21 Claims Adjusters jobs in Des Moines
Sr Claims Specialist
Posted 1 day ago
Job Viewed
Job Description
Argo Group International Holdings, Inc. and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
We are seeking an experienced Senior Claims Specialist to join our dynamic team. This role is pivotal in providing exceptional claim handling for auto injury claims and requires a professional with a strong background in the insurance industry.
What You'll Do
* Investigate and evaluate auto injury claims to determine liability and settlement value.
* Negotiate settlements with claimants or their attorneys in a timely and fair manner.
* Collaborate with medical experts, legal counsel, and other stakeholders to resolve complex claims.
* Provide guidance and support to junior claims handlers and other team members.
* Ensure compliance with all regulatory and company policies and procedures.
What You'll Need
* Bachelor's degree in a related field; advanced degrees or certifications (e.g., AIC, CPCU) preferred.
* Minimum of 3 years' experience in auto injury claims handling, with a proven track record of resolving complex claims.
* Strong negotiation and communication skills, both written and verbal.
* Proficient in claims management software and Microsoft Office Suite.
* Ability to work independently and as part of a team in a fast-paced environment.
* Currently hold an active state adjuster license or obtain following date of hire (American National will incur all fees associated/No out of pocket expenses)
The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. The salary range for this position is $58,600 - $81,300.
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to ourHR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
#J-18808-LjbffrSr Claims Specialist
Posted 14 days ago
Job Viewed
Job Description
Argo Group International Holdings, Inc. and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
We are seeking an experienced Senior Claims Specialist to join our dynamic team. This role is pivotal in providing exceptional claim handling for auto injury claims and requires a professional with a strong background in the insurance industry.
What You'll Do
* Investigate and evaluate auto injury claims to determine liability and settlement value.
* Negotiate settlements with claimants or their attorneys in a timely and fair manner.
* Collaborate with medical experts, legal counsel, and other stakeholders to resolve complex claims.
* Provide guidance and support to junior claims handlers and other team members.
* Ensure compliance with all regulatory and company policies and procedures.
What You'll Need
* Bachelor's degree in a related field; advanced degrees or certifications (e.g., AIC, CPCU) preferred.
* Minimum of 3 years' experience in auto injury claims handling, with a proven track record of resolving complex claims.
* Strong negotiation and communication skills, both written and verbal.
* Proficient in claims management software and Microsoft Office Suite.
* Ability to work independently and as part of a team in a fast-paced environment.
* Currently hold an active state adjuster license or obtain following date of hire (American National will incur all fees associated/No out of pocket expenses)
The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. The salary range for this position is $58,600 - $81,300.
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to ourHR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
Claims Specialist Sr

Posted 5 days ago
Job Viewed
Job Description
**Job Posting Title**
Claims Specialist Sr
**Job Description**
The Claims Specialist is responsible for assisting in the ongoing operational support of Prime key service offerings. This position is responsible for responding to inquires from internal and external partners for the research of and resolution of claim issues. Additionally, this position serves as a subject matter expert resource for coworkers and other departments.
**Responsibilities**
+ Work in Medicare, Commercial and Health Insurance Marketplace (HIM) integrity lines of business to ensure strict adherence to unique guidelines and regulations for each
+ Monitor and respond appropriately to incoming inquiries related to specific process or support systems (e.g. claim adjudication system) Escalate issues when appropriate
+ Partner with Prime's clients to produce and execute corrective measures found in key service offerings
+ Process authorizations to meet HIPAA/privacy and CMS requirements
+ Sorts, researches and processes daily internal and external documents received by the mailroom.
