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Business, Entrepreneurialism, and Management

Claims Adjusters, Examiners, and Investigators

Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures.

A Day In The Life

Business, Entrepreneurialism, and Management Field of Interest

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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


Supporting Programs

Claims Adjusters, Examiners, and Investigators

Sort by:


Chandler-Gilbert Community College
  Chandler, AZ 85225-2479      Degree Program

Estrella Mountain Community College
  Avondale, AZ 85392      Degree Program

Glendale Community College
  Glendale, AZ 85302      Degree Program

GateWay Community College
  Phoenix, AZ 85034      Degree Program

Paradise Valley Community College
  Phoenix, AZ 85032-1200      Degree Program

Rio Salado College
  Tempe, AZ 85281-6950      Degree Program

Scottsdale Community College
  Scottsdale, AZ 85256-2626      Degree Program

South Mountain Community College
  Phoenix, AZ 85040      Degree Program

Mesa Community College
  Mesa, AZ 85202-4866      Degree Program

Phoenix College
  Phoenix, AZ 85013-4234      Degree Program

Current Available & Projected Jobs

Claims Adjusters, Examiners, and Investigators

35

Current Available Jobs

13,320

Projected job openings through 2032


Top Expected Tasks

Claims Adjusters, Examiners, and Investigators


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

  • Outside Property Claim Representative Trainee - Phoenix Territory
    Travelers Insurance Company    Phoenix, AZ 85067
     Posted 16 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**

    $48,700.00 - $80,400.00

    **Target Openings**

    1

    **What Is the Opportunity?**

    This position services Insureds/Agents in and around Phoenix, AZ. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.

    This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides 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. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.

    This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.

    **What Will You Do?**

    + Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.

    + The on the job training includes practice and execution of the following core assignments:

    + Handles 1st party property claims of moderate severity and complexity as assigned.

    + Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.

    + Broad scale use of innovative technologies.

    + Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.

    + Establishes timely and accurate claim and expense reserves.

    + Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.

    + Negotiates and conveys claim settlements within authority limits.

    + Writes denial letters, Reservation of Rights and other complex correspondence.

    + Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.

    + Meets all quality standards and expectations in accordance with the Knowledge Guides.

    + Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.

    + Manages file inventory to ensure timely resolution of cases.

    + Handles files in compliance with state regulations, where applicable.

    + Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.

    + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.

    + Identifies and refers claims with Major Case Unit exposure to the manager.

    + Performs administrative functions such as expense accounts, time off reporting, etc. as required.

    + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.

    + May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.

    + Must secure and maintain company credit card required.

    + 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.

    + In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.

    + This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position

    + Perform other duties as assigned.

    **What Will Our Ideal Candidate Have?**

    + Bachelor’s Degree preferred or a minimum of two years of work OR customer service related experience preferred.

    + Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic

    + Verbal and written communication skills –Intermediate

    + Attention to detail ensuring accuracy - Basic

    + Ability to work in a high volume, fast paced environment managing multiple priorities - Basic

    + Analytical Thinking – Basic

    + Judgment/ Decision Making – Basic

    + Valid passport preferred.

    **What is a Must Have?**

    + High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree required.

    + Valid driver's license - required.

    **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 value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

    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 (4-ESU@travelers.com) 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 Type

    Full Time

  • Auto Bodily Injury Claim Representative
    Travelers Insurance Company    Phoenix, AZ 85067
     Posted 18 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**

    $65,300.00 - $107,600.00

    **Target Openings**

    5

    **What Is the Opportunity?**

    This position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process. This may include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims. Provides 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.

    As of the date of this posting, Travelers anticipates that this posting will remain open until June 17, 2025.

    **What Will You Do?**

    Customer Contacts/Experience:

    + Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follow-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions.

    Coverage Analysis :

    + Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for moderate complexity Bodily Injury liability claims in assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration issues such as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel.

    Investigation/Evaluation:

    + Investigates each claim to obtain relevant facts necessary to determine coverage, the extent of liability, damages, and contribution potential with respect to the various coverages provided through prompt contact with appropriate parties (e.g. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Takes recorded statements as necessary. Utilizes evaluation documentation tools in accordance with department guidelines.

    + 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.

    + Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit.

