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Claim specialist Jobs in Irving, TX

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Claim specialist • irving tx

Last updated: 3 days ago
  • Promoted
Senior Litigation Casualty Claim Specialist - Michigan PIP

Senior Litigation Casualty Claim Specialist - Michigan PIP

The Auto Club GroupArlington, TX, US
Full-time
Senior Litigation Casualty Claim Specialist (Michigan PIP) The Auto Club Group.The Auto Club Group is seeking prospective. In this position, you will have the opportunity to : .Review assigned claims...Show moreLast updated: 30+ days ago
HR Specialist

HR Specialist

SwiftX Inc.Dallas, TX, US
Full-time
As an HR Specialist at SwiftX Inc.Your duties will ensure the smooth operation of the HR team and facilitate effective communication between management and employees. This position requires strong o...Show moreLast updated: 30+ days ago
  • Promoted
Claim Specialist- Energy

Claim Specialist- Energy

AXADallas, TX, US
Full-time
Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly.How do you make a good thing better? You focus on excellence and creating a cu...Show moreLast updated: 21 days ago
  • Promoted
Claim Director

Claim Director

ChubbDallas, TX, US
Full-time
Westchester Casualty Claims Director.The Westchester Casualty Claims Director is responsible for investigating and settling high exposure, high severity claims while ensuring a high level of custom...Show moreLast updated: 30+ days ago
Badging Specialist

Badging Specialist

Texas Health ResourcesDallas, TX, United States
Full-time
Badging Specialist - Security Systems and Tech.Bring your passion to Texas Health so we are Better + Together.Texas Health Dallas, 8200 Walnut Hill Lane Dallas, TX 75231. Full Time; Monday - Friday ...Show moreLast updated: 3 days ago
  • Promoted
Marketing Specialist

Marketing Specialist

TradeJobsWorkForce76004 Arlington, TX, US
Full-time
Marketing Specialist Job Duties : Develops marketing strategy by studying economic indicators, trackin...Show moreLast updated: 30+ days ago
  • Promoted
Account Specialist

Account Specialist

TradeJobsWorkforce75205 University Park, TX, US
Full-time
Account Specialist Job Duties : Prepares work to be processed by gathering, sorting, organizing, and recording data, information, and documents.Co...Show moreLast updated: 30+ days ago
Insurance Claim Specialist

Insurance Claim Specialist

VirtualVocationsGrand Prairie, Texas, United States
Full-time
A company is looking for an Insurance Claim Specialist HB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim sub...Show moreLast updated: 3 days ago
  • Promoted
Damage Recovery Claim Coordinator

Damage Recovery Claim Coordinator

Pyramid ConsultingIrving, TX, US
Temporary
Damage Recovery Claim Coordinator.Immediate need for a talented Damage Recovery Claim Coordinator.This is a 11+ months contract opportunity with long-term potential and is located in Ridge Irving, ...Show moreLast updated: 30+ days ago
  • Promoted
Claim Professional Development Program (CPDP) Intern

Claim Professional Development Program (CPDP) Intern

TravelersDallas, TX, US
Full-time
Travelers Claim Intern Program.Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insur...Show moreLast updated: 5 days ago
Commercial Trucking Liability Claim Adjuster – Remote (Multi-Line)

Commercial Trucking Liability Claim Adjuster – Remote (Multi-Line)

CCMSIDallas, TX, US
Remote
Full-time
Multi-Line Claim Representative I or II – Remote (Commercial Trucking).Monday–Friday, 8 : 00 AM–4 : 30 PM (local time).Approximately 100 active files. Single, dedicated commercial trucking account.Build...Show moreLast updated: 5 days ago
  • Promoted
Claim Specialist

Claim Specialist

AmTrust FinancialDallas, TX, United States
Full-time
AmTrust Financial Services, a fast-growing commercial insurance company, is seeking an experienced Claims Specialist.This position can be located in one of our claims offices, with the possibility ...Show moreLast updated: 17 days ago
  • Promoted
Collections Specialist

Collections Specialist

PMAM CorporationDallas, Texas, United States
Full-time
Position – Collection Specialist Job type – Fulltime Location – North Dallas, TX (75240) Onsite Benefits Offered – Vision, Medical, Life, Dental and Retirement plan (SEP-IRA) About PM AM : At PMAM C...Show moreLast updated: 3 days ago
  • Promoted
Claim Specialist

Claim Specialist

AmTrust Financial ServicesDallas, TX, US
Full-time
AmTrust Financial Services, a fast-growing commercial insurance company, is seeking an experienced Claims Specialist.This position can be located in one of our claims offices, with the possibility ...Show moreLast updated: 15 days ago
Claim Director

Claim Director

CHUBBDallas, TX, United States
Full-time
The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through resolution with g...Show moreLast updated: 30+ days ago
Billing Specialist

