Multi-Line Claims Adjuster - Utah

Claims SpecialistClaims SpecialistOtherRemoteTeam 51-200

Location

United States

Posted

106 days ago

Salary

0

No structured requirement data.

Job Description

Multi-Line Claims Adjuster - Utah

Property Claim Professionals

A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area. There are many competing vendors in our marketplace, but we are not your typical “vendor”. Our company was built by insurance company claims executives to support insurance companies’ claim operations to help them meet their organizations goal of providing quality claims solutions at a reasonable cost. We excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Position Summary: A national independent insurance adjusting firm has immediate openings for Multi-Line Claims adjusters that possess the ability to work remotely and have the experience to handle both property and liability claims. The candidate must possess the ability to adjust commercial and residential property losses and must also have a working knowledge of how to determine negligence and assess damages. The candidate should be able to perform all tasks with modest supervision. The candidate must possess the ability to understand coverage, how to investigate a variety of property and negligence claims, how to value and estimate property damage as well as the ability to evaluate Bodily Injury damages for settlement. Requirements: - Minimum 3 years first-party residential property and/or 5 years first-party commercial and/or liability adjusting experience - Maintain own current estimating software; Xactimate preferred - Working computer; internet access and Microsoft Word required - Must demonstrate strong time management and customer service skills - Ability to take recorded statements in the field or with legal representatives - Experience in preparing Statements of Loss, Proofs of Loss, and denial letters - State adjuster’s license where required - Must have valid driver’s license Knowledge and Skills: - In-depth knowledge of property and liability insurance coverage and industry standards - Prepare full captioned reports by collecting and summarizing information required by client - Strong verbal and written communications skills - Prompt, reliable, and friendly service - Must submit to background check; void in states where prohibited - Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations Responsibilities: - Completes residential and commercial field property inspections utilizing Xactimate software and general liability field investigations to determine negligence and damages - Investigate claims by obtaining recorded statements from insureds, claimants or witnesses; by interviewing fire, police or other governmental officials as well as inspecting claimed damages - Recommend claim reserves based on investigation, through well supported reserve report - Obtain and interpret official reports - Review applicable coverage forms and endorsement, providing thorough analysis of coverage and any coverage issues in well documented initial captioned report to client - Maintain acceptable product quality through compliance with established Best Practices of client - College Degree - AIC, or other professional designations All candidates must pass a full background check

