Job Closed

This listing is no longer active.

SupplyHouse.com logo
SupplyHouse.com

Plumbing, Heating & HVAC Supplies. Real People. Real Service.

Claims Associate

Claims SpecialistClaims SpecialistFull TimeRemoteMid LevelTeam 501-1,000Since 2004H1B SponsorCompany SiteLinkedIn

Location

Philippines

Posted

27 days ago

Salary

₱613.1K - ₱766.4K / year

Seniority

Mid Level

High SchoolEnglish

Job Description

Claims Associate

SupplyHouse.com

• Investigate, submit, and manage claims for lost, damaged, defective, or otherwise eligible products in accordance with SupplyHouse, carrier, and vendor policies • Monitor open claims and ensure timely follow-up, resolution, and submission of all required documentation within applicable deadlines • Update corresponding claim documents and tracking tools to reflect current status, actions taken, and next steps • Communicate with external partners and internal teams to obtain required information, resolve claim issues, and support timely processing • Follow up on reimbursements and recoveries to ensure funds are received, tracked, and allocated correctly • Prepare and maintain reporting on claim activity, outcomes, and trends to support visibility and decision-making • Adapt to evolving partner policies, procedures, and claim requirements while supporting continuous process improvement • Identify and implement opportunities for greater efficiency, improved workflows, and faster claim recovery • Partner proactively with cross-functional teams and external partners, including Category Management, Fulfillment Centers, Customer Service, carriers, and vendors to support effective claims resolution • Respond to co-worker and external partner inquiries in a professional, timely, and solution oriented manner

Job Requirements

  • High School Diploma or equivalent
  • High-level proficiency of written and verbal communication in English
  • Proficient data entry skills
  • Ability to work independently and as a part of a team
  • Extremely organized, strong follow-through and attention to detail
  • Excellent verbal and written communication skills

Benefits

  • Comprehensive and affordable medical, dental, vision, and life insurance options
  • Paid time off and holidays
  • Mental health support and wellbeing program
  • Company-provided equipment and one-time $250 USD work from home stipend
  • $750 USD annual professional development budget
  • Company rewards and recognition program
  • And more!

Related Categories

Related Job Pages

More Claims Specialist Jobs

Fetch Pet Insurance logo

Claims Processor

Fetch Pet Insurance

Help your pet live a longer, healthier life.

Full TimeRemoteTeam 201-500H1B No Sponsor

• Documentation & Record Procurement: Conduct high-volume outbound calls to veterinary clinics to request missing medical records and documentation essential for claim adjudication. Review incoming emails and accurately upload documents to the associated policyholder accounts, ensuring all files are correctly categorized. Navigate difficult conversations with clinic staff, pivoting quickly to provide alternative identifiers when a patient is not easily found in their system. • Claims Support & Wellness Adjudication: Review and assess wellness-specific claims, ensuring they meet policy guidelines for routine care and preventative services. Monitor administrative email queues to address requests from Adjusters and the Service Department regarding file status or account updates. Provide specialized administrative support for VIP accounts, ensuring high-priority requests are handled with precision and care. • Operational Reporting & Special Projects: Monitor aging claim reports to identify files that require follow-up, ensuring claims remain within established processing timelines. Assist with side administrative projects, including moving files between accounts, managing tracking sheets, and supporting automation initiatives. Maintain and update Google Sheets or Excel trackers, utilizing sorting, filtering, and basic formulas to organize claims data.