Billing Specialist

CFGCDallas, TX, US
Full-time
Child and Family Guidance Center is seeking a client centeredBilling Specialistat our Harry Hines location in Dallas, Texas. The Billing Specialist provides timely billing, follow-up, and final reso...Show moreLast updated: 30+ days ago
Communication Specialist

Communication Specialist

AA2ITIrving, TX, United States
Full-time
Irving, TX (hybrid remote included travel 1-2 times a month in the US and Canada).Role is Hybrid - This Contractor could be Onsite up to 2-3 days per week. Candidates submitted must be within drivin...Show moreLast updated: 5 days ago
  • Promoted
Field Claim Representative

Field Claim Representative

SoleraArlington, TX, US
Full-time
Field Claims Representative / Virtual.Field Claims Representative / Virtual New York / Ft.Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of ...Show moreLast updated: 30+ days ago
Claim Representative Jobs - Hiring Immediately

Claim Representative Jobs - Hiring Immediately

MyJobResourceIrving, TX, United States
Full-time +1
We are currently looking for individuals to fulfill Part-Time and Full-Time Claim Representative positions.No experience is required to apply for the position. Training is provided through former ex...Show moreLast updated: 30+ days ago
People also ask
Senior Litigation Casualty Claim Specialist - Michigan PIP

Senior Litigation Casualty Claim Specialist - Michigan PIP

The Auto Club GroupArlington, TX, US
30+ days ago
Job type
  • Full-time
Job description

Senior Litigation Casualty Claim Specialist (Michigan PIP) The Auto Club Group

The Auto Club Group is seeking prospective Senior Claim Specialist who can work under less supervision with a high level of authority to handle highly complex technical issues and the most complex claims.

In this position, you will have the opportunity to :

  • Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.
  • Complete coverage analysis on the most complex claims.
  • Ensure all possible policyholder benefits are identified.
  • Create additional sub-claims if needed.
  • Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
  • Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
  • Evaluate the financial value of the loss.
  • Approve payments for the appropriate parties accordingly.
  • Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
  • Thoroughly document and / or code the claim file and complete all claim closure and related activities in the assigned claims management system.
  • Utilize strong negotiating skills.

Senior Claim Specialist assigned to the PIP unit are responsible for claims involving the MCCA or quadriplegic, traumatic brain, amputations, and other catastrophic injuries. The role will require proficiency in dealing with the MCCA and attorney represented claims. Work with insureds, physicians' offices, and medical insurance carriers to obtain necessary information to complete the claims review process and make the appropriate determinations.

With our powerful brand and the mentoring we offer, you will find your position as a Senior Claim Specialist can lead to a rewarding career at our growing organization.

This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and / or modifications to the ACG Flex Work policy.

Senior Claim Specialist will earn a competitive salary of $74,900 to $99,800 annually with annual bonus potential based on performance.

Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include :

  • 401k Match
  • Medical
  • Dental
  • Vision
  • PTO
  • Paid Holidays
  • Tuition Reimbursement
  • We're looking for candidates who :

    Required Qualifications (these are the minimum requirements to qualify)

  • Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
  • In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states.
  • A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.
  • Experience :

  • Five years of experience in the following :
  • Negotiation of complex claim settlements
  • Securing and evaluating evidence
  • Preparing manual and electronic estimates
  • Subrogation claims
  • Resolving complex coverage questions
  • Taking statements
  • Establishing clear evaluation and resolution plans for claims
  • Knowledge and Skills :

  • Advanced technical knowledge of :
  • Essential Insurance Act (Michigan)
  • Fair Trade Practices Act as it relates to claims
  • Subrogation procedures and processes
  • Intercompany arbitration
  • Litigation
  • Advanced technical knowledge of :

  • Negligence Law
  • No-Fault Law
  • Medical terminology and human anatomy
  • MCCA and attorney represented claims
  • Ability to :

  • Handle claims to the line Claim Handling Standards
  • Follow and apply ACG Claim policies, procedures and guidelines
  • Work within assigned ACG Claim systems including basic PC software
  • Perform claim file review and investigations
  • Demonstrate effective communication skills (verbal and written)
  • Demonstrate customer service skills by building and maintaining relationships with insureds / claimants while exhibiting understanding of their problems and responding to questions and concerns
  • Analyze and solve problems while demonstrating sound decision making skills
  • Prioritize claim related functions
  • Process time sensitive data and information from multiple sources
  • Manage time, organize and plan workload and responsibilities
  • Attend virtual meetings and corporate / court onsite meetings
  • Preferred Qualifications

    Education

  • Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
  • Completion of the Insurance Institute of America's : General Insurance Program, Associate in Claims, Associate in Management or equivalent
  • CPCU coursework or designation