Related Categories

Related Job Pages

More Claims Specialist Jobs

OtherRemoteTeam 1,001-5,000H1B No Sponsor

External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Financial Analyst Specialist, Insurance Claims & Legal - Remote Requisition Number R7573 Financial Analyst Specialist, Insurance Claims & Legal - Remote (Open) Location California - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 20 more} Job Information CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and casualty insurance groups in the United States. Here, every employee shapes our mission. We build innovative, human-centered solutions that help AAA members prevent, prepare for, and recover from life's uncertainties. You will join a collaborative, inclusive culture where your strengths have room to grow and your ideas can drive real impact. Step into a role where you can contribute to our shared success through meaningful work. We are actively hiring for a Financial Analyst Specialist - Remote! Your Role: Financial Planning and Analysis (FP&A) serves as trusted strategic advisors to our business partners, providing financial counsel that drives sustainable and profitable growth for the organization. This role supports the Personal Lines Claims Services organization and the Legal Division including the Claims Law department. It will focus on claims analytics and financial drivers and performance measurements including ULAE/ALAE analysis and Loss control measures. Your Work: - Monthly Close & Analytics: Lead monthly close process through monthly reporting and analytics of Personal Lines Claims department and Legal Division operating expenses and loss adjustment expenses (LAE). - Planning & Forecasting: Lead the Personal Lines Claims department and the Legal Division through quarterly forecasting and 3-year planning process partnering with leadership to build financial plans and forecasts and deliver actionable insights into plans, forecasts, and expense (UW and LAE) budgets. - Management Reporting: Lead management reporting and complex analysis of PL Claims department and Legal Division initiatives and business outcomes targeted at reducing expenses and indemnity costs. - Financial Modeling: Own the PL Claims staffing model and lead staffing discussions on a regular basis. Collaborate with leaders in decision making process through ongoing business partnering and proactively providing strategic recommendations. Partner with other financial consultants and leaders to develop sound business cases. Communicate key assumptions, risk and opportunities and their corresponding financial impacts. Perform complex financial modeling to ensure profitable investments are made and delivered. - FP&A Transformation: Continued support of our FP&A transformation initiatives highlighting areas of opportunity to deliver deeper insights and improve efficiency and effectiveness of the organization actively participating in the development and delivery of supporting tools and processes. Required Experience, Education and Skills: - 6+ years of financial planning experience is required; preferably within an Insurance company with knowledge of claims processes and costs. - Bachelor’s degree in a related field or an equivalent combination of education. - Industry Expertise: Understands the basics of claims (and operations) organizations and can apply to ongoing financial analytics, planning and forecasting process. Additionally understand the relationship between claims handling processes/costs and the connection with the Legal Division workload and processes. - Financial Expertise: Demonstrated understanding of operational expense reporting (LAE in particular) and budgeting. Experience with insurance P&L ratios and other financial statements. - Business Partnering: Ability to collaborate with senior leaders across the organization to understand strategic priorities and influence strategic decision making in support of achieving financial goals. Supports business partners with a sense of urgency, desire to learn about the business and proactively provide recommendations. - Storytelling: Proven ability to clearly and concisely explain financial results through visuals and simple explanations of operational and financial drivers for board of director and C-suite level reporting. - Technical: Proven ability to operate with planning and reporting software (preferably Oracle cloud-based planning and Smartview), build simple reporting and diagnostic solutions to support ongoing analytics, and understanding of data management and governance principles. What would make us excited about you? - Actively shapes our company culture (e.g., supporting employee resource groups, mentoring employees, volunteering, joining cross-functional projects). - Champions our cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.). - Demonstrates a company ownership mindset, thinking beyond boundaries of their own area. - Travels as needed for role, including divisional / team meetings and other in-person meetings. - Fulfills business needs, which may include investing extra time, helping other teams, etc. Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska. Why Choose a Career at CSAA IG? At CSAA IG, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive. Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at https://careers.csaainsurance.aaa.com/us/en/benefits. Career Growth: We believe in growth for everyone. Here at CSAA IG, leaders and mentors partner with employees to align interests, unlock development opportunities, and support long‑term success. Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices. Our flexible workplace empowers you to balance remote work with intentional in‑person moments that deepen connection and collaboration. Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market. Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don’t miss important updates from us. CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact TalentAcquistion@csaa.com If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education. CSAA does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). CSAA Insurance Group is an equal opportunity employer. #LI-JH1 .

United States
Job Closed
Cox Enterprises logo

Mobile Diesel Mechanic II - Class C License

Cox Enterprises

For well over a century, Cox Enterprises has been shaping the future with daring ideas and values-driven thinking. Since our founding in 1898, our relentless spirit of innovation has driven us to disrupt industries and enhance the quality of life in the communities we serve. Through our major divisions — Cox Communications, Cox Automotive and Cox Farms — our people have countless opportunities to grow and make an impact in the communications and automotive industries, as well as in new ventures in agriculture, cleantech, digital media and more. As a privately-held, family-owned business, we know that people are our most valuable asset. We offer a supportive and inclusive environment with flexible career growth, amazing benefits and work-life balance at the forefront. Our mission, our ways of working and our commitment to people are what make our workplace culture remarkably flexible and resilient. Join us to build a better future and make your mark.

