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<h3>Job Description</h3>
Job DescriptionDescriptionAbout the Company A well-established public adjusting firm is seeking motivated Public Adjuster Solicitors to join its growing team.&nbsp; This firm specializes in advocating for policyholders and ensuring they receive fair settlements for property damage claims.&nbsp; As the demand for expert claims assistance grows, we are looking for ambitious sales professionals who can build strong client relationships and drive business growth. Position Overview The Public Adjuster Solicitor serves as the first point of contact for homeowners and businesses seeking assistance with insurance claims.&nbsp; This role involves prospecting, educating potential clients, and generating leads while working under the supervision of a licensed public adjuster.&nbsp; It’s an ideal position for sales-driven individuals who enjoy helping clients navigate insurance claims and maximizing their settlements. Key Responsibilities
<ul>
<li>Identify and engage potential clients, including homeowners, contractors, and business owners.</li>
<li>Educate prospective clients on public adjusting services and the benefits of professional claims representation.</li>
<li>Solicit qualified leads furnished from our office and networking through referrals, and direct outreach.</li>
<li>Conduct initial consultations to assess client needs and determine claim eligibility.</li>
<li>Work closely with management and licensed public adjusters to transition leads into active claims.</li>
<li>Provide ongoing client support and maintain strong relationships.</li>
<li>Present and sell our service to obtain new clients for the firm.</li>
<li>Respond quickly to disaster scenes.</li>
<li>Follow-up on all leads and assignments.</li>
</ul>
 Skills, Knowledge and Expertise
<ul>
<li>2+ years of sales experience, preferable in insurance, real estate, restoration, or a related field.</li>
<li>Strong ability to generate leads, build relationships, and close sales.</li>
<li>Public Adjuster Solicitor license preferred (or willingness to obtain).</li>
<li>Self-motivated with strong communication and negotiation skills.</li>
<li>Must have a valid driver’s license and reliable transportation.</li>
<li>Business-like professional appearance.</li>
<li>Ability to close on first call.</li>
<li>Have in home or face to face sales experience.</li>
<li>Work requires to be on-call.</li>
</ul>
 Benefits
<ul>
<li>High earing potential with competitive commission and performance-based bonuses.</li>
<li>Extensive training and mentorship to help you succeed in this role.</li>
<li>Flexible work schedule with the ability to manage your own territory.</li>
<li>A team-oriented culture with strong leadership and professional development support.</li>
</ul>
 If you are a motivated sales professional looking for a rewarding career with uncapped earnings potential, apply today and start making a difference for policyholders in Pennsylvania! Competitive Advantages 
<ul>
<li>One of the oldest and largest public adjusting firms in Pennsylvania</li>
<li>Firm provides unlimited quality leads and informational support.</li>
<li>Excellent reputation.</li>
<li>Large in-house support staff with experience in construction, personal property and loss of business claims.</li>
<li>Experience to handle high-end large and complex losses for both homeowners and business owners.&nbsp;</li>
</ul>

