2,656 Insurance Claims jobs in the United States

Insurance Claims Specialist

Snaggle Dental

West Monroe, LA 71291

Job details

Salary: Starting from $16.00-$20.00/hourly

Pay is based on experience and qualifications.

**incentives after training vary and are based on performance

Job Type: Full-time

Full Job Description

With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!

Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL:

Qualifications

• High school or equivalent (Required)
• Takes initiative.
• Has excellent verbal and written skills.
• Ability to manage all public dealings in a professional manner.
• Ability to recognize problems and problem solve.
• Ability to accept feedback and willingness to improve.
• Ability to set goals, create plans, and convert plans into action.
• Is a Brand ambassador, both in and outside of the facility.

Benefits offered for Full-time Insurance Claims Specialists:

• Medical, Dental, Vision Benefits
• Dependent Care & Healthcare Flexible Spending Account
• Simple IRA With Employer Match
• Basic Life, AD&D & Supplemental Life Insurance
• Short-term & Long-term Disability

Perks & Rewards for Full-time Insurance Claims Specialists:

• Competitive pay + bonus
• Paid Time Off & Sick time
• 6 paid Holidays a year

Job Summary:

Join our dynamic team as an Insurance Claims Specialist. In this role, you will play a crucial part in analyzing and processing insurance claims to determine insurance carrier liabilities while upholding our company’s mission and values. Your primary responsibilities will include efficient adjudication of claims, clear communication with insured parties, travel suppliers, medical facilities, and compliance with all state Department of Insurance regulations. Some weekend work may be required. This position reports to the Claims Supervisor.

Principal Duties and Responsibilities:

Claims Processing and Coordination

1. Process assigned claims promptly, accurately, and efficiently while following established policies and best practices.
2. Review claim forms, Physician Statements, and documentation to validate completeness.
3. Communicate with insured individuals, healthcare providers, agents, and other necessary parties to obtain proper documentation and resolve claims.
4. Maintain accurate reserves for each claim file.
5. Ensure comprehensive file documentation is collected and retained, including all correspondence.
6. Investigate claims and coordinate with outside adjusters and investigators as required.
7. Issue denial of benefits letters when necessary.
8. Manage attorney-represented claims effectively.
9. Address and respond to Department of Insurance complaint letters.
10. Respond to inquiries related to claims status both via written and phone communication.
11. Ensure timely and accurate payment issuance.
12. Consistently apply current Federal and State insurance regulations across all jurisdictions.

Customer Service

1. Provide clear responses to internal and external customer inquiries regarding coverage and policy information.

Teamwork and Department Support

1. Assist in mentoring and training new employees as needed.
2. Take on additional assignments or special projects as directed by management.

Required / Desired Knowledge, Experiences, and Skills:

1. Exceptional verbal and written communication, problem-solving, and organizational skills.
2. Strong reading, writing, comprehension, and proofreading abilities.
3. Familiarity with standard practices, regulations, and laws in the insurance field is preferred.
4. Bilingual proficiency in English and Spanish (verbal, reading, and writing) is a plus.

Education/Certifications:

1. High School Diploma or equivalent is required; a Bachelor's degree from an accredited institution is a plus.
2. Prior experience in claims processing and customer service is highly preferred.

Physical Working Environment:

This role requires the ability to stand, walk, and sit for extended periods. The employee will use hands for grasping and handling and may need to lift or move up to 10 pounds frequently and up to 25 pounds occasionally. Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

The above statements describe the general nature of work involved in this role and are not intended to be an exhaustive list of all responsibilities, duties, and skills necessary for employees in this classification.