    Reserving:

    + Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities in accordance with established procedures to resolve claim in a timely manner.

    Negotiation/Resolution:

    + Determines settlement amounts, negotiates and conveys claim settlements within authority limits to claimants or their representatives. Recognizes and implements alternate means of resolution. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to claimants.

    + Handles both unrepresented and attorney represented claims. May manage litigated claims on appropriately assigned cases. Develops litigation plan with staff or panel counsel, track and control legal expenses. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.

    Insurance License:

    + 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.

    + General knowledge and skill in claims handling and litigation.

    + Basic working level knowledge and skill in various business line products.

    + Demonstrated ownership attitude and customer centric response to all assigned tasks

    + Demonstrated good organizational skills with the ability to prioritize and work independently

    + Attention to detail ensuring accuracy

    + Keyboard skills and Windows proficiency, including Excel and Word - Intermediate

    + Verbal and written communication skills - Intermediate

    + Analytical Thinking- Intermediate

    + Judgment/Decision Making- 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 Degree or GED with a minimum of one year bodily injury liability claim handling experience or successful completion of Travelers Claim Representative training program is required.

    **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 value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

    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 (4-ESU@travelers.com) 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 Type

    Full Time

  • Claims Representative Associate - National Remote
    UnitedHealth Group    Phoenix, AZ 85067
     Posted 19 days    

    **Optum** 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.**

    Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant **Claims Representative Associates** . This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities.

    This position is full time. Employees are required to have flexibility to work our normal business hours of 8:00am-4:30pm CST. It may be necessary, given the business need, to work occasional overtime.

    We offer 10 - 12 weeks of paid training. The hours during training will be 7:30am-4:00pm CST. Training will be conducted virtually from your home.

    You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

    **Primary Responsibilities:**

    + Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims

    + Analyze and identify trends and provide reports as necessary

    + Consistently meet established productivity, schedule adherence and quality standards

    + This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim.

    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 OR equivalent years of work experience

    + Must be 18 years of age OR older

    + Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications

    + Ability to work full time. Employees are required to have flexibility to work our normal business hours of 8:00am-4:30pm CST. It may be necessary, given the business need, to work occasional overtime

    **Preferred Qualifications:**

    + 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.), using phones and computers as primary job tools

    + 1+ years of experience with processing medical, dental, prescription, OR mental health claims

    **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

    *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

    The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. 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 Type

    Full Time

  • WC Claims Integrations Manager - AZ - On Site
    Vensure     Chandler, AZ 85286
     Posted 20 days    

    Job Description

    We are a proud work-from-office company. If you're ready to work on-site in a dynamic, global company, we'd love to hear from you.

    About Us

    Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). The company and its service providers collectively serve over 95,000 businesses and process over $135B in annual payroll. As a "One Employer Solution” headquartered in Chandler, Arizona, Vensure helps thousands of businesses streamline and grow their operations with custom strategies that benefit both employers and employees. Find out more by visiting www.vensure.com .

    Position Summary

    The WC Claims Integrations Manager role will be responsible for planning, overseeing and leading the overall Integration projects plan through all phases (0-4). This position requires interaction with a range of internal and external stakeholders, most often managing several moving project parts simultaneously. WC Claims Integration Manager will report directly to the Sr. Vice President of Claims.

    Essential Duties and Responsibilities

    Participating in bi-weekly project planning sessions with Integration Project Managers
    Coordinating staff and internal resources
    Managing project progress and adapting work as required
    Ensuring projects meet deadlines
    Managing relationships with all Division Partners and key stakeholders whether internal or external
    Overseeing all incoming and outgoing project documentation
    Complete the claims risk mitigation plan (CPP)
    Optimizing and improving processes and the overall approach were necessary
    Integrating newly acquired companies into our claims department processes and procedures

    Knowledge, Skills, and Abilities

    Strong Written and verbal communication skills
    Capacity to manage high stress situations
    Ability to multi-task and manage various project elements simultaneously
    Big-picture thinking and vision, must be able to think outside of the box
    Attention to detail
    Possess strong conflict resolutions skills
    Proven experience in project management.
    Candidate must be proficient in Excel, PowerPoint, Word and Smartsheets.