+ Assist with RxClaim Release user acceptance testing and reporting
+ Serve as a subject matter expert (SME) resource for other departments
+ Other duties as assigned
**Minimum Qualifications**
+ High school diploma from accredited institution or equivalent GED
+ 1 year of claims experience
+ Must be eligible to work in the United States without need for work visa or residency sponsorship
Must be eligible to work in the United States without the need for work visa or residency sponsorship
**Additional Qualifications**
+ Experience with Microsoft Office products
+ Strong written and verbal communication skills
+ Strong organizational skills
+ Ability to work independently
+ Strong attention to detail with ability to perform with high degree of accuracy
+ Ability to prioritize and handle multiple tasks simultaneously
**Preferred Qualifications**
+ 2+ years of experience in claims, insurance, or healthcare
+ Extensive experience using Excel spreadsheets
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at or email
Claims Specialist II
Posted 2 days ago
Job Viewed
Job Description
1 week ago Be among the first 25 applicants
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TrueNorth is seeking a Senior Claims Specialist to join our Risk & Workforce Solutions team, based in either our Cedar Rapids, IA or West Des Moines, IA office. We use our core values of Exceptionalism, Collaboration and Resourcefulness to enthusiastically serve our clients, colleagues and communities. Our ideal candidates are hungry, humble and smart!
About TrueNorth Companies
Our clients face great risk and big opportunities. They seek leadership, integrity and real results. For twenty years, TrueNorth has met our clients' needs by providing innovative strategies and a personal connection to those we serve. Our integrated platform of risk management, employee benefits and personal financial strategies creates a multifaceted approach to address today's ever-changing complexities. Come join our amazing team!
What TrueNorth Offers
TrueNorth offers a lineup of excellent benefits to all full-time employees, including:
- Annual Bonus
- Medical, Dental, Vision
- 401k with Company Contributions
- Responsible Time Off (RTO)
- 11 Paid Holidays
- Company-paid Life and Disability Coverage
- Paid Volunteer Time Off
- Donation Match Program
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Wellness Program with Financial Incentives/Discounts
- Hybrid Work Schedule
Essential Job Functions
- Proactively communicate with clients and insurance carriers, providing regular updates on claim status and advocacy efforts.
- Assist clients across various industries in preparing accurate claims documentation and educating them on the claims process.
- Manage complex, severe, and catastrophic claims, collaborating with the loss prevention team to identify trends and recommend best practices.
- Review claim status, action plans, and reserves, leveraging claims expertise to achieve favorable outcomes for all parties involved.
- Provide recommendations to clients and insurance carriers on strategies to achieve superior claims outcomes.
- Develop and implement claims resolution processes and procedures to enhance efficiency and effectiveness.
- Facilitate claim reviews, engage in problem-solving techniques, and ensure transparency in expectations with clients.
- Perform research on policies, legal statutes, case law, and coverage details to determine appropriate coverage for claims.
- Complete onboarding of new clients and adjustments to existing insurance programs, ensuring awareness of claims requirements.
- Mentor team members and participate in ongoing training, while maintaining high standards of client service, including up to 30% travel.
- Perform other duties as assigned
- High School diploma or GED required, two or four-year degree preferred.
- A two-year or four-year degree preferred.
- 8 years of work experience in a claims role is preferred.
- Prior experience with multi-lines commercial claims is preferred, in addition to agency experience, and familiarity of litigation procedures, mediations and other ADR (Alternative Dispute Resolution) strategies
- AIC, or SCLA designations preferred.
- Commercial Property & Casualty license not required at time of hire, but must be obtained within first 90 days of employment.
- Strong analytical skills with the ability to interpret and communicate data or statistical findings
- Ability to provide constructive support and positive feedback to encourage team growth
- Forward-thinking mindset to anticipate opportunities and potential challenges
- Ability to work independently with minimal direction
- Strong coaching and development skills to advise, guide, and train others
We are a company focused on developing our people and growing the business. We offer a competitive benefit package, wellbeing programs and incentives, and a positive work culture.
TrueNorth is honored to be recognized by the Corridor Business Journal as one of the Coolest Places to Work!
Click here to view a video about TrueNorth's Core Values & what they mean to us.
