2,845 Insurance Claims jobs in the United States

Job Description

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Specific Duties include:

Claims & Incident Management:

• Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
  • Input and/or review all incidents reported in DPRs RMIS system.
  • Maintain incident records in Insurance Teams document management system.
  • Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
• Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
• Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
• Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
• Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
• Provide in-network aluminum certified repair shop information to drivers following an incident.
• Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
• When required, notify the applicable States Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
• Work with Insurance Controller on auto program claim reports
• Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.

Fleet Vehicle Safety & Operations Policy Management :

• Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
• Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
• Ensure authorized driver list is kept current
• Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
• Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy

Key Skills:

• Strategic thinking
• Ability to mentor and inspire others
• Integrity
• Team player
• Strong writing and communication skills
• Self-Starter
• Highly organized and responsive ability to meet deadlines
• Detail Oriented
• Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
• Risk and dispute management insured claims

Qualifications :

• A minimum of five years relevant insurance industry experience
• Previous experience in auto claims management highly desired

DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.

Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity togetherby harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.

Explore our open opportunities at .

#J-18808-Ljbffr

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position.

Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Employs excellent customer service, oral and written communication skills to provide customer support and resolve issues that arise from customer inquiries. Supports the work of the department by completing reports and clerical duties as needed. Works with leadership and other team members to achieve best in class revenue cycle operations.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma or equivalent.

PREFERRED QUALIFICATIONS:

EXPERIENCE:

1. One (1) year medical billing/medical office experience.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Submits accurate and timely claims to third party payers.

2. Resolves claim edits and account errors prior to claim submission.

3. Adheres to appropriate procedures and timelines for follow-up with third party payers to ensure collections and to exceed department goals.

4. Gathers statistics, completes reports and performs other duties as scheduled or requested.

5. Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency.

6. Complies with Notices of Privacy Practices and follows all HIPAA regulations pertaining to PHI and claim submission/follow-up.

7. Contacts third party payers to resolve unpaid claims.

8. Utilizes payer portals and payer websites to verify claim status and conduct account follow-up.

9. Assists Patient Access and Care Management with denials investigation and resolution.

10. Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.

11. Attends department meetings, teleconferences and webcasts as necessary.

12. Researches and processes mail returns and claims rejected by the payer.

13. Reconciles billing account transactions to ensure accurate account information according to established procedures.

14. Processes billing and follow-up transactions in an accurate and timely manner.

15. Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital billing.

16. Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts.

17. Maintains work queue volumes and productivity within established guidelines.

18. Provides excellent customer service to patients, visitors and employees.

19. Participates in performance improvement initiatives as requested.

20. Works with supervisor and manager to develop and exceed annual goals.

21. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.

22. Communicates problems hindering workflow to management in a timely manner.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must be able to sit for extended periods of time.

2. Must have reading and comprehension ability.

3. Visual acuity must be within normal range.

4. Must be able to communicate effectively.

5. Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Office type environment.

SKILLS AND ABILITIES:

1. Excellent oral and written communication skills.

2. Working knowledge of computers.

3. Knowledge of medical terminology preferred.

4. Knowledge of business math preferred.

5. Knowledge of ICD-10 and CPT coding processes preferred.

6. Excellent customer service and telephone etiquette.

7. Ability to use tact and diplomacy in dealing with others.

8. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.

9. Ability to understand written and oral communication.

Additional Job Description:

Scheduled Weekly Hours:
40

Shift:

Exempt/Non-Exempt:
United States of America (Non-Exempt)

Company:
SYSTEM West Virginia University Health System

Cost Center:
544 SYSTEM Patient Financial Services

Address:
Morgantown WV

Core

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

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 ( .

Join a leading insurance provider as an Insurance Claims Adjuster Specialist in **Nashville, Tennessee, US**. This role requires a dedicated professional to manage and resolve insurance claims efficiently and empathetically. You will be the primary point of contact for policyholders, conducting thorough investigations, assessing damages, negotiating settlements, and ensuring timely claim resolution. This position is based in our **Nashville, Tennessee, US** office, offering direct engagement with clients and colleagues.

Responsibilities:

• Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing police reports and medical records.
• Assess the extent of damages or losses covered by insurance policies.
• Determine coverage based on policy terms and conditions.
• Negotiate settlements with policyholders and/or their representatives in a fair and timely manner.
• Prepare detailed claim reports, documenting all findings, actions taken, and settlement recommendations.
• Manage a caseload of claims from initial report to final resolution.
• Maintain accurate and up-to-date claim files in accordance with company procedures and regulatory requirements.
• Communicate effectively with policyholders, attorneys, medical providers, and other relevant parties.
• Identify potential fraud and escalate suspicious claims for further investigation.
• Stay informed about changes in insurance laws, regulations, and industry best practices.
• Attend industry training and professional development courses to enhance knowledge and skills.
• Represent the company in a professional and ethical manner at all times.
• Provide exceptional customer service to policyholders during a stressful time.
• Collaborate with underwriting and claims management teams on complex cases.
• Process payments and authorize repair or replacement of damaged property.