    Education & Experience

    Three or more years' experience, and one or several formal qualifications in the following areas of project management; workers' compensation claims; PEO
    A bachelor's degree.


    Seniority Level

    Some work experience (up to 5 years, non-manager)

    Field of Interest

    Human Services

    Employment Type

    Full Time

  • CLS Claim Specialist - Major Case Unit
    The Hartford    Scottsdale, AZ 85258
     Posted 21 days    

    Specialist Claims - CH07DE

    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.

    As a Claims Specialist, you will be responsible for handling a caseload of complex general liability claims, primarily premises and product liability, throughout the claim’s life cycle. Experience handling litigation, excess and writing coverage letters is required. Responsibilities:

    + Conducting investigations and analyzing and evaluating the information learned;

    + Making coverage determinations and communicating written position(s) to insureds and other required parties;

    + Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment;

    + Presenting cases to management for expense or indemnity reserve authority above established authority levels;

    + Developing and implementing resolution strategies to achieve high quality outcomes;

    + Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review;

    + Attending trials and mediations as necessary;

    + Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives;

    + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc.;

    + Providing support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity;

    + Work with business partners to evaluate and address claim trends and developments; and

    + Address inquiries from agents and policyholders, providing superior customer service.

    Qualifications:

    + Bachelor’s degree required; law degree a plus.

    + Minimum of seven years handling complex general liability litigated coverage and liability matters.

    + Experience handling excess claims.

    + Candidate should be disciplined, results-oriented and able to focus on bottom line results.

    + Superior analytical ability and organizational skills.

    + Excellent oral and written communication skills.

    + Excellent strategic thinking ability and execution skills.

    + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws.

    + An ability to communicate thoughts clearly and concisely, and to influence and persuade others.

    + Superior interpersonal skills.

    + An ability to exceed expectations and influence others

    Travel required up to 10%.

    Additional Information:

    This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Scottsdale, AZ Lake Mary, FL, Naperville, IL and Danbury, CT) 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 10 Mbps/75 Mbps 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:

    $106,400 - $159,600

    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 (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)

    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)

    Unincorporated Areas of LA County, CA (Applicant Information)


    Employment Type

    Full Time

  • Sr Customer Care Specialist
    Prime Therapeutics    Phoenix, AZ 85067
     Posted 21 days    

    Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

    **Job Posting Title**

    Sr Customer Care Specialist

    **Job Description**

    + This position is a frontline service position providing assistance to members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. **Responsibilities**

    + Listens and probes callers in a professionally and timely manner to determine purpose of the calls.

    + Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

    + Resolves customer administrative concerns as the first line of contact this may include claim resolutions and other expressions of dissatisfaction.

    + Assist efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

    + Assists in the mentoring and training of new staff.

    + Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing trainings (formal and informal).

    + Assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

    + Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help achieve its business and operational goals.

    + Educates providers on how to submit claims and when/where to submit a treatment plan.

    + Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

    + Informs providers and members on appeal process.

    + Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

    + Links or makes routine referrals and triage decisions not requiring clinical judgment.

    + Performs necessary follow-up tasks to ensure member or provider's needs are completely met.

    + Provides information regarding in-network and out-of-network reimbursement rates and states multiple networks to providers.

    + Refers callers requesting provider information to Provider Services regarding professional provider selection criteria and application process.

    + Refers patients/EAP clients to the Care Management team for a provider, EAP affiliate, or Facility.

    + Updates self on ever changing information to ensure accuracy when dealing with members and providers.

    + Supports team members and participate in team activities to help build a high-performance team.

    + Documents customers comments/information and forwards required information to the appropriate staff. **Education & Experience** **Education Level**

    + Required: High School, GED

    + Preferred: Associates, Bachelors **Experience Level**

    + Required: 2+ years Customer ServiceMust be eligible to work in the United States without the need for work visa or residency sponsorship. **Additional Qualifications**

    + Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

    + Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

    + Must agree to observing service for the purpose of training and quality control.

    + Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

    + Must be able to maneuver through various computer platforms while verifying information on all calls.

    + Must be able to talk and type simultaneously. **Preferred Qualifications**

    + PBM Experience **Physical Demands**

    + Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"

    + Must be able to constantly operate a computer and/or other office productivity equipment

    + Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information

    + Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 poundsEvery employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

    Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

    To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

    _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _

    _We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

    _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

    Positions will be posted for a minimum of five consecutive workdays.

    Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

    If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

    Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

    We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

    Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

    If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.


    Employment Type

    Full Time

  • Mechanical Claims Adjuster
    DriveTime    Mesa, AZ 85213
     Posted 21 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**

    + **Work From Home.** Feel free to rock the casual wear while still being camera ready. You will be working from your home office (in an approved city & state) and make sure you have a conducive and quiet workspace with no distractions and reliable and secure internet.

    + **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!

    + **Paid Time Off.** Not just lip service: we work hard, to play hard! Paid time off includes (for all full-time roles) wellness days, holidays, and good ole' fashioned YOU time! For our Part-timers, don't fear you get some time too...vacation time is available - the more you work, the more you earn!

    **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 Type

    Full Time

  • Customer Service Claims Representative
    USAA    Phoenix, AZ 85067
     Posted 23 days    

    **Why USAA?**

    At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

    Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

    **The Opportunity**

    **It is all about learning and growing.** Our Customer Service Claims Representative role may be a new career for you. There’s a lot to learn, but the pathway is mapped out and USAA is willing to invest in you! Our comprehensive, fully paid four-month training program includes all training materials, licensing costs, class discussions, hands-on training, e-learning modules, and the instructor led guidance will help you to support our members independently. We have new training classes starting every month.

    Our in-office development program provides the training you need and the reassurance to create a proactive and independent support style to service our membership. **After six months in-office, you’ll have the opportunity to work offsite 2 days a week.** Military veterans and spouses are highly encouraged to apply. Relocation assistance **is not** available for this position.

    Work schedules will vary and may include some **nights and weekends** . Schedules are assigned based on business need. Regularly scheduled shift hours that fall between 6 p.m. and 7 a.m. during the week, or between 6 p.m. Friday and 7 a.m. Monday are eligible for **shift premium pay.**

    We are currently seeking dedicated professionals to **work in our Phoenix office** **(1 Norterra Drive, Phoenix, AZ 85085)** as a Customer Service Claims Representative. You will be part of an outstanding contact service center, where you will focus on providing claims service to members regarding the initial contact on all **auto OR property** First Notice of Loss (FNOL) claims. In addition, you will respond to status inquiries from various parties, document reported losses, set appropriate expectations, provide proactive communications, advice, and empathy to our members.

    **What you'll do:**

    + Document First Notice of Loss by acquiring relevant information for effective claim investigation. Set up appropriate services, as needed, to proactively move claims forward to the furthest point in the process within scope of role and expectation.

    + Build loss reports, describe or verify coverage as appropriate, and initiate the most effective method of damage assessment to assign for file handling.

    + Assist with questions regarding the claims process and set expectations for next steps to help ensure claims are optimally resolved and accurately documented.

    + Resolve status inquiries and, when appropriate, route to handling adjuster.

    + Effectively operate in a fast-paced, high-volume, contact center environment taking back-to-back calls and navigating multiple systems and programs while maintaining an engaging member interaction that occurs across multiple communication channels.

    + Apply strong time management skills by closely adhering to assigned work schedule.

    + Adopt continuous improvement and development through coaching and collaboration with manager and team members.

    + Use strong call management skills by assisting members within a timely manner and limiting non-productive time.

    + May assign or initiate emergency services when required on specific claims.

    + Support workload surges and catastrophe (CAT) response operations as needed which may include potential weekends, and/or holiday work outside normal work hours.

    + Work various types of claim loss notices and inquiries, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

    + Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

    **What you have:**

    + High School Diploma or GED

    + Ability to provide exceptional customer service for our members by using active listening, verbal, and written communication skills to communicate clearly, professionally, and empathetically.

    + Highly developed interpersonal skills to collaborate effectively in a fast-paced team environment.

    + Ability to prioritize and multi-task while navigating through multiple business applications.

    + Successful completion of a job-related assessment is required.

    + May require acquisition and maintenance of insurance adjuster license within 90 days. (USAA provides all materials and licensing fees.)