TrueNorth makes all employment-related decisions on the basis of qualifications, merit, and business need, and does not discriminate against any applicant on the basis of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other category protected local, state or federal laws.
Apply today! Seniority level
- Seniority level Mid-Senior level
- Employment type Full-time
- Job function Finance and Sales
- Industries Insurance
Referrals increase your chances of interviewing at TrueNorth Companies, L.C. by 2x
Get notified about new Senior Claims Specialist jobs in West Des Moines, IA .
Claims Senior Specialist (Annuity Death Claims)Des Moines, IA $95,000 - $05,000 2 weeks ago
Sr. Claim Specialist Third Party Bodily Injury/Property Damage Field Claims Specialist III, Property (Flex Claims Professional) - 5000 Sign-on Bonus Large Loss Commercial Property General Adjuster Senior Training Specialist-Property ClaimsWere unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-LjbffrClaims Specialist Sr
Posted 4 days ago
Job Viewed
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Claims Specialist Sr
Job Description
The Claims Specialist is responsible for assisting in the ongoing operational support of Prime key service offerings. This position is responsible for responding to inquires from internal and external partners for the research of and resolution of claim issues. Additionally, this position serves as a subject matter expert resource for coworkers and other departments.
Responsibilities
-
Work in Medicare, Commercial and Health Insurance Marketplace (HIM) integrity lines of business to ensure strict adherence to unique guidelines and regulations for each
-
Monitor and respond appropriately to incoming inquiries related to specific process or support systems (e.g. claim adjudication system) Escalate issues when appropriate
-
Partner with Prime's clients to produce and execute corrective measures found in key service offerings
-
Process authorizations to meet HIPAA/privacy and CMS requirements
-
Sorts, researches and processes daily internal and external documents received by the mailroom.
-
Assist with RxClaim Release user acceptance testing and reporting
-
Serve as a subject matter expert (SME) resource for other departments
-
Other duties as assigned
Minimum Qualifications
-
High school diploma from accredited institution or equivalent GED
-
1 year of claims experience
-
Must be eligible to work in the United States without need for work visa or residency sponsorship
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
-
Experience with Microsoft Office products
-
Strong written and verbal communication skills
-
Strong organizational skills
-
Ability to work independently
-
Strong attention to detail with ability to perform with high degree of accuracy
-
Ability to prioritize and handle multiple tasks simultaneously
Preferred Qualifications
-
2+ years of experience in claims, insurance, or healthcare
-
Extensive experience using Excel spreadsheets
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. ? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at or email
Integrated Absence Claims Specialist
Posted today
Job Viewed
Job Description
Alternate Locations: Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona); Work from Home
Work Arrangement:
Remote : Work at home employee residing outside of a commutable distance to an office location.
Relocation assistance: is not available for this opportunity.
Requisition #: 75048
The Role at a Glance
We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization.
As an Integrated Absence Claims Specialist, you will manage a workload of Short-Term Disability claims and their associated leaves. You will be responsible for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training to develop new skills and give you the confidence you need to be successful in your new role. If you enjoy working in a fast-paced team environment from the comfort of your own home, then please read on!
Learn more about a Day in the Life ( of a Claims Specialist at Lincoln Financial Group!
What you'll be doing
-
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Short Term Disability Claims, Family Medical Leaves, and state benefits when applicable.
-
Collaborating with fellow case managers, nurse case managers and consulting physicians to make appropriate and timely claim determinations.
-
Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning
-
Completing accurate financial calculations consistent with company and state guidelines.
What we're looking for
Must haves:
High School diploma or GED
-
1-2 years of experience in claims, leaves, or customer service
-
Strong written and verbal communication skills
-
Excellent organization skills with the ability to multi-task
-
Experience with disability and/or absence management claims
Nice to haves:
- Strong mathematical skills for payment calculations
Application Deadline
Applications for this position will be accepted through Friday, October 3rd, 2025, subject to earlier closure due to applicant volume.