Claims Adjuster

<h3>Job Description</h3>
Job Description
This position is responsible for processing all of the City's claims in a timely and efficient manner by maintaining high levels of organization and customer service.
"*" denotes an essential function of the job
SPECIFIC DUTIES AND RESPONSIBILITIES
<ol>
<li>*Process all claims to ensure legal compliance by following policies, procedures, guidelines as well as state and federal regulations.</li>
<li>*Provide legal support by assembling document for settlement action.</li>
<li>*Prepares reports by collecting, analyzing, and summarizing information. </li>
<li>*Assist with payroll, bookkeeping, and perform other duties as assigned.</li>
</ol>
STANDARDS OF PERFORMANCE
<ol>
<li>Demonstrate informative and professional assistance when working with vendors, co-workers, and the public.</li>
<li>Act independently and originate new procedures and new approaches to problems.</li>
<li>Display excellent verbal and written communication skills.</li>
<li>Maintain initiative to preserve the flow of work.</li>
<li>Work under stress and with commitment to deadlines.</li>
<li>Sustain interpersonal relationships which encourage openness, candor and trust, both internally and with the general public.</li>
<li>Complete projects and/or reports in accurate and timely manner</li>
<li>Maintain City information in a confidential manner.</li>
</ol>
MENTAL AND PHYSICAL REQUIREMENTS
<ol>
<li>Ability to work as a team member.</li>
<li>Display professional appearance, warm demeanor and positive attitude.</li>
<li>Be a motivated self-starter.</li>
<li>Work independently and to be accurate, efficient and organized.</li>
<li>Manage multiple tasks simultaneously.</li>
<li>Work under pressure with time constraints in a changing environment.</li>
<li>Stand, walk, sit, reach with hands and arms, climb, balance, stoop, kneel, crouch or crawl occasionally.</li>
<li>Lift and/or move up to 25 pounds occasionally. </li>
<li>Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus.</li>
</ol>
WORKING ENVIRONMENT AND CONDITIONS
<ol>
<li>This position requires working in the internal environment.</li>
<li>This position requires a flexible work schedule; night and/or weekends may be required.</li>
</ol>
EDUCATION, EXPERIENCE and TRAINING
<ol>
<li>Minimum of high school diploma required; some college preferred.</li>
<li>One to two years general claims experience required.</li>
<li>Previous customer services experience. </li>
<li>Ability to effectively communicate both orally and in written form.</li>
<li>A pleasant, friendly, and outgoing demeanor.</li>
<li>Experience in Microsoft Office products, specifically Word, Excel, and Outlook required.</li>
<li>Ability to handle a high volume of incoming calls while maintaining proper phone etiquette and a high level of professionalism at all times.</li>
<li>Willingness to take on additional tasks as assigned.</li>
</ol>
EQUIPMENT AND TOOLS
<ol>
<li>Computer and peripherals.</li>
</ol>

Claims Specialist

<h3>Job Description</h3>
Job Description
CLAIMS ANALYIST
$17.60 - $26.40/HR
Open Until Filled
Sun Tran is seeking a detail-oriented and experienced Claims Analyst to join our team. This position plays a critical role in the organization’s risk management and insurance operations, responsible for overseeing the full cycle of insurance claims. You will work closely with internal departments, insurance carriers and third-party administrations to ensure accurate, timely and compliant claims handling.
ESSENTIAL FUNCTIONS • Manage the end-to-end process of insurance claims including intake, investigation, documentation and resolution. • Serve as the primary liaison between internal departments (e.g., Safety, Legal, Maintenance), insurance carriers, TPAs, and adjusters. • Ensure accurate and timely reporting of claims to regulatory bodies and insurers. • Analyze claims data to identify trends, support loss prevention strategies and provide reports to leadership. • Develop and implement claims-handling policies and procedures. • Prepare regular reports on claims activity, reserves and trend analysis for the Director of Safety and Security. • Maintain accurate records and manage sensitive information with discretion.
QUALFICATIONS High school diploma or equivalent; At least 5 years of experience in claims management, preferably in the transportation or transit industry. BENEFITS Benefits include health care coverage for employee and dependents, vacation, sick leave, paid holidays and a generous retirement plan.
 TO APPLY You can apply in person at 3910 N. Sun Tran Blvd., Monday-Friday, 9am-4pm, or download an application at <a href="http://www.suntran.com" target="_blank">www.suntran.com</a> and email it to <a href="mailto:suntranhr@tucsonaz.gov" target="_blank">suntranhr@tucsonaz.gov</a>. If selected for any of the positions, the company requires a background investigation and a pre-employment drug screen. We are an Equal Opportunity/Reasonable Accommodation Employer.
Company DescriptionSun Tran is Tucson's award-winning public transportation system, which is operated by RATP Dev/Tucson Transit Management, LLC (TTM) and under contract with the City of Tucson. 
<h3>Company Description</h3>
Sun Tran is Tucson's award-winning public transportation system, which is operated by RATP Dev/Tucson Transit Management, LLC (TTM) and under contract with the City of Tucson.

