Claims Adjuster jobs in Miami Gardens, FL

Amwins Specialty Auto is seeking career-oriented candidates to join a claims team within our rapidly growing company. As a Level I Claims Adjuster, you will investigate straightforward 1st party and non-injury related liability claims in accordance with company procedures. In the fast-paced environment of auto claims this role requires strong oral, written, analytical, decision making and organizational skills and lends itself to considerable career growth potential. Along with competitive salary, Amwins Specialty Auto offers a full range of benefits including insurance, retirement, and educational reimbursement programs. Amwins Specialty Auto is part of Amwins Group, the largest specialty broker in the United States, with over $14 billion of premium. This is an in office position based out of our Sunrise, FL location! Responsibilities: Establish timely contact with all applicable parties to a claim (insureds, drivers, witnesses, etc), gathers facts of the loss and clearly explains the claims process Assess coverage, identifying and addressing potential coverage issues Determine liability and document the claim file with details of the claim investigation Communicate to applicable parties the rationale behind coverage or liability decisions Document information obtained regarding damages and resolve within assigned authority limits Manage the assignment of claims to material damage handling units for inspection or repairs Maintain file notes and correspondence while performing multiple tasks associated with a fast-paced environment Manage reserve adequacy throughout the life of the claim Alert claims supervisor in the event of potential fraud, recovery, or severity escalation in the claim Ensure timely and cost-effective claim resolution Qualifications: 1-3 years of P&C adjusting experience Must be fluent in English, fluent in Spanish is preferred Associates degree or above preferred Must obtain Florida adjuster license prior to start date Ability to multi-task in a fast-paced environment Strong communication skills and ability to clearly document and communicate the basis for decisions made Excellent written skills that demonstrate clear, professional and succinct communications for file documentation, internal communications and external correspondence Strong organizational and time-management skills Courteous and professional telephone communications Ability to work in a team environment and maintain calm demeanor even during heated circumstances Benefits: Amwins Specialty Auto seeks to attract career-oriented individuals, and as such provides competitive pay and considerable opportunity for merit-based advancement. Our comprehensive benefits package includes the following: Medical, dental & vision coverage 401K with Company match Paid time-off Pay-for-Performance Flexible spending accounts Tuition reimbursement Work/Life resources Employee and Dependent life insurance Disability insurance Accidental death and dismemberment insurance No direct inquiries, please.

Job Details Miami, FL $45000.00 - $65000.00 Salary/year Description Overview: Loyalty MGA is seeking experienced Bilingual Subrogation Adjusters to join our dynamic team. This position offers a hybrid work schedule upon successfully completing the company's probation period. This role is perfect for professionals looking to advance their careers in the subrogation field. If you have a background in claims management and a passion for resolution, we want to hear from you! Responsibilities: Investigate and manage subrogation claims, ensuring timely and accurate resolution. Analyze liability and coverage issues to determine recovery opportunities. Communicate effectively with all parties involved, including policyholders, insurers, and legal representatives. Gather and evaluate relevant documentation and evidence to support subrogation claims. Negotiate settlements and recoveries while maintaining compliance with industry regulations. Maintain accurate records and documentation of all claims activities. Provide exceptional customer service to internal and external stakeholders. Qualifications Hold a valid all lines 6-20 license Negotiate settlements with claimants or their representatives, ensuring fair and equitable agreements. Adhere to ethical standards and guidelines while handling claims and interacting with stakeholders. High school diploma or equivalent; bachelor's degree in business, or related field preferred. Strong problem-solving skills with a focus on delivering timely and effective resolutions to customer issues. Strong organizational and time management skills to handle multiple tasks efficiently. Professional, energetic, and ability to thrive in a fast-paced environment and adapt to changing priorities. Excellent verbal and written communication skills. Ability to articulate solutions clearly and concisely. Bilingual in English & Spanish Required.