Description Robert Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team.
Opportunity Overview:
We are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in understanding the complexities of claim denials, drafting appeal letters, and ensuring the reimbursement process operates smoothly. The position demands a commitment of 40 hours per week.
Key ResponsibIlities:
Conduct thorough healthcare AR follow-up, focusing on prompt reimbursement.
Skillfully handle the collection of insurance claims, ensuring accuracy and completeness.
Execute comprehensive claims processing, proactively addressing potential denial factors.
Demonstrate expertise in identifying and resolving issues leading to claim denials.
Draft persuasive appeal letters to challenge and rectify denied claims.
Stay informed about industry changes and insurance regulations affecting claims processing.
Qualifications:
Proven experience in healthcare claims processing, with a deep understanding of industry best practices.
Proficient knowledge of insurance claim collection procedures.
Familiarity with the intricacies of claim denial factors and effective resolution strategies.
Exceptional skills in drafting compelling appeal letters.
Available to commence work in March with a commitment of 40 hours per week.
Additional Details:
Familiarity with relevant healthcare coding systems is preferred.
Ability to navigate and utilize healthcare information systems effectively.
Understanding of healthcare compliance regulations and privacy laws.
Strong analytical skills to identify patterns and trends in claim denials.
Collaborative approach to work, ensuring seamless coordination with other healthcare professionals.
To express your interest in this role or to obtain further information, please reach out to us directly at ( . We are eager to discuss this exciting opportunity with you. Requirements - Proven experience in medical insurance claims processing.
- Strong knowledge of insurance claim collection procedures.
- Expertise in identifying and resolving claim denial factors.
- Exceptional ability to draft persuasive appeal letters.
- Familiarity with healthcare coding systems and information systems.
- Understanding of healthcare compliance regulations and privacy laws.
- Excellent analytical skills for identifying patterns in claims data.
- Availability to work consistent hours starting in March.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values honesty, integrity, loyalty and service define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Injury Examiner , you will be responsible to adjust complex bodily injury claims, UM/UIM, and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy.

This hybrid role requires an individual to be in the office 3 days per week . This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Chesapeake, VA or Tampa, FL . Relocation assistance is not available for this position.

What you'll do:

• Adjusts complex auto and homeowner bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims.
• Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
• Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates.
• Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.
• Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
• Serves as a resource for team members on complex claims.
• Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication.
• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
• May be assigned CAT deployment travel with minimal notice during designated CATs.
• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or General Equivalency Diploma.
• 4 years auto claims and injury adjusting experience.
• Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.
• Advanced negotiation, investigation, communication, and conflict resolution skills.
• Demonstrated strong time-management and decision-making skills.
• Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
• Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims.
• Ability to exercise sound financial judgment and discretion in handling insurance claims.
• Advanced knowledge of coverage evaluation, loss assessment, and loss reserving.
• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

What sets you apart:

• 2 or more years of catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality)
• Experience handling UM/UIM injury claims
• College Degree (Bachelors or higher).
• Insurance Designation.
• US military experience through military service or a military spouse/domestic partner

Compensation range: The salary range for this position is: $85,040 - $162,550.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values honesty, integrity, loyalty and service define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Injury Examiner , you will be responsible to adjust complex bodily injury claims, UM/UIM, and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy.

This hybrid role requires an individual to be in the office 3 days per week . This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Chesapeake, VA or Tampa, FL . Relocation assistance is not available for this position.

What you'll do:

• Adjusts complex auto and homeowner bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims.
• Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
• Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates.
• Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.
• Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
• Serves as a resource for team members on complex claims.
• Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication.
• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
• May be assigned CAT deployment travel with minimal notice during designated CATs.
• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or General Equivalency Diploma.
• 4 years auto claims and injury adjusting experience.
• Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.
• Advanced negotiation, investigation, communication, and conflict resolution skills.
• Demonstrated strong time-management and decision-making skills.
• Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
• Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims.
• Ability to exercise sound financial judgment and discretion in handling insurance claims.
• Advanced knowledge of coverage evaluation, loss assessment, and loss reserving.
• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

What sets you apart:

• 2 or more years of catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality)
• Experience handling UM/UIM injury claims
• College Degree (Bachelors or higher).
• Insurance Designation.
• US military experience through military service or a military spouse/domestic partner

Compensation range: The salary range for this position is: $85,040 - $162,550.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

