverage, investigates facts of third-party claims, secure evidence, assesses, addresses subro/recovery/tenders, and apportions liability and settles claims at the best outcome within established claim best practices guidelines and client instructions.
Duties include but are not limited to:
- Determine coverage, conducts a thorough investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
- Maintain diary system to ensure each file is reviewed at a minimum of every 90 days.
- Effectively work with defense counsel and litigation working collaboratively, as directed by the client.
- Ensure detailed 90-day Claim Summary Reports are prepared and provide updates to the client on investigation, potential settlement opportunities, claim denials, reservation of rights, third party tenders and recommendations to present at claims review meetings.
- Posts loss and expense reserves in Claims system within authority limits and recommends reserve changes above authority to AVP and/or VP of Claims.
- Reviews progress and status of claims with claims leadership and discusses issues/opportunities/task and remedial actions.
- Prepares and submits to claims leadership all unusual or potentially undesirable exposures such as allegations of bad faith or unfair claim practice allegations.
- Assists Claims Leadership in formulating improvements in claims handling procedures.
- Assist and works with Partnership Leaders on delivering results, attend meetings and claim reviews.
- Reviews and confirms claims professionals have secured the appropriate releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
- Maintains claims with the appropriate file notes, reports, photos, and documentation within the claim.
- Follows all company and regulatory compliance requirements.
- Updates claim timely with Medicare data and addresses Medicare reporting & interest.
- Meets or exceeds performance goals.
- 4 or more years of experience as a claim professional and/or claims management with a high degree of specialized and technical competence in the handling of professional and general liability claims with emphasis on hands-on file and litigation management.
- P&C insurance adjuster license where required.
- Knowledge of insurance industry and claims handling concepts, practices, and procedures.
- Strong background and demonstrated ability in dealing with significant coverage matters.
- An understanding of insurance and legal principles.
- Knowledge of P&C Group coverage and services.
- Working knowledge of industry best practices and procedures.
- An ability to work independently.
- Excellent interpersonal communications and negotiation skills and an ability to deal with customers and business partners in a professional manner.
- Ability to make prompt, reasoned decisions based upon detailed analysis of complex issues.
- Bachelor's Degree or higher.
The pay range for the role is $60,700 to $103,300. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
ESIS , a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management.
ESIS Specialty continually monitors, measures, and analyzes trends while working closely with clients to identify opportunities to positively impact their program costs. ESIS Specialty applies a balanced approach to claims handling and management and continually refines approach to be sure services are customized, complementary and complete.
About Us
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
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0
Claims Adjuster Trainee
64063 Lees Summit, Missouri
Progressive
Posted today
Job Viewed
Job Description
Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress.
As a claims adjuster trainee , you’ll learn how to help customers get back on the road after an accident. This is not a field position, which means you’ll be building relationships with customers over the phone. In a fast-paced environment, you’ll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You’ll have the support of a collaborative team and ongoing coaching from leaders. We’ll also teach you the insurance stuff – providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
This is a hybrid role, which means you’ll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that’s at home or in the office, for a period of 12 months. After that period, the days you’ll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you’ll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you’re welcome to work in the office as often as you would like.
Duties & responsibilities (upon completion of training)
- Determine coverage
- Determine liability (who’s at fault for the damages)
- Interview customers, claimants, and witnesses
- Partner with appraisers/estimators to manage vehicle repairs
- Negotiate with customers and other insurance carriers and resolve claims
Must-have qualifications
- Three years of work experience OR
- Bachelor’s degree OR
- Two years work experience and an associate degree
Schedule: Monday - Friday, 9am-6pm; Training Schedule: Monday-Friday, 8:30am-5:30pm
Location: 400 SW Longview Blvd, Ste 125, Lees Summit, MO
Compensation
- Once you complete training and pass any necessary testing requirements, your salary range will be $52,500 to $56,000/year, however, during training, you'll be paid hourly based on your annual salary
- Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance
Benefits
- 401(k) with dollar-for-dollar company match up to 6%
- Medical, dental & vision, including free preventative care
- Wellness & mental health programs
- Health care flexible spending accounts, health savings accounts, & life insurance
- Paid time off, including volunteer time off
- Paid & unpaid sick leave where applicable, as well as short & long-term disability
- Parental & family leave; military leave & pay
- Diverse, inclusive & welcoming culture with Employee Resource Groups
- Career development & tuition assistance.
