A Day In The Life
Business, Entrepreneurialism, and Management Field of Interest
Salary Breakdown
Claims Adjusters, Examiners, and Investigators
Average
$59,030
ANNUAL
$28.38
HOURLY
Entry Level
$37,760
ANNUAL
$18.16
HOURLY
Mid Level
$55,350
ANNUAL
$26.61
HOURLY
Expert Level
$80,370
ANNUAL
$38.64
HOURLY
Program Recommendations
Claims Adjusters, Examiners, and Investigators
Chandler-Gilbert Community College (MCCCD)
Associate in Arts, Emphasis in Law and Policy
Associate's Degree
Estrella Mountain Community College (MCCCD)
Associate in Arts, Emphasis in Law and Policy
Associate's Degree
Glendale Community College (MCCCD)
Associate in Arts, Emphasis in Law and Policy
Associate's Degree
GateWay Community College (MCCCD)
Associate in Arts, Emphasis in Law and Policy
Associate's Degree
Paradise Valley Community College (MCCCD)
Associate in Arts, Emphasis in Law and Policy
Associate's Degree
Rio Salado College (MCCCD)
Associate in Arts, Emphasis in Law and Policy
Associate's Degree
Current Available & Projected Jobs
Claims Adjusters, Examiners, and Investigators
Top Expected Tasks
Claims Adjusters, Examiners, and Investigators
01
Examine claims forms and other records to determine insurance coverage.
02
Analyze information gathered by investigation and report findings and recommendations.
03
Pay and process claims within designated authority level.
04
Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
05
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
06
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
07
Investigate and assess damage to property and create or review property damage estimates.
08
Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
09
Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
10
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
Knowledge, Skills & Abilities
Claims Adjusters, Examiners, and Investigators
Common knowledge, skills & abilities needed to get a foot in the door.
KNOWLEDGE
Customer and Personal Service
KNOWLEDGE
English Language
KNOWLEDGE
Administrative
KNOWLEDGE
Mathematics
KNOWLEDGE
Computers and Electronics
SKILL
Reading Comprehension
SKILL
Active Listening
SKILL
Critical Thinking
SKILL
Speaking
SKILL
Judgment and Decision Making
ABILITY
Written Comprehension
ABILITY
Oral Comprehension
ABILITY
Oral Expression
ABILITY
Deductive Reasoning
ABILITY
Inductive Reasoning
Job Opportunities
Claims Adjusters, Examiners, and Investigators
-
Sr Claims Analyst (Debit Fraud)
Bank of America Phoenix, AZ 85034Posted about 10 hoursStart Date: 1/06/2025
Work Schedule: Monday - Friday (8:00 AM to 5:00 PM)
This job is responsible for resolving the day-to-day complex claims and escalations including in-depth analysis for fraud and non-fraud claims, handling complex decisions based on analytical research, established policies and procedures, and judgment. Key responsibilities include following all applicable regulatory guidelines and establishing procedures while utilizing multiple systems and tools. Job expectations include interacting with multiple business partners and clients in order to educate, set appropriate expectations, or deny the claim.
Responsibilities:
Interacts with multiple business partners to appropriately investigate and decision claim
Follows up with clients either verbally or through written communication
Educates and communicates claim decisions to clients
Records data captured during client interactions accurately
Skills:Attention to Detail
Decision Making
Due Diligence
Research
Active Listening
Adaptability
Issue Management
Problem Solving
Business Acumen
Collaboration
Oral Communications
Written Communications
Shift:1st shift (United States of America)
Hours Per Week:40
Field of InterestFinancial Services
Employment TypeFull Time
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Claims Analyst III
Adecco US, Inc. Phoenix, AZ 85067Posted about 20 hoursWe are currently looking for Claims Representatives for a Remote Opportunity.
**You MUST be located within the Phoenix area and have the following qualifications** :
+ **1-2 Years Claims Processing/Reviewing Experience**
+ Strong Computer Skills
+ Works full range of claims, correspondence, quality assurance and escalations.
+ Attention to detail
+ Critical Reasoning Skills
+ Ability to use six different applications/software simultaneously.
+ 1st day is ONSITE and then remote
+ Schedule times may vary from 6a - 10am starts.
+ No absences or tardies for the 2 weeks of training.
