Claims Representative Jobs in the United States
LD&B Insurance Services
Harrisonburg, Virginia
Identify trends or issues and provide feedback to the Division Manager regarding process improvements, service gaps, efficiencies and effectiveness of the claims process and collaborate with others in the division to develop, implement and meet division goals. The Personal Lines Claims Representative works directly with clients, carriers, adjusters, colleagues, and external partners to report, coordinate, track, and resolve claims.
AllSearch Professional Staffing Inc.
$71000 - $110000
Stockton, CA
Investigate property claims involving commercial & residential buildings, collapse, structural damage, earth movement, and total building losses. The Property Claims Representative will be responsible for technical claim-handling, including investigation, evaluation, and negotiations pertaining to Property, Collapse, Earth Movement and Total loss of buildings.
AllSearch Professional Staffing Inc.
$71000 - $110000
San Jose, CA
Investigate property claims involving commercial & residential buildings, collapse, structural damage, earth movement, and total building losses. The Property Claims Representative will be responsible for technical claim-handling, including investigation, evaluation, and negotiations pertaining to Property, Collapse, Earth Movement and Total loss of buildings.
Award Staffing
$18 - $20
Anoka, MN
Discover Award Staffing: At Award Staffing, we believe that work should be more than just a paycheck—it should inspire, empower, and create a sense of purpose. Voted Minnesota's Top Staffing Agency to work for by the Star Tribune, we partner with companies of all sizes to help you find a role where you can thrive.
Farm Bureau Financial Services
Gilbert, Arizona
As a Casualty Claims Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, doctors, attorneys, and others. Who We Are: At Farm Bureau Financial Services, we make insurance simple so our client/members can feel confident knowing their family, home, cars and other property are protected.
Farm Bureau Financial Services
Council Bluffs, Iowa
As a Property Claims Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, engineers, restoration specialists, general contractors, attorneys, and others. ·Must be able to work under all kinds of weather conditions and fully appraise all physical aspects of the property and buildings, which includes climbing on ladders.
HCA Healthcare
Reston, VA
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
MCI Careers
Killeen, Texas
MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Mercury Insurance Services, LLC
$32363 - $56701
Remote, undefined
The Claims Representative will handle a high volume of calls and make regular contact with customers on multiple platforms, collaborating cohesively with other team members to achieve department goals. • Sets reserves for anticipated losses, arranges vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted.
Cottingham & Butler
Dubuque, IA
The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
Farm Bureau Financial Services
Wichita, Kansas
What You'll Do: As a Catastrophe Claims Representative, you will be responsible for immediate response to CAT storm events to investigate, evaluate, and negotiate property claim assignments involving homeowner, farm, and commercial risks. During non-storm periods, you will be assisting our business units manage claims by reviewing and paying replacement cost claims or following up on pending storm losses, as well as focusing on your personal development and training.
Virginia Farm Bureau
undefined, undefined
Virginia Farm Bureau is seeking a customer focused Property Field Claims Representative (PFCR) to join our claims team. Evaluate and Estimate claims using photos, measurements, estimating platforms, and other available resources.
Farm Bureau Financial Services
West Des Moines, Iowa
As a Claim Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, doctors, attorneys, and others. ·Ability to exercise independent judgment and arrive at decisions through sound, logical reasoning in order to handle complex claims in accordance with policy provisions and compliance guidelines.
UnitedHealth Group
$16 - $27.69
Las Vegas, NV
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
AF Group
Lansing, MI
SUMMARY: To provide prompt, cost effective and efficient examination, investigation and settlement or denial of insurance claims up to the highest and most severe exposure with minimal supervision, by exercising independent decision- making skills and judgment. A concentration in property and casualty would be preferred; orTwo years of AF Group Claims Representative III experience that includes independent handling of the most complex claims and/or the most complex, high touch or labor-intensive customers.
Service Pros Auto Glass
$1000 - $2500
Tampa, FL
You’ll engage customers, spot glass-replacement opportunities, and coordinate quick, professional service — all while building strong relationships and developing a personal team. Join the Service Pros Auto Glass team inside our partnered dealerships!
Berkley
Lawrenceville, Georgia
BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. Responsibilities: The Claims Representative is responsible for the quality handling and resolution of non-litigated claims including commercial auto claims in a timely and professional manner with emphasis on providing quality service while controlling expenses.
