Claims Adjuster

45202 Cincinnati, Ohio $70000 Annually WhatJobs

Posted 17 days ago

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Job Description

full-time
Our client is looking for an experienced and diligent Claims Adjuster to work in their Cincinnati, Ohio, US office. This role is crucial for assessing insurance claims, determining coverage, negotiating settlements, and ensuring the efficient and fair resolution of client cases. The successful candidate will investigate insurance claims, interview claimants and witnesses, inspect property damage, review police and medical reports, and interpret insurance policies to determine liability and coverage. You will be responsible for managing a caseload, documenting all findings and actions taken, and maintaining clear and consistent communication with all parties involved. The ability to work independently, make sound judgments under pressure, and uphold the company's reputation for excellent customer service is paramount.

Key responsibilities include: evaluating the extent of property damage or personal injury, assessing the value of claims, negotiating settlements with claimants or their representatives, authorizing payments, and preparing detailed reports on claim status and outcomes. You will also need to investigate fraudulent claims and work closely with legal counsel when necessary. A Bachelor's degree in Business Administration, Risk Management, or a related field is preferred, along with a minimum of 3 years of experience in insurance claims adjusting, preferably within property and casualty insurance. Strong investigative, analytical, and negotiation skills are essential, as is a thorough understanding of insurance policies and relevant state regulations. Excellent written and verbal communication skills are required, along with proficiency in claims management software. This position requires physical presence in the office to effectively manage claims and collaborate with the team. If you are a motivated professional with a passion for problem-solving and a commitment to fairness, we encourage you to apply.
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Auto Claims Adjuster

43201 Columbus, Ohio Sedgwick

Posted 3 days ago

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Job Description

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
Auto Claims Adjuster
**PRIMARY PURPOSE** **:** To analyze mid- and higher-level general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
+ Assesses liability and resolves claims within evaluation.
+ Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
+ Manages subrogation of claims and negotiates settlements.
+ Communicates claim action with claimant and client.
+ Ensures claim files are properly documented and claims coding is correct.
+ Maintains professional client relationships.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.
**Experience**
Four (4) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business.
+ Excellent oral and written communication skills, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent interpersonal skills
+ Excellent negotiating skills
+ Ability to create and complete comprehensive, accurate and constructive written reports
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
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 $25.00 to $35.00 USD/HR . This role is eligible for 401k.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Always accepting applications
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**
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Auto Claims Adjuster

43201 Columbus, Ohio Sedgwick

Posted 9 days ago

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Job Description

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
Auto Claims Adjuster
**PRIMARY PURPOSE** **:** To analyze mid- and higher-level general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
+ Assesses liability and resolves claims within evaluation.
+ Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
+ Manages subrogation of claims and negotiates settlements.
+ Communicates claim action with claimant and client.
+ Ensures claim files are properly documented and claims coding is correct.
+ Maintains professional client relationships.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.
**Experience**
Four (4) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business.
+ Excellent oral and written communication skills, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent interpersonal skills
+ Excellent negotiating skills
+ Ability to create and complete comprehensive, accurate and constructive written reports
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
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 $25.00 to $35.00 USD/HR . This role is eligible for 401k.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Always accepting applications
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**
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Lead, Claims Adjuster

