Claims Adjuster

4 weeks ago

Austin, United States Service Insurance Companies Full time
  • This role is remote, within the United States. Candidates must live in and have authorization to work in the United States. Visa sponsorship not available**

We are searching for a Claims Adjuster to join our team

This position requires workers compensation multi-state licenses to review and handle national (multiple states) workers compensation claims.

Investigate, analyze, and determine the extent of company's liability concerning workers compensation claims and attempt to achieve appropriate claim resolution as allowed within each States jurisdiction. Correspond with or interview medical specialists, agents, witnesses, insured's and/or claimants to compile information and determine claim compensability. Calculate benefit payments and approve payment of claims within your assigned claim authority. All tasks are to be performed with the goal of demonstrating superior claims handling expertise.

Requirements

  • Review and handle workers compensation claims in multiple jurisdictions.
  • Under technical direction, works within limits and authority on assignments of higher technical complexity and coordination.
  • Responsible for claims management of assigned cases within guidelines of Company performance standards
  • Opens new claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or company's timeframes and guidelines
  • Maintain appropriate case reserves utilizing the corporate philosophy of establishing the ultimate probable exposure on each claim generally within the first 6 months of the life of a claim but no later than 12 months from received date of loss.
  • Ensure all reinsurance reports are prepared thoroughly, accurately with clear language making it easy for reinsurers to understand and all reports are submitted within 30 days of their due date
  • Follows appropriate procedures for system documentation to preserve data integrity
  • Creates and executes action plans needed to bring claims to closure
  • Completes detailed claim resolution plans and recommends appropriate plan of action, within authority
  • Maintains regular contact with injured workers, insured employers and agents to develop positive relationships and establish credibility
  • Provides meaningful participation in Large Loss review meetings to improve other departments understanding of claims processes generally and for the specific claim under review.
  • Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions
  • Works productively and harmoniously with others on a consistent basis
  • Responds positively to direction and criticism of performance
  • Consistently maintain professional and appropriate demeanor
  • Conducts training and mentors new hires.
  • Perform other duties as assigned
  • Possesses a higher and more extensive level of industry claim knowledge and skills on a National level
  • Administers and monitors rules, guidelines, insurance laws, and regulations.
  • Maintain a high degree of trust through demonstrated personal integrity and ethical behavior
  • Works in collaboration with Vice President of Claims, Director of Claims, Claims Manager and Claims Supervisor.
  • Responsible to maintain current on industry technical knowledge and skills.
  • Minimum of 3 to 5 years workers' compensation claims handling experience required in multiple states.
  • Must hold valid workers' compensation licenses in multiple jurisdictions.
  • National exposure in claims handling/compliance is a plus.
  • Strong verbal and written communication skills with emphasis on telephone communication required
  • Strong math and reading skills required.Bachelor's degree or equivalent combination of training/experience required
  • Meets all state regulatory standards regarding licensing, continuing education, and other requirements

Benefits

Service Insurance Companies offers a competitive benefits package, including:

  • Healthcare (medical, dental & vision)
  • Voluntary benefits (life & disability insurance)
  • 401K & profit sharing
  • Generous paid time off & holidays
  • Tuition reimbursement training

  • Claims Adjuster

    4 days ago

    Austin, United States Service Insurance Companies Full time

    This role is remote, within the United States. Candidates must live in and have authorization to work in the United States. Visa sponsorship not available** We are searching for a Claims Adjuster to join our team! This position requires workers compensation multi-state licenses to review and handle national (multiple states) workers compensation claims....

  • Claims Adjuster

    4 weeks ago

    Austin, United States Service Insurance Companies Full time

    This role is remote, within the United States. Candidates must live in and have authorization to work in the United States. Visa sponsorship not available**We are searching for a Claims Adjuster to join our team!This position requires workers compensation multi-state licenses to review and handle national (multiple states) workers compensation...

  • Claims Adjuster

    2 months ago

    Austin, United States Service Insurance Companies Full time

    Job DescriptionJob Description**This role is remote, within the United States. Candidates must live in and have authorization to work in the United States. Visa sponsorship not available**We are searching for a Claims Adjuster to join our team! This position requires workers compensation multi-state licenses to review and handle national (multiple states)...

  • Claims Adjuster

    4 weeks ago

    Austin, United States Service Insurance Companies Full time

    This role is remote, within the United States. Candidates must live in and have authorization to work in the United States. Visa sponsorship not available**We are searching for a Claims Adjuster to join our team!This position requires workers compensation multi-state licenses to review and handle national (multiple states) workers compensation...

  • Claims Adjuster

    1 month ago

    Austin, United States Service Insurance Companies Full time

    **This role is remote, within the United States. Candidates must live in and have authorization to work in the United States. Visa sponsorship not available** We are searching for a Claims Adjuster to join our team! This position requires workers compensation multi-state licenses to review and handle national (multiple states) workers compensation claims. ...

  • Auto Claims Adjuster II

    3 days ago

    Austin, United States Texas Association of School Boards Full time

    Job DescriptionJob DescriptionWhy Texas Association of School Boards (TASB)We come from humble beginnings — picture a one-person organization created in 1949 to advocate for excellence in public education on behalf of Texas school board members. Flash forward to today, and we have over 500 employees working together to provide 1,024 school districts with...