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.
Equal Opportunity Employer
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at
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1
General Liability, Claims Team Manager
66210 Overland Park, Kansas
Zurich NA
Posted today
Job Viewed
Job Description
General Liability, Claims Team Manager
116047
Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring talent in one of the following locations: Addison TX; Schaumburg IL; Atlanta, GA; Gold River, CA.; Maitland, FL; Omaha, NE; OR Overland Park KS
With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims. Coordinates the work activities of the team, and has responsibility for performance, development, and coaching of staff to maximize contributions and drive employee development and operational improvements.
In this role you will be responsible for:
+ Drive superior claims results in Commercial General Liability claims of moderate complexity by providing direction, technical guidance, and tracking and reporting on key metrics.
+ Achieve customer satisfaction targets by building and maintaining relationships with internal colleagues, external customers, and brokers, and analyzing and resolving quality and customer service problems.
+ Achieve best practices by reviewing claims files, identifying trends, and recommending improvements.
+ Manage corporate expenses by monitoring file allocations, resources, and other expenditures to ensure appropriateness.
+ Ensure compliance with all legal, regulatory, and internal control requirements.
+ Provide claims insights to assist business units by collaborating in product development, customer/broker stewardship, and prospect meetings.
+ Motivate and lead a high-performance team by attracting, onboarding, recruiting, and retaining team members.
+ Drive the performance management process by communicating job expectations, monitoring and evaluating performance, providing feedback, and facilitating employee development per the company's policies.
+ Maintain transparent communication by appropriately communicating organization information to team through department meetings, one-on-one meetings, appropriate email, IM and regular interpersonal communications.
+ Create a workplace culture that is consistent with the Zurich mission, vision and Zurich Basics.
+ Protect Zurich´s reputation by keeping claims information confidential.
+ Maintain professional and technical knowledge by attending educational workshops, professional publications, establishing personal networks, and participating in professional societies.
+ Contribute to the team effort by accomplishing related results and participating on projects as needed.
Basic Qualifications:
+ Juris Doctor and 5 or more years of experience in the Claims areaOR
+ Bachelors Degree and 6 or more years of experience in the Claims areaOR
+ High School Diploma or Equivalent and 8 or more years of experience in the Claims areaAND
+ Customer service experience
+ Experience with Microsoft Office
+ Experience collaborating across work groups
+ Knowledge of insurance legal statutes and procedures
+ Knowledge of the insurance industry, claims, and the insurance legal and regulatory environment
+ Travel 0-20%
Preferred Qualifications:
+ Managing commercial general liability claims
+ Experience managing construction.
+ People management experience
+ Claims operations experience
+ Knowledge and skill in claims handling
+ Negotiation experience
+ Experience in commercial general liability claims
+ Analytical skills
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere ( . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply, as they will be considered based on their experience, skills, and education. The salary indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary rangefor this position is $96,300.00 - $140,000.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere ( to learn more.
Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - Maitland, AM - Atlanta, AM - Schaumburg, AM - Overland Park, AM - Addison, AM - Gold River, AM - Omaha
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-REMOTE
EOE Disability / Veterans
116047
Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring talent in one of the following locations: Addison TX; Schaumburg IL; Atlanta, GA; Gold River, CA.; Maitland, FL; Omaha, NE; OR Overland Park KS
With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims. Coordinates the work activities of the team, and has responsibility for performance, development, and coaching of staff to maximize contributions and drive employee development and operational improvements.
In this role you will be responsible for:
+ Drive superior claims results in Commercial General Liability claims of moderate complexity by providing direction, technical guidance, and tracking and reporting on key metrics.