Claims Analyst

<h3>Job Description</h3>
Job DescriptionBenefits: 
<ul>
<li>401(k)</li>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Parental leave</li>
<li>Vision insurance</li>
</ul>
 Who We Are Incingo is a medical cost containment company that helps manage everything from short-term post-op to catastrophic care for workers compensation claims. We use our nationwide network of proven, credentialed vendors and create customized programs for efficient authorizing and shipping of medical supplies. We also coordinate medical transportation, home health care and in-home modifications. We are located in the heart of downtown Ann Arbor and we are looking for a full-time Claims Administrative Specialist. Hybrid work is available, prefer candidates in Michigan. We offer a best-in-class benefits package with a flexible work environment. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment. Visit our website or LinkedIn to learn more. What Youll Do 
<ul>
<li>Organize and maintain files along with the administration inbox</li>
<li>Answer phones, emails, and communicate with customers as well as internal staff</li>
<li>Communicate by phone and via email with case managers/adjusters</li>
<li>Enter data into systems and report like spreadsheets</li>
<li>Facilitate resolution of open receivables by review of HCPC coding, product, payment agreement, fee schedule and/or authorization terms.</li>
<li>Work independently and as part of a team on invoice renegotiations, vendor management, and provider and patient relations</li>
<li>Maintain accurate documentation of claim files in multiple databases</li>
<li>Work with team to conduct cost analysis and identify margin opportunities</li>
<li>Verify and audit charts and coding discrepancies.</li>
<li>Review claim ERA, review denials, follow up with insurance providers on denials, correct claims and re-submit as needed.</li>
<li>Follow up with insurance groups and patients for payments and collections. Assist patients with billing concerns &amp; inquiries via phone</li>
<li>Review EOBs and address denial and partial payment of invoices in a timely and accurate manner</li>
<li>Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation</li>
</ul>
What Youll Bring 
<ul>
<li>High School Diploma (or equivalent); college degree preferred</li>
<li>Knowledge in Account payables and receivables</li>
<li>Knowledge with CPT and HCPC codes</li>
<li>1-3 years experience in medical billing/coding</li>
<li>A customer focused approach to tasks and responsibilities</li>
<li>Must be analytical and solution-oriented with excellent problem-solving abilities, superior follow-up skills, and the ability to shift gears frequently throughout the day</li>
<li>Excellent verbal and written communication skills</li>
<li>Intermediate experience with excel database</li>
<li>Familiarity of workers compensation state fee schedules preferred</li>
</ul>
 
Flexible work from home options available.

Claims Administrative Specialist

<h3>Job Description</h3>
Job Description
This full-time position will report to the Vice President, Specialty Claims. As a direct report to the Vice President, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our General Liability line of business.
Minimum Qualifications:
<ul>
<li>A Bachelor’s degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience.</li>
<li>5-10 years of relevant and progressive experience handling General Liability claims with experience in New York Labor Law.</li>
<li>Adjuster licenses, as mandated by specific states, are required.</li>
</ul>
Primary Job Functions:
<ul>
<li>Direct management of New York Labor Law claims with potential for significant severity and complexity.</li>
<li>Direct management of coverage disputes.</li>
<li>Formulating claims and litigation strategies, assigning, directing, and managing outside counsel.</li>
<li>Promptly investigating all assigned claims to complete coverage, liability, and damages analysis.</li>
<li>Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.</li>
<li>Maintain and manage a diary system to efficiently and effectively resolve all claims.</li>
<li>Present recommendations to management pertaining to coverage, settlement positions and loss reserves.</li>
<li>Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.).</li>
</ul>
The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.
Periodic Job Functions:
<ul>
<li>Participate in Claim Reviews and claim audits</li>
<li>Attend depositions, settlement conferences and trials when necessary</li>
<li>Performs other duties or special projects as required or as assigned by a supervisor</li>
</ul>
Skills &amp; Competencies Required:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Strong analytical skills</li>
<li>Strong negotiation skills</li>
<li>In-depth knowledge of claims, litigation, and trial process</li>
<li>Excellent organizational and time management skills</li>
<li>Proficiency in MS Office (Word, Excel, Outlook)</li>
<li>Ability to work independently with limited supervision</li>
<li>Ability to successfully obtain the required state adjusters’ licenses </li>
</ul>
Additional Information:
Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.
The anticipated salary for this position is $100,000 - $140,000 per year, based on qualifications and experience.
#LI-Onsite