  • Adjuster III, Auto Injury Claims

    3 days ago

    Austin, United States TX Assoc of School Boa Full time

    Job DescriptionJob DescriptionWhy Texas Association of School Boards (TASB)We come from humble beginnings — picture a one-person organization created in 1949 to advocate for excellence in public education on behalf of Texas school board members. Flash forward to today, and we have over 500 employees working together to provide 1,024 school districts with...

  • Senior Property Field Adjuster

    5 days ago

    Austin, United States Chubb Full time

    Job Description We are currently looking for a Senior Property Field Adjuster to handle property claims in Dallas, TX. Responsibilities Complete onsite inspection of properties to include investigating facts, evaluating damages and writing estimates Effectively evaluate contract language and identify coverage issues Promptly and appropriately develop the...

  • Director, Claims

    2 weeks ago

    Austin, United States Keolis North America LLC Full time

    Company Description Keolis is a leading provider of passenger transportation services throughout the U.S. and Canada, offering train, bus, and ADA paratransit services. With public contracts coast to coast, we transport millions of people each year. Keolis also provides fleet management and maintenance, logistics, and routing services. (visit...

  • Ancillary Claims Supervisor

    2 days ago

    Austin, United States RoadVantage Full time

    **Ancillary Claims Supervisor** **Reports to**:Claims Manager **Department**:Operations **Direct Reports**: Yes **Exempt Status**: Exempt **Job Purpose** The Ancillary Claims Supervisor specializes in ancillary claims and is responsible for the day-to-day claims processes while supervising the work of and performance of all ancillary claim...

  • Property Claims Representative

    7 days ago

    Austin, United States Guard Insurance Group Full time

    Overview Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is expanding throughout the United States, and we're looking for talented individuals to join our team and establish a rewarding career with us. Our success is founded on our strong reputation, and we have received...

  • Property Claims Representative

    3 weeks ago

    Austin, United States Berkshire Hathaway GUARD Insurance Company Full time

    Overview Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is expanding throughout the United States, and we're looking for talented individuals to join our team and establish a rewarding career with us. Our success is founded on our strong reputation, and we have...

  • Healthcare Claims Processor

    4 days ago

    Austin, United States CROWN ADMINISTRATORS Full time

    **Location**:Austin, TX (Hybrid) **Job Type**: Full-time, Non-Exempt **About Us** Crown Administrators is a leading third-party administrator in the healthcare space. Our Company Vision is to radically improve the way individuals interact with the healthcare system. We are committed to providing innovative and efficient health care solutions to our...

  • Claims Concierge Support I

    2 weeks ago

    Austin, United States CORE Group Restoration Full time

    Claims Concierge Support ILocation: Austin, TX / RemoteAbout CORE: CORE is redefining the standard for the restoration experience. CORE is a unique take on property damage restoration. Made up of the largest and most capable property restoration service providers. CORE's business model is unlike anything else on the market today and offers elite contractors...

  • Commercial Claim Litigation Specialist

    1 month ago

    Austin, United States Capstone Search Group Full time

    About the Role Dynamic organization with a 140-year history of providing exceptional customer service to its policyholders. An organization that believes their employees are their greatest asset. An atmosphere with robust employee benefits, fun, and a family-like culture. We seek an experienced Commercial Claim Litigation Specialist (General...

  • Commercial Claim Litigation Specialist

    1 month ago

    Austin, Texas, United States Capstone Search Group Full time

    About the RoleDynamic organization with a 140-year history of providing exceptional customer service to its policyholders. An organization that believes their employees are their greatest asset. An atmosphere with robust employee benefits, fun, and a family-like culture.We seek an experienced Commercial Claim Litigation Specialist (General Liability,...

  • Claims Concierge Support I

    2 weeks ago

    Austin, United States CORE Group Restoration Full time

    Claims Concierge Support ILocation: Austin, TX / RemoteAbout CORE:CORE is redefining the standard for the restoration experience. CORE is a unique take on property damage restoration. Made up of the largest and most capable property restoration service providers. CORE's business model is unlike anything else on the market today and offers elite contractors...

  • Quality Assurance Senior Claim Auditor

    3 days ago

    Austin, United States Chubb Full time

    Job DescriptionPosition Overview: As a member of the Claims Quality Assurance and Compliance Team, a person in this position is responsible for supporting continuous improvement by measuring compliance with best practices in quality audits. Responsibilities also include partnering with various levels of internal and external claims management to analyze and...

  • Future Consideration

    2 months ago

    Austin, United States Watkins Insurance Group Full time

    Job DescriptionJob DescriptionABOUT THE ROLEAs a Claims Advocate, you will be a vital member of our team, responsible for assisting clients throughout the claims process. You will be the bridge between our staff, clients, and insurance companies, ensuring that claims are handled efficiently and effectively. You will also provide guidance on complex claims...

  • Future Consideration

    3 weeks ago

    Austin, United States Watkins Insurance Group Full time

    ABOUT THE ROLE As a Claims Advocate, you will be a vital member of our team, responsible for assisting clients throughout the claims process. You will be the bridge between our staff, clients, and insurance companies, ensuring that claims are handled efficiently and effectively. You will also provide guidance on complex claims and related issues. In...