+ Submit most recent Resume detailing previous employers, dates and duties
+ Complete Adecco Assessments
Remote/Onsite: AZ Remote
Time Zone Requirements: AZ Local Time
Pay Rate: $18.00
Start Date: 11/11/24
Work Schedule: May Vary
**Pay Details:** $18.00 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
+ The California Fair Chance Act
+ Los Angeles City Fair Chance Ordinance
+ Los Angeles County Fair Chance Ordinance for Employers
+ San Francisco Fair Chance Ordinance
Employment TypeFull Time
-
Property Resolution Claim Representative
Travelers Insurance Company Phoenix, AZ 85067Posted 1 day**Who Are We?**
Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$63,700.00 - $105,100.00
**Target Openings**
5
**What Is the Opportunity?**
Travelers' Claim Organization is at the heart of our business by providing assurance to our customers during life's rainy days. As a Property Claim Representative you will walk our customers through home and business claims while evaluating damage and negotiating on their behalf. You will leverage your interpersonal and critical thinking skills to evaluate and resolve personal and business property claims. When a catastrophe happens, you will be first to respond while keeping customers' peace of mind a top priority.
As of the date of this posting, Travelers anticipates that this posting will remain open until November 4, 2024.
**What Will You Do?**
+ Provide quality claim handling throughout the claim life cycle while maintaining full compliance with internal and external standards and state specific regulations. Resolves previously closed 1st party PI and BI Property claims that vary in severity and/or complexity.
+ Resolve inquiries from customers, contractors, agents or other participants on open or closed Property claims.
+ Participate in our Catastrophe Response Program which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states.
+ Complete virtual inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
+ Handle claims and other functional work involving one or more lines of business other than property.
+ Acquire and maintain relevant Insurance License(s) to comply with state and Travelers requirements.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Interpersonal and customer service skills - Advanced
+ Organizational and time management skills - Intermediate
+ Ability to work independently - intermediate
+ Judgment, analytical and decision making skills - Intermediate
+ Negotiation skills- Intermediate
+ Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively - Intermediate
+ Investigative skills - Intermediate
+ Ability to analyze and determine coverage - Intermediate
+ Analyze, and evaluate damages - Intermediate
+ Resolve claims within settlement authority - Intermediate
+ Bachelor’s Degree.
+ Customer Service experience.
+ Two years of outside property claim handling experience.
+ Excellent interpersonal and customer service skills with the ability to use sound judgement to analyze and resolve claims.
+ Ability to work independently, manage time, and prioritize multiple claims simultaneously.
+ Excellent written and verbal communication skills with the ability to negotiate, convey, and receive information effectively.
**What is a Must Have?**
+ High School Diploma or GED.
+ One year of outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ([email protected]) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .
Employment TypeFull Time
-
Water Mitigation Services Claim Adjuster
The Hartford Scottsdale, AZ 85258Posted 1 dayProperty Claims Adjuster II - CL09DN
We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.
Are you a driven and motivated problem solver ready to pursue meaningful work. Do you strive to make an impact every day & not only at work, but in your personal life and community too. If that sounds like you, then you've landed in the right place.
At The Hartford, we respect our employees for their unique perspectives, ideas and solutions. We empower individuals and teams to invent faster, smarter ways of meeting customer needs while improving our performance. Character and customer value are just as vital to our reputation as financial performance which leads to behaviors that put the customer at the center of everything we do.
This position will be accountable for successfully investigating, managing, and settling emergency mitigation, biohazard, asbestos/lead, and mold billing. The ideal candidate will partner with other claims adjusters to resolve this portion of the claim. The candidate will handle all work by ensuring all mitigation work meets quality and compliance standards and adheres to our vendor agreements. Dependent on your home location this role may have a virtual or hybrid in-office work arrangement.
Manage Claim Files:
+ Handle assigned emergency mitigation and mold damages in a manner consistent with corporate claim policies and procedures, and statutory, regulatory and ethics requirements and business unit goals.
+ Manage the emergency mitigation and mold aspects of assigned claims, which includes contact with vendors, manage file to timely resolution, verification of charges, and complete all data integrity components.
+ Utilize organization and communication skills to effectively resolve assignments, manage claim deadlines, and appropriately manage vendors.
+ Develop technical and jurisdictional expertise, including knowledge of independent adjusters, contractors, vendors, etc.
Provide Exceptional Customer Service:
+ Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers.
+ Establish and maintain effective relationships with customers, gaining their trust and respect. Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations.
+ Treat all customers with respect and careful attention.
+ Clearly explain technical information that is helpful to customers.
+ Negotiate skillfully in challenging situations with internal and external groups.
