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 Study

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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


Current Available & Projected Jobs

Claims Adjusters, Examiners, and Investigators

69

Current Available Jobs

15,160

Projected job openings through 2030


Sample Career Roadmap

Claims Adjusters, Examiners, and Investigators

Job Titles

Entry Level

JOB TITLE

Entry-level Adjuster

Mid Level

JOB TITLE

Mid-level Adjuster

Expert Level

JOB TITLE

Senior Adjuster, or Partner


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

  • Workers Compensation Claims Adjuster | Remote (Must be able to work Pacific Time Zone hours) | WA License required
    Sedgwick    Phoenix, AZ 85067
     Posted about 5 hours    

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

    A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

    Great Place to Work®

    Most Loved Workplace®

    Forbes Best-in-State Employer

    Workers Compensation Claims Adjuster | Remote (Must be able to work Pacific Time Zone hours) | WA License required

    **JURISDICTIONAL KNOWLEDGE: WA**

    **LICENSING: WA license preferred**

    **At least 2 years of Workers Compensation experience**

    **Basic knowledge of excel/computations**

    **Time Management skills: multi-tasking & prioritizing**

    **Pacific Time Zone hours**

    Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

    + Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

    + Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

    + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

    + Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

    + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

    + Enjoy flexibility and autonomy in your daily work, your location, and your career path.

    + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

    **ARE YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

    **PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

    **ESSENTIAL RESPONSIBLITIES MAY INCLUDE**

    + Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

    + Negotiating settlement of claims within designated authority.

    + Communicating claim activity and processing with the claimant and the client.

    + Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

    **QUALIFICATIONS**

    Education & Licensing: 2 years of claims management experience or equivalent combination of education and experience required.

    High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

    Professional certification as applicable to line of business preferred.

    **TAKING CARE OF YOU**

    + Flexible work schedule.

    + Referral incentive program.

    + Career development and promotional growth opportunities.

    + A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

    Work environment requirements for entry-level opportunities include:

    Physical: Computer keyboarding

    Auditory/visual: Hearing, vision and talking

    Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

    \#claims #claimsexaminer #remote

    As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (48,200 - 67,480/yr). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

    Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

    **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

    **Taking care of people is at the heart of everything we do. Caring counts**

    Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)


    Employment Type

    Full Time

  • REMOTE Loss Mitigation FHA Claims Specialist
    Carrington    Chandler, AZ 85286
     Posted about 5 hours    

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

    The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform all duties in accordance with the company’s policies and procedures, all US state and federal laws and regulations, wherein the company operates. The target pay range for this position is $23.00 to $27.00.

    **What you’ll do:**

    + Prepare and file all HUD claims timely and accurately according to investor/insurer/CMS guidelines and requirements.

    + Follow up semi-daily on all outstanding claim proceeds.

    + Perform a loan level reconciliation for all final claim proceeds between the amount claimed, the amount paid, and the outstanding loan indebtedness including all escrow and corporate advances. Correct error files when identified by cancelling claim and/or processing a refund request to HUD.

    + Provide posting instructions for all claim proceeds within 24 hours of the receipt of the claim proceeds.

    + Review, follow-up and ensure the timely and accurate completion of all regular scheduled steps.

    + Input the completion date on the date the action occurs.

    + Obtain approval, and modify the scheduled date to a date in the future when a step in the process cannot be completed.

    + Perform routine follow-up on a daily basis.

    + Keep Supervisor informed of all trends and problems including, but not limited, claim denials/curtailments, processing delays, etc.

    + Document all servicing, action taken, delays, follow-up, and phone conversations in the system notes

    + Ensure all claim documents are imaged timely.

    + Maintain and controls the HUD audit file.

    + Perform other duties as assigned.

    **What you’ll need:**

    + High School Diploma or equivalent work experience; some college preferred.

    + One (1) to two (2) years’ mortgage servicing default experience preferred.

    + Previous FHA claims experience preferred.

    + Understanding the loss mitigation and claims process

    + Excellent written and oral communication, organizational and time management skills. Ability to communicate effectively with all levels both internally and externally

    + Strong attention to detail and ability to problem solve.