Qualifications:

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
• Relevant insurance adjuster licenses (state-specific, as required).
• Proven experience as a claims adjuster or in a similar role within the insurance industry.
• Strong understanding of insurance policies, claims procedures, and relevant legislation.
• Excellent investigative, analytical, and problem-solving skills.
• Exceptional negotiation and communication skills, both written and verbal.
• Proficiency in claims management software and standard office applications.
• Ability to work independently, manage time effectively, and meet deadlines.
• Strong attention to detail and accuracy in documentation.
• Empathy and ability to handle sensitive situations with professionalism and discretion.
• Willingness to travel occasionally for inspections or training as needed.
• A valid driver's license and a clean driving record.
• Commitment to upholding ethical standards and company values.

This role is ideal for someone who thrives in a fast-paced environment and is passionate about helping people navigate the complexities of insurance claims. Your expertise will be crucial in ensuring our clients receive the support and resolution they deserve.

This is an ONSITE position located on the EAST SIDE of Louisville, KY
Job Description
- Prepare & process various insurance claims, verifies data by conferring with appropriate agencies on a daily basis.
-Create & process electronic claims submission for various payers on a daily basis
-Research any error claims & make corrections and resubmit
-Reviews AR reports on a daily basis & performs follow up on delinquent accounts
-Receives, investigates, & responds to inquiries from payers and/or agencies concerning AR activity
-Maintains & develops AR schedules to track issues & resolutions
-Resolves all customer requests, inquiries, and concerns
Skills
customer service, prior authorization, collections accounts receivable, problem management
Additional Skills & Qualifications
+ 1+ year of prior billing experience on the PROVIDER side
+ Prior experience working with all payers - including Medicare and Medicaid
+ Experience working with rejections through a clearinghouse (ex. Availity or Waystar)
#priorityeast
Pay and Benefits
The pay range for this position is $18.50 - $19.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Louisville,KY.
Application Deadline
This position is anticipated to close on Oct 11, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Chevron is accepting online applications for the position **Insurance & Claims Analyst** through **10/17/2025** at **11:59 p.m.** **Central Time.**
We are looking for an Insurance Risk & Claims Analyst to serve in a high visibility role in our Corporate Insurance group.
As **Insurance Risk & Claims Analyst** you'll have responsibilities in these key areas:
1) Responsible for the management of third-party claim administrator handling of domestic liability claims and recovery claims as well as for the contracts and work orders that support these relationships. Serve as the subject matter expert for third-party liability claims including reporting, investigation and process oversight. Provide oversight to the TPA who manages and administers the Damage Recovery program for losses caused to company facilities and property; and
2) Provide assistance and support to Risk Managers and Associate Risk Managers in the design and implementation of Business Unit & Corporate insurance programs working with internal customers and external stakeholders (brokers and underwriters).
**Required Qualifications:**
+ 4-yr degree in business, economics or related field
+ 3+ years of experience in a claims handling or risk management environment for a large-scale manufacturer.
+ Fluency in coverage and claim evaluation.
+ Excellent communication skills.
+ Outstanding prioritization and organizational skills.
**Preferred Qualifications:**
+ Associate in Risk Management (ARM) or Chartered Property Casualty Underwriter (CPCU) is helpful, but not required.
+ Specialized knowledge in energy risk management or claims.
+ Bi-lingual fluency is helpful, but not required.
**What makes you stand out?**
+ Ability to build strong relationships and build rapport with internal colleagues and clients, adjusters, brokers, insurers and TPAs.
+ Self-starter, resourcefulness with the ability to see the big picture while not losing sight of the small details.
+ Having an interest in how your contributions help in achieving larger goals.
+ Great communicator with an appreciation for being proactive.
**What's in it for you?**
+ Gain exposure to key stakeholders and have the ability to make valuable business connections.
+ An opportunity for long term growth within a dynamic corporate function and larger enterprise.
+ Exceptional compensation and benefits, generous vacation and holiday package.
**Relocation Options:**
Relocation is not offered for this role. Only local candidates will be considered.
**International Considerations:**
Expatriate assignments **will not** be considered.
Chevron regrets that it is unable to sponsor employment Visas or consider individuals on time-limited Visa status for this position.
U.S. Regulatory notice:
Chevron is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, sex (including pregnancy), sexual orientation, gender identity, gender expression, national origin or ancestry, age, mental or physical disability, medical condition, reproductive health decision-making, military or veteran status, political preference, marital status, citizenship, genetic information or other characteristics protected by applicable law.
We are committed to providing reasonable accommodations for qualified individuals with disabilities. If you need assistance or an accommodation, please email us at .
Chevron participates in E-Verify in certain locations as required by law.
Chevron Corporation is one of the world's leading integrated energy companies. Through its subsidiaries that conduct business worldwide, the company is involved in virtually every facet of the energy industry. Chevron explores for, produces and transports crude oil and natural gas; refines, markets and distributes transportation fuels and lubricants; manufactures and sells petrochemicals and additives; generates power; and develops and deploys technologies that enhance business value in every aspect of the company's operations. Chevron is based in Houston, Texas. More information about Chevron is available at .
Chevron is an Equal Opportunity / Affirmative Action employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status, or other status protected by law or regulation.