What's it like to work here?
At Lincoln Financial, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.
What's in it for you:
-
Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes
-
Leadership development and virtual training opportunities
-
PTO/parental leave
-
Competitive 401K and employee benefits (
-
Free financial counseling, health coaching and employee assistance program
-
Tuition assistance program
-
Work arrangements that work for you
-
Effective productivity/technology tools and training
The pay range for this position is $25.51 - $34.01 with anticipated pay for new hires between the minimum and midpoint of the range and could vary above and below the listed range as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln's total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln's standard benefits package.
About The Company
Lincoln Financial (NYSE: LNC) helps people to confidently plan for their version of a successful future. We focus on identifying a clear path to financial security, with products including annuities, life insurance, group protection, and retirement plan services.
With our 120-year track record of expertise and integrity, millions of customers trust our solutions and service to help put their goals in reach.
Lincoln Financial Distributors, a broker-dealer, is the wholesale distribution organization of Lincoln Financial. Lincoln Financial is the marketing name for Lincoln Financial Corporation and its affiliates including The Lincoln National Life Insurance Company, Fort Wayne, IN, and Lincoln Life & Annuity Company of New York, Syracuse, NY. Lincoln Financial affiliates, their distributors, and their respective employees, representatives and/or insurance agents do not provide tax, accounting or legal advice.
Lincoln is committed to creating an inclusive ( environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Follow us on Facebook ( , X ( , LinkedIn ( , Instagram ( , and YouTube ( . For the latest company news, visit our newsroom ( .
Be Aware of Fraudulent Recruiting Activities
If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.
Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at if you encounter a recruiter or see a job opportunity that seems suspicious.
Additional Information
This position may be subject to Lincoln's Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln's current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.
Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial are considered property of Lincoln Financial and are not subject to payment of agency fees.
Lincoln Financial ("Lincoln" or "the Company") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex, age, national origin or disability. Opportunities throughout Lincoln are available to employees and applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling .
This Employer Participates in E-Verify. See the E-Verify ( notices.
Este Empleador Participa en E-Verify. Ver el E-Verify ( avisos.
Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.
Liability Claims Specialist - Remote
Posted 4 days ago
Job Viewed
Job Description
We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team.
This role will provide high quality claims handling and expertise for all CRS customers. This includes investigating, communicating, evaluating, and resolving auto and general liability claims utilizing the CRS Best Practice of Claim Handling.
Essential Responsibilities:
- Articulate and assess coverage for commercial auto and commercial general liability claims.
- Adjudication of claims. Investigate bodily injury/liability claims and negotiate settlements when applicable, utilizing our "Best Practices for Claims." Enter and maintain accurate loss information on a computer system during the claim process.
- Set and maintain accurate reserves within reserve authority. Negotiate and process interim and final settlements, within settlement authority.
- Research information for responding to questions and complaints posed by our insured's, claimants, agency partners and fronting carriers.
- Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
- Experience: 2+ years of exposure in the liability claims field. Prior agency involvement preferred.
- Licensing: Active adjusters license required
- Skills: An ideal candidate should have a fundamental understanding of general and auto liability coverages, along with knowledge of claims processing procedures. Must be able to handle confidential matters with discretion and exercise independent judgment. Proficiency in typing and using various software packages, including Maverick, is also required.
- Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
- Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
- Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
- 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
- Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
- Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
- DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
- Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
- Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that!
Holmes Murphy & Associates is an Equal Opportunity Employer.
The salary range for this role is $45,00 - $78,000. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.
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Integrated Absence Claims Specialist
Posted 1 day ago
Job Viewed
Job Description
**Work Arrangement:**
Remote : Work at home employee residing outside of a commutable distance to an office location.
**Relocation assistance:** is not available for this opportunity.
**Requisition #:** 75048
**The Role at a Glance**
We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization.