Claims Specialist106 days ago
OtherRemoteTeam 10,001+Since 1898H1B Sponsor

Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Mobile Diesel Tech II Management Level Individual Contributor Flexible Work Option Can work remotely but need to live in the specified city, state, or region Travel % Yes 100% of the time Work Shift Variable Compensation Hourly base pay rate is $26.73 - $40.10/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate’s knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description *** If you have any questions or to connect with a recruiter while your application is being reviewed, please Text DFS2 to 317-597-8130 *** ****Equal opportunity Employer – Disabled/Veterans encouraged to Apply**** Fleet Services – A Cox Automotive Company keeps your fleet moving! Headquartered in Indianapolis, Fleet Services by Cox Automotive has grown to become one of the largest fleet maintenance companies in the country. Fleet Services is the leading provider of on-site mobile maintenance and repair services nationwide, offering mobile on-site fleet service for light medium, and heavy-duty trucks and trailers. Fleet Services also services customers utilizing its 50+ nationwide service centers; each offering accident repair, painting, refurbishment, and heavy mechanical repair. We are supported by a 24/7 in-house call-center and provide scheduled maintenance services and unscheduled services to fleets anywhere, anytime. Fleet Services By Cox Automotive is currently hiring a Mobile Diesel Technician Level II. The Mobile Diesel Technician Level II will be responsible for performing licensed DOT inspections, Preventative Maintenance inspections, light and follow-up repairs, light mechanical/hydraulic/electrical and electronic diagnostics, and other duties as assigned. The Mobile Diesel Technician II can perform more advanced diagnostics and repairs under the supervision of a Sr Mobile Diesel Technician or higher. The Diesel Technician II continues to learn additional advanced mechanical skills and diagnostic techniques. A successful Diesel Technician II complies with all company policies and achieves high level performance metrics. DUTIES: - Perform scheduled preventative maintenance (“PM”), DOT Inspections and follow up repairs on light, medium and heavy-duty vehicles in a mobile/field environment. - Perform minor adjustment and repairs on various types of truck equipment including, but not limited to the following: Electrical/Brake/Cooling Systems, Starters/Alternators, Fan clutches, Engine electronics, Diesel steering systems, Engines (gas and diesel), Transmissions (manual and automatic), Clutches, Differentials, etc. - Diagnose, adjust, and repair various types of truck equipment including, but not limited to the following: Electrical/Brake/Cooling Systems, Starters/Alternators, Air conditioning systems, Fan clutches, Engine electronics, Diesel steering systems, Engines (gas and diesel), Transmissions (manual and automatic), Clutches, Differentials, etc. - Inspect, test, and listen to defective equipment to diagnose malfunctions, using test instruments such as handheld computers and pressure gauges. - Road test vehicles to diagnose malfunctions and to ensure that they are working properly. - Identify problems, determine accuracy and relevance of information, using sound judgment to generate and evaluate alternatives. - Independently manage parts inventory and equipment provided on company-issued service truck and perform periodic reconciliation. - Maintain and operate company-issued service vehicle, conduct safety checks, and pre-/post-trip inspections of vehicle. - Work with and listen effectively to clients and customers to assess their needs, providing information or assistance, resolving their problems, or satisfying their expectations. - Manage concurrent assigned tasks, making effective judgments as to prioritizing work related activities and time allocations. - Use hand tools, precision instruments, as well as Diesel tools, welding equipment, lift and jacks. - Document according to company standards and upload pictures of work performed, parts used, and all findings observed on Repair Orders (“RO”) using company-issued iOS device and our proprietary TRAIT application. - Accurately complete DOT forms and all other forms of documentation in a timely fashion. - Work with a high degree of independence and manage own daily schedule. - Maintain a high level of productivity and be able to work within or close to most Standard Repair Times. - Obtain