at Seaboard Marine Long-term employment with opportunities for growth. Discover more about our organization, culture, and employee benefits by visiting this page. Explore life at Seaboard Marine: ************************************************* We offer excellent benefits including: 401(K) Retirement Saving Plan w/ Employer Match Low-Cost Health, Dental & Vision insurance (Starting DAY ONE) Tuition & Certification Reimbursement Paid Time Off - (15 Days; prorated before 1st year) Parental Leave Paid holidays POSITION SUMMARY: In this function, an individual performs within operational procedures that have been developed and has the authority and the ability to interpret and apply laws and regulations to case scenarios and maintain working relationships with customers, attorneys, insurance companies and local authorities. Assignments are generally broad in scope with frequent opportunity for exercising independent judgment in making claims management decisions subject to final review and approval by Claims Supervisor and Claims Manager. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. GEOGRAPHIC REGION:Please note applicants out of the geographic region for position applied will not be considered. QUALIFICATIONS: Required Minimum one (1) year experience as a claim's adjuster working with handling cargo, property, casualty, contents or auto claims. Must possess a general understanding of the usage of a diary-based system to move claims along towards completion. Knowledge of insurance and claims legal vocabulary in order to understand the nature of cargo claims. Knowledge of techniques of investigation, adjustment, negotiation and settlement. Must have intermediate computer skills in programs such as MS Word, Excel & Outlook, etc. Must have advanced communication skills (reading, writing & speaking) both in English and Spanish in order to communicate at different levels throughout the organization, exterior organizations, out port offices, attorneys, etc. Possess strong analytical skills. Possess organizational and time management skills with ability to prioritize and be detail oriented. Ability to conduct effective negotiations with claimants, attorneys and insurance carriers. Ability to express ideas clearly and concisely, verbally and in writing. Ability to analyze define problems, collect data, establish facts, and exercise sound judgment in drawing valid conclusions. Ability to prepare a variety of reports and meet consistent deadlines. Ability to work independently with limited supervision, multitask and possess strong initiative. Ability to establish and maintain effective working relationships with customers, vendors and fellow employees. Ability to think logically, establish and follow procedures, instructions and make sound decisions. Ability to exercise independent judgment within established systems and procedures. Ability to work a flexible schedule, extended hours, holidays, and/or weekends as needed. Possess high energy level, comfortable performing multifaceted projects in conjunction with normal activities. Must have or be able to obtain a TWIC card within 30 days of employment. Preferred Experience handling marine cargo claims Knowledge of Carriage of Goods by Sea Act (COGSA). Bachelor's degree in Business Administration or related field. DUTIES AND RESPONSIBILITIES: Primary Plan, organizes and reviews the investigation, negotiation and preparation of settlement recommendations of a variety of insurance claims; reviews accident reports, losses and litigation claims, reefer claims; and provides intra-company personnel with technical advice and assistance. Manages highly complex investigation of claims, including coverage issues liability, compensability and damages Manages all types investigative activity or litigation or litigation on major claims, including the posting of appropriate reserves in a timely manner Monitoring claims to ensure file handling is compliant with established standards. Analyzes claims activities; prepare and present reports to management and other internal business partners and clients. Miscellaneous tasks to include assignment of survey inspections and provide support in a collaborative effort as needed to department manager as well as co-workers. Attend seminars and workshops to ascertain new development and/or further skills relating to required duties. Provides guidance and assistance to less experienced claims staff and other functional areas. Handling of the duty phone on a rotational basis Performs other job-related duties as assigned. PHYSICAL REQUIREMENTS: While performing the duties of this job, the employee is regularly required to sit and use his/her fingers. The employee frequently is required to talk and/or hear. The employee is continuously required to sit. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. SAFETY REQUIREMENTS: Report safety hazards. Immediately report incidents involving injury, illness, or property damage. Wear appropriate PPE as instructed by immediate supervisor. Comply with all company safety policies, procedures, and rules. Refuse any unsafe task or operation. Participate in safety meetings and training. Be constantly aware of their personal safety and that of their coworkers. SUPERVISION RECEIVED AND EXERCISED: Receives direct supervision from the Insurance and Claims Manager and the Insurance and Claims Supervisor. Does not exercise supervision over any position. CONDITIONS: Indoors office, controlled temperature environment. The noise level in the work environment is usually quiet. DISCLAIMER: We are an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other protected characteristic as outlined by federal, state, or local laws. If an applicant with a disability is unable or limited in their ability to use or access our online application center as a result of their disability, they can request reasonable accommodations by sending an email to