**Job Description:**
DXC Technology (NYSE: DXC) helps global companies run their mission-critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and scalability across public, private, and hybrid clouds. The world's largest companies and public sector organizations trust DXC to deploy services across the Enterprise Technology Stack to drive performance, competitiveness, and enhanced customer experience. Learn more at DXC.com .
At DXC, we harness the power of technology to deliver mission-critical IT services that enable our customers to modernize operations and drive innovation across their IT ecosystems. Our portfolio spans business process outsourcing, insurance services, analytics and engineering, applications, security, cloud, IT outsourcing, and the modern workplace.
Our **Insurance Services practice** helps clients transform and streamline operations, reduce costs, and create scalable, agile platforms for growth. We specialize in automating complex middle- and back-office processes while delivering meaningful improvements in customer experience.
**Required Qualifications**
+ Services Life & Annuity Customer Care customer requests received via incoming phone calls and written correspondence.
+ Proven ability to diffuse escalated situations through ownership of effectively analyzing, partnering and resolving complex customer related issues.
+ Proven ability to rely on pre-established guidelines to perform the primary functions of the job with minimal supervision.
+ Focused on providing outstanding service delivery through effective communication with our customers on the telephone and via written correspondence.
+ Initiates daily contact with our internal and external customers, working to simplify and explain complexities of our products & processes.
+ Responsible for maintaining accurate product & process knowledge as well as staying abreast of regulatory updates.
+ Review, analyze and process written requests and documents as required.
+ Updates and ensures integrity of customer accounts including history.
+ Educates customers about their products features as well as self-service functionality via the IVR and web.
+ Perform at or above individual quality, productivity and timeliness standards set by the business.
**Preferred Qualifications**
+ Demonstrates consistent ownership and initiative in call follow-up, documentation, & work item management.
+ Able to achieve positive team goals and results by adaptation to varying work schedules, improving through feedback, participating in teams and maintaining strong/ongoing relationships with customers and teammates.
+ General Insurance background
**Work Enviroment**
+ **Work Schedule:** Monday - Friday, standard business hours (8:00 AM - 5:00 PM EST).
Compensation at DXC is influenced by an array of factors, including but not limited to the experience, job-related knowledge, skills, competencies, as well as contract-specific affordability and organizational requirements. A reasonable estimate of the current compensation range for this position is $31,800 - $52,000.
Full-time hires are eligible to participate in the DXC benefit program. DXC offers a comprehensive, flexible, and competitive benefits program which includes, but is not limited to, health, dental, and vision insurance coverage; employee wellness; life and disability insurance; a retirement savings plan, paid holidays, paid time off.
At DXC Technology, we believe strong connections and community are key to our success. Our work model prioritizes in-person collaboration while offering flexibility to support wellbeing, productivity, individual work styles, and life circumstances. We're committed to fostering an inclusive environment where everyone can thrive.
**If you are an applicant from the United States, Guam, or Puerto Rico**
DXC Technology Company (DXC) is an Equal Opportunity employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by law. View postings below.
We participate in E-Verify. In addition to the posters already identified, DXC provides access to prospective employees for the **Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters** . To access the postings in the link below, select your state to view all applicable federal, state and locality postings. Postings are available in English, and in Spanish, where required. View postings below.
Postings link ( Accommodations**
If you are an individual with a disability, a disabled veteran, or a wounded warrior and you are unable or limited in your ability to access or use this site as a result of your disability, you may request a reasonable accommodation by contacting us via email ( ) .
Please note: DXC will respond only to requests for accommodations due to a disability.
Recruitment fraud is a scheme in which fictitious job opportunities are offered to job seekers typically through online services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to provide personal information or to make payments as part of their illegitimate recruiting process. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf. More information on employment scams is available here _._

Job Description

Job Description

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Summary
The Construction / Mitigation Estimator is responsible for managing a wide range of functions necessary to successfully obtain, bid, and price construction projects. This position requires the ability to write estimates using Exactimate software. The estimator must have at least two years of experience using Exactimate to create accurate and detailed estimates. The estimator is responsible for creating an accurate scope of work, delivering a consistent and complete estimate, and maintaining a high quality of service in all dealings with customers, vendors, clients, and resource providers involved in construction and mitigation services.


Primary Responsibilities
Establish customer relationships for construction services

Educate customer on the construction process

Work with customers to understand desired upgrades/changes

Ensure that estimates meet client requirements

Analyze labor, material, and time requirements for a project

Create an accurate sketch and initial scope of work for construction projects

Deliver a consistent and well-defined initial estimate

Recognize project constraints and/or needed upgrades

Work with Construction Manager to price bid items, if needed

Identify and document finalized project scope of work

Work with outside resources as necessary to complete accurate estimate (i.e., Structural Engineers, ITEL, Electrical Inspectors, etc.)

Assemble accurate and well-organized estimates

Deliver and communicate estimate to Construction Manager


Education and Experience Requirements
BA in engineering, construction science or similar relevant field preferred

2 years previous construction estimating and/or insurance adjusting experience

Superb customer service

Effective written and oral communication
Proficient use of Xactimate estimating software
Critical thinking and problem-solving skills
Team Player

Physical and Work Environment Requirements
Walking and/or standing throughout the day

Frequent driving and sitting

Occasionally climbing ladders

The employee is occasionally exposed to extreme conditions such as heat

The noise level at individual jobsites can be loud


Normal Working Hours, Additional Working Hours, and Travel Requirements
This is a full-time position, working hours varying between 8:00 a.m. and 5:00 p.m., MondayFriday, 40 hours per week minimum. This position frequently requires long hours, working on-call, and weekend work. Travel is required and is primarily local. However, some out-of-area and overnight travel may be expected.