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

    **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.

    EEO/AAP Employer

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

    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

  • Medical Billing/Claims Specialist
    Robert Half Accountemps    Tucson, AZ 85702
     Posted 1 day    

    Description

    Our client, in the healthcare industry focused in Behavioral Health, is in need for a Medical Billing/Claims specialist near downtown Tucson! You will be tasked with managing medical claims and ensuring accurate billing and collections. This position requires skills in various accounting software systems, knowledge of EHR systems, ideally Nextgen or NetSmart, however, open to sharp candidates who are open to learning new EHR systems.

    Responsibilities:

    • Handle medical claims with precision and ensure timely processing

    • Utilize accounting software systems to maintain accurate records and facilitate collections

    • Leverage EHR systems to access patient data and manage billing functions

    • Keep a meticulous record of accounts receivable and follow up on pending claims

    • Address and resolve any customer inquiries related to billing and collections

    • Conduct appeals and authorizations as part of the medical claims process

    • Ensure compliance with all billing functions and benefit functions

    • Apply knowledge of Dynamic Data Exchange (DDE) in the processing of claims

    • Work with NextGen or Netsmart systems for efficient management of claims and billing.

    Requirements

    • Minimum of 1 year of experience in a similar role or related field

    • Strong skills in Microsoft Excel

    • Comprehensive understanding of Accounting and Billing Functions

    • Experience in Claim Administration

    • Knowledge of Collection Processes

    • Excellent Customer Service skills

    • Ability to maintain high levels of accuracy and attention to detail

    • Strong written and verbal communication skills

    • Able to multitask and prioritize workload effectively

    • Ability to work independently and as part of a team

    Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

    Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

    All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

    © 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .


    Employment Type

    Full Time

  • Contact Center Customer Care Specialist (SCA)
    HomeSafe Alliance    Phoenix, AZ 85067
     Posted 3 days    

    **Title:**

    Contact Center Customer Care Specialist (SCA)

    **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

    When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

    Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

    As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

    The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    **About the Role**

    **HomeSafe Alliance** is seeking Customer Care Specialist’s to support the Customer Care contact center by providing immediate support to answer customer inquiries, troubleshoot application access, and network with internal and external move partners to resolve concerns. The goal is to be readily available and responsive to meet customer needs with exceptional quality and service.

    **This is an SCA position** .

    **NOTE: Openings on various shifts to include weekend support.**

    **Responsibilities:**

    As a Customer Care Specialist, you will be responsible for all shipment activities in your workload from assignment through delivery.

    + Be the “first face” of HomeSafe via inbound calls/chat/email from customers, internal colleagues, and external partners.

    + Ensures first call resolution through problem solving and effective call/email/chat/text.

    + Counseling customers on their entitlements for their move.

    + The Customer Care Specialist role requires a patient and stable work style and consistency in dealing with repetitive routine.

    + The role demands a cooperative, agreeable, and sympathetic listener who can build good relationships with others and enjoys being helpful to them.

    + Troubleshooting with customers on how to use the HomeSafe Connect Application.

    + Provide accurate details of the status of Customer move at designated points.

    + Customer service via a multichannel contact center within a team-oriented focus is of utmost importance.

    + The pace of the role follows the customary scope of measuring a CCS productivity contact center metrics (i.e. Average Handle Time, After Call Work, Unavailable Codes).

    + Complete outbound communications to customers and business partners.

    + Readily resolve all customer, agent or military base inquiries and concerns.

    + Identify and resolve issues utilizing critical thinking skills and sound judgment.

    + Utilize strong time management, organization skills and prioritization in a fast-paced environment.

    + Utilize various systems and tools to initiate and assist customer requests.

    + Ensure a complete and accurate record of all contacts, both internally and externally, is maintained in the relevant systems.

    + Continually maintain a working knowledge of all services and requirements for processing customer orders.

    + May function as designated representative for move accounts.

    + May perform other related duties and responsibilities as assigned and/or required

    + Attend and participate in all team meetings.

    **Minimum Qualification and Skills Requirements** :

    + High School Diploma, GED or equivalent education experience is required .

    + 1+ year customer service experience, with military move experience preferred.

    + Must be a U.S. citizen due to contractual requirements.

    **Demonstrated experience:**

    + Experience working in a multi-channel (voice, chat, email, and text) contact center.

    + The role requires attention to the details of work, handling them with better-than-average accuracy and with careful attention to the quality of the work.

    + The focus is on working comfortably remotely within a stable, secure team.

    + Manage multiple priorities, with the ability to work in a fast-paced environment.

    + Ability to manage difficult customers and situations and be able to solve problems.