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

Job Description CLAIMS ADJUSTOR (remote - East Coast) ARC Group seeks a Bodily Injury Claims Adjuster to work in a remote hybrid role for our direct client based in FL. The Claims Adjustor will investigate, evaluate, and negotiate bodily injury claims, ensuring compliance with legal standards and company policies while also coordinating with counsel on the defense of claims. There is a preference for someone in FL but Claims Adjusters from surrounding gulf and eastern seaboard states will be considered. The Claims Adjustor must have experience with bodily injury, liability, and preferably with liability, property damage, and commercial auto. But bodily injury is required. Our client is a leading insurance underwriter, and this is a great opportunity for a Claims Adjustor to join a well-established firm (45+ years) that is on a multi-year growth plan. You would join a company that offers competitive salary and comprehensive benefits package including PTO, Paid Holidays, health, vision, detail, Life & Voluntary/ADD, STD & LTD, 401K contributions and business casual dress Claims Adjustor Responsibilities: Correspond and interview with agents, witnesses, or claimants to compile information Take accurate and detailed statements from all involved parties Calculate and approve payment of claims within a certain monetary limit Negotiate and settle property losses with little oversight Coordinate with legal counsel in handling cases correctly Negotiation and Settlement: Negotiate settlements with claimants, attorneys, and other involved parties in a fair and cost-effective manner. Collaborate with internal teams, such as underwriters and claims specialists, to facilitate efficient claims resolution. Documentation and Reporting: Prepare detailed and accurate documentation of claim investigations, legal actions, and settlement agreements. Provide regular reports to management on claim status, legal developments, and financial implications. Compliance and Best Practices: Ensure compliance with state and federal regulations, as well as company policies and procedures. Stay informed about changes in legislation and industry trends affecting commercial auto insurance. Claims Adjustor Qualifications: 3+ years of previous bodily injury insurance experience, investigations or other related fields with liability, and property damage, and commercial auto (preferred) Experience in conflict resolution Strong negotiation skills Excellent written and verbal communication skills Deadline and detail-oriented Would you like to know more about our new opportunity? You can apply online while viewing all open jobs at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. We are proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. We are a no-fee agency for candidates.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston "Discover a wealth of valuable resources on our YouTube channel! Dive into a trove of insightful videos at ******************************************************** to explore expert tips, and testimonials to enhance your skills and knowledge. Subscribe now for exclusive content and stay ahead in your journey with MileHigh Adjusters Houston!"

Job DescriptionDescription: The ideal candidate is an experienced, all-lines adjuster, with at least one year of PIP handling experience for Florida PIP claims, specifically with experience clearing coverage and qualifying claimants for benefits under the policy. The candidate has a strong background in insurance claims processing, excellent communication skills, and the ability to handle complex situations with empathy and professionalism. Adjusters are responsible for assigned files within their department matched to their expertise in claims handling. They must follow protocols set forth by department supervisors/managers and operate within their stated authority and handle claims in accordance with the Florida adjuster code of ethics. Essential Duties and Functions The essential functions include, but are not limited to the following: · Evaluate auto insurance claims promptly and accurately to determine coverage, liability, and settlement options. · Conduct thorough investigations into the circumstances surrounding each claim, including obtaining statements, collecting evidence, and analyzing policy provisions. · Maintain detailed and organized claim files, documenting all relevant information, correspondence, and decisions made throughout the claims process. · Communicate effectively with policyholders, claimants, witnesses, and other involved parties to gather information, explain coverage, and provide updates on claim status. · Negotiate settlements within authorized limits, considering factors such as liability, damages, and policy coverage. · Provide exceptional customer service to policyholders and claimants, addressing inquiries, concerns, and complaints in a timely and professional manner. · Ensure compliance with insurance regulations, company policies, and industry standards in all aspects of claims handling. · Collaborate with internal teams, including underwriters, legal counsel, and other claims professionals, to resolve complex claims and mitigate risk effectively. · Identify opportunities for process improvement and contribute to the development of best practices within the claims department. · Perform quality reviews of claim files to ensure accuracy, consistency, and adherence to company guidelines. · Ensure timecards are reviewed daily for accurate hours worked. Requirements: Minimum Qualifications (Knowledge, Skills, and Responsibilities) · Strong knowledge of insurance principles, regulations, and industry standards. · Excellent analytical skills with the ability to assess liability and evaluate damages. · Exceptional communication and interpersonal skills, both written and verbal. · Proficiency in insurance claims software, preferably Microsoft Office suite. · Demonstrated ability to manage multiple priorities and meet deadlines in a fast-paced environment. · Commitment to providing outstanding customer service and maintaining professionalism in challenging situations. Required Education and Experience: · High School Diploma or equivalent experience in auto claims insurance, business administration, or a related field; Bachelor’s or Associates degree preferred. · Minimum of 1+ years of PIP handling experience for Florida PIP claims · Florida Adjuster License.

