4 Anthem jobs in Marion County
Senior Insurance Claims Adjuster
46201 Indianapolis, Indiana
$75000 Annually
WhatJobs
Posted 7 days ago
Job Viewed
Job Description
Our client is seeking a highly experienced Senior Insurance Claims Adjuster to join their dynamic team in Indianapolis, Indiana, US . This role involves managing complex claims from inception to resolution, ensuring accuracy, fairness, and adherence to policy guidelines. You will be responsible for investigating insurance claims, assessing damage or liability, negotiating settlements, and providing exceptional customer service to policyholders during challenging times. The ideal candidate will possess a strong understanding of insurance policies, legal requirements, and industry best practices. This position requires meticulous attention to detail, excellent analytical and problem-solving skills, and the ability to work independently while collaborating effectively with internal and external stakeholders. You will also be expected to mentor junior adjusters, contribute to process improvements, and maintain detailed and accurate claim files. This is a critical role that demands integrity, empathy, and a commitment to delivering timely and equitable claim resolutions. Responsibilities include:
- Investigating and analyzing complex insurance claims (e.g., property, casualty, liability).
- Interviewing claimants, witnesses, and other relevant parties to gather information.
- Evaluating policy coverage and determining the extent of liability or loss.
- Negotiating settlements with claimants and legal representatives within authorized limits.
- Coordinating with experts (e.g., engineers, medical professionals) when necessary.
- Preparing detailed reports, documentation, and recommendations.
- Ensuring compliance with all state and federal regulations.
- Providing exceptional customer service and maintaining open communication with policyholders.
- Mentoring and guiding less experienced claims adjusters.
- Identifying opportunities for process enhancements and efficiency gains.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 5 years of experience in insurance claims adjusting.
- Proven track record of successfully managing complex claims.
- Strong knowledge of insurance law and regulations.
- Excellent negotiation, communication, and interpersonal skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work under pressure and meet tight deadlines.
- Valid driver's license and willingness to travel occasionally to inspect damages.
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0
Senior Insurance Claims Adjuster
46204 Indianapolis, Indiana
$75000 Annually
WhatJobs
Posted 7 days ago
Job Viewed
Job Description
Our client, a leading insurance provider, is looking for a highly skilled and detail-oriented Senior Insurance Claims Adjuster to join their established team in **Indianapolis, Indiana, US**. This is a critical role responsible for managing and resolving complex insurance claims efficiently and effectively, ensuring fairness and accuracy for both the policyholder and the company. You will conduct thorough investigations, analyze coverage, negotiate settlements, and prepare detailed reports, all while maintaining a high level of professionalism and customer service.
The ideal candidate will possess a deep understanding of insurance policies, claims procedures, and relevant legal regulations. Strong analytical, investigative, and negotiation skills are essential, as is the ability to communicate complex information clearly and concisely. Experience with various types of claims, such as property, casualty, or auto, is a plus. A commitment to upholding ethical standards and providing exceptional service is paramount for this role. You will work closely with policyholders, legal counsel, and other stakeholders to achieve optimal claim resolutions.
Key Responsibilities:
The ideal candidate will possess a deep understanding of insurance policies, claims procedures, and relevant legal regulations. Strong analytical, investigative, and negotiation skills are essential, as is the ability to communicate complex information clearly and concisely. Experience with various types of claims, such as property, casualty, or auto, is a plus. A commitment to upholding ethical standards and providing exceptional service is paramount for this role. You will work closely with policyholders, legal counsel, and other stakeholders to achieve optimal claim resolutions.
Key Responsibilities:
- Investigate, evaluate, and adjust a caseload of complex insurance claims.
- Interpret policy provisions and determine coverage for claims.
- Conduct thorough interviews with claimants, witnesses, and other relevant parties.
- Gather and analyze evidence, including reports, statements, and documentation.
- Negotiate settlements with claimants and their representatives within authorized limits.
- Prepare accurate and comprehensive claim reports, including findings, recommendations, and reserve calculations.
- Manage claim files from initial reporting to final resolution, ensuring timely processing.
- Maintain strong relationships with policyholders, agents, and external partners.
- Stay updated on industry best practices, legal requirements, and company procedures.
- Represent the company in claim-related disputes or litigation when necessary.
- Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
- Minimum of 5 years of experience as an insurance claims adjuster.
- In-depth knowledge of insurance policies, claims handling procedures, and relevant laws.
- Proven experience in investigating and evaluating complex claims across various lines of business.
- Excellent analytical, critical thinking, and problem-solving skills.
- Strong negotiation and conflict resolution abilities.
- Exceptional written and verbal communication skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Relevant adjusting licenses and certifications are highly preferred.
- Ability to work independently and manage time effectively in a fast-paced environment.