    + Excellent written & verbal communication skills, patience, and empathy.

    + Proficient with basic computer skills.

    **Preferred Education and Experience** :

    + Bilingual

    + Prior military move management experience.

    **Schedule flexibility:** Customer Care will operate 24 hours per day x 365 days per year; nights, weekends and holidays required.

    **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment, **employee provided** **high speed internet is required.**

    **Inclusion and Diversity at HomeSafe Alliance:**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!

    **INCLUSION AND DIVERSITY AT KBR**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture.

    These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

    **HomeSafe​ — Delivering Solutions, Changing the World.**

    HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

    More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

    With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We thank you for your service, and for the privilege of serving you in return.

    **A** **t HomeSafe,** **We Deliver.**

    **Fraud Alert**

    Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

    HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!


    Employment Type

    Full Time

  • Contact Center Customer Care Specialist (SCA)
    HomeSafe Alliance    Phoenix, AZ 85067
     Posted 3 days    

    **Title:**

    Contact Center Customer Care Specialist (SCA)

    **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

    When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

    Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

    As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

    The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    **About the Role**

    **HomeSafe Alliance** is seeking Customer Care Specialist’s to support the Customer Care contact center by providing immediate support to answer customer inquiries, troubleshoot application access, and network with internal and external move partners to resolve concerns. The goal is to be readily available and responsive to meet customer needs with exceptional quality and service.

    **This is an SCA position** .

    **NOTE: Openings on various shifts to include weekend support.**

    **Responsibilities:**

    As a Customer Care Specialist, you will be responsible for all shipment activities in your workload from assignment through delivery.

    + Be the “first face” of HomeSafe via inbound calls/chat/email from customers, internal colleagues, and external partners.

    + Ensures first call resolution through problem solving and effective call/email/chat/text.

    + Counseling customers on their entitlements for their move.

    + The Customer Care Specialist role requires a patient and stable work style and consistency in dealing with repetitive routine.

    + The role demands a cooperative, agreeable, and sympathetic listener who can build good relationships with others and enjoys being helpful to them.

    + Troubleshooting with customers on how to use the HomeSafe Connect Application.

    + Provide accurate details of the status of Customer move at designated points.

    + Customer service via a multichannel contact center within a team-oriented focus is of utmost importance.

    + The pace of the role follows the customary scope of measuring a CCS productivity contact center metrics (i.e. Average Handle Time, After Call Work, Unavailable Codes).

    + Complete outbound communications to customers and business partners.

    + Readily resolve all customer, agent or military base inquiries and concerns.

    + Identify and resolve issues utilizing critical thinking skills and sound judgment.

    + Utilize strong time management, organization skills and prioritization in a fast-paced environment.

    + Utilize various systems and tools to initiate and assist customer requests.

    + Ensure a complete and accurate record of all contacts, both internally and externally, is maintained in the relevant systems.

    + Continually maintain a working knowledge of all services and requirements for processing customer orders.

    + May function as designated representative for move accounts.

    + May perform other related duties and responsibilities as assigned and/or required

    + Attend and participate in all team meetings.

    **Minimum Qualification and Skills Requirements** :

    + High School Diploma, GED or equivalent education experience is required .

    + 1+ year customer service experience, with military move experience preferred.

    + Must be a U.S. citizen due to contractual requirements.

    **Demonstrated experience:**

    + Experience working in a multi-channel (voice, chat, email, and text) contact center.

    + The role requires attention to the details of work, handling them with better-than-average accuracy and with careful attention to the quality of the work.

    + The focus is on working comfortably remotely within a stable, secure team.

    + Manage multiple priorities, with the ability to work in a fast-paced environment.

    + Ability to manage difficult customers and situations and be able to solve problems.

    + Excellent written & verbal communication skills, patience, and empathy.

    + Proficient with basic computer skills.

    **Preferred Education and Experience** :

    + Bilingual

    + Prior military move management experience.

    **Schedule flexibility:** Customer Care will operate 24 hours per day x 365 days per year; nights, weekends and holidays required.

    **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment, **employee provided** **high speed internet is required.**

    **Inclusion and Diversity at HomeSafe Alliance:**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!

    HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

    **HomeSafe​ — Delivering Solutions, Changing the World.**

    HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

    More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

    With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We thank you for your service, and for the privilege of serving you in return.

    **A** **t HomeSafe,** **We Deliver.**

    **Fraud Alert**

    Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

    HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!