Department: Claims Schedule: Monday to Friday; flexibility for additional hours as needed. Salary: Commensurate based on experience and qualifications About Responsive Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents from the most respected insurance agencies to deliver world-class service and claims experiences. Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we deliver through innovation, feedback, and a commitment to excellence. Why Join Responsive? At Responsive, we're committed to supporting our team with comprehensive benefits and a positive work environment, including: Employer-Paid Healthcare: Medical, dental, and vision plans with free preventative care. Retirement Savings: 401(k) with company match. Wellness Programs: Mental health support and wellness initiatives. Career Development: Training and growth opportunities in a collaborative environment. What You'll Do As a Claims Adjuster, you'll guide customers through the claims process with empathy and expertise. From investigating coverage to resolving disputes, you'll handle claims from start to finish while maintaining strong relationships with customers and stakeholders. Responsibilities include: Investigating, evaluating, and resolving insurance claims. Reviewing policies to verify coverage and address coverage issues. Managing customer interactions with professionalism and accuracy. Responding to demands, requests, and questions with clear, well-documented communication. Collaborating with attorneys, medical providers, and other stakeholders. Maintaining detailed and timely records. Ensuring compliance with federal, state, and company regulations. Requirements What We're Looking For Education: Bachelor's degree OR high school diploma with 2+ years of relevant experience. Licensing: Active Florida 6-20 All Lines Adjuster License. Language Skills: Fluent in Spanish and English (written and verbal proficiency required). Skills: Strong analytical, problem-solving, and communication skills. Proficiency in Microsoft Office. Experience: Customer-focused with experience in high-volume environments that require time management and attention to detail. Mindset: Self-motivated, team-oriented, and adaptable. Our Culture Responsive is a dynamic, inclusive workplace where integrity, innovation, and collaboration thrive. We foster an environment where employees are encouraged to: Adapt: Embrace change and continuously improve. Collaborate: Work transparently and respectfully with others. Engage: Show curiosity and a commitment to serving customers and teammates. Be Data-Driven: Leverage insights to drive decisions and improvements. Responsive provides equal employment opportunities (EEO) to all employees and applicants, fostering a diverse and inclusive workplace.

Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND. We believe that every candidate brings something special to the table, including you! So, even if you feel that you're close but not an exact match, we encourage you to apply. Overview Role specifics: * Jurisdictions: FL * Licenses: FL * Location: in office in Miami, FL How you'll make an impact * Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. * Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. * Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process * Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. * Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You Ideal candidates for this position will have: * Claims Background: A minimum of 3 years experience handling general liability claims and have experience with litigated files * Jurisdictional Experience: FL * Active Adjusters' licenses: FL As a key member of our experienced Claims Adjuster team, you will: * Investigate, evaluate, and resolve liability claims applying your analytical skills to make informed decisions and bring claims to resolution. * Work in partnership with our clients to deliver innovative solutions and enhance the claims management process * Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants Required Qualifications: * High School Diploma. * Minimum of 3 years related claims experience. * Appropriately licensed and/or certified in all states in which claims are being handled. * Knowledge of accepted industry standards and practices. * Computer experience with related claims and business software. Desired: * Bachelor's Degree * Auto liability, property damage, and bodily injury experience * Bilingual in English/Spanish #LI-KD1 Compensation and benefits On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: * Medical/dental/vision plans, which start from day one! * Life and accident insurance * 401(K) and Roth options * Tax-advantaged accounts (HSA, FSA) * Educational expense reimbursement * Paid parental leave Other benefits include: * Digital mental health services (Talkspace) * Flexible work hours (availability varies by office and job function) * Training programs * Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing * Charitable matching gift program * And more... We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements and Pay Disclosure Statement Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Senior Adjuster- Construction Defect **PRIMARY PURPOSE** **:** To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Inspects claims and contacts involved parties in a timely manner. + Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages/reserves. + Examines insurance policies and other records to determine insurance coverage. + Prepares estimates for cost of repair and/or replacement. + Conducts interviews with claimant and witnesses regarding submitted claim(s). + Negotiates and settles both 1st and 3rd party claims. + Addresses salvage and subrogation as required by the client. + Maintains client relationships to assure repeated business referrals. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. IIA-AIC designation required. Appropriate state adjuster license is required. **Experience** Two (2) years of related experience or equivalent combination of education and experience required. **Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Demonstrated commitment to timely reporting + Strong customer service skills + Strong interpersonal skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity. **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