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1
Remote Insurance Claims Adjuster
46201 Indianapolis, Indiana
$65000 Annually
WhatJobs
Posted 7 days ago
Job Viewed
Job Description
Our client is seeking a dedicated and experienced Remote Insurance Claims Adjuster to join their expanding national team. This is a fully remote position, requiring you to manage a caseload of insurance claims from the comfort of your home office. You will be responsible for investigating, evaluating, and negotiating settlements for a variety of insurance claims, ensuring compliance with company policies and industry regulations. This role demands exceptional analytical skills, attention to detail, and outstanding communication abilities, as you will interact with policyholders, witnesses, and legal counsel via phone, email, and video conferencing. The ideal candidate will have a strong understanding of insurance policies and claims processing, coupled with the discipline and self-motivation to excel in a remote work environment. You will play a crucial role in customer satisfaction by providing timely and fair claim resolutions. Your ability to interpret complex policy language and conduct thorough investigations will be paramount to your success. This position offers a great work-life balance, eliminating daily commutes and allowing for flexible scheduling within business hours.
Responsibilities:
Qualifications:
This is an excellent opportunity to join a forward-thinking insurance company that values its employees and offers opportunities for professional development in a remote capacity.
Responsibilities:
- Investigate insurance claims thoroughly, gathering all necessary documentation and evidence.
- Analyze insurance policies to determine coverage and liability.
- Conduct interviews with policyholders, claimants, witnesses, and other relevant parties.
- Evaluate damages and determine the appropriate settlement amount based on policy terms and investigation findings.
- Negotiate settlements with claimants and their representatives.
- Prepare detailed reports documenting claim investigations, findings, and recommendations.
- Maintain accurate and organized claim files within the company's claims management system.
- Ensure compliance with all state and federal regulations governing claims handling.
- Communicate effectively and empathetically with policyholders throughout the claims process.
- Manage a caseload of claims efficiently, meeting productivity and quality targets.
Qualifications:
- Proven experience as an Insurance Claims Adjuster.
- In-depth knowledge of insurance policies, claims procedures, and relevant laws.
- Strong analytical, investigative, and problem-solving skills.
- Excellent written and verbal communication skills.
- Proficiency in using claims management software and standard office applications.
- Ability to work independently and manage time effectively in a remote setting.
- Relevant state adjuster licenses are required or willingness to obtain them.
- Bachelor's degree in Business, Finance, or a related field is preferred.
- A dedicated home office space with reliable high-speed internet is mandatory.
This is an excellent opportunity to join a forward-thinking insurance company that values its employees and offers opportunities for professional development in a remote capacity.
Apply Now
2
Remote Lead Insurance Claims Adjuster
46201 Indianapolis, Indiana
$80000 Annually
WhatJobs
Posted 7 days ago
Job Viewed
Job Description
Our client, a prominent provider in the insurance sector, is actively recruiting a Remote Lead Insurance Claims Adjuster. This role is designed for an experienced professional to manage a team of adjusters and oversee complex claims investigations from start to finish, all within a remote work environment. The ideal candidate will have a deep understanding of insurance policies, claims handling procedures, and regulatory requirements. This is a remote-first opportunity, demanding strong leadership, analytical skills, and the ability to effectively guide a distributed team.
Responsibilities:
Responsibilities:
- Lead, train, and mentor a team of remote claims adjusters, ensuring adherence to company standards and best practices.
- Investigate, evaluate, and settle insurance claims in accordance with policy provisions and applicable laws and regulations.
- Review and approve claims settlements made by adjusters, providing guidance on complex cases.
- Develop and implement strategies to improve claims processing efficiency and customer satisfaction.
- Monitor claims activities, identify trends, and report on key performance indicators to senior management.
- Ensure compliance with all state and federal regulations related to claims handling.
- Collaborate with underwriting, legal, and other departments to resolve complex claim issues.
- Conduct quality assurance reviews of adjuster work.
- Handle escalated claims and customer complaints with professionalism and empathy.
- Stay current with industry changes, new products, and legal decisions affecting claims.
- Bachelor's degree in Business Administration, Finance, or a related field; or equivalent work experience.
- Minimum of 5-7 years of experience in insurance claims adjustment, with at least 2 years in a supervisory or leadership role.
- Possession of relevant state adjuster licenses is required.
- In-depth knowledge of various insurance lines (e.g., property, casualty, auto) and claims handling best practices.
- Proven ability to lead and motivate a remote team.
- Strong analytical, decision-making, and problem-solving skills.
- Excellent communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and virtual collaboration tools.
- Ability to manage workload effectively and meet deadlines in a remote setting.
- High ethical standards and a commitment to customer service.
Apply Now
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