parts from approved local and national vendors as necessary for the repairs to be performed. - Communicate with management and support team via email or phone to obtain approvals on repair estimates, retrieve purchase order numbers and/or discuss RO findings notes. - Perform all work in compliance with organizational safety, health and environmental policies, and federal regulations, to include OSHA, EPA, and DOT. - Maintain company issued service truck, conduct safety checks and daily pre/post trip inspections. REQUIREMENTS: - High School Diploma/GED and 3 years’ experience in a related field. The right candidate could also have a different combination, such as any level degree/certification beyond a HS diploma/GED in a related discipline; or 5 years’ experience in a related field. - Possess and supply a set of hand tools necessary to perform required job duties. - Obtain Automotive Service Excellence (ASE) certification T8 (PMI) within eighteen (18) months. - This position follows regulations issued by the Department of Transportation’s (DOT) Federal Motor Carrier Safety Administration (FMCSA). Candidate must be able to successfully complete and pass a DOT-regulated pre-employment background screening and DOT physical prior to employment. - A current and valid DOT medical card with more than four (4) months remaining until its expiration may be submitted in leu of a DOT physical. If the DOT medical card has four (4) months or less of validity remaining, a DOT physical will be required. - Due to interstate operating authority commerce regulations, candidates must be at least 21 years or older. - Safe drivers needed; valid driver’s license required. Candidate must hold a valid state-of-residence driver’s license, be able to obtain and maintain their Driver Qualification File. - Must have a class C license REQUIRED CERTIFICATIONS OR OBTAINED WITHIN 18 MONTHS - ASE T8 (PMI) certification PREFERRED CERIFICATIONS - ASE T3 (Drivetrain) certification - ASE T4 (Brakes) certification - ASE T5 (Suspension) certification - ASE T6 (Electrical and Electronic Systems) - ASE T7 (HVAC) certification - ASE 608/609 certification* SKILLS & ABILITIES - Understand the implications of new information for both current and future problem-solving and decision-making. - Ability to lift, bend, climb, stand, and walk for long periods of time; ability to perform moderately heavy laboring work - Ability to exert oneself physically over long periods of time without tiring, which may include performing repetitive tasks. - Communicates information (for example, facts, ideas, or messages) in a succinct and organized manner. Engages in effective two-way communication with individuals and groups. - Ability to determine the type of tools and equipment needed. - Ability to accurately judge which of several objects is closer or farther away from the observer, or the distance between an object and the observer. - Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Why Fleet Services By Cox Automotive? - Weekly pay – get paid every Friday for added convenience and financial flexibility - Safe driving & Tech efficiency bonuses - Safety Boots & Safety Glasses reimbursement - Extreme weather gear (Cold & Hot) - Uniforms provided with laundry service where available - Take the service truck home daily (stop paying for gas!) - Tablet & company cellphone provided - Technical training provided to advance your career - Dedicated career path – ‘Over 50% of our front-line managers are promoted from within’. Benefits: - Health, dental, vision insurance starts DAY ONE of employment. - 401(k) matching starts after 90 days, 100%-match up to 6% contribution and an additional 2% discretionary contribution by the company. - Accrue up to 200 hours (5-weeks) of Paid Time Off based on your tenure with the company. - Tuition Assistance/Reimbursement - Adoption/Surrogacy assistance - Pet Insurance - Multiple ERG, diversity groups, and company paid volunteer hours. - Employee discounts on new vehicle purchases, cellphone plans, ridesharing, home/rental insurance, wellness/fitness incentives and much more. Benefits Employees are eligible to receive a minimum of 6.67 hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells – or simply uses – cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer – All qualified applicants/employees will receive consideration for employment without regard to that individual’s age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship. Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.

