741 Progressive Insurance jobs in Cleveland

**JOB DESCRIPTION**
**Job Summary**
Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Researches tracers, adjustments, and re-submissions.
+ Handles basic projects as assigned.
+ Assists with defect reduction by identifying and communicating error issues and potential solutions to management.
+ Helps to improve overall performance accountability (attendance, communication, flexibility, adaptability, interpersonal skills, teamwork and cooperation).
+ Adjudicates or re-adjudicate claims in a timely manner to ensure compliance to departmental turn-around time and quality standards.
+ Meets department quality and production standards.
+ Other duties as assigned.
+ QNXT-preferred
**JOB QUALIFICATIONS**
**Required Education**
Associate degree or equivalent combination of education and experience
**Required Experience**
1-3 Years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Workers Compensation Claims Adjuster | Dedicated Client | KY,VA,WV,IN,KS,MI,MO,NE Jurisdictions | Open to Remote
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
+ Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
+ Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
+ Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
+ Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
+ Enjoy flexibility and autonomy in your daily work, your location, and your career path.
+ Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
**ARE YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
We are seeking a dynamic and driven individual to join our team as a Workers Compensation Claims Adjuster. This role is not only about managing claims-it is about leadership.
The ideal candidate will possess a strong presence and the ability to lead with confidence and integrity. As an Adjuster, you will serve as a key leader within the team, setting the standard for performance and accountability. While technical skills and claims knowledge can be developed, true leadership is innate. We are looking for someone who embraces challenges, motivates others to excel, and consistently strives for excellence.
**PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
+ Negotiating settlement of claims within designated authority.
+ Communicating claim activity and processing with the claimant and the client.
+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
**QUALIFICATIONS**
Education & Licensing: 1+ years of claims management experience or equivalent combination of education and experience required.
High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.
**Jurisdiction Knowledge: any of the following states - KY, VA, WV, IN, KS, MI, MO, NE**
**Licensing: not required**
**TAKING CARE OF YOU**
+ Flexible work schedule.
+ Referral incentive program.
+ Opportunity to work in an agile environment.
+ Career development and promotional growth opportunities.
+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (50 - 60K). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**