Talent.com

Claims adjuster serp_jobs.h1.location_city

serp_jobs.job_alerts.create_a_job

Claims adjuster • springfield ma

serp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Liability Claims Adjuster III

Liability Claims Adjuster III

Intercare InsuranceSpringfield, MA, US
serp_jobs.job_card.full_time
This is a dynamic claims and account management position.In accordance with applicable statutes and in keeping with company rules, regulations, client guidelines and established performance objecti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)

Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)

MercorChicopee, Massachusetts, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Role Overview • •Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors—...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Independent Insurance Claims Adjuster in Enfield, Connecticut

Independent Insurance Claims Adjuster in Enfield, Connecticut

MileHigh Adjusters Houston IncEnfield, CT, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
IS IT TIME FOR A CAREER CHANGE?.INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!.Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster?.This is you...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Property Adjuster Specialist - Field

Property Adjuster Specialist - Field

Massachusetts StaffingSpringfield, MA, US
serp_jobs.job_card.full_time
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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Machine Adjuster Trainee

Machine Adjuster Trainee

CenveoChicopee, MA
serp_jobs.job_card.full_time
Information about the Company : .Cenveo is a leading North American manufacturer of envelopes with over 100 years of experience and approximately 30 billion envelopes manufactured annually.We are see...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Adjuster - Workers Compensation - Remote CO

Claims Adjuster - Workers Compensation - Remote CO

SedgwickSpringfield, MA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Claims Adjuster - Workers Compensation - Remote CO.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Property Adjuster Specialist - Field

Property Adjuster Specialist - Field

USAASpringfield, Massachusetts, US
serp_jobs.job_card.full_time
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 th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Compliance Analyst

Claims Compliance Analyst

The MH GroupEast Longmeadow, MA, US
serp_jobs.job_card.full_time
We are seeking a Claims Compliance Analyst to join our client’s team! This is a fully remote position with a great company offering fantastic benefits. The Claims Compliance Analyst is respons...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Adjuster

Claims Adjuster

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist.Key Responsibilities Process claims accurately and in a timely manner while adhering to established guidelines Handle inquiries from customers and re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Field Claims Adjuster

Field Claims Adjuster

EAC Claims Solutions LLCSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Supervisor

Claims Supervisor

CorVelSpringfield, MA, US
serp_jobs.job_card.full_time
The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity, and customer service criteria are met while adhering to company policies and proce...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Director | Full-Time | Remote

Claims Director | Full-Time | Remote

Oak View GroupSpringfield, MA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Oak View Group is the global leader in venue development, management, and premium hospitality services for the live event industry. Offering an unmatched, 360-degree solution set for a collection of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Executive Claims Technical Manager

Executive Claims Technical Manager

Hub InternationalEast Longmeadow, MA
serp_jobs.job_card.full_time
Join our Stevie Award Winning Team at HUB International!.When you join the team at HUB International, you become part of the largest privately owned global insurance broker, providing a broad array...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Liability Claims Adjuster III

Liability Claims Adjuster III

Intercare InsuranceSpringfield, MA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Liability Claims Adjuster III

This is a dynamic claims and account management position. In accordance with applicable statutes and in keeping with company rules, regulations, client guidelines and established performance objectives, this role is responsible for effectively managing to conclusion an assigned inventory of medical professional and general liability claim files that may include cases of extreme complexity or with unique or unusual issues.

This position is multifaceted and includes the following primary areas of focus :

Culture

Every member of the Intercare team is responsible for nurturing and promoting a healthy culture. Our culture is the most important element of our success. Intercare's culture is defined by our Core Values :

  • Integrity : Reinforces our commitment to transparency
  • Collaboration : Strengthens our passion for customer service
  • Accountability : Supports our actions
  • Respect : Inspires us to do the right thing
  • Excellence : Drives our outcomes

Claims Management

This teammate will be directly responsible for claim and account management. Expectations regarding claim and account management are best described by our mission :

Mission : To be the leading third-party administrator offering professional and technological resources through proactive and aggressive claims, risk and managed care solutions in support of our clients' objectives. Innovative processes and state-of-the-art technology support our people. Exceptional individuals provide the human element needed to deliver excellent service and drive excellent outcomes.