United States
$27 - $40 / hour
Job Closed
Nationwide Insurance logo

Consultant, Claims - Indemnity Specialty

Nationwide Insurance

Nationwide Insurance, founded in 1926, is one of the oldest and most well-respected insurance agencies in the United States. Headquartered in Columbus, Ohio, where more than 10,000

Claims Specialist106 days ago

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Work Environment: The location of this position is flexible and open to virtual and/or remote based applicants. Required Experience: - Demonstrated experience handling toxic tort and/or pollution bodily injury and property damage claims, including evaluation, negotiation, and resolution. - Proven ability to manage toxic tort and/or pollution bodily injury and property damage litigated files, including collaboration with defense counsel, strategy development, and oversight of litigation budgets and outcomes. Preferred Experience: - Exposure to product liability claims, particularly those involving complex coverage issues or high-severity losses. Job Description Summary Our team handles some of the most unique and interesting insurance claims at Nationwide. Do you have deep insurance industry knowledge, good negotiation skills and understand litigation? If you like variety in your work, have desire to collaborate and bring fair resolution to sophisticated specialty claims, we want to hear from you! As a Claims Consultant, you'll work within broad limits and authority on specialty claims assignments of the highest technical complexity and coordination. We'll count on you to investigate and maintain specialty claims - asbestos, toxic tort and/or pollution or sexual molestation. Job Description Key Responsibilities: - Completes detailed review and analysis of claims. Investigates liability and damages. - Brings files to closure, either by voluntary dismissals or by negotiation of settlements. - Resolves amount of appropriate settlements or grounds for denial. Assists in the drafting of settlement documents. - Provides reserve analysis to ensure timely and accurate case reserves in according to optimal claims practices. - Negotiates cost sharing agreements between other insurance carriers and policyholders. - Maintains current knowledge of assigned insurance lines, court decisions which may impact the claims function, current guidelines and policy changes and modifications. This may require attendance at various seminars or training session - Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, Claims Management and Underwriting. - Performs continuous review of claims inventory. Prepares appropriate internal reports, memos and analysis on a regular basis. - Determines duty to defend and selects defense counsel as appropriate. Closely monitors outside counsel's work product. Reviews and gives input in all levels to interrogatories, etc. in each case. Manages litigation when appropriate. - Serves as company witness on coverage position at depositions. Attends mediation sessions in attempt to resolve claims. Prepares legal audits at various law firms. - Provides advice, counsel and training to Claims Representatives of all levels. Provides specialized training and consultation to non-claims areas as requested. - Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers. - Serves as lead Claims representative in area of specialty. Serves as back-up to claims management. Assists with selection and training of new representatives. May perform other responsibilities as assigned. Reporting Relationships: Reports to Claims Manager/Director. Typical Skills and Experiences: Education: Undergraduate degree in related field preferred. Post-graduate studies preferred. License/Certification/Designation: State licensing where required. Relevant professional designations or certifications desirable (CPCU, CLU, IIA, AEI, etc.) Experience: Eight years of specialty claims experience preferred. Knowledge, Abilities and Skills: Proven superior knowledge of the best claims practices used to resolve the most sever and technically complex claims. Demonstrated knowledge of insurance contracts and legal aspects affecting regulatory and liability issues that relate to environmental and other specialty claims. Proven ability to meet customer needs and provide outstanding service by informing customers of the claims process and ensuring a positive customer experience. Ability to lead and train employees in all aspects of specialty claims review. Advanced verbal and written communication skills for interaction with technical professionals, insureds, federal agencies, the legal profession and other insurance companies. Ability to handle and prioritize multiple assignments. Other criteria, including leadership skills, competencies and experiences may take precedence. Staffing exceptions to the above must be approved by the business unit executive and Human Resources. Values: Regularly and consistently demonstrates Nationwide Values. Job Conditions: Overtime Eligibility: Not Eligible (Exempt) Working Conditions: Normal office environment. Must be able to make physical inspection of loss sites, work irregular hours and travel with possible overnight requirements. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Credit/Background Check: Due to the fiduciary accountabilities within this job, a valid credit and/or background check will be required as part of the selection process. We currently anticipate accepting applications until 03/26/2026. However, we encourage early submissions, as the posting may close sooner if a strong candidate slate is identified before the deadline. Benefits We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here. Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law. This position could be filled within any of the lower 48 U.S. states. #claims Smoke-Free Iowa Statement: Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at 888-944-2247. For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf NOTE TO EMPLOYMENT AGENCIES: We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means. Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule. The national salary range for Consultant, Claims - Indemnity Specialty : $97,000.00-$180,000.00 The expected starting salary range for Consultant, Claims - Indemnity Specialty : $97,000.00 - $145,000.00

United States
$97K - $145K / year
Job Closed
CorVel Career Site logo

WC Disability Claims Specialist II

CorVel Career Site

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

Claims Specialist106 days ago

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The WC Disability Claims Specialist manages within company best practices workers’ compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. Manages the claims toward closure and are looking for settlement opportunities throughout their reviews. This role is available for onsite, remote and hybrid work arrangements. - Receives claims, confirms policy coverage and acknowledgement of the claim - Review for validity and compensability of the claim - Reviews and revises reserve and authorizes payments within reserving authority limits - Ensures timely and accurate payment of WC claim benefits including indemnity and medical - Initiates investigations, including alive and well checks, when necessary, to confirm continued payment of benefits - Manages workers’ compensation claims toward closure (targeted case load is 250 – 300 files) - Develops strategies and pursues settlement and/or claim closures, whenever possible - Communicates claim status with the customer, claimant and client - Adheres to client and carrier guidelines and participates in claim reviews, as needed - Additional projects and duties as assigned Qualifications - State Certification as an Experienced Examiner - Bachelor’s degree or a combination of education and related experience - Minimum of 1 year of industry experience and claims management preferred - Preference for previous experience in WC disability benefit management Requirements - Excellent written and verbal communication skills - Ability to learn rapidly to develop knowledge and understanding of claims practice - Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making - Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets - Strong interpersonal, time management and organizational skills - Ability to meet or exceed performance competencies - Ability to work both independently and within a team environment Benefits - A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. Pay Range CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $48,143 - $71,852

United States
Job Closed