+ Achieve customer satisfaction targets by building and maintaining relationships with internal colleagues, external customers, and brokers, and analyzing and resolving quality and customer service problems.
+ Achieve best practices by reviewing claims files, identifying trends, and recommending improvements.
+ Manage corporate expenses by monitoring file allocations, resources, and other expenditures to ensure appropriateness.
+ Ensure compliance with all legal, regulatory, and internal control requirements.
+ Provide claims insights to assist business units by collaborating in product development, customer/broker stewardship, and prospect meetings.
+ Motivate and lead a high-performance team by attracting, onboarding, recruiting, and retaining team members.
+ Drive the performance management process by communicating job expectations, monitoring and evaluating performance, providing feedback, and facilitating employee development per the company's policies.
+ Maintain transparent communication by appropriately communicating organization information to team through department meetings, one-on-one meetings, appropriate email, IM and regular interpersonal communications.
+ Create a workplace culture that is consistent with the Zurich mission, vision and Zurich Basics.
+ Protect Zurich´s reputation by keeping claims information confidential.
+ Maintain professional and technical knowledge by attending educational workshops, professional publications, establishing personal networks, and participating in professional societies.
+ Contribute to the team effort by accomplishing related results and participating on projects as needed.
Basic Qualifications:
+ Juris Doctor and 5 or more years of experience in the Claims areaOR
+ Bachelors Degree and 6 or more years of experience in the Claims areaOR
+ High School Diploma or Equivalent and 8 or more years of experience in the Claims areaAND
+ Customer service experience
+ Experience with Microsoft Office
+ Experience collaborating across work groups
+ Knowledge of insurance legal statutes and procedures
+ Knowledge of the insurance industry, claims, and the insurance legal and regulatory environment
+ Travel 0-20%
Preferred Qualifications:
+ Managing commercial general liability claims
+ Experience managing construction.
+ People management experience
+ Claims operations experience
+ Knowledge and skill in claims handling
+ Negotiation experience
+ Experience in commercial general liability claims
+ Analytical skills
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere ( . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply, as they will be considered based on their experience, skills, and education. The salary indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary rangefor this position is $96,300.00 - $140,000.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere ( to learn more.
Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - Maitland, AM - Atlanta, AM - Schaumburg, AM - Overland Park, AM - Addison, AM - Gold River, AM - Omaha
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-REMOTE
EOE Disability / Veterans
View Now
2
Claims Team Manager, General Liability
66210 Overland Park, Kansas
Zurich NA
Posted today
Job Viewed
Job Description
Claims Team Manager, General Liability
122690
Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring talent in one of the following locations: Addison TX; Schaumburg IL; Atlanta, GA; Maitland, FL; Omaha, NE; OR Overland Park KS.
With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims. Coordinates the work activities of the team, and has responsibility for performance, development, and coaching of staff to maximize contributions and drive employee development and operational improvements.
In this role you will be responsible for:
+ Drive superior claims results in Commercial General Liability claims of moderate complexity by providing direction, technical guidance, and tracking and reporting on key metrics.
+ Achieve customer satisfaction targets by building and maintaining relationships with internal colleagues, external customers, and brokers, and analyzing and resolving quality and customer service problems.
+ Achieve best practices by reviewing claims files, identifying trends, and recommending improvements.
+ Manage corporate expenses by monitoring file allocations, resources, and other expenditures to ensure appropriateness.
+ Ensure compliance with all legal, regulatory, and internal control requirements.
+ Provide claims insights to assist business units by collaborating in product development, customer/broker stewardship, and prospect meetings.
+ Motivate and lead a high-performance team by attracting, onboarding, recruiting, and retaining team members.
+ Drive the performance management process by communicating job expectations, monitoring and evaluating performance, providing feedback, and facilitating employee development per the company's policies.
+ Maintain transparent communication by appropriately communicating organization information to team through department meetings, one-on-one meetings, appropriate email, IM and regular interpersonal communications.