+ Always demonstrate professionalism and establish credibility when interacting with customers; personally enhance The Hartford's reputation in the marketplace.
Utilize Business Acumen and Technical Expertise:
+ Demonstrate knowledge of all relevant terminology to ensure accurate management of the claim.
+ Utilize verbal and numerical critical thinking skills to gather information and data; make sound decisions based upon the mixture of analysis, wisdom, experience and judgment.
+ Ability to communicate orally and in writing in a clear, succinct manner.
+ Ability to utilize computer technology to efficiently perform job functions.
Foster Teamwork and Inclusion:
+ Support and help create a team environment where individual differences are valued.
+ Demonstrate courtesy, honesty, integrity, respect and competence when interacting with others.
+ Build appropriate rapport and constructive and effective relationships with people inside and outside the organization.
+ Represent The Hartford as a credible, trustworthy, flexible and dependable resource.
+ Consistently act with the highest level of integrity and adhere to general principles of business ethics.
What are we looking for?
+ Minimum of 1 year property claim handling experience, including Xactimate estimating experience; 3 years preferred
+ WRT and ASD certification required. AMRT certification preferred
+ Demonstrated high level of performance in current or past roles
+ Xactimate Certification is a plus
+ Proficient in preparing and evaluating structural damage estimates in Xactimate on moderate complexity personal property losses.
+ Critical thinking and problem-solving skills inclusive of investigation, decision making and conflict resolution, with attention to detail.
+ Ability to negotiate for resolution.
+ Ability to coach and mentor peers.
+ Effective time-management skills and the ability to work independently.
+ Ability to create and maintain loyal customers through your actions.
+ Ability to demonstrate active listening skills and exhibit empathy during difficult situations.
+ Ability to communicate clearly and accurately – both verbally and in writing.
+ Ability to adapt to change and to learn and utilize multiple systems to manage claims
+ Computer literacy and strong keyboard skills.
What else can you tell me?
+ You must obtain and maintain a State Adjuster’s License to process Property & Casualty Insurance Claims in the states supported by your department. You will be required to successfully pass the Licensing exam(s) within 30 business days from the completion of the licensing training.
+ This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.
+ For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Wifi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer.
Compensation
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:
$58,000 - $87,000
Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age
About Us (https://www.thehartford.com/about-us) | Culture & Employee Insights (https://www.thehartford.com/careers/employee-stories) | Diversity, Equity and Inclusion (https://www.thehartford.com/about-us/corporate-diversity) | Benefits (https://www.thehartford.com/careers/benefits)
Human achievement is at the heart of what we do.
We believe that with the right encouragement and support, people are capable of achieving amazing things.
We put our belief into action by ensuring individuals and businesses are well protected, and by going even further – making an impact in ways that go beyond an insurance policy.
Nearly 19,000 employees use their unique talents in careers that span a variety of disciplines – from developing the latest technology to creating and promoting our products to evaluating future financial risks.
We’re also committed to programs that drive education and support volunteerism, which put human beings first. We do it because it’s the right thing to do, and because when our customers, communities and employees succeed, we all do.
About Us (https://www.thehartford.com/about-us)
Culture & Employee Insights
Diversity, Equity and Inclusion (https://www.thehartford.com/about-us/corporate-diversity)
Benefits
Legal Notice (https://www.thehartford.com/legal-notice)
Accessibility StatementProducer Compensation (https://www.thehartford.com/producer-compensation) EEO
Privacy Policy (https://www.thehartford.com/online-privacy-policy)
California Privacy Policy
Your California Privacy Choices (https://www.thehartford.com/data-privacy-opt-out-form)
International Privacy Policy
Canadian Privacy Policy (https://www.thehartford.com/canadian-privacy-policy)
Employment TypeFull Time
-
Claims Representative - National Remote
UnitedHealth Group Phoenix, AZ 85067Posted 2 daysOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm, Monday – Friday. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Process medical record submissions through various avenues.
+ Manages cases from the time of opening to the time medical records are received including verification and management of standard turn-around times on cases, or the case is closed for NMR.
+ Acts as a Subject Matter Expert (SME) and provides exceptional communications with Providers.
+ Requires an individual to maintain the ability to work in an environment with PHI.