Quality

The leader works closely with every member of the Intercare team to carry out our vision to promote growth :

Vision : To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients.

Essential Duties and Responsibilities :

  • Maintain a culture of positivity, respect, supportiveness, collaboration, patience, accountability and excellence.
  • Assist with team building ideas and events.
  • Lead by example and through service.
  • Develop and maintain strong and collaborative client relationships.
  • Establish prompt contact on all new losses within 24 hours of receipt of the claim, including the insured, claimant, or claimant representative, to document relevant facts surrounding the incident and obtain information relevant to analysis of liability and damages.
  • Thoroughly and accurately evaluate coverage on a timely basis, document coverage analysis, identify coverage issues and draft appropriate coverage letters.
  • Thoroughly and accurately investigate all claims and document ongoing case facts and relevant information necessary for establishing liability and damages. Perform and document ongoing analysis and evaluation and what is being done to move the case toward closure.
  • Litigation management Direct, manage and control the litigation process for nationwide programs.
  • Assure that all assigned claims are maintained on an active 3045-day diary and have an up-to-date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
  • Obtain consultant and / or expert reviews for early evaluation.
  • Aggressively pursue contribution on multiple defendant cases or where provided by employment or independent contractor agreements and apportionment when there is shared liability.
  • Assure that the claim file is handled in accordance with applicable statutes, in-force service contracts and company guidelines.
  • Establish, monitor and adjust claim reserves in strict accordance with assigned authority levels and client claim-handling instructions.
  • Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company and client.
  • Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt.
  • Travel for mediations, trials, client meetings and / or industry-related conferences.
  • Requires a working knowledge of medical terminology and various jurisdictional issues.
  • Handle other duties and tasks as deemed appropriate by the Supervisor or Manager.

    • Competency : To perform the job successfully, an individual should demonstrate the following :

  • An open mind, eagerness to learn, positive attitude and healthy curiosity.
  • Strong communication skills, including being open and respectful of everyone, regardless of their position or role.
  • Flexibility and the ability to adapt to change quickly.
  • Problem solving, change and conflict management.
  • Leadership by example and service.
  • Exceptional customer service.
  • Strong business acumen.
  • Discipline in all aspects of the position.
  • Project management skills.

    • Qualification Requirements : To perform this job successfully, an individual must, at a minimum, be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Education and / or Experience : JD and / or RN preferred. Bachelor's degree from a four-year college or university; at least seven years of related experience and / or training; or an equivalent combination of education and experience. Requires a high degree of claims handling expertise, including at least five years managing medical professional liability cases, many with complex litigation or high potential value.

    Language Skills : Ability to read, analyze and interpret insurance policies, statutes, legal opinions, business periodicals, professional journals, technical procedures and governmental regulations. Ability to write complex coverage letters, reports, business correspondence, procedure manuals and correspondence to clients, colleagues and industry peers. Ability to effectively present information verbally and in writing and respond to questions from groups of managers, clients, customers and the general public. Fluent spoken and written English is required.

    Math Skills : Ability to add, subtract, multiply and divide in all units of measure using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs.

    Reasoning Ability : Requires strong problem-solving and analytical skills.

    Computer Skills : Proficiency in Word, Excel, Outlook, PowerPoint, RMIS software, RingCentral, Zoom, TEAMS, WebEx, GoToMeeting and other tele-video conferencing software and apps.

    Certificates and Licenses : JD and / or RN licensure preferred. Appropriate jurisdictional adjuster license required.

    Physical Demands : The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

  • Regularly required to sit.
  • Frequently required to use hands to finger, handle, feel, type, collate, file or lift.
  • Required to stand and walk.
  • Some lifting may exceed 10 pounds, such as luggage, collateral materials or claim files.
  • Required to travel by vehicle, airplane, subway and train.
  • Required to spend nights in hotels for out-of-town travel.

    • Work Environment : The work environment characteristics described here are representative of those encountered while performing essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. The noise level in the work environment is usually moderate.