United States
$21 - $23 / hour
Job Closed
TrueBlue logo

Leave Specialist

TrueBlue

TrueBlue, Inc. and its brands welcome and encourage applications from candidates with disabilities. Accommodations are available upon request for candidates taking part in the application or interview process. If you require disability-related accommodation during the application or interview process, please contact your Recruiter directly, Employee Relations at HR-Advice@trueblue.com, or 1-800-610-8920. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law. PeopleScout, a TrueBlue company, is a global talent solutions leader, providing unmatched scalability to meet the hiring needs of organizations of all sizes across sectors. PeopleScout’s comprehensive services include Recruitment Process Outsourcing (RPO), Managed Service Provider (MSP), Total Workforce Solutions, and Talent Advisory. Operating in more than 40 countries, with over 30 years of expertise, PeopleScout connects employers with top talent—from volume hiring to specialist roles—with an approach that combines market intelligence, creativity and technology. Our team believes in the transformative power of connection to drive results—our brand promise “Connect More” is grounded in our legacy of exceptional service and reflects our commitment to forging stronger connections across the talent spectrum through experience, insight and action.

Full TimeRemoteTeam 1,001-5,000

Role Description The Leave Specialist is responsible for administering employee leave of absence programs in compliance with federal, state, and company policies. This role serves as a subject matter expert for leave-related inquiries, ensuring accurate case management, regulatory compliance, and a positive employee experience throughout the leave lifecycle. Location: Remote Key Responsibilities - Administer and manage employee leaves of absence, including but not limited to FMLA, ADA, state and local leave laws, military leave, and company-sponsored leaves. - Serve as the primary point of contact for employees, managers, and HR partners regarding leave programs, eligibility, processes, and documentation. - Review medical certifications and supporting documentation to determine leave qualification and duration. - Coordinate with payroll, employee relations, workers’ compensation, and disability vendors to ensure accurate pay, benefit continuation, and return-to-work processes. - Track leave usage and ensure timely notices, approvals, extensions, and closures. - Ensure compliance with applicable federal, state, and local regulations, including FMLA, ADA, and state-specific leave programs. - Maintain accurate and confidential records in HRIS and leave management systems. - Partner with HR and management to support accommodations and return-to-work planning. - Identify process improvement opportunities and contribute to policy updates and training materials. - Prepare reports and metrics related to leave activity, trends, and compliance audits. Qualifications - Bachelor’s degree in human resources, Business Administration, or a related field, or equivalent experience. - 2 years + of experience administering leave of absence programs. - Strong working knowledge of FMLA, ADA, and state leave laws. - Experience working with HRIS and/or third-party leave administration systems. - Excellent attention to detail and organizational skills. - Strong written and verbal communication skills. - Ability to handle sensitive and confidential information with discretion. - Proven ability to manage multiple cases and deadlines simultaneously. Preferred Qualifications - Professional certification such as SHRM-CP, PHR, or Certified Leave Management Specialist (CLMS). - Experience in a multi-state or complex regulatory environment. - Background in benefits, disability, or workers’ compensation coordination. Competencies - Compliance-focused mindset. - Employee-centric service approach. - Analytical and problem-solving skills. - Collaboration and stakeholder partnership. - Sound judgment and decision-making. Supervisory Responsibilities This position will not have any direct supervisory responsibilities. Salary Range $24.86 - $29.81 per hour, depending on experience and geographic location. Please note that actual compensation offered may vary based on local pay requirements, and will meet or exceed state-specific minimum wage or salary thresholds. Benefits - Competitive benefits package, including 6 paid holidays. - 1 paid floating holiday and up to 15 days of Paid Time Off per year. - Medical/Dental/Vision insurance. - Company-matching 401(k) and Employee Stock Purchase Program. - Additional programs and perks.

United States
$25 - $30 / hour
Davies logo

Property Damage Adjuster

Davies

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 spearhead transformation in the insurance and regulated sectors.