As an Integrated Absence Claims Specialist, you will manage a workload of Short-Term Disability claims and their associated leaves. You will be responsible for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training to develop new skills and give you the confidence you need to be successful in your new role. If you enjoy working in a fast-paced team environment from the comfort of your own home, then please read on!
Learn more about a Day in the Life ( of a Claims Specialist at Lincoln Financial Group!
**What you'll be doing**
+ Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Short Term Disability Claims, Family Medical Leaves, and state benefits when applicable.
+ Collaborating with fellow case managers, nurse case managers and consulting physicians to make appropriate and timely claim determinations.
+ Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning
+ Completing accurate financial calculations consistent with company and state guidelines.
**What we're looking for**
Must haves:
High School diploma or GED
+ 1-2 years of experience in claims, leaves, or customer service
+ Strong written and verbal communication skills
+ Excellent organization skills with the ability to multi-task
+ Experience with disability and/or absence management claims
Nice to haves:
+ Strong mathematical skills for payment calculations
**Application Deadline**
Applications for this position will be accepted through Friday, October 3rd, 2025, subject to earlier closure due to applicant volume.
**What's it like to work here?**
At Lincoln Financial, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.
**What's in it for you:**
+ Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes
+ Leadership development and virtual training opportunities
+ PTO/parental leave
+ Competitive 401K and employee benefits ( Free financial counseling, health coaching and employee assistance program
+ Tuition assistance program
+ Work arrangements that work for you
+ Effective productivity/technology tools and training
The pay range for this position is $25.51 - $34.01 with **anticipated pay for new hires between the minimum and midpoint of the range** and could vary above and below the listed range as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln's total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln's standard benefits package.
**About The Company**
Lincoln Financial (NYSE: LNC) helps people to confidently plan for their version of a successful future. We focus on identifying a clear path to financial security, with products including annuities, life insurance, group protection, and retirement plan services.
With our 120-year track record of expertise and integrity, millions of customers trust our solutions and service to help put their goals in reach.
Lincoln Financial Distributors, a broker-dealer, is the wholesale distribution organization of Lincoln Financial. Lincoln Financial is the marketing name for Lincoln Financial Corporation and its affiliates including The Lincoln National Life Insurance Company, Fort Wayne, IN, and Lincoln Life & Annuity Company of New York, Syracuse, NY. Lincoln Financial affiliates, their distributors, and their respective employees, representatives and/or insurance agents do not provide tax, accounting or legal advice.
Lincoln is committed to creating an inclusive ( environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Follow us on Facebook ( , X ( , LinkedIn ( , Instagram ( , and YouTube ( . For the latest company news, visit our newsroom ( .
**Be Aware of Fraudulent Recruiting Activities**
If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.
Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at if you encounter a recruiter or see a job opportunity that seems suspicious.
**Additional Information**
This position may be subject to Lincoln's Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln's current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.
Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial are considered property of Lincoln Financial and are not subject to payment of agency fees.
Lincoln Financial ("Lincoln" or "the Company") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex, age, national origin or disability. Opportunities throughout Lincoln are available to employees and applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling .
This Employer Participates in E-Verify. See the E-Verify ( notices.
Este Empleador Participa en E-Verify. Ver el E-Verify ( avisos.
Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.
Workers Compensation Claims Specialist, CRS
Posted 8 days ago
Job Viewed
Job Description
We are seeking a dedicated Workers Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in FL, NC, KY, TN, VA, MD and possess strong claims handling skills.
Key Responsibilities- Receive, gather, and accurately transmit workers compensation information from communications with the insured, claimants, and internal staff in a timely manner.
- Investigate, evaluate, and resolve lost time Workers Compensation claims, including litigated claims.
- Mediates situations between the insured and insurance company, including researching coverage issues, with minimal supervision.
- Enter and maintain accurate claim information in the computer system, including final settlement details.
- Generate checks for indemnity and medical payments daily.