    Employment Type

    Full Time

  • Claims Adjuster - Liability
    Sedgwick    Flagstaff, AZ 86011
     Posted 3 days    

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

    A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

    Great Place to Work®

    Most Loved Workplace®

    Forbes Best-in-State Employer

    Claims Adjuster - Liability

    **PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

    **ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

    + Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

    + Assesses liability and resolves claims within evaluation.

    + Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

    + Manages subrogation of claims and negotiates settlements.

    + Communicates claim action with claimant and client.

    + Ensures claim files are properly documented and claims coding is correct.

    + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

    + Maintains professional client relationships.

    **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

    + Performs other duties as assigned.

    + Supports the organization's quality program(s).

    + Travels as required.

    **QUALIFICATION**

    **Education & Licensing**

    Bachelor's degree from an accredited college or university preferred.

    **Experience**

    Four (4) years of claims management experience or equivalent combination of education and experience required.

    **Skills & Knowledge**

    + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

    + Excellent oral and written communication, including presentation skills

    + PC literate, including Microsoft Office products

    + Analytical and interpretive skills

    + Strong organizational skills

    + Good interpersonal skills

    + Excellent negotiation skills

    + Ability to work in a team environment

    + Ability to meet or exceed Service Expectations

    **WORK ENVIRONMENT**

    When applicable and appropriate, consideration will be given to reasonable accommodations.

    **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    **Physical:** Computer keyboarding, travel as required

    **Auditory/Visual** : Hearing, vision and talking

    NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

    **Pay Transparency:**

    As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

    Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

    **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

    **Taking care of people is at the heart of everything we do. Caring counts**

    Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)


    Employment Type

    Full Time

  • Claims Adjuster - Liability
    Sedgwick    Phoenix, AZ 85067
     Posted 3 days    

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

    A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

    Great Place to Work®

    Most Loved Workplace®

    Forbes Best-in-State Employer

    Claims Adjuster - Liability

    **PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

    **ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

    + Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

    + Assesses liability and resolves claims within evaluation.

    + Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

    + Manages subrogation of claims and negotiates settlements.

    + Communicates claim action with claimant and client.

    + Ensures claim files are properly documented and claims coding is correct.

    + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

    + Maintains professional client relationships.

    **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

    + Performs other duties as assigned.

    + Supports the organization's quality program(s).

    + Travels as required.

    **QUALIFICATION**

    **Education & Licensing**

    Bachelor's degree from an accredited college or university preferred.

    **Experience**

    Four (4) years of claims management experience or equivalent combination of education and experience required.

    **Skills & Knowledge**

    + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

    + Excellent oral and written communication, including presentation skills

    + PC literate, including Microsoft Office products

    + Analytical and interpretive skills

    + Strong organizational skills

    + Good interpersonal skills

    + Excellent negotiation skills

    + Ability to work in a team environment

    + Ability to meet or exceed Service Expectations

    **WORK ENVIRONMENT**

    When applicable and appropriate, consideration will be given to reasonable accommodations.

    **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    **Physical:** Computer keyboarding, travel as required

    **Auditory/Visual** : Hearing, vision and talking

    NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

    **Pay Transparency:**

    As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

    Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

    **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

    **Taking care of people is at the heart of everything we do. Caring counts**

    Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)


    Employment Type

    Full Time

  • Claims Adjuster - Liability
    Sedgwick    Tucson, AZ 85702
     Posted 3 days    

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

    A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

    Great Place to Work®

    Most Loved Workplace®

    Forbes Best-in-State Employer

    Claims Adjuster - Liability

    **PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

    **ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

    + Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

    + Assesses liability and resolves claims within evaluation.

    + Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

    + Manages subrogation of claims and negotiates settlements.

    + Communicates claim action with claimant and client.

    + Ensures claim files are properly documented and claims coding is correct.

    + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

    + Maintains professional client relationships.

    **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

    + Performs other duties as assigned.

    + Supports the organization's quality program(s).

    + Travels as required.

    **QUALIFICATION**

    **Education & Licensing**

    Bachelor's degree from an accredited college or university preferred.

    **Experience**

    Four (4) years of claims management experience or equivalent combination of education and experience required.