The contents of this Job Description have been discussed with me and I have received a copy. I understand that this document is general in nature and responsibilities required may be amended from

Our client is seeking a diligent and customer-focused Insurance Claims Adjuster to join their team. While the company operates across various locations, this role is based in Washington, D.C., US and offers a hybrid work model, blending remote flexibility with essential on-site responsibilities. You will be responsible for investigating, evaluating, and negotiating insurance claims to ensure fair and prompt resolution for policyholders. Key responsibilities include interviewing claimants and witnesses, inspecting damaged property, reviewing policy coverage, and determining liability. The ideal candidate will possess excellent communication skills, strong analytical abilities, and a deep understanding of insurance policies and legal requirements. You will need to manage a caseload efficiently, maintain accurate records, and provide exceptional customer service throughout the claims process.
Responsibilities:

• Investigate insurance claims by gathering information, interviewing parties involved, and inspecting property damage.
• Analyze policy coverage, determine liability, and assess the extent of damages.
• Negotiate settlements with claimants, attorneys, and other parties involved in the claims process.
• Prepare detailed reports documenting investigation findings, damage assessments, and settlement recommendations.
• Maintain accurate and organized claim files, ensuring all documentation is complete.
• Provide clear and timely communication to policyholders regarding claim status and next steps.
• Adhere to all relevant insurance laws, regulations, and company policies.
• Identify potential fraud or subrogation opportunities.
• Collaborate with legal counsel, repair specialists, and other experts as needed.
• Contribute to the continuous improvement of claims handling processes.

Qualifications:

• Bachelor's degree in Business Administration, Finance, or a related field.
• Minimum of 3 years of experience as an insurance claims adjuster.
• Possession of relevant state adjuster licenses (or willingness to obtain them).
• Strong knowledge of insurance policies, coverage types, and claims procedures.
• Excellent investigative, analytical, and negotiation skills.
• Exceptional written and verbal communication skills.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to manage time effectively and handle a caseload of claims.
• Strong customer service orientation.
• Ability to work effectively in both remote and on-site environments.

This role is an excellent opportunity to advance your career in the insurance industry with a reputable organization.

Our client is seeking a detail-oriented and professional Insurance Claims Adjuster to manage claims efficiently in **Minneapolis, Minnesota, US**. This role involves investigating insurance claims, determining coverage, negotiating settlements, and ensuring compliance with company policies and regulatory requirements. You will be responsible for examining policy details, gathering evidence, interviewing claimants and witnesses, and assessing damages. The ideal candidate will possess strong analytical skills, excellent communication abilities, and a thorough understanding of insurance principles and practices. Experience with claims management software is beneficial. You should be adept at resolving disputes and negotiating settlements in a fair and timely manner. This position requires a high degree of integrity, organizational skills, and the ability to manage a caseload effectively. You will work with various stakeholders, including policyholders, legal counsel, and repair professionals. This is an excellent opportunity to build a career in the financial services sector, contributing to the equitable resolution of insurance claims.
Responsibilities:

• Investigate insurance claims to determine coverage and liability.
• Gather necessary documentation, including police reports, medical records, and repair estimates.
• Interview claimants, witnesses, and other involved parties.
• Assess damages and determine the extent of the insurer's liability.
• Negotiate settlements with claimants and their representatives.
• Prepare detailed claims reports and documentation.
• Ensure compliance with company policies and industry regulations.
• Manage a caseload of claims efficiently and effectively.
• Maintain accurate and up-to-date records in the claims management system.
• Provide excellent customer service to policyholders throughout the claims process.
• Collaborate with legal counsel and other experts as needed.

Qualifications:

• Bachelor's degree in Business Administration, Finance, or a related field.
• Valid state adjuster's license or ability to obtain one.
• Minimum of 2 years of experience in insurance claims adjusting.
• Strong knowledge of insurance policies, procedures, and regulations.
• Excellent analytical, negotiation, and problem-solving skills.
• Proficiency in claims management software and MS Office Suite.
• Strong written and verbal communication skills.
• Ability to manage time effectively and prioritize tasks.
• High level of integrity and professionalism.