44308 Akron, Ohio Bridgestone Americas

Posted 26 days ago

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Job Description

**Company Overview**
Bridgestone Americas, Inc. (BSAM), headquartered in Nashville, Tennessee, and Bridgestone Europe, Middle East and Africa (BSEMEA), headquartered in Brussels, Belgium, operate collectively as a "Bridgestone West" strategic region. This region services the strategic business needs of teams across the Americas, Europe, Middle East and Africa. BSAM and BSEMEA are subsidiaries of Bridgestone Corporation, globally headquartered in Japan. Bridgestone and its subsidiaries develop, manufacture and market a wide range of Bridgestone, Firestone and associate brand products and solutions to address the needs of a broad range of customers and industries.
**Job Category**
Legal, Compliance & Audit
**Position Summary**
Bridgestone is looking for a highly motivated and detail-oriented Claims Adjuster to join our dynamic claims team. In this key role, you'll be responsible for investigating, evaluating, negotiating, and settling complex bodily injury claims that stem from auto accidents, premises liability, and other incidents, whether they're made for or against the organization. You will use various investigative methods and negotiate settlements within prescribed limits, working closely with insurance companies, repair facilities, and both internal and external legal staff. You will also initiate billing and collection procedures for any money owed to the organization due to damage to our equipment or property. The ideal candidate will have strong analytical, communication, and negotiation skills, along with a deep understanding of personal injury law and medical terminology.
The role will work in a hybrid capacity (Tu-Th in office) at our Nashville, TN Headquarters, or our Americas Technology Center in Akron, OH.
**Responsibilities**
+ Manage an average caseload of 70-85 claims.
+ Determine coverage and liability for bodily injury claims based on policy language, relevant statutes, and established case law.
+ Conduct thorough investigations into reported bodily injury claims, including interviewing claimants, witnesses, policyholders, and medical professionals.
+ Gather and analyze all relevant documentation, such as police reports, medical records, lost wage documentation, and photographs.
+ Communicate effectively with all parties involved in the claim, including claimants, attorneys, medical providers, and internal stakeholders.
+ Negotiate fair and equitable settlements with claimants or their legal representatives, adhering to company guidelines and legal requirements.
+ Prepare detailed reports documenting investigations, evaluations, and settlement recommendations.
+ Collaborate with legal counsel on litigated claims, providing necessary documentation and support.
+ Maintain accurate and organized claim files, ensuring compliance with all regulatory requirements and company policies.
**Minimum Qualifications**
+ Typically requires a minimum of 8 years of related experience with a Bachelor's degree; or 6 years and a Master's degree; or a PhD with 3 years experience; or equivalent experience.
+ Thorough knowledge of personal injury law, insurance policies, and claims handling procedures.
+ Exceptional written and verbal communication skills, including the ability to articulate complex information clearly and concisely.
+ Proven negotiation and conflict resolution abilities.
+ Ability to work independently and manage a high-volume caseload effectively.
+ Customer service experience
+ Caseload management experience with average claims of 25-30k or more.
**At Bridgestone, you are Free to Be**
We believe people can only provide superior service and quality to others when they bring their whole self to work. We believe in championing all perspectives, individuals and teams because we understand the importance of seeing the world and our business through many different lenses. We are building a team as diverse as the world we serve. So, show us what you are made of, because who you are is what we need.
**What we offer**
At Bridgestone, what really matters is to foster co-creation opportunities and empowering you to be creative and curious to make mobility safer, more efficient, and more sustainable for future generations. Whatever role you fill, when you represent Bridgestone, you are a valued teammate, and part of our larger mission to "Serve Society with Superior Quality", for that, we offer you more than just a competitive compensation; we will provide you:
+ A supportive and engaging onboarding experience to ensure a smooth transition into our team.
+ The opportunity to develop and grow, through training and regular mentorship.
+ Corporate Social Responsibility activities.
+ A truly global, dynamic and challenging work environment.
+ Agility and work/life effectiveness and your long-term well-being.
+ A diverse and inclusive team.
_Bridgestone is proud to be an Equal Employment Opportunity employer. It is our policy to consider for employment all individuals regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, gender, sex, sexual orientation, gender identity and/or expression, genetic information, veteran status, or any other characteristic protected by federal, state or local law._
**Employment Eligibility**
If hired, a Form I-9 Employment Eligibility Verification must be completed at the start of employment. Temporary work authorization or the need for sponsorship may disqualify you from employment.
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Insurance Claims Adjuster

43215 Columbus, Ohio $65000 Annually WhatJobs

Posted 8 days ago

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Job Description

full-time
Our client, a well-established insurance provider, is actively seeking a diligent and customer-oriented Insurance Claims Adjuster to join their team in **Columbus, Ohio, US**. This role involves investigating insurance claims, determining liability, negotiating settlements, and ensuring fair and timely resolution for policyholders. The ideal candidate will possess strong analytical skills, excellent communication abilities, and a commitment to upholding the company's reputation for integrity and service.