Community Financial System, Inc.
Olean, New York
Correspond to and provide necessary documentation to third party companies including customers, physician offices, auto insurance companies, GAP insurance carriers, and dealership representatives to ensure all available monies or refunds are requested and paid in a timely manner. Continuously cross train on other functions as needed or requested Assist the Direct Lending Manager with tasks, reports, or projects Assist the Direct Operations Supervisor with tasks, reports, or project.
Frank Winston Crum Insurance
Clearwater, FL
The pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Addison Group
$20 - $23
Nashville, Tennessee
This role is responsible for investigating claims, reviewing documentation, coordinating with internal and external stakeholders, and negotiating settlements while ensuring compliance with company policies and regulatory guidelines. About Our Client: Our client is a reputable organization within the insurance and claims industry, committed to delivering efficient, compliant, and customer-focused claim resolution services.
MCI Careers
Killeen, Texas
MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Traders Insurance
Kansas City, Missouri
Responsibilities: Primarily investigates and handles bodily injury claims along with associated property damage claims, including questions of coverage, liability, and damages, of moderate to high complexity. The role requires a basic level of technical expertise along with sufficient problem solving and organizational skills to gather details, investigate accidents, and manage the claims process.
Diverse Linx
Princton, NJ
Training will be conducted virtually from your home. Post Training: After 6-week training, this position is full-time (40 hours/ week) with variable (varying) shifts to support our 24 hour a day, 7 days per week operations. 2+ years of combined or related experience in a healthcare, call center, and/or customer service setting using the telephone and computer as the primary instrument to perform job duties.
Lorven Technologies
Not available, WA
High School diploma or equivalent ; • Excellent customer service skills; • General knowledge of and ability to operate a telephone and cash register; • Basic knowledge of clerical procedures, methods, and principles; • Proficient in office software, including Microsoft Outlook, Microsoft Excel and Microsoft Word; • Proficient with modern office equipment including computer, fax machine, and scanners. • Greet customers upon arrival in the Claims Center; • Ensure all proper documentation is presented prior to claim processing; • Assist Hoosier Lottery staff with daily office duties; • Answer claims hotline and assist customers with questions; • Assist with PR photos of winners when needed.
MCI
Killeen, TX
MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Vaco LLC
$45000 - $50000
Brookhaven, GA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
CCMSI
$22 - $25
Carson City, Nevada
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
UnitedHealth Group
$17.74 - $31.63
Dallas, TX
This is a challenging role that takes an ability to thoroughly review, analyze and research complex healthcare claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Vaco LLC
$45000 - $50000
Brookhaven, GA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Apidel Technologies
Phoenix, AZ
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Frank Winston Crum Insurance
Clearwater, FL
The pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands general liability coverage issues and can analyze and interpret commercial policy language in conjunction with specific facts of loss to reach appropriate coverage decisions and effectively communicate the company’s coverage position verbally and in writing including reservation of rights and denial of coverage letters .
Berkley
$80000 - $90000
High Point, North Carolina
Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results. Responsibilities: The Senior Workers’ Compensation Claims Representative is responsible for the analysis and management of workers’ compensation claims for assigned clients, including minor and complex claims.
Berkley
$75000 - $100000
Manassas, Virginia
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Regularly communicate claim activity and status updates to policyholders, injured workers and other interested parties in a professional, thoughtful and tactful manner.
Sammons Financial Group
$40223 - $67039
Sioux Falls, South Dakota
Responsibilities: • Focus primarily on answering phone calls for both life and annuities lines of business from beneficiaries, agents, policyowners, 3rd parties or others by telephone using a professional and friendly approach; inquiries are also to be handled in a precise, thorough manner with attention to grammatical correctness and professional tone. Overview: Responsible to provide customer service to Agents, Policyowners, Beneficiaries, Attorneys, and various other authorized parties through professional verbal communication skills for both the life and annuity lines of business.
Lobel Financial
Anaheim, CA
When an accident has occurred, acquires a copy of the police report and gathers facts concerning the accident, any injuries, or property damage. Lobel Financial is a full-spectrum lender that specializes in the acquisition and servicing of prime and sub-prime auto loans.
Partnership HealthPlan of California
$28.94 - $34
Fairfield, California
To accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis. Overview: To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects.