- Develop and ensure consistency in claims handling procedures within CRS.
- Willingness to obtain necessary licensing in relevant jurisdictions.
- High school diploma required; college degree preferred. Technical designations like AIC and CPCU encouraged.
- 3-5 years of claims experience, especially in Workers Compensation.
- Active state-specific Workers Compensation License required or ability to acquire within three months.
- Proficient knowledge of Workers Compensation insurance coverage and claims processing; ability to adapt to multiple jurisdictions and software programs.
- Strong understanding of claims principles, practices, and insurance coverage interpretation; problem-solving skills, relationship building, and collaboration abilities.
Creative Risk Solutions is a leader in innovative risk management, specializing in claims management, loss control, and risk consulting. We prioritize excellence, integrity, and creating value through proactive strategies.
Benefits- Comprehensive health, dental, and vision coverage.
- Paid Parental Leave and support for new parents.
- Company-paid continuing education and tuition reimbursement.
- 401(k) profit sharing, with annual contributions from Holmes Murphy.
- Generous paid time off, holidays, and community engagement opportunities.
- DE&I programs, including paid Diversity Day, a Chief Diversity Officer, and employee resource groups.
- Merit-based promotions and discretionary bonuses.
Holmes Murphy & Associates is an Equal Opportunity Employer.
Additional Details- Seniority level: Mid-Senior level
- Employment type: Full-time
- Job function: Human Resources
- Industry: Insurance
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Senior Liability Claims Specialist Supervisor
Posted 14 days ago
Job Viewed
Job Description
We are looking to add a Sr. Liability Claims Specialist, Supervisor to join our Creative Risk Solutions team, located in our Waukee office. This team member will provide high-quality claims handling oversight and expertise for CRS customers on litigated and complex claims. Assist staff with investigating, evaluating, resolving claims, and career development. We offer a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Creative Risk Solutions!
Essential Responsibilities:
• Adjudicate claims as needed, investigate, negotiate settlements, and maintain accurate documentation.
• Monitor claims, especially in litigation, ensuring timely responses and adherence to "Best Practices for Claims."
• Research and respond to inquiries from insureds, claimants, agency partners, and carriers.
• Meet with clients to discuss complex claims and coverage issues.
• Maintain open communication with customers and fronting carriers.
• Assist staff with litigation management and decision-making.
Management Responsibilities:
• Ensure appropriate talent placement, coach team members, conduct performance feedback, and support career development.
• Manage timesheets, PTO requests, and participate in compensation decisions.
• Facilitate team meetings, attend internal and external training, and coordinate ongoing training.
Additional Responsibilities :
• Set regular file review diaries and meet with staff monthly for performance enhancement.
• Conduct quarterly team meetings and help staff set and monitor annual goals.
• Participate in round tables, train and mentor team members, and serve on company committees.
• Encourage subrogation and fraud identification, participate in claim reviews and Risk Control Workshops.
• Mediate between insureds and insurance companies, interpret reports, and use data to drive change.
Qualifications:
• Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Licensing: Active state specific Life & Health/Property Casualty Insurance agent's license required or the ability to acquire license within three months of hire.
• Experience: 7+ years of adjusting property and casualty claims, including litigated claims. Prior agency, loss control or carrier experience preferred. Prior supervisory experience preferred
• Skills & Technical Competencies: Knowledge of General and Auto Liability coverages and claims processing procedures. Ability to work independently and in a team, perform complex mathematical calculations, and manage multiple tasks. Knowledge of state insurance regulations, ability to pass licensing exams, and commitment to ongoing education. Contributes to workflows while utilizing resources to deliver a world-class client experience and ensure compliance. Fosters relationships by understanding relevant parties, prioritizing problem-solving, and collaborating to deliver impactful solutions.
Here's a little bit about us:
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
• Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
• Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
• 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
• Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
• DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
• Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
• Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that!
Holmes Murphy & Associates is an Equal Opportunity Employer.
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