Full TimeRemoteTeam 201-500

Role Description Davies Claims North America is looking for a Liability Property Damage Adjuster to join our team. Reporting to the TPA/P&C Manager, you will adjust first- and third-party property damage claims in a timely, accurate, and professional manner. - Review new assignments within 24 hours of assignment and completion of the Plan of Action - Contact the Insured or Claimant within 24 hours of assignment - Assign appraisers or coordinate the receipt of damage estimates according to the client guidelines or approval - Determine if estimates or appraisals are appropriate based upon reported damages and other evidence - Gather evidence of damages, set, and adjust reserve amount appropriately - Interview the Claimant, Insured, and/or witnesses as necessary - Evaluate the facts and law to determine liability and the amounts owed - Daily review of workflow and claim system reminders with follow-up and significant progress toward completion of any task set as a reminder, or received in workflow within 72 hours - Request payment authorization according to the client guidelines and Davies Claims North America policy and procedures - Follow client guidelines for any claim denial - Obtain internal investigation reports from the Insured when permitted by the client - Determine degree of Attorney involvement, if necessary - Always act with the utmost good faith in handling of the claim from beginning to closure - Set reminders within the claim system for necessary follow-up in an appropriate time frame - Accurately record any communication, or activity relevant to the claim, in the claim system notes - Follow branch procedures to image documents sent to you that are relevant to the claim file, including emails - Meet the requirements of Continuing Education as required for licensure as an adjuster - Maintain a 95% claim closure ratio - Report to the Excess Carrier on any claim that meets the requirements to do so - Immediately notify the supervisor and the client of any Summons and Complaint received, identify assigned defense counsel, and communicate and cooperate with defense counsel - Read and understand the Excess Carrier Insurance Policy - Develop a working knowledge of Loss of Business Income and Extra Expense - Check for the Claimant’s compliance with the provisions in F.S. 768.28 Sovereign Immunity - Evaluate the claim for subrogation opportunities and for possible fraud - Identify and pursue subrogation, contribution, indemnification, and/or other opportunities to compel third parties to bear their share of responsibility - Assist others as called upon by the Claims Supervisor and/or Manager - For Third-Party Vehicle Damage claims: interview the insured driver or other involved parties - For Third-Party Vehicle Damage claims: determine the injury status of all persons involved in a crash investigation - For Third-Party Vehicle Damage claims: obtain a recorded statement immediately if injury is indicated - For Third-Party Vehicle Damage claims: obtain Certificate of Destruction when called for by the Statue (total loss) - For Third-Party Vehicle Damage claims: verify ownership of the vehicle - For Third-Party Vehicle Damage claims: arrange for the removal of Claimant vehicle from facilities where storage is accruing (with Claimant permission if settlement has not taken place and liability exists upon the Insured) - For Third-Party Vehicle Damage claims: interact with insurance adjusters from other companies, obtaining information needed to process the claim - For Third-Party Vehicle Damage claims: send out subrogation paperwork to the Claimant and/or their insurer and follow up to completion of subrogation efforts - For Third-Party Vehicle Damage claims: check for lien holders prior to issuing payment - Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together - Perform other duties as assigned Qualifications - 1 year of adjusting experience - Bachelor's degree or three or more years of equivalent work experience - Proficiency in Microsoft Office Suite - Superb communication skills, verbal and written, conducted in a timely manner - Superior time management skills with capability of working with and meeting deadlines - Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment - Excellent team player with interpersonal skills - High level attention to detail and problem-solving skills - Capable of working collaboratively and independently with minimal supervision - Exhibit discretion with sensitive and confidential information - Display a comfort level working with key people at all levels within an organization Benefits - Medical, dental, and vision plans to support your health and that of your family - A 401(k) plan with employer matching - Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees - Paid holidays - Life insurance and short-term and long-term disability coverage

United States
$47.5K - $55K / year
ReWorks Solutions logo

Claims Specialist

ReWorks Solutions

Building quality global teams that drive efficiency and results

Full TimeRemoteTeam 201-500Since 2024H1B No Sponsor

• Process and adjudicate insurance claims according to company policies and regulations, ensuring accuracy and compliance. • Review and analyze claims to identify any discrepancies or issues requiring resolution. • Communicate with insurance companies, healthcare providers, and patients to address claims-related inquiries and disputes. • Collaborate with internal teams to gather necessary documentation and information to support claim decisions. • Maintain detailed records of claims activity and ensure timely follow-up on outstanding claims. • Stay updated on industry changes and payer policies to optimize claims processing and reimbursement rates.

South Africa
Job Closed