+ Understands and adheres to HIPPA privacy requirements.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ Must be 18 years of age OR Older
+ 1+ years of Customer Service experience
+ Intermediate level of proficiency in Microsoft Office Applications
+ Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm, Monday – Friday. It may be necessary, given the business need, to work occasional overtime
**Preferred Qualifications:**
+ 1+ years of experience in healthcare related or healthcare claim industry
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills:**
+ Strong verbal and written communication
+ Requires a commitment to confidentiality, privacy, and professionalism
+ Ability to work independently and as a team member
+ Self-motivation, flexible, strong time management, organizational and analytical skills
+ Must be detail oriented and possess the ability to multi-task
+ Experience working in a fast-paced professional environment
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
**California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only:** The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
**_Application Deadline: _** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. 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. 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._
_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO
Employment TypeFull Time
-
General Liability Claim Representative
Travelers Insurance Company Phoenix, AZ 85067Posted 3 days**Who Are We?**
Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$63,700.00 - $105,100.00
**Target Openings**
1
**What Is the Opportunity?**
Under general supervision, the position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims. Provide quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This job does not manage staff.
As of the date of this posting, Travelers anticipates that this posting will remain open until January 5th, 2025.
**What Will You Do?**
+ Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel.
+ Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Takes necessary statements.
+ Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.
+ Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
+ Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity and expense reserves.
+ Utilizes evaluation documentation tools in accordance with department guidelines.
+ Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority.
+ Negotiates disposition of claims with insureds and claimants or their representatives.
+ Recognizes and implements alternate means of resolution.
+ May manage litigated claims. Develops litigation plan with staff or panel counsel, track and control legal expenses Assures appropriate resolution.
+ Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures.
+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
+ Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
+ Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit.
+ Appropriately deals with information that is considered personal and confidential.
+ Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquiries from agents and brokers.
+ Represents the company as a technical resource, attends legal proceedings as needed, act within established professional guidelines as well as applicable state laws.
+ Provides quality customer service and ensures file quality.
+ Shares accountability with business partners to achieve and sustain quality results.
+ Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
+ Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
+ Resolve complex, severe exposure claims, using high service oriented file handling.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree preferred.
+ 2 years bodily injury liability claim handling experience preferred.
+ Commercial Claim handling experience preferred
+ General knowledge and skill in claims handling and litigation preferred.
+ Basic working level knowledge and skill in various business line products preferred.
+ Demonstrated ownership attitude and customer centric response to all assigned tasks – Intermediate
+ Demonstrated good organizational skills with the ability to prioritize and work independently. - Intermediate
+ Demonstrated strong written, verbal and interpersonal communication skills including the ability to convey and receive information effectively. Intermediate
+ Attention to detail ensuring accuracy –Intermediate
+ Analytical Thinking- Intermediate
+ Judgment/Decision Making- Intermediate
+ Communication- Intermediate
+ Negotiation- Intermediate
+ Insurance Contract Knowledge- Intermediate
+ Principles of Investigation- Intermediate
+ Value Determination- Intermediate
+ Settlement Techniques- Intermediate
+ Medical Knowledge- Intermediate
**What is a Must Have?**
+ High school diploma or GED required with a minimum of one year bodily injury liability claim handling experience or two years of general liability claim handling experience.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ([email protected]) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .
Employment TypeFull Time
-
Default Claims Manager
TEKsystems Tempe, AZ 85282Posted 3 daysDescription:
Responsible for building a complete document package with all appropriate/applicable supporting invoices, breakdowns, ledgers, foreclosure, bankruptcy, and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner. This position is responsible for adhering to all guidelines set forth by insurer, investor, and master servicing guidelines.
• Evaluates/reconciles loan level balances (corporate and escrow advances) for expenses incurred to determine claimable vs non claimable to maximize reimbursement on behalf of the servicer and/or client
• Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits
• Reviews MI claim Explanation of Benefits (EOB) or Insurer Advice of Payments (AOP) and research curtailment reasons for potential rebuttal
• Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI companies and/or Insurer.
• Monitors pre/post conveyance processes on government loans
• Satisfies audit requests
• Monitors claim deadlines and exceptions reports
• Monitors REO activity on investor claim files
• Ensures all receivables are paid w/ no penalties or interest curtailments
• Ensures payment to vendors in a timely manner
• Corresponds with attorney/trustees, vendors, and agency representatives to ensure claims are processed within insurer and investor guidelines
• Works in conjunction with attorneys, agencies, PMI companies, investors and master servicers to expedite the completion of the claim to minimize losses
• Complies with and have working knowledge of all FNMA, FHLMC, PMI, FHA, VA, investor and master servicer rules and regulations
• Performs regular reviews of all cases/claims on a regular basis
• Requests UPB removal on loans from Investor Reporting Department once the claim process has been completed
• Assists in the training of new employees
• Performs other work-related duties as assigned
• Appropriately assess risk when business decisions are made, include but not limited to compliance and operational risk. Demonstrate consideration for reputation as well as our clients, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues, as well as effectively supervise the activity of others and create accountability with those who fail to maintain these standards
Skills:
claims analysis, claims preparation
Top Skills Details:
claims analysis, claims preparation
Additional Skills & Qualifications:
Technology:
Must be very strong in Excel and have used Vlookup and Pivot Tables on a consistent daily basis. Most of the work is done using excel and is manual in nature.