**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 new levels of performance, competitiveness, and customer experience. Learn more about how we deliver excellence for our customers and colleagues at DXC.com.
At DXC we use the power of technology to deliver mission critical IT Services that our customers need to modernize operations and drive innovation across their entire IT estate. We provide services across the Enterprise Technology Stack for business process outsourcing, insurance, analytics and engineering, applications, security, cloud, IT outsourcing, and modern workplace.
Our DXC Insurance Services help our customers optimize and transform operations, lower costs, increase agile new channels to growth. Our people, technology and best practices improve and automate highly complex business processes middle and back offices- while facilitating customer experience transformation.
**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).
+ The selected candidate will be required to report to the nearest DXC office
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 _._

Our client is seeking a dedicated and meticulous Insurance Claims Adjuster to join their growing team. This role is based in Oklahoma City, Oklahoma, US , and requires the ability to conduct on-site investigations and client interactions. The ideal candidate will have a strong understanding of insurance policies, exceptional investigative skills, and a commitment to providing fair and efficient claim resolutions.

Responsibilities:

• Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documents.
• Determine the extent of liability and coverage based on policy terms and conditions.
• Assess damages and negotiate settlements with policyholders in a fair and timely manner.
• Prepare detailed reports documenting claim investigations, findings, and settlement recommendations.
• Maintain accurate and organized claim files, ensuring all documentation is complete.
• Stay informed about relevant insurance laws, regulations, and industry best practices.
• Communicate effectively with policyholders, attorneys, repair shops, and other parties involved in the claims process.
• Manage a caseload of claims efficiently, prioritizing tasks and meeting deadlines.
• Identify potential fraudulent claims and follow established procedures for investigation.
• Participate in ongoing training to enhance knowledge of insurance products and claims handling procedures.

Qualifications:

• High school diploma or equivalent; Bachelor's degree in Business, Finance, or a related field is preferred.
• Minimum of 2-3 years of experience as an insurance claims adjuster or in a related claims handling role.
• Valid state insurance adjuster license(s) as required.
• Strong understanding of various insurance policies (e.g., auto, property, casualty).
• Excellent investigative, analytical, and negotiation skills.
• Proficiency in claims management software and standard office applications.
• Exceptional communication, interpersonal, and customer service skills.
• Ability to work independently, manage time effectively, and handle sensitive information with discretion.
• Attention to detail and strong organizational skills.
• Willingness to travel within assigned territory for claim investigations.

This is a key position within our client's operations in Oklahoma City, Oklahoma, US , offering a stable career path in the insurance industry.

Our client, a reputable insurance provider, is seeking a dedicated and detail-oriented Insurance Claims Adjuster to join their team in Portland, Oregon . This role is crucial for investigating, evaluating, and settling insurance claims accurately and efficiently. You will be the primary point of contact for policyholders during the claims process, providing clear communication and empathetic support. Responsibilities include promptly responding to claim reports, thoroughly investigating the circumstances of losses, interviewing claimants and witnesses, and gathering relevant documentation such as police reports, medical records, and repair estimates. You will need to analyze coverage under relevant policies, determine liability, and negotiate fair settlements within established guidelines. Maintaining accurate and detailed claim files, documenting all activities, and ensuring compliance with industry regulations and company policies are paramount. The ideal candidate will possess strong analytical skills, excellent judgment, and the ability to make sound decisions under pressure. Prior experience in insurance claims adjustment is highly preferred, along with a solid understanding of insurance policies and legal/regulatory requirements. Exceptional customer service and conflict resolution skills are essential for building trust and managing claimant expectations. This is an excellent opportunity to contribute to a stable and growing organization that values integrity and customer satisfaction. The position requires you to be present in the office and conduct on-site assessments as needed within the Portland metropolitan area.

Responsibilities:

• Investigate insurance claims promptly and thoroughly.
• Interview claimants, witnesses, and relevant parties.
• Review policy coverage and determine liability.
• Analyze damage reports and repair estimates.
• Negotiate settlements with claimants and third parties.
• Document all claim activities and communications accurately.
• Maintain organized and up-to-date claim files.
• Ensure compliance with all state regulations and company policies.
• Provide exceptional customer service throughout the claims process.
• Prepare detailed reports for management and stakeholders.

Qualifications:

• Associate's or Bachelor's degree in Business, Finance, or a related field.
• Minimum of 3 years of experience as a Claims Adjuster or in a similar insurance role.
• Valid Adjuster's License in the state of Oregon (or ability to obtain).
• Strong knowledge of insurance policies and claims procedures.
• Excellent analytical, negotiation, and problem-solving skills.
• Proficiency in claims management software.
• Exceptional communication and interpersonal skills.
• Ability to work independently and manage a caseload effectively.
• Commitment to ethical conduct and customer service.