Key Responsibilities:
  • Investigate insurance claims thoroughly by gathering information, interviewing claimants and witnesses, and reviewing relevant documentation.
  • Assess policy coverage and determine liability based on the facts of the claim and policy terms.
  • Inspect damaged property (e.g., vehicles, homes) to evaluate the extent of losses and estimate repair costs.
  • Negotiate settlements with policyholders and other involved parties in a fair and professional manner.
  • Manage a caseload of claims efficiently, ensuring adherence to regulatory requirements and company guidelines.
  • Prepare detailed reports documenting claim investigations, findings, and recommendations.
  • Maintain accurate and up-to-date claim files using company-specific software.
  • Communicate effectively with policyholders, legal representatives, and other stakeholders throughout the claims process.
  • Identify potential fraudulent claims and follow established procedures for investigation.
  • Stay informed about changes in insurance laws, regulations, and industry best practices.
  • Provide exceptional customer service, guiding claimants through the claims process with empathy and clarity.
  • Attend training sessions to enhance knowledge of insurance products, policies, and adjusting techniques.
  • Collaborate with internal teams, such as underwriting and legal departments, when necessary.
  • Make recommendations for claim payments or denials based on findings.

Qualifications:
  • High school diploma or equivalent required; Bachelor's degree in Business, Finance, or a related field is preferred.
  • Valid state P&C (Property & Casualty) Adjuster's license is required.
  • 2+ years of experience in claims adjusting, insurance, or a related field.
  • Strong understanding of insurance policies, contracts, and claims procedures.
  • Excellent investigative, analytical, and problem-solving skills.
  • Exceptional negotiation and communication abilities, both written and verbal.
  • Proficiency in using claims management software and Microsoft Office Suite.
  • Ability to work independently, manage time effectively, and meet deadlines.
  • Strong attention to detail and accuracy in documentation.
  • Customer-focused approach with a high degree of professionalism and integrity.
  • Willingness to travel within assigned territory as needed for claim investigations.
  • Ability to remain calm and composed in challenging situations.

This role offers a competitive salary, performance-based bonuses, and a comprehensive benefits package, providing a stable career path within the insurance industry.
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Senior Claims Adjuster

43215 Columbus, Ohio $75000 Annually WhatJobs

Posted 10 days ago

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Job Description

full-time
Our client, a leading insurance provider, is seeking a highly experienced Senior Claims Adjuster to join our team. This position offers a hybrid work arrangement, balancing office-based responsibilities with remote flexibility, and will be based out of our Columbus, Ohio, US office. The Senior Claims Adjuster will be responsible for investigating, evaluating, and settling complex insurance claims across various lines of business. You will act as a primary point of contact for policyholders, providing clear communication, empathetic service, and efficient claim resolution. This role demands a thorough understanding of insurance policies, claims processes, and relevant legal and regulatory frameworks.

Key responsibilities include conducting thorough investigations, gathering evidence, interviewing claimants and witnesses, and assessing damages to determine liability and coverage. You will negotiate settlements with policyholders and legal representatives, ensuring fair and equitable outcomes while adhering to company guidelines and industry best practices. The Senior Claims Adjuster will also be responsible for managing a caseload, maintaining accurate claim files, and contributing to departmental reporting and process improvements. Proactive claim management and the ability to handle escalated or high-value claims are essential.

The ideal candidate will possess a Bachelor's degree in Business, Finance, or a related field, with a minimum of 5 years of experience as a Claims Adjuster, including significant experience with complex claims. Relevant professional licenses and designations (e.g., AIC, CPCU) are highly desirable. Strong analytical, negotiation, and problem-solving skills are required. Excellent communication and interpersonal skills, with the ability to demonstrate empathy and professionalism in challenging situations, are crucial. Proficiency in claims management software and standard office applications is expected. This hybrid role provides an excellent opportunity for a skilled insurance professional to advance their career.
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Senior Claims Adjuster

43215 Columbus, Ohio $70000 Annually WhatJobs

Posted 13 days ago

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Job Description

full-time
Our client, a prominent insurance provider, is seeking a highly skilled and experienced Senior Claims Adjuster to join their team in Columbus, Ohio . This hybrid role offers a blend of in-office collaboration and remote flexibility. The ideal candidate will possess a deep understanding of insurance claims processes, exceptional negotiation skills, and a commitment to providing outstanding customer service. You will be responsible for investigating, evaluating, and settling complex insurance claims across various lines of business.