Advantage Tech
Kansas City, MO
Collaborate on Data Integration Processes - Work with ETL teams (primarily Informatica, occasionally SSIS) to support data movement and transformation between systems, ensuring accuracy and consistency. Testing and Quality Assurance - Validate SQL code and database changes through unit testing and assist with integration testing to ensure reliability and compliance with requirements.
West Bend Insurance Company
$67000 - $100000
West Bend, Wisconsin
MCI
Killeen, TX
MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Berkley
$80000 - $110000
Rocky Hill, Connecticut
Proactively manage litigated claim files from inception to closure, including collaboration with defense counsel to determine and execute an appropriate plan of action; bring litigated cases to resolution either by negotiated settlement or hearing decisions, as appropriate. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us.
CCMSI
$60000 - $75000
St. Louis, Missouri
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. Responsibilities: When we hire adjusters, we look for professionals who thrive on solving complex problems, take ownership of outcomes, and deliver exceptional service with integrity.
Pinnacol Assurance
$60000 - $64200
Denver, CO
Proactively manage open claims as required by Company best practices, including expedient and cost effective medical case management, disability management and litigation management as well as identification, investigation, management and resolution of potential adverse claim development, including prior injuries, comorbid and pre-existing medical conditions, migrating body parts, worsening medical conditions and delayed recovery, change of physician requests, multiple claims, multiple jobs, subrogation, penalties and offsets, etc. Contact stakeholders as required by Company best practices on incoming claims to promptly investigate circumstances of accident and injury, investigate and determine compensability, and identify and address red flag issues, including late reporting, pre-existing medical issues, designated medical provider process and referral issues, medical treatment issues, legal issues, and potential subrogation and penalty issues.
Berkley
Marlborough, Massachusetts
Claims handled may include General Liability bodily injury and property damage, Commercial Automobile bodily injury including Uninsured/Underinsured Motorist claims, pollution and environmental exposures, construction defect, product liability bodily injury and property damage, employment-related practices claims and other types of commercial exposures. Proactively manage litigated claim files from inception to closure, including collaboration with defense counsel to determine and execute an appropriate plan of action; bring litigated cases to resolution either by negotiated settlement or trial, as appropriate.
Pinnacol Assurance
$80900 - $85600
Denver, CO
Proactively manage open claims as required by Company best practices, including expedient and cost effective medical case management, disability management, and litigation management, as well as identification, investigation, management and resolution of potential adverse claim development, including prior injuries, comorbid and pre-existing medical conditions, migrating body parts, worsening medical conditions and delayed recovery, change of physician requests, multiple claims, multiple jobs, subrogation, penalties and offsets. Contact stakeholders as required by Company best practices on incoming claims to promptly investigate circumstances of accident and injury, investigate and determine compensability, and identify and address red flag issues, including late reporting, pre-existing medical issues, designated medical provider process and referral issues, medical treatment issues, legal issues, and potential subrogation and penalty issues.
West Bend Insurance Company
$23.15 - $31
West Bend, Wisconsin
Safepoint MGA, LLC
Tampa, FL
Please note that most organizations overseeing Property and Casualty licensure requirements, including the Florida Department of Financial Services, require individuals to answer background questions about criminal history and undergo fingerprinting as part of the licensing process. We recognize that talented professionals are attracted to companies that provide a great place to work, combined with a comprehensive and competitive pay and benefits package, along with opportunities for personal growth and job advancement.
One Path Career Partners
Rochester, NY
To be considered for this position, please have a HS Diploma, a minimum of 3-years of customer service experience, and strong computer skills. Follows procedures and utilizes resources to ensure that quality metrics are met.
Farm Bureau Financial Services
Manhattan, Kansas
As a Claims Service Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, doctors, attorneys, and others. What You'll Do: As a Claims Service Representative, you will review, investigate, evaluate, negotiate and settle assigned claims involving multi-line insurance coverage that do not require field investigation.
Great Expressions Dental Centers
Southfield, MI
Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected.
PHA Health
McCook, NE
PHA Health provides health plans that are affordable, sustainable, and promote well-being by empowering employers and employees to be financially, emotionally, and physically healthy. PHA Health, powered by Wilcox Financial Services is a leading insurance brokerage that specializes in offering group employee health benefits.