**Details** _Kemper is one of the nation's leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper's products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you_ _are helping to provide an experience to our stakeholders that delivers on our promises._ **Position Summary:** Who says you can't have it all? We have an immediate opening for an experienced Commercial Auto insurance professional with the ability to investigate and adjust first-party and third-party automobile claims. We are offering the opportunity to work in a fast-paced and exciting environment, while you advance your career! We are currently looking for Commercial Auto Liability Adjusters to investigate claims, determine liability, confirm coverage, establishes damages, and negotiate settlement of claims. **Position Responsibilities:** + Take statements from insureds, claimants, and witnesses + Obtain and review evidence, reports, and medical records + Investigate losses and identify coverage issues + Negotiate settlements with claimants and claimant's attorneys **Position Qualifications:** + 1+ years of liability claims handling experience + High School Diploma Required + Understanding of full in-depth auto coverage for non-standard claims preferred + Commercial auto claims handling experience a plus + Claim-related computer systems experience required; Guidewire experience preferred + Bilingual in Spanish is a plus (not required) + This is an in office job that includes a Remote Day Bank. Can be filled in Doral FL, McAllen TX, Alpharetta GA, Dallas TX or Birmingham AL _Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by the laws or regulations in the locations where we operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from_ _discrimination._ _Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee_ _Kemper will never request personal information, such as your social security number or banking information, via text or email. Additionally, Kemper does not use external messaging applications like WireApp or Skype to communicate with candidates. If you receive such a message, delete it._ **Kemper at a Glance** The Kemper family of companies is one of the nation's leading specialized insurers. With approximately $13 billion in assets, Kemper is improving the world of insurance by providing affordable and easy-to-use personalized solutions to individuals, families and businesses through its Kemper Auto and Kemper Life brands. Kemper serves over 4.8 million policies, is represented by approximately 22,200 agents and brokers, and has approximately 7,500 associates dedicated to meeting the ever-changing needs of its customers. Learn more at Kemper.com . *Alliance United Insurance Company is not rated. _We value diversity and strive to be an employer of choice. An Equal Opportunity Employer, M/F/D/V_ **Our employees enjoy great benefits:** - Qualify for your choice of health and dental plans within your first month. - Save for your future with robust 401(k) match, Health Spending Accounts and various retirement plans. - Learn and Grow with our Tuition Assistance Program, paid certifications and continuing education programs. - Contribute to your community through United Way and volunteer programs. - Balance your life with generous paid time off and business casual dress. - Get employee discounts for shopping, dining and travel through Kemper Perks.

The Senior Claims Specialist will be responsible for all aspects of complex Construction Defect and Property Damage incidents and claims for DPR (and DPR-related entities), as assigned. Reporting: Role reports to Insured Claims Manager and Insured Claims Leader Specific Duties Include: Claims & Incident Management (General): * Initial triage and processing of incidents received from project teams for DPR (and DPR-related entities). * Input and/or review all incidents reported in DPR's RMIS system. * Working with the incident triage group to ensure timely and appropriate review of all incidents * Ensure all necessary information is compiled to properly manage claims. This includes working with the DPR teams to collect relevant documents such as the Prime contract, Subcontracts, Certificates of Insurance, Owner Policy Documents, Project Documents and Project Specific Coverage information, etc. * Assess all potential risks, as well as identify all contractual risk transfer mechanisms. * Analyzing potential insurance coverage for all applicable lines of coverage and report, with all appropriate documents and information, potential claims for DPR (and DPR-related entities) to the broker for any applicable program (Traditional, CCIP, OCIP). * Assist with the development and training of other DPR Workgroups (and DPR-related entities) around CD/PD Best Practices. Construction Defect & Property Damage (CD/PD) Specific Claims Managment: * Manage all assigned claims in DPR's RMIS system relating to Construction Defect and Property Damage matters for DPR (and DPR-related entities). This would include using all appropriate lines of coverage such as Commercial General Liability, Builder's Risk, Property, Contractor's Pollution Liability and Professional Liability, whether the policies are placed by DPR or our Clients. * Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements. * Management of and coordination with DPR's consultants and outside attorneys throughout the claim process. * Continuously analyze claim-specific details as the claim progresses to devise key strategies in conjunction with all internal stakeholders and outside consultants. * Proactive management and coordination of all phases of the DPR CD/PD Claims Workflow. Key Skills: * Basic working knowledge and familiarity of: * Commercial General Liability * Property Insurance (Including Inland Marine and Builder's Risk * Pollution Liability * Professional Liability * Controlled Insurance Programs (CCIP/OCIP) * RMIS Systems * Construction Industry Expertise * Strategic thinking * Strong written and oral communication skills * High level of EQ (Soft skills) * Self-Starter * Highly organized and responsive; ability to meet deadlines * Detail Oriented * Contractual risk assessment * Dispute management * Integrity * Ability to mentor and inspire others * Team player * Willingness to understand and advance the DPR Culture * Proactive Learner Qualifications: * A minimum of 5-7 years relevant construction industry and/or insurance industry experience. * Previous experience in construction company Risk Management highly desired. * Position location - TBD based on location of most qualified candidate. DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world. Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek. Explore our open opportunities at ********************

ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine! Your Role: * Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections * Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates * Input and update patient account information and document calls into the Practice Management system * Special Projects: Other duties as required to support and enhance our customer/patient-facing activities Skills & Requirements: * High School Diploma or GED required * Availability to work 9-5pm PST or 11am to 8 pm EST * Minimum of 1-2 years of previous healthcare administration or related experience required * Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs) * Manage/ field 60+ inbound calls per day * Bilingual a plus (Spanish & English) * Proficient knowledge of business software applications such as Excel, Word, and PowerPoint * Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone * Ability and openness to learn new things * Ability to work effectively within a team in order to create a positive environment * Ability to remain calm in a demanding call center environment * Professional demeanor required * Ability to effectively manage time and competing priorities #LI-SM2

will include, but are not limited to: Responsible for directing the planning, design, development, implementation and evaluation of policies and procedures that assure accurate, timely claims and encounter processing and provider inquiries (written or verbal). Assure timely and accurate processing of Medicare claims and encounters, and respond to provider telephone calls, written inquiries, and appeals. The compilation of all information and documents required for claims and encounter processing and related inquiries to assure compliance with all applicable rules, regulations, and external and internal policies and procedures The review of provider contracts and configuration of these contracts within the claims processing system to assure accurate payments to our providers Collaboration and communication with other SHP departments on claims and encounter issues, related projects and inter-departmental operations issues Development and maintenance of well-defined processes to enter, adjust, manage and report claims and encounters data Preparation and timely submission of management and regulatory reports Generation of configuration requests to assure accurate, timely administration of providers claims and processing and reporting of encounters Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts Production and submission of reports as required Analyze, track and trend claims and encounters data; identify any potential service or systems issues;implement interventions and determine success of interventions Qualifications Requirements: BA/BS degree preferred with at least 5 years of relevant professional experience, and the following OR any combination of education and experience which would provide an equivalent background: Minimum of 2 years of managerial experience at the department manager level preferred. Minimum of 5 years of Medicare/Medicaid claims experience that demonstrates progressive growth within claims operations. Extensive knowledge of claims policies and procedures, including industry standards from Medicaid, CMS, and CCI Edits. Excellent oral and writing skills. Highly developed quantitative and qualitative analytical skills. Highly developed project management skills. Additional Information All your information will be kept confidential according to EEO guidelines.

Ryze Claims Solutions is seeking an experienced Independent Contractor - Insurance Claims Appraiser to join our team. This role is for an independent contractor, and as such, the individual will be responsible for managing their own schedule, tools, and expenses. The ideal candidate will have a minimum of six years of field experience in residential claims and two years of specialized appraisal experience. You will be responsible for conducting thorough appraisals for both residential and commercial claims, utilizing your expertise in insurance policies, local codes, and construction practices. Key Responsibilities: Appraisal Handling: Efficiently manage residential and commercial appraisal claims with minimal oversight, ensuring accurate and timely assessments of property damage. Scope of Work and Repair Decisions: Make well-informed decisions regarding the scope of damage, appropriate repair techniques, and restoration procedures for residential and commercial claims. Negotiation and Settlement: Collaborate with contractors, adjusters, and policyholders to negotiate fair settlements based on detailed appraisals. Insurance Coverage Understanding: Demonstrate expertise in interpreting insurance policies, coverages, and causation to ensure accurate claims processing. Timely Communication: Provide regular status updates to clients, carriers, and the appraisal panel, maintaining clear and effective communication throughout the process. Regulatory Compliance: Stay updated on Florida statutes, building codes, and local ordinances relevant to property claims and construction, ensuring compliance with all regulations. Property Inspection: Conduct detailed property inspections, including accessing hard-to-reach areas such as roofs and crawlspaces, to assess and document damage. Estimating and Documentation: Prepare comprehensive damage estimates using Xactimate, including detailed annotations, sketches, and photographs. Maintain high-quality documentation throughout the claims process. Customer Service: Provide exceptional customer service by addressing inquiries, resolving issues, and ensuring a positive client experience. Job Requirements: Experience: Minimum of six years of residential adjusting experience. At least two years of appraisal experience. Licensing and Certifications: Industry designations/certifications (such as CPCU, AIC, Haag, or relevant certifications). Technical Skills: Advanced proficiency with Xactimate software, including estimating and sketching capabilities. Ability to scope and write detailed construction estimates and time/materials estimates. Familiarity with Xactnet, Xactanalysis. Physical Abilities: Ability to climb roofs, access attics and crawlspaces, and perform comprehensive property inspections. Negotiation Skills: Strong skills in negotiating fair settlements with other professionals in the appraisal field. Knowledge of Coverage and Claims Law: In-depth understanding of insurance policies, claims theory, and Florida-specific laws and regulations. Communication Skills: Strong interpersonal and communication skills to effectively interact with clients, third parties, and internal teams. Preferred Qualifications: Industry certifications such as Architect, Engineer, Licensed General Contractor, or IICRC (S500, S520) are a plus. Familiarity with Florida building codes and local regulations is required.

