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The Jonus Group is a leading insurance staffing firm specializing in providing top-tier talent for the insurance industry. We are currently seeking a dedicated and experienced Workers Compensation Claims Adjuster to join a reputable insurance client's Workers Compensation Claims Department.
Claims Examiner - Auto
Location
United States
Posted
58 days ago
Salary
$28 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Claims Examiner - Auto
The Jonus Group
Role Description Our client has several openings for Remote Commercial Auto Claims Adjusters, with Bodily Injury experience, handling claims throughout the United States. - Processes moderate to complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. - Responsible for litigation process on litigated claims. - Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. - Reports large claims to excess carrier(s). - Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. - Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. - Communicates claim action/processing with insured, client, and agent or broker when appropriate. Qualifications - Experienced in Commercial Auto Liability, Property Damage, and Bodily Injury claims. - TPA experience a plus. - Claim handling experience with authority thresholds up to $1 million. - Adjuster license in Home State, multiple states preferred. - Litigation experience preferred. - Experience working in a fast-paced environment, participating in and presenting cases to both internal and external stakeholders. Benefits - $28.00/hr + hour (based on experience) Company Description
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Claims Examiner - General Liability Adjuster
The Jonus GroupThe Jonus Group is a leading insurance staffing firm specializing in providing top-tier talent for the insurance industry. We are currently seeking a dedicated and experienced Workers Compensation Claims Adjuster to join a reputable insurance client's Workers Compensation Claims Department.
Role Description An established organization is seeking an experienced Commercial Liability Adjuster with a background in Bodily Injury claims. This fully remote position involves handling Commercial Auto and General Liability claims across the United States. The ideal candidate will have experience managing complex injury cases, including litigation, and will demonstrate strong analytical and communication skills. - Handle complex Commercial Auto and General Liability claims, including Bodily Injury, ensuring files are accurately documented and coded. - Oversee the litigation process for assigned claims and maintain regular communication with stakeholders. - Coordinate vendor management, including use of independent adjusters for investigations. - Report large losses to excess carriers as appropriate. - Develop and maintain action plans to ensure compliance with state contact requirements and drive timely, appropriate claim resolution. - Identify and pursue subrogation and risk transfer opportunities. - Manage communication with insureds, clients, and brokers regarding claim status and resolution. Qualifications - Proven experience handling complex liability and coverage matters. - TPA experience preferred. - General Liability claims experience. - Litigation experience. - Experience handling claims with authority up to approximately $1 million. - Licensed Adjuster in multiple jurisdictions (Must have Resident Adjuster/Home State Adjuster license). - Auto Physical Damage handling experience preferred. - Ability to work effectively in a fast-paced environment and present cases to internal and external stakeholders. Benefits - Hourly Rate: $31.00 (commensurate with experience). Company Description
Manulife Insurance business unit is a leading provider of insurance solutions that meet the diverse financial needs of Canadian families. In collaboration with independent financial advisors across the country, we offer a suite of innovative wealth and protection solutions, including: segregated funds, mutual funds, annuities, guaranteed interest contracts, individual life insurance and one of the most comprehensive living benefit portfolios in the industry which includes critical illness, long-term care and disability products. We are currently seeking an Intermediate Claims Adjudicator and Administrator for our client base across Canada. Empathic, professional, highly organized and tenacious, the successful candidate thrives in a team environment and is motivated to maintain exemplary customer service to our clients when it matters most. 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Field Claims Specialist II, Material Damage (South Sacramento, Elk Grove, Stockton Corridor)
Nationwide InsuranceNationwide 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
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. This is a Field Claims Specialist II, Material Damage work‑from‑home opportunity in the South Sacramento, Elk Grove, Stockton Corridor with day/regional travel in a company‑provided vehicle throughout the week in that same area. Responsibilities include onsite and virtual inspections, with opportunities to support additional territories. Occasional overnight travel and CAT duty are required. #LI-JJ1 #LI-Remote Job Description Summary Do you have the ability to communicate compassionately and effectively to resolve insurance claims? If so, and if you’d thrive in a fast-paced environment, where your professional growth and development is both encouraged and supported, we want to know more about you! As a Field Claims Specialist, you’ll investigate, evaluate and resolve material/physical damage of a moderate to severe nature. We’ll count on you to promote and provide exceptional customer service. You’ll be responsible for handling claims according to prescribed authorization and claims best practices. Job Description Key Responsibilities: - Deals with all assigned claims, promptly and efficiently, with little or no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. Adheres to high standards of professional conduct consistent with the delivery of superior service. - Determines proper policy coverages and applies best claims practices to conclude assigned cases according to company guidelines. - Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends Special Reserves where necessary in alignment with Corporate Reserving Guidelines. Adheres to file conferencing notification and authority procedures. - Maintains current knowledge of insurance and applicable product/services; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications. 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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 Field Claims Specialist II, Material Damage : $62,500.00-$115,500.00 The expected starting salary range for Field Claims Specialist II, Material Damage : $62,500.00 - $93,500.00
Role Description This position is for a "Hearing Representative", located in the Department of Labor, Division of Energy Employees Occupational Illness Compensation (DEEOIC), Final Adjudication Branch (FAB). DEEOIC administers the benefits' provisions of the Energy Employees Occupational Illness Compensation Program Act (EEOICPA). The purpose of this position is to serve as the Final Adjudication Branch's authority and representative in reviewing claims, conducting hearings and issuing determinations. Responsibilities: - Independently review the evidence of record and the recommended decisions issued by the DEEOIC District Offices for factual and legal accuracy prior to scheduling a hearing. - Craft a final decision to either affirm the recommended decision or remand the case back to the District Office for further development and the issuance of a new recommended decision. - Review claimant requests for reconsideration of final decisions with delegated authority to finalize or modify decisions of the initial claims examiner. Qualifications - You must meet the Specialized Experience to qualify for Workers' Compensation Claims Examiner, as described below. - For GS-13: Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level GS-12 in the Federal Service. Requirements - Specialized Experience is the experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform the duties of the position successfully, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level. - Qualifying specialized experience for GS-13 includes: - Applying laws, rules, regulations, policies, and procedures when reviewing claims for benefits. - Adjudicating highly complex cases for benefits based on evidence. - Composing and issuing final decisions that affirm or remand cases for further development.