    **What sets you apart:**

    + US military experience through military service or a military spouse/domestic partner

    **Compensation range:** The hiring range for this position is: $43,750 to $45,750

    **Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

    Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

    The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

    **Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

    For more details on our outstanding benefits, visit our benefits page on USAAjobs.com

    _Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting._

    _USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran._

    **If you are an existing USAA employee, please use the internal career site in OneSource to apply.**

    **Please do not type your first and last name in all caps.**

    **_Find your purpose. Join our mission._**

    USAA is unlike any other financial services organization. The mission of the association is to facilitate the financial security of its members, associates and their families through provision of a full range of highly competitive financial products and services; in so doing, USAA seeks to be the provider of choice for the military community. We do this by upholding the highest standards and ensuring that our corporate business activities and individual employee conduct reflect good judgment and common sense, and are consistent with our core values of service, loyalty, honesty and integrity.

    USAA attributes its long-standing success to its most valuable resource: our 35,000 employees. They are the heart and soul of our member-service culture. When you join us, you'll become part of a thriving community committed to going above for those who have gone beyond: the men and women of the U.S. military, their associates and their families. In order to play a role on our team, you don't have to be connected to the military yourself – you just need to share our passion for serving our more than 13 million members.

    USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

    California applicants, please review our HR CCPA - Notice at Collection (https://statmcstg.usaa.com/mcontent/static\_assets/Media/enterprise\_hr\_cpra\_notice\_at\_collection.pdf) here.

    USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.


    Employment Type

    Full Time

  • Default FHA MI Claims Specialist I
    Carrington    Chandler, AZ 85286
     Posted 23 days    

    **Come join our amazing team and work remote from home!**

    The Default FHA MI Claims Specialist I will, under moderate supervision, responsible for preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Perform all duties in accordance with the company’s policies and procedures and all US state and federal laws and regulations wherein the company operates. The target pay range for this position is $21.00/hr - $24.50/hr.

    **What you’ll do:**

    + Prepare and file claims for one primary loan type timely and accurately; primary loan types are FHA Conveyance Part A, Part B, Non-Conveyance CWCOT, Pre-Foreclosure Sale, as assigned.

    + Document system(s) with appropriate tasking and comments.

    + Ensure required documentation is included in the Claim File and uploaded to agency system as applicable.

    + Submit claim for quality review; complete corrections timely and accurately.

    + Finalize and submit claim to agency for payment; follow up with agency for claim payment if applicable.

    + Perform other duties and special projects as assigned.

    + Moderate knowledge of default claims processes for insurers and investors.

    + Understanding of the default servicing processes, to include Foreclosure, Bankruptcy, Loss Mitigation and Claims processes.

    + Moderate understanding of Agency and investor guidelines.

    + Strong interpersonal skills with a focus on teamwork and quality.

    + Excellent written and oral communication, organizational and time management skills.

    + Ability to communicate effectively with all levels of staff and management both internally and externally.

    + Ability to manage work in order to meet strict deadlines.

    + Ability to handle multiple tasks under pressure and changing priorities.

    **What you’ll need:**

    + High School diploma required; some college preferred.

    + One (1) or more years’ mortgage servicing default experience, preferred

    **Our Company:**

    Carrington Mortgage Services is part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing assistance to borrowers and investors, delivering exceptional customer care and programs that support borrowers and their homeownership experience. We hope you’ll consider joining our growing team of uniquely talented professionals as we transform residential real estate. To read more visit: www.carringtonmortgage.com .

    **What We Offer:**

    + Comprehensive healthcare plans for you and your family. Plus, a discretionary 401(k) match of 50% of the first 4% of pay contributed.

    + Access to several fitness, restaurant, retail (and more!) discounts through our employee portal.

    + Customized training programs to help you advance your career.

    + Employee referral bonuses so you’ll get paid to help Carrington and Vylla grow.

    + Educational Reimbursement.

    + Carrington Charitable Foundation contributes to the community through causes that reflect the interests of Carrington Associates. For more information about Carrington Charitable Foundation, and the organizations and programs, it supports through specific fundraising efforts, please visit: carringtoncf.org.

    **Notice to all applicants: Carrington does not do interviews or make offers via text or chat.**

    \#LI-SY1

    Carrington is an equal opportunity employer. It is the policy of the company that applicants be considered for positions for which they qualify without regard to race, color, religion, sex, gender identity, national origin, ancestry, age, marital status, sexual orientation, protected veterans status, physical or mental disability or any other legally protected category. Carrington will make reasonable accommodations for known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the company.