Title: Public Field Adjuster - Exciting Opportunity in Multiple Cities Are you a talented Public Insurance Adjuster tired of the endless cycle of selling and looking for a more fulfilling adjusting role? Join us in a dynamic joint venture position, and be a part of our expanding 'boots on the ground' teams across multiple cities in the country! Company Overview: We are an innovative insurance adjusting firm rapidly expanding across various cities. Our focus is on delivering exceptional claim handling services with a personal touch. We specialize in providing comprehensive claim adjustment solutions, ensuring our clients receive just and fair settlements. Position Overview: As a Public Field Adjuster, you'll be at the forefront of our field operations, handling the adjusting aspect of the claim process in your assigned territory. This role is perfect for those who excel in claim adjusting and seek to move away from sales-driven positions. Key Responsibilities: - Conduct thorough adjuster inspections and assess claims within your designated territory. - Maintain consistent and effective communication with clients throughout the claim process. - Analyze insurance policies, evaluate damages, and advocate for the best interest of our clients. - Work collaboratively with our team to manage and negotiate settlements efficiently. - Ensure compliance with industry standards and regulations. What We Offer: - A joint venture role, providing the freedom of independent work while being part of a supportive team. - A defined territory, allowing for focused and effective claim management. - Hassle-free case management and financial handling. We provide you with fully signed and verified claim files, so you can dive straight into the adjusting process without the preliminary steps of client acquisition or file verification. - We handle all financial aspects, including invoicing and payment collection, allowing you to concentrate fully on claim adjustment and client advocacy. This streamlined approach ensures that you can focus on what you do best, with the assurance that the administrative and financial details are expertly managed by our team. - A dynamic and supportive work environment with opportunities for professional growth. Requirements: - Proven experience as a Public Insurance Adjuster. - Strong understanding of insurance policies and claim settlement processes. - Exceptional communication and negotiation skills. - Detail-oriented with strong analytical abilities. - Self-motivated and capable of managing multiple claims independently. - Valid insurance adjuster license. Join Us: If you're ready to step into a role that values your adjusting expertise over sales tactics, we'd love to hear from you. Embrace this exciting opportunity to grow with us and make a real impact in the lives of our clients. Apply now to be part of our journey in revolutionizing insurance claim adjusting!

Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Meets and consistently maintains production standards for Claims Adjudication. + Supports all department initiatives in improving overall efficiency. + Identifies and recommends solutions for error issues as it relates to pre-payment of claims. + Oversees the reduction of defects by identifying error issues as they relate to pre-payment of claims through adjudication and recommending solutions to resolve these issues. + Monitors the medical treatment of claimants. Keeps meticulous notes and records for each claim. + Manages a caseload of various types of complex claims. Procures all medical records and statements that support the claim. + Meets department quality and production standards. + Meet State and Federal regulatory Compliance Regulations on turnaround times and claims payment for multiple lines of business. + Other duties as assigned. **JOB QUALIFICATIONS** **Required Education** High School or GED **Required Experience** 3-5 years claims processing required **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years claims processing preferred QNXT, Workflow and Salesforce To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $14.9 - $29.06 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The Commercial Auto Liability Adjuster will be responsible for investigating, evaluating, negotiating, and settling commercial auto liability claims, including bodily injury and property damage. This role requires strong analytical skills, knowledge of liability laws, and the ability to manage a complex caseload efficiently and with professionalism Responsibilities Handle a full caseload of commercial auto liability claims from first notice of loss through resolution Evaluate coverage, liability, and damages by reviewing reports, interviewing involved parties, and analyzing supporting documentation Manage claims involving third-party property damage and bodily injury, including potential litigation Interview and maintain ongoing, professional communication with insureds, claimants, legal counsel, and other relevant parties in a timely manner Accurately document claim files and maintain clear and timely records in the claims management system Negotiate settlements within assigned authority and escalate for approval when needed Draft denial letter for Claims Management review Coordinate with defense attorneys and participate in virtual mediations or depositions when required Stay current on state regulations and legal developments affecting commercial auto liability claims Essential Functions Ability to think critically, research, and evaluate coverage on assigned claims and determine appropriate settlement values Ability to manage multiple tasks and priorities in a fast-paced, high-volume setting Ability to read and comprehend written materials such as insurance policies, medical records, and legal documents. Ability to effectively manage Claims Systems to accurately maintain commercial files and diaries Ability to direct defense counsel on files and manage expenses Ability to effectively communicate verbally and in writing via phone, email, and video calls Ability to offer exceptional customer service Qualifications 10 years of commercial auto liability full cycle adjusting experience required Carrier experience preferred Prior supervisory experience preferred, especially in a Claims role Florida P&C Adjuster (6-20) and California Adjusters licensure required; applicable reciprocal state Adjuster's licensing required English and Spanish speaking and writing skills preferred Associate's Degree required; Bachelor's Degree preferred. A combination of education and significant directly related experience may be considered in lieu of degree Proficiency with Microsoft Office products required to include keyboarding/typing Technology savvy Familiarity with Xactware products Demonstrated ability to research, conduct proactive investigations and negotiate successful resolutions Ability to work with minimum supervision and provide outstanding customer service Able to travel to locations within our service area Excellent communication skills, ability to interact on a professional level with internal and external personnel and partners Results driven with strong problem solving and analytical skills Detail-oriented and exceptionally organized Experience with trucking and fleet-related exposures Familiarity with FMCSA regulations Compensation and Benefits 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. For this reason we are pleased to provide: Prof. Development and Educational Assistance Programs Safe Harbor 401K Plan with Immediate Vesting and an Automatic Company Contribution 15 Paid Time-Off Days 3 Discretionary Days 5 Parental Leave Days 5 Jury Duty Days 5 Bereavement Days 8 Company Paid Holidays Health Insurance Dental Insurance Vison Insurance Short and Long Term Disability Insurance (company paid premium) Flexible Spending Accounts with Company Contribution Health Savings Accounts with Company Contribution Employee Life and AD&D Insurance Dependent Life and AD&D Insurance Company paid AAA Membership Company paid Identity Theft Protection Other Ancillary Insurance Benefit Programs And more… Safepoint Insurance is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Safepoint depends solely on your qualifications.

This position will work closely with Credit and Collections, Sales Department, Traffic Claims to research open invoices, and to process pending open claims in a timely manner. In this role, will also maintain compliance with company guidelines, and will perform clerical duties as needed. Accountabilities: Review, research, and process deductions on assigned locations or customers in a timely manner, and in accordance with company policies and procedures as well as established timelines. Assist in obtaining the necessary documentation by requesting from vendors, customer portals or any available means to ensure that credits entered in the systems have the proper support to go through approval process without interruptions or delays. Review Miscellaneous Debits weekly and match credits entered to prepare offset requests. Partner with Sales team and Credit & Collections team to review open deductions including chargebacks/ miscellaneous debits to determine proper course of action for removal from aging report. Download customer checks and review items needing research of PO# to avoid chargeback creation where possible and needed. Work with Sales team, General Managers, A/R Credit and Collections team providing assistance where necessary for proper documentation, ensuring credits are entered by Sales in the appropriate ERP system and follow these to final resolution. Prepare status report based off the Open Deductions Report on a weekly basis and/or as needed by updating and maintaining a daily progress Excel sheet on pending credits and follow up performed with sales. Perform other duties as needed/assigned. Minimum Skills Required: College degree or experience equivalent. Strong Knowledge of Microsoft Office Programs (i.e. Word, Excel and Outlook). Experience in Oracle system. Knowledge in SAP system Excellent analytical skills. ***Please note: This position does not qualify for relocation expenses. *** --------------------------------------------------------------------------------- DEL MONTE FRESH PRODUCE IS AN EEO/AA/V/H