+ Create a workplace culture that is consistent with the Zurich mission, vision and Zurich Basics.
+ Protect Zurich´s reputation by keeping claims information confidential.
+ Maintain professional and technical knowledge by attending educational workshops, professional publications, establishing personal networks, and participating in professional societies.
+ Contribute to the team effort by accomplishing related results and participating on projects as needed.
Basic Qualifications:
+ Juris Doctor and 5 or more years of experience in the Claims areaOR
+ Bachelors Degree and 6 or more years of experience in the Claims areaOR
+ High School Diploma or Equivalent and 8 or more years of experience in the Claims areaAND
+ Customer service experience
+ Experience with Microsoft Office
+ Experience collaborating across work groups
+ Knowledge of insurance legal statutes and procedures
+ Knowledge of the insurance industry, claims, and the insurance legal and regulatory environment
+ Travel 0-20%
Preferred Qualifications:
+ 8+ years of experience managing commercial general liability claims
+ 8+ years of experience in Ltigation Managment
+ Strong expertice working at a Insurance Carrier
+ 8+ years of direct people management and performance experience
+ Claims operations experience
+ Knowledge and skill in claims handling
+ Negotiation experience
+ Experience in commercial general liability claims
+ Analytical skills
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere ( . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply, as they will be considered based on their experience, skills, and education. The salary indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary rangefor this position is $96,300.00 - $130,000.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere ( to learn more.
Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - Addison, AM - Atlanta, AM - Omaha, AM - Overland Park, AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE
EOE Disability / Veterans
122690
Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring talent in one of the following locations: Addison TX; Schaumburg IL; Atlanta, GA; Maitland, FL; Omaha, NE; OR Overland Park KS.
With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims. Coordinates the work activities of the team, and has responsibility for performance, development, and coaching of staff to maximize contributions and drive employee development and operational improvements.
In this role you will be responsible for:
+ Drive superior claims results in Commercial General Liability claims of moderate complexity by providing direction, technical guidance, and tracking and reporting on key metrics.
+ Achieve customer satisfaction targets by building and maintaining relationships with internal colleagues, external customers, and brokers, and analyzing and resolving quality and customer service problems.
+ Achieve best practices by reviewing claims files, identifying trends, and recommending improvements.
+ Manage corporate expenses by monitoring file allocations, resources, and other expenditures to ensure appropriateness.
+ Ensure compliance with all legal, regulatory, and internal control requirements.
+ Provide claims insights to assist business units by collaborating in product development, customer/broker stewardship, and prospect meetings.
+ Motivate and lead a high-performance team by attracting, onboarding, recruiting, and retaining team members.
+ Drive the performance management process by communicating job expectations, monitoring and evaluating performance, providing feedback, and facilitating employee development per the company's policies.
+ Maintain transparent communication by appropriately communicating organization information to team through department meetings, one-on-one meetings, appropriate email, IM and regular interpersonal communications.
+ Create a workplace culture that is consistent with the Zurich mission, vision and Zurich Basics.
+ Protect Zurich´s reputation by keeping claims information confidential.
+ Maintain professional and technical knowledge by attending educational workshops, professional publications, establishing personal networks, and participating in professional societies.
+ Contribute to the team effort by accomplishing related results and participating on projects as needed.
Basic Qualifications:
+ Juris Doctor and 5 or more years of experience in the Claims areaOR
+ Bachelors Degree and 6 or more years of experience in the Claims areaOR
+ High School Diploma or Equivalent and 8 or more years of experience in the Claims areaAND
+ Customer service experience
+ Experience with Microsoft Office
+ Experience collaborating across work groups
+ Knowledge of insurance legal statutes and procedures
+ Knowledge of the insurance industry, claims, and the insurance legal and regulatory environment
+ Travel 0-20%
Preferred Qualifications:
+ 8+ years of experience managing commercial general liability claims
+ 8+ years of experience in Ltigation Managment
+ Strong expertice working at a Insurance Carrier
+ 8+ years of direct people management and performance experience
+ Claims operations experience
+ Knowledge and skill in claims handling
+ Negotiation experience
+ Experience in commercial general liability claims
+ Analytical skills
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere ( . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply, as they will be considered based on their experience, skills, and education. The salary indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary rangefor this position is $96,300.00 - $130,000.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere ( to learn more.
Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - Addison, AM - Atlanta, AM - Omaha, AM - Overland Park, AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE
EOE Disability / Veterans
View Now
3
Senior Claims Specialist, Professional Liability (A&E, D&O)
66210 Overland Park, Kansas
Sedgwick
Posted today
Job Viewed
Job Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Senior Claims Specialist, Professional Liability (A&E, D&O)
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
+ Negotiates claim settlement up to designated authority level.
+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
+ Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
+ Represents company in depositions, mediations, and trial monitoring as needed.
+ Communicates claim activity and processing with the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
+ Delegates work and mentors others.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Masters or Juris Doctorate degree from an accredited college or university preferred. Licenses as required. Designations and/or licensing including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred.
**Experience**
Ten (10) years of complex claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
+ Extensive knowledge and comprehension of insurance coverage
+ Claims expertise in medical malpractice, errors and omissions, directors and officers, life sciences, and/or cyber liability
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent negotiation skills
+ Good interpersonal skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Senior Claims Specialist, Professional Liability (A&E, D&O)
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
+ Negotiates claim settlement up to designated authority level.
+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
+ Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
+ Represents company in depositions, mediations, and trial monitoring as needed.
+ Communicates claim activity and processing with the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
+ Delegates work and mentors others.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Masters or Juris Doctorate degree from an accredited college or university preferred. Licenses as required. Designations and/or licensing including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred.
**Experience**
Ten (10) years of complex claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
+ Extensive knowledge and comprehension of insurance coverage
+ Claims expertise in medical malpractice, errors and omissions, directors and officers, life sciences, and/or cyber liability
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent negotiation skills
+ Good interpersonal skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
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4
Medical Insurance Claims Appeals Representative
66210 Overland Park, Kansas
HCA Healthcare
Posted today
Job Viewed
Job Description
**Description**
**Introduction**
Do you want to join an organization that invests in you as a Medical Insurance Claims Appeals Representative? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Appeals Representative like you to be a part of our team.
**Job Summary and Qualifications**
The Appeals Collector is responsible for performing follow-up on all appeals submitted to the payer for timely payment and resolution.
**In this role you will:**
+ Pursue additional payment on open appeals through various means of communication, such as telephonically, online or via payment package processes with payers and patients.
+ Overcome objections that prevent payment of the claim.
+ Gain commitment for payment through concise and factual collection techniques.
+ Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response.
+ Communicate trends to management as identified.
+ Utilize effective documentation standards that support a strong historical record of actions taken on account.
+ Meet the productivity and quality standards of the organization.
**Qualifications:**
+ Minimum one-year related experience required, preferably in healthcare
+ Relevant education may substitute experience requirement.
+ High school diploma or GED preferred.
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Medical Insurance Claims Appeals Representative opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
**Introduction**
Do you want to join an organization that invests in you as a Medical Insurance Claims Appeals Representative? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Appeals Representative like you to be a part of our team.
**Job Summary and Qualifications**
The Appeals Collector is responsible for performing follow-up on all appeals submitted to the payer for timely payment and resolution.
**In this role you will:**
+ Pursue additional payment on open appeals through various means of communication, such as telephonically, online or via payment package processes with payers and patients.
+ Overcome objections that prevent payment of the claim.
+ Gain commitment for payment through concise and factual collection techniques.
+ Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response.
+ Communicate trends to management as identified.
+ Utilize effective documentation standards that support a strong historical record of actions taken on account.
+ Meet the productivity and quality standards of the organization.
**Qualifications:**
+ Minimum one-year related experience required, preferably in healthcare
+ Relevant education may substitute experience requirement.
+ High school diploma or GED preferred.
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Medical Insurance Claims Appeals Representative opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
View Now
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