Responsibilities:
  • Investigate and assess the extent of damages and liabilities for complex claims.
  • Gather and analyze all relevant documentation, including police reports, medical records, and repair estimates.
  • Negotiate settlements with policyholders, claimants, and legal representatives.
  • Interpret policy coverage and ensure claims are handled in accordance with policy terms and conditions.
  • Maintain accurate and detailed claim files, documenting all activities and communications.
  • Provide exceptional customer service throughout the claims process, addressing inquiries and concerns promptly.
  • Collaborate with internal and external stakeholders, including legal counsel, medical providers, and repair facilities.
  • Stay updated on industry regulations, best practices, and emerging trends in claims management.
  • Mentor junior adjusters and contribute to team development initiatives.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field.
  • Minimum of 5 years of experience as a claims adjuster, with a focus on complex claims.
  • Possession of relevant state adjusters licenses.
  • Proven expertise in evaluating damages, negotiating settlements, and managing claim litigation.
  • Strong understanding of insurance policies, legal principles, and regulatory requirements.
  • Excellent analytical, problem-solving, and decision-making skills.
  • Exceptional communication, interpersonal, and negotiation abilities.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Ability to work independently and as part of a collaborative team in a hybrid work environment.
  • Strong organizational and time management skills.

This role requires a minimum of two days per week in the Columbus office, with the remainder of the week offering remote work flexibility. Join a reputable organization that values professional growth and offers a competitive benefits package.
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Senior Claims Adjuster

43215 Columbus, Ohio $75000 Annually WhatJobs

Posted 14 days ago

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Job Description

full-time
Our client is seeking an experienced and dedicated Senior Claims Adjuster to join their fully remote team. This pivotal role involves managing a complex caseload of insurance claims from initial investigation through to final resolution. You will be responsible for thoroughly investigating claims, determining coverage based on policy terms and conditions, negotiating settlements, and ensuring compliance with all relevant regulations. The ideal candidate will possess exceptional analytical skills, meticulous attention to detail, and a strong understanding of insurance principles and practices. You will conduct interviews with claimants, witnesses, and other parties involved in an incident, gather and review evidence such as police reports, medical records, and repair estimates, and document all findings accurately in the claims management system. Furthermore, you will collaborate with legal counsel when necessary and prepare detailed reports for management. A key aspect of this role is maintaining excellent communication with policyholders, providing clear explanations of the claims process, and managing expectations throughout. This is a remote-first position, requiring a high degree of self-discipline, proactive communication, and the ability to work independently. You will be provided with all the necessary tools and support to succeed in a remote environment. Success in this role requires a commitment to providing outstanding customer service and upholding the company's reputation for integrity and fairness. If you are a seasoned insurance professional looking for a challenging and rewarding remote opportunity, we encourage you to apply.

Responsibilities:
  • Investigate, evaluate, and negotiate a variety of insurance claims.
  • Determine coverage based on policy language and factual investigation.
  • Communicate effectively with policyholders, claimants, and third parties.
  • Document all claim activities and decisions accurately.
  • Manage a caseload efficiently and meet all deadlines.
  • Ensure compliance with industry regulations and company policies.
  • Collaborate with internal and external stakeholders as needed.
  • Provide exceptional customer service throughout the claims process.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
  • Minimum of 5 years of experience in claims adjusting.
  • Strong understanding of insurance policies and claims procedures.
  • Excellent negotiation, communication, and analytical skills.
  • Proficiency in claims management software.
  • Ability to work independently and manage time effectively in a remote setting.
  • Relevant industry certifications (e.g., AIC, CPCU) are a plus.
This role serves clients in the Columbus, Ohio, US area and beyond, requiring a deep understanding of regional insurance nuances.
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Senior Claims Adjuster