    **Skills & Knowledge**

    + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

    + Excellent oral and written communication, including presentation skills

    + PC literate, including Microsoft Office products

    + Analytical and interpretive skills

    + Strong organizational skills

    + Good interpersonal skills

    + Excellent negotiation skills

    + Ability to work in a team environment

    + Ability to meet or exceed Service Expectations

    **WORK ENVIRONMENT**

    When applicable and appropriate, consideration will be given to reasonable accommodations.

    **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    **Physical:** Computer keyboarding, travel as required

    **Auditory/Visual** : Hearing, vision and talking

    NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

    **Pay Transparency:**

    As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

    Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

    **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

    **Taking care of people is at the heart of everything we do. Caring counts**

    Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)


    Employment Type

    Full Time

  • Senior Lead Analytics Consultant-Fraud & Claims Management
    Wells Fargo    CHANDLER, AZ 85286
     Posted 4 days    

    **About this role:**

    Wells Fargo is seeking a Senior Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking Operations (CSBBO). Learn more about the career areas and lines of business at wellsfargojobs.com (https://www.wellsfargojobs.com/career-areas/) .

    **In this role, you will:**

    + Utilize analytic capabilities to perform event-based and root cause analysis in the ACH and on-us check victim fraud space

    + Consult and perform complex analyses involving data mining from multiple sources and/or predictive modeling, regression/multivariate, financial, comparative analysis, customer/demographic analysis, etc.

    + Provide insights, develop analytical strategies, performing analytical support and/or modeling regarding a wide array of business initiatives related to fraud

    + Present findings and partner in the development or enhancement of fraud strategies and upstream controls to mitigate risk of event/intel and/or loss to Wells Fargo and its clients with specific focus on victim fraud while engaging other fraud strategy and risk teams as needed

    + Identify opportunities for statistical models and/or create sophisticated computer modeling approaches to analyze and forecast business performance; participating in and/or leading management information capabilities development work; interpreting and presenting results of analyses and recommendations to senior management

    + Ensure adherence to data management/data governance regulations and policies

    + Collaborate and consult with peers, colleagues, and more experienced managers to resolve issues and achieve goals

    + Lead projects, small teams, or serve as a peer mentor

    **Required Qualifications:**

    + 7+ years of Analytics, Reporting, Financial Modeling or Statistics experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education

    **Desired Qualifications:**

    + Experience in fraud risk and mitigation including strategies to reduce or mitigate loss and fraud exposures

    + 4+ years of experience with SAS, SQL, or other data management, reporting and query tools

    + 4+ years of experience using data and analytics to inform and develop risk mitigation strategies

    + 3+ years experience designing and optimizing complex SQL queries involving table joins and correlated sub-queries on large scale data tables

    + 6+ years of experience creating pivot tables and performing data analysis in Excel

    + Leadership experience - including coaching, training, mentoring

    + Extensive knowledge and understanding of research and analysis

    + Strong analytical skills with high attention to detail and accuracy

    + Excellent verbal, written, and interpersonal communication skills

    + Outstanding problem solving and analytical skills with ability to turn findings into strategic imperatives

    + Ability to think creatively to find innovative solutions to complex analytical questions

    + Ability to learn and assimilate information from multiple people and sources

    + Certified Fraud Examiner (CFE)

    **Job Expectations:**

    + This position is not eligible for Visa sponsorship

    **Position Location:**

    1525 W W T Harris Blvd, Charlotte, NC

    800 S Jordan Creek Pkwy, West Des Moines, IA

    2850 S Price Rd, Chandler, AZ

    2200 Concord Pike, Wilmington, DE

    **Pay Range**

    Reflected is the base pay range offered for this position. Pay may vary depending on factors including but not limited to achievements, skills, experience, or work location. The range listed is just one component of the compensation package offered to candidates.

    $111,100.00 - $217,200.00

    **Benefits**

    Wells Fargo provides eligible employees with a comprehensive set of benefits, many of which are listed below. Visit Benefits - Wells Fargo Jobs (https://www.wellsfargojobs.com/en/life-at-wells-fargo/benefits) for an overview of the following benefit plans and programs offered to employees.

    + Health benefits

    + 401(k) Plan

    + Paid time off

    + Disability benefits

    + Life insurance, critical illness insurance, and accident insurance

    + Parental leave

    + Critical caregiving leave

    + Discounts and savings

    + Commuter benefits

    + Tuition reimbursement

    + Scholarships for dependent children

    + Adoption reimbursement

    **Posting End Date:**

    22 Nov 2024

    ***** **_Job posting may come down early due to volume of applicants._**

    **We Value Diversity**

    At Wells Fargo, we believe in diversity, equity and inclusion in the workplace; accordingly, we welcome applications for employment from all qualified candidates, regardless of race, color, gender, national origin, religion, age, sexual orientation, gender identity, gender expression, genetic information, individuals with disabilities, pregnancy, marital status, status as a protected veteran or any other status protected by applicable law.

    Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit’s risk appetite and all risk and compliance program requirements.

    Candidates applying to job openings posted in US: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.

    **Applicants with Disabilities**

    To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo (https://www.wellsfargojobs.com/en/diversity/disability-inclusion/) .

    **Drug and Alcohol Policy**

    Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy (https://www.wellsfargojobs.com/en/wells-fargo-drug-and-alcohol-policy) to learn more.

    **Wells Fargo Recruitment and Hiring Requirements:**

    a. Third-Party recordings are prohibited unless authorized by Wells Fargo.

    b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.

    **Req Number:** R-416169


    Employment Type

    Full Time

  • General Liability Litigation Consultant / Senior Claim Representative - Western/Eastern Region
    The Hartford    Scottsdale, AZ 85258
     Posted 4 days    

    Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE

    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.

    The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer service and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and procedures and statutory, regulatory and ethics requirements. The selected candidate will partner with Staff Legal and outside counsel to resolve General Liability cases including: Premise Liability, Operations Claims, Product Liability, Professional Claims, Advertising Injury claims, Homeowner Liability, Employment Liability exposures and others. Additional key responsibilities are as follows:

    Claim File Management

    + Plan, recommend, reserve and execute file strategies including investigation, valuation, disposition and settlement of assigned claims, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements

    + Properly assess the exposure of assigned claims. Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors

    + Develop advanced functional knowledge to appropriately interpret and apply insurance coverage. Develop technical and jurisdictional expertise

    + Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures

    + Identify and properly mitigation, subrogation, and other recovery opportunities

    Customer Service

    + Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers

    + Obtain first-hand customer information; use it for improvements in products and services

    + Establish and maintain effective relationships with customers, gaining their trust and respect. Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations

    Business Acumen and Technical Expertise

    + Utilize verbal and numerical critical thinking skills to gather information, apply sound reasoning and draw appropriate conclusions; make sound decisions based upon mixture of analysis, experience and judgment

    + Accurately resolve complex coverage and compensability issues

    + Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition

    + Possess superior analytical and critical thinking skills; expert knowledge of complex medical terms, excellent time management abilities

    + Possess the advanced technical knowledge to properly reserve highly complex claims

    + Properly apply statutory laws and regulations of applicable jurisdiction

    + Demonstrate advanced expertise to utilize claim management practices to effectively manage loss costs

    + Expertly contribute to loss cost management by recognizing potential for Subrogation and Special Investigation

    Teamwork and Team Building

    + Support and help create a team environment that celebrates diversity and inclusion

    + Support and assist in building a high performing team with diverse characteristics, where individual differences are valued

    + Build appropriate rapport and constructive and effective relationships with people inside and outside the organization

    Location: Remote / Virtual Training

    Start Date: Open

    Hours: 8:00 AM- 5:00 PM (Core Business hours) Monday-Friday

    Qualifications

    + 2 to 5+ years relevant experience managing general liability claims strongly preferred

    + Technical expertise in managing claims of high complexity

    + Strong computer proficiency in utilizing software programs

    + Excellent communication skills, oral, written, collaboration and negotiation

    + Excellent time management and organizational skills

    + Effective customer service skills

    + Adept at managing conflict as an opportunity to listen and share information while negotiating a win/win outcome that supports The Hartford's and the claimant’s best interests

    + Leader among claim handlers providing advanced expertise to teammates in solving problems

    + College degree preferred or 5+ years relevant work experience required

    + Consistent high level of performance and achievement over career span

    + State required certification exams and adjusting licenses

    + JD, SCLA or CPCU designation a plus

    + This position may be filled as a Senior Claim Representative or Consultant commensurate with a candidate’s experience.

    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 10Mbps/75Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer.

    + Licensing Requirements: As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance Claims in the states supported by your office. Continued employment with The Hartford is contingent upon the successful passage of the Licensing exam(s) within 30 business days from the completion of the licensing training.

    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:

    $61,600 - $120,120

    The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience.

    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


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