Senior Claims Adjuster, Specialty Claims

<h3>Job Description</h3>
Job Description
Claims Specialist, Job Description
Location: Aurora, IL Job Type: Full-Time hybrid option
About Us:
Excel Roofing &amp; Restoration is a top-tier provider of residential and commercial roofing solutions. We are committed to delivering high-quality results with integrity, professionalism, and a customer-first mindset. Our team supports clients through every phase of their project—from initial inspection to insurance claim resolution and final build.
Position Overview:
The Claims Specialist plays a vital role in navigating the insurance claims process on behalf of our clients. This position acts as the primary liaison between homeowners, insurance carriers, and internal teams to ensure that claims are filed, adjusted, negotiated, and finalized in a timely, accurate, and fair manner.
You will work closely with Project Managers and Sales Team members to support a seamless experience for each homeowner, while using ClaimWizard to manage all documentation and tasks throughout the claim lifecycle.
Responsibilities:
Claim Management &amp; Documentation
● Oversee the full insurance claim lifecycle—from initial estimate to final Certificate of Completion (COC).
● Gather and review documentation such as insurance policies, photos, workups, estimates, and damage reports.
● Maintain detailed records of all claims activities in ClaimWizard, ensuring timely and accurate updates.
Insurance Carrier Communication &amp; Negotiation
● Engage with insurance carriers to negotiate fair settlements on behalf of homeowners.
● Review and respond to carrier estimates, identifying missed items or areas needing supplementation.
● Submit and follow up on supplemental claims to ensure complete coverage for scope of work.
Client Communication &amp; Support
● Serve as a knowledgeable and empathetic point of contact for homeowners throughout the claims process.
● Educate clients on what to expect, communicate updates proactively, and answer any questions that arise.
● Support Project Managers by advising on claim direction and assisting with documentation needed for production readiness.
Scheduling &amp; Internal Collaboration
● Scheduling for assigned projects
● Coordinate with Project Managers, Sales team, and Production to align claim details with scope and scheduling.
● Ensure all information is organized and accessible for a smooth handoff into the build stage.
Performance Expectations:
● Average Cost per SQ: $625+
● Claim to COC Timeframe: 45 days or less
● Supplement Metrics: Demonstrated increases in average claim value
● Estimate Volume: Minimum of 80 claims touched/documented per week
● Weekly Quality Control Checks (QCs) on claim files and documentation
General Overview of Claim/Collection Process: 
<ol>
<li>1st estimate is received, homeowner gets call from Claim Specialist to go over what was approved, confirm ACV check goes out</li>
<li>Text customer &amp; AE approval amount and ACV amount</li>
<li>Set task to follow up on ACV check in 10 days
<ol>
<li>Homeowner on check - advise owner to cash check and send us personal check</li>
<li>If its owner and PA, AE goes to get check and bring it back</li>
<li>It is owner, PA and mortgage company, homeowner has to contact mortgage co for endorsement</li>
</ol>
</li>
<li>Every time there is a supplemental dollar increase, repeat steps with total team knowing</li>
<li>Once the claim is in planning, the specialist should text/contact the AE &amp; Field Sales manager to trigger the contract building</li>
<li>Claim handler in charge of COC
<ol>
<li>After COC is sent out, claim handler notifies AE</li>
<li>Call or text homeowner to advise depreciation check will be released (set task for 10 day follow up)</li>
</ol>
</li>
<li>After all funds have been received, do final calculations to determine if any remaining funds should go back to homeowner</li>
<li>Final check - Julie - close the claim</li>
</ol>
Qualifications:
● Experience in insurance claims, roofing, restoration, or construction strongly preferred.
● Strong understanding of insurance policy terms, estimating practices, and claims negotiation.
● Proficiency with ClaimWizard or similar claims management platforms.
● Exceptional written and verbal communication skills.
● Organized, detail-oriented, and able to manage multiple claims at varying stages.
● Ability to work collaboratively in a fast-paced environment.
● Customer-first mindset with strong empathy and professionalism.
PAY NEGOTIABLE BASED ON EXPERIENCE
Company DescriptionExcel Roofing &amp; Restoration is a leading provider of roofing solutions for residential and commercial clients. Built on integrity, craftsmanship, and customer-first service, we’ve earned a reputation for excