TPA Property Claims Examiner

4 days ago


Remote, Oregon, United States SGD, Inc Full time $75,000 - $95,000 per year

Responsibilities:

  • Investigate and manage multi-line claims with concentration of residential and commercial property claims.
  • Interpret policy coverage and determine if and how coverage applies to submitted claims.
  • Set reserves and authorize payment within the scope of authority.
  • Coordinate and manage investigations and evaluate claims and lawsuits.
  • Work with attorneys, claimants, and insureds regarding the handling of claims.
  • Utilize negotiating skills to resolve claims. Analyze claim activity and provide data for management reports.
  • Keep current on state/territory regulations as well as industry activity and trends.

Qualifications and Skills:

  • Minimum seven years of experience handling liability and property claims.
  • Currently possess or will obtain adjuster's licenses for various states.
  • Preference for Third Party Administrator (TPA) experience.
  • Proficient in MS Word, Excel, Outlook, and able to learn claims systems.
  • Strong interpersonal and communication skills.
  • Strong negotiation skills.
  • Strong analytical and problem-solving skills.
  • Ability to exercise judgment and make critical business decisions effectively.

Work Location: Remote

Job Type: Full-time

Salary: $75,000 – $95,000

Benefits:

  • 401(k) with employer matching
  • Health, dental, and vision insurance
  • Flexible Spending Account (FSA)
  • Life insurance
  • Paid Time Off (PTO)

E-mail, fax or mail your resume to SGD at the following

E-mail:

Fax:

Address: Schifrin, Gagnon & Dickey, Inc.

980 Enchanted Way, Suite 105

Simi Valley, CA


  • Claims TPA Liaison

    3 hours ago


    Remote, Oregon, United States National Indemnity Company Full time $75,000 - $90,000 per year

    The Workers' Compensation Claims TPA Liaison provides direct oversight of Third-Party Administrator (TPA) claim administration and facilitates communication between the TPA, policyholders, legal, and other internal departments. The WC TPA Liaison's mission is to provide superior customer service and ensure TPA claim outcomes are within best practices by...

  • Claims Examiner

    4 days ago


    Remote, Oregon, United States Howden Group Full time $1,200,000 - $1,800,000 per year

    At DUAL North America, our core values dictate how we live and work. We are a group with independence and people at its heart and we are a home for talent with a unique culture: the biggest small company in the world. The focus on being a People First business has always been at the very heart of the Group; Our vision was to create an independent business...


  • Remote, Oregon, United States Nonprofits Insurance Alliance Full time $120,000 - $250,000 per year

    Ideal Candidate has Experience in EPLI D&0 Auto, and GLSummaryReporting to the Claims Manager or Chief Claims Officer and working independently and with great latitude for independent action, the Senior Claims Examiner manages an inventory consisting primarily of claims with higher loss potential and complexity, and commensurate reserving, settlement...

  • Sr. Claims Examiner

    4 days ago


    Remote, Oregon, United States UST Full time $49,920 per year

    1 OpeningOthersRole descriptionSr. Claims ExaminerAssociate III - BPMWho We Are:UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members' well-being. With our commitment to simplicity, honesty, and...


  • Remote, Oregon, United States Heartland Security Insurance Group Inc Full time $60,000 - $90,000 per year

    About UsAt Heartland, we are focused on results, not corporate politics. We foster a harmonious work environment where associates feel like family. We strive to be the employer of choice, and believe all of our associates should have fun at work We are hardworking – but not at the expense of our families. At Heartland, you will find an entrepreneurial...


  • Remote, Oregon, United States DAVIES Full time $120,000 - $200,000 per year

    DescriptionOur StoryImagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and...


  • Remote, Oregon, United States 90 Degree Benefits Full time $40,000 - $80,000 per year

    90 Degree Benefits, a Third Party Administrator (TPA) with offices across the country, is seeking a detail-oriented Medical Claims Processor to join our team. The ideal candidate will have a background in processing medical claims for self-funded clients and possess knowledge of medical terminology.Responsibilities:Review and process medical, dental, and...

  • Claims Advocate

    4 days ago


    Remote, Oregon, United States John M. Glover Insurance Agency Full time $42,000 - $63,000 per year

    Company Overview:JMG Insurance Corp has been servicing the insurance needs of the tri-state area since 1916, since growing and expanding across the nation. Our mission is to provide superior customer service and quality insurance solutions, building long-lasting professional relationships with our clients.Job Description Overview:To help ensure continuing...


  • Remote, Oregon, United States DAVIES Full time $60,000 - $120,000 per year

    DescriptionOur StoryImagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and...


  • Remote, Oregon, United States North American Risk Services Full time $68,000 - $90,000 per year

    Senior Bodily Injury Claims Adjuster – New York Adjusters License Needed· Commercial Auto/Commercial Trucking Experience Needed· Litigation Experience NeededWorking From HomeComprehensive Benefits Package· Medical, Dental, Vision Insurance· Paid Time Off Program· 401k· And Much MorePremier TPA with Growth Opportunities is searching for a Senior...