Working knowledge of the Black Knight MSP servicing system
Working knowledge of MS Outlook, Word, Excel, Power Point, and ability to learn industry related systems
Other helpful technology tools to look up: CMAX, Venderscape, Docuware, Assurant, Safegaurd, Meta, GFX Wires, USDA claims site, Moveit, Synergy, Quality Claims, and iDesk application, Access, SiteX, Lotus Notes, REOTrans, CARES, Value Finder, Equator, Certus, SOX, New Invoice, Auction.com, LPS, AS400, SharePoint, Documentum, TRAX, SERFS, CIM7, Cognos, RemedyStar, FileNet, Neighborhood Watch, LoanIQ, QuickBooks
Soft Skills:
Able to work both independently and within a team environment
• Excellent time management skills
• Working knowledge with Microsoft Office, spreadsheets and software applications
• Strong analytical skills
• Excellent verbal and written communication skills
• Detail oriented with ability to successfully manage multiple priorities
• Able to work in fast paced environment with the ability to meet deadlines
Experience Level:
Intermediate Level
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Employment TypeFull Time
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Loan Claims Specialist
TEKsystems Tempe, AZ 85282Posted 3 daysDescription:
Build a complete document package with all appropriate/applicable supporting invoices, breakdowns, ledgers, foreclosure, bankruptcy, and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner.
•Evaluates/reconciles loan level balances (corporate and escrow advances) for expenses incurred to determine claimable vs non claimable to maximize reimbursement on behalf of the servicer and/or client.
•Reviews MI claim Explanation of Benefits (EOB) or VA Insurer Advice of Payments (AOP) and research curtailment reasons for potential rebuttal. Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI companies and/or Insurer/VA.
•Works in conjunction with attorneys, agencies, PMI companies, investors, and master servicers to expedite the completion of the claim to minimize losses. Complies with and have working knowledge of all FNMA, FHLMC, PMI, VA, investor and master servicer rules and regulations
•Compile reporting data into clear excel sheets to send to multiple departments for daily review. Pull required documents to send with reporting to vendors for sale pricing on foreclosed purchases.
Skills:
claims analysis, claims preparation, excel, MSP
Experience Level:
Intermediate Level
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Employment TypeFull Time
-
Regulatory Claims Specialist
TEKsystems Tempe, AZ 85282Posted 3 daysResponsibilities
+ Build a complete document package with all appropriate/applicable supporting invoices, breakdowns, ledgers, foreclosure, bankruptcy, and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner
+ Evaluates/reconciles loan level balances (corporate and escrow advances) for expenses incurred to determine claimable vs non claimable to maximize reimbursement on behalf of the servicer and/or client
+ Reviews MI claim Explanation of Benefits (EOB) or VA Insurer Advice of Payments (AOP) and research curtailment reasons for potential rebuttal.
+ Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI companies and/or Insurer/VA.
+ Works in conjunction with attorneys, agencies, PMI companies, investors, and master servicers to expedite the completion of the claim to minimize losses.
+ Complies with and have working knowledge of all FNMA, FHLMC, PMI, VA, investor and master servicer rules and regulations
+ Compile reporting data into clear excel sheets to send to multiple departments for daily review.
+ Pull required documents to send with reporting to vendors for sale pricing on foreclosed purchases.
Qualifications
+ Bachelor’s degree in business, finance, investigation practices, or related field preferred
+ 4-5 years of related experience of Default Servicing experience within the Mortgage Banking industry
+ 3+ years’ experience in filing investor/insurer claims
+ Knowledge of MI and/or Insurer guidelines and requirements, default compliance, foreclosure, and bankruptcy laws in a multi-state portfolio
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Employment TypeFull Time
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Mechanical Claims Adjuster
DriveTime Mesa, AZ 85213Posted 3 days**What’s Under the Hood**
DriveTime Family of Brands includes SilverRock, which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative services encompassing everything from GAP coverage to vehicle theft and GPS tracking to dealership fleet management. Our ancillary product expertise is proven with over 1 million service contracts, products, and warranties, and over $300 million in claims.