45202 Cincinnati, Ohio $75000 Annually WhatJobs

Posted 22 days ago

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Job Description

full-time
Our client, a leading insurance provider, is seeking a highly skilled and experienced Senior Claims Adjuster to join their dynamic team in Cincinnati, Ohio, US . This role is pivotal in ensuring the efficient and fair settlement of complex insurance claims. You will be responsible for thoroughly investigating claims, assessing damages, negotiating settlements, and making coverage decisions in line with policy terms and legal requirements. The ideal candidate will possess a deep understanding of insurance policies, claims processes, and relevant legal frameworks. You will work closely with policyholders, claimants, legal counsel, and other stakeholders to gather information, conduct interviews, and facilitate the claims resolution process.

Responsibilities:
  • Investigate, evaluate, and settle complex insurance claims in a timely and professional manner.
  • Conduct detailed policy reviews to determine coverage and liability.
  • Communicate effectively with policyholders, claimants, witnesses, and external parties to gather necessary information and explain claim status.
  • Negotiate settlements with claimants and their representatives, ensuring fairness and adherence to policy limits.
  • Prepare comprehensive claim reports, documenting all findings, actions taken, and decisions made.
  • Collaborate with legal teams on litigated claims, providing expert testimony when required.
  • Maintain accurate and up-to-date claim files in the company's claims management system.
  • Identify potential fraud and escalate suspicious claims for further investigation.
  • Mentor and provide guidance to junior adjusters, fostering a collaborative team environment.
  • Stay abreast of industry trends, regulatory changes, and best practices in claims handling.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field.
  • Minimum of 5 years of experience in claims adjusting, with a focus on property and casualty insurance.
  • Proven ability to interpret and apply insurance policy language.
  • Strong analytical, negotiation, and problem-solving skills.
  • Excellent written and verbal communication abilities.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Relevant state insurance adjuster licenses are required.
  • Ability to work independently and manage a caseload effectively.
  • Demonstrated leadership potential and experience in mentoring.
  • Commitment to providing exceptional customer service.

This hybrid role offers a competitive salary and benefits package, along with opportunities for professional growth within a reputable organization. Join us in shaping the future of claims management.
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Lead Claims Adjuster

45202 Cincinnati, Ohio $78000 Annually WhatJobs

Posted 23 days ago

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Job Description

full-time
Our client is looking for an experienced and highly skilled Lead Claims Adjuster to oversee claims processing and management for their office in Cincinnati, Ohio, US . This senior role involves leading a team of adjusters, ensuring accuracy and efficiency in claim handling, and providing expert guidance on complex cases. You will be responsible for the investigation, evaluation, and negotiation of insurance claims, determining coverage, and settling claims in accordance with company policies and regulatory requirements. The Lead Claims Adjuster will also play a crucial role in training and mentoring junior adjusters, developing best practices, and contributing to the continuous improvement of claims procedures. Strong knowledge of insurance laws, regulations, and claims handling best practices is essential. This position requires exceptional analytical, decision-making, and interpersonal skills. You will interact with policyholders, legal representatives, and other parties involved in the claims process, requiring a high level of professionalism and communication. The successful candidate will possess a proven track record in managing a caseload of diverse claims, including potentially large or complex ones, and demonstrating leadership capabilities. This role offers a significant opportunity to influence the claims department's performance and contribute to customer satisfaction. A Bachelor's degree in Business, Finance, or a related field is preferred, along with relevant professional certifications. Prior experience in a leadership or supervisory role within the insurance industry is a strong requirement. Experience with various insurance lines (e.g., property, casualty, auto) is advantageous. You will be expected to maintain a high level of productivity while upholding the highest ethical standards in all claim-related activities. This is a demanding but rewarding role for a dedicated insurance professional.
Key Responsibilities:
  • Lead and manage a team of claims adjusters.
  • Investigate, evaluate, and negotiate insurance claims.
  • Ensure compliance with company policies and regulations.
  • Provide expert guidance on complex claims issues.
  • Train and mentor junior adjusters.
  • Develop and implement claims handling best practices.
  • Maintain accurate claims records and documentation.
Apply Now
 

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