    Employment Type

    Full Time

  • Long Term Disability Claims Specialist
    Lincoln Financial Group    Phoenix, AZ 85067
     Posted 25 days    

    **Alternate Locations:** Dover, NH (New Hampshire); Charlotte, NC (North Carolina); Omaha, NE (Nebraska); Phoenix, AZ (Arizona); Work from Home

    **Work Arrangement:**

    Hybrid/Flexible : Work at home and use the office as appropriate for in-person collaboration.

    **Relocation assistance:** is not available for this opportunity.

    **Requisition #:** 74401

    **The Role at a Glance**

    As a Long Term Disability Claims Specialist, you will manage a workload of Long Term Disability claims independently in accordance with established procedures and guidelines. You will be responsible for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You’ll complete a thorough training program to develop new skills and give you the confidence you need to be successful in your new role.

    **What you'll be doing**

    + Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable

    + Collaborating with fellow case managers, nurse case managers, vocational case managers, and consulting physicians to make appropriate, ethical, and timely claim determinations

    + Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning throughout the life of the claim

    + Providing exceptional customer service and proactively recognizing customer needs and areas of opportunity

    **What we’re looking for**

    _Must-haves:_

    + High School diploma or GED or minimum Associate degree in lieu of required experience

    + 3-5 years of claims experience directly aligned to the specific responsibilities for this role or for candidates with an Associate degree, 0-1 year claims experience directly aligned to the specific responsibilities for this role

    + Strong written and verbal communication skills

    + Excellent organization skills with the ability to multi-task

    _Nice-to-haves:_

    + Experience with disability and/or absence management

    **Application Deadline**

    Applications for this position will be accepted through April 18th, 2025, subject to earlier closure due to applicant volume.

    **What’s it like to work here?**

    At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.

    **What’s in it for you:**

    + Clearly defined career tracks and job levels, along with associated behaviors for each Lincoln leadership Attribute.

    + Leadership development and virtual training opportunities

    + PTO/parental leave

    + Competitive 401K and employee benefits (https://hrdirectdocs.lfg.com/misc/HR/Recruiting/BenefitsResourcesGuide.pdf)

    + Free financial counseling, health coaching and employee assistance program

    + Tuition assistance program

    + A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations

    + Effective productivity/technology tools and training

    The pay range for this position is $28.50-$32.00 with **anticipated pay for new hires between the minimum and midpoint of the range** and could vary above and below the listed range as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln’s total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln’s standard benefits package.

    **About The Company**

    Lincoln Financial Group helps people to plan, protect and retire with confidence. As of Dec. 31, 2023, approximately 17 million customers trust our guidance and solutions across four core businesses – annuities, life insurance, group protection and retirement plan services. As of December 31, 2023, the company had $295 billion in end-of-period account balances, net of reinsurance. Headquartered in Radnor, Pa., Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. Learn more at LincolnFinancial.com.

    Lincoln is committed to creating a diverse and inclusive (https://www.lfg.com/public/aboutus/companyoverview/diversityinclusion?audience\_page\_id=1422918942386) environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

    Follow us on Facebook (http://www.facebook.com/lincolnfinancialgroup) , X (https://mobile.twitter.com/lincolnfingroup) , LinkedIn (https://www.linkedin.com/company/4307?trkInfo=tas%3Alincoln+financial%2Cidx%3A3-1-3&trk=tyah) , and Instagram (https://www.instagram.com/lincolnfingroup/) . For the latest company news, visit our newsroom (https://www.lincolnfinancial.com/public/aboutus/newsroom) .

    **Be Aware of Fraudulent Recruiting Activities**

    If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.

    Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at fraudhotline@lfg.com if you encounter a recruiter or see a job opportunity that seems suspicious.

    **Additional Information**

    This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

    Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

    Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, Veteran status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

    This Employer Participates in E-Verify. See the E-Verify (https://www.e-verify.gov) notices.

    Este Empleador Participa en E-Verify. Ver el E-Verify (https://www.e-verify.gov/es) avisos.

    Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.


    Employment Type

    Full Time


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