**That’s Nice, But What’s the Job?**
In short, as a Claims Adjuster, you will use your knowledge of vehicle systems and repairs to validate, approve, and authorize payment for repair recommendations on warranty claims. You’ll work over the phone with service advisers and technicians to ensure correct repairs are performed to help get our customers back on the road, so automotive experience is a must!
**So What Kind of Folks Are We Looking for?**
+ **Passionate and goal-oriented.** We are looking for someone that is enthusiastic about their career and is passionate about meeting and exceeding their goals.
+ **Excellent verbal and written communication skills.** The ability to talk and write with confidence, charisma, and competence to a wide variety of audiences.
+ **Agile in a fast-paced environment** . We move, and we move quickly. Thriving in and contributing to an environment that never stops is a must.
+ **Plays well with others.** You will be working in a high-functioning team environment. We work together and we win together.
+ **Works well in a time crunch.** There will be multiple time-sensitive requirements and you will need the ability to meet deliverable due dates.
+ **Fantastic problem solver!** Some calls will be challenging. Your goal is not only to find the problem but more importantly, find the solution.
+ **Positive emotional resilience.** This is an environment where you will be faced with challenging calls on a daily basis. We want to make sure you have the ability to rise past them while maintaining an optimistic attitude.
**The Specifics.**
+ High School diploma required; Associate or Bachelor’s deree is preferred
+ 3 + years of experience with current automotive mechanical and diagnostics
**So What About the Perks? Perks matter**
+ **Medical, dental, and vision, oh my!** DriveTime Family of Brands covers a sizable amount of insurance premiums to ensure our employees receive top-tier healthcare coverage.
+ **But Wait, There’s More.** 401(K), Company paid life insurance policy, short and long-term disability coverage to name a few.
+ **Growth Opportunities.** You grow, I grow, we all grow! But seriously, DriveTime Family of Brands is committed to providing its employees with every opportunity to grow professionally with roughly over 1,000 employees promoted year over year.
+ **Tuition Reimbursement.** We’re as passionate about your professional development as you are. With that, we’ll put our money where our mouth is.
+ **Wellness Program.** Health is wealth! This program includes self-guided coaching and journeys, cash incentives and discounts on your medical premiums through engaging in fun activities!
+ **Gratitude is Green.** We offer competitive pay across the organization, because, well… money matters!
+ **Work From Home.** Feel free to rock those yoga pants while still being camera ready, just make sure you have a conducive and quiet workspace with no distractions and reliable and secure internet.
+ **No Digital Nomads.** We’ll need you to work from your home address that will be in one of the states where we are licensed to do business.
+ **Consistent Work Schedule.** You’ll get a set schedule Monday through Friday, with rotating Saturdays! With that, we do ask for some flexibility and overtime as needed.
+ **If You’re in Town.** For those employees in AZ and TX, we have in-office and hybrid arrangements available. We may even ask to see to see you in-person occasionally.
+ **Game Room.** Gimme a break – no, not a Kit Kat ad but we do have a ping-pong table, a pool table and other games if you ever need a break in your day.
+ **In-House Gym.** We want our employees to be the best versions of themselves. So come early, take a break in your day, or finish strong with a workout!
+ **Enjoy Social Events?** Bring it on. Rally with your team for festive gatherings, team competitions or just to hang out!
+ **We Care and Value YOU!** Feel the love and let us treat you to company outings, personal rewards, amazing prizes & much more!
+ **15 Days of PTO and 8 Paid Holidays.** Not just lip service: we work hard, to play hard.
**Anything Else? Absolutely.**
DriveTime Family of Brands is Great Place to Work Certified! And get this: 90% of our rockstar employees say they feel right at home here. We could spend a lot of time having you read about ALL our awards, but we’ll save time (and practice some humility) just naming a few others; Comparably Awards: Best Company for Diversity, Best Company Culture and Best Company Leadership, oh and don’t forget Phoenix Business Journal Healthiest Employers (okay, we’ll stop there)!
Hiring is contingent upon successful completion of our background and drug screening process. DriveTime is a drug-free, tobacco-free workplace and an Equal Opportunity Employer.
And when it comes to hiring, we don't just look for the right person for the job, we seek out the right person for DriveTime. Buckle up for plenty of opportunities to grow in a professional, fun, and high-energy environment!
Employment TypeFull Time
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