Talent.com

Insurance claims Jobs in New Bedford, MA

Last updated: 1 day ago
Claims Adjuster - Liability

Claims Adjuster - Liability

SedgwickRemote, Massachusetts, US
$50,000.00 yearly
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 fle...Show moreLast updated: 30+ days ago
  • Promoted
Insurance Appeals Specialist

Insurance Appeals Specialist

The Nagler GroupWorcester County, MA, United States
Full-time
The Grievance and Appeals Specialist will handle inquiries, complaints, grievances, and appeals related to dental claims and services. This role involves investigating, documenting, and resolving ca...Show moreLast updated: 8 days ago
Senior Claims Manager - New England Workers' Compensation

Senior Claims Manager - New England Workers' Compensation

GAIC Great American Insurance CompanyMassachusetts, USA
$130,000.00–$140,000.00 yearly
Remote
Full-time
Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" ...Show moreLast updated: 30+ days ago
Independent Insurance Claims Adjuster in Westport, Massachusetts

Independent Insurance Claims Adjuster in Westport, Massachusetts

MileHigh Adjusters Houston IncWestport, MA, US
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...Show moreLast updated: 30+ days ago
  • Promoted
Insurance Agent

Insurance Agent

Symmetry Financial Group - Catie SaraleguiNew Bedford, MA, US
$50,000.00 yearly
Full-time +1
Why Choose HealthyBee Financial Agency? 🐝💰💛 .Are you a rockstar at what you do but not getting paid like one? Or maybe your paycheck looks great, but your family only sees you ...Show moreLast updated: 2 days ago
  • Promoted
INSURANCE AGENT

INSURANCE AGENT

Millennium Recruiting, Inc.MA, United States
$45,000.00–$100,000.00 yearly
Full-time
Incredible Growth Opportunities.World Class Mentors and Leaderships Teams.AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outst...Show moreLast updated: 5 days ago
  • Promoted
Remote Insurance Sales Representative

Remote Insurance Sales Representative

Professional Career SolutionsNew Bedford, Massachusetts
We're looking for candidates with great customer service skills to fill our Remote Customer Service / Insurance role!.This role is entirely remote and offers full-time / Part time hours with flexibili...Show moreLast updated: 30+ days ago
  • Promoted
Regional Business Development Manager - Commercial Insurance

Regional Business Development Manager - Commercial Insurance

BluSkyMA, United States
$50,000.00–$160,000.00 yearly
Full-time
Regional Business Development Manager - Commercial Insurance.Primary responsibilities include inside and outside sales activities such as networking, lead generation, social media, and participatio...Show moreLast updated: 1 day ago
Business Development Director Insurance Software

Business Development Director Insurance Software

SS&C TechnologiesMA, US
$190,000.00 yearly
Full-time
As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries.Some 20,000 financia...Show moreLast updated: 24 days ago
Insurance Loss Control Surveyor

Insurance Loss Control Surveyor

Davies Risk ServicesCape Cod, MA, US
Quick Apply
Seeking Independent Contractors to Perform Insurance Property Inspections ! Davies Risk Services is looking for independent contractors to perform insurance property inspections.This is...Show moreLast updated: 30+ days ago
Commercial Insurance Account Manager

Commercial Insurance Account Manager

Brown & Brown InsuranceMA, US
$58,656.00–$75,000.00 yearly
Remote
Full-time
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Arrowhead Automotive has an immediate job opening for a.Co...Show moreLast updated: 30+ days ago
Specialty / Commercial Casualty Claims Specialist - Remote

Specialty / Commercial Casualty Claims Specialist - Remote

501 CSAA Insurance Services, Inc.Massachusetts, United States
Remote
Full-time
We're Mobilitas, a commercial insurance company created by CSAA Insurance.Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for t...Show moreLast updated: 30+ days ago
Fraud Claims Sr Specialist

Fraud Claims Sr Specialist

CitizensMA, United States
Full-time
Fraud and Claims Operations group, one of our most critical departments at Citizens.Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the...Show moreLast updated: 30+ days ago
  • Promoted
Insurance Agent Remote

Insurance Agent Remote

HMG CareersNew Bedford, MA, United States
$69,000.00 yearly
Remote
Full-time
This full-time position offers flexible work hours and ample opportunities for advancement into management roles.You will work remotely to serve clients and offer valuable advice and protection to ...Show moreLast updated: 8 days ago
Call Center and Claims Representative

Call Center and Claims Representative

HumanaRemote, Massachusetts
Remote
Full-time
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago
RCIS Crop Claims Field Adjuster I

RCIS Crop Claims Field Adjuster I

Zurich Insurance CompanyVirtual, MA, US
Zurich is currently looking for a RCIS Crop Claims Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop insurance providers in the U.RCIS offe...Show moreLast updated: 30+ days ago
Workers Comp Claims Specialist New England States (remote)

Workers Comp Claims Specialist New England States (remote)

NIC National Interstate CorporationMassachusetts, USA
$85,000.00–$90,000.00 yearly
Remote
Full-time
National Interstate is a member of Great American Insurance Group.As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored...Show moreLast updated: 30+ days ago
Claims Adjuster - Liability

Claims Adjuster - Liability

SedgwickRemote, Massachusetts, US
30+ days ago
Salary
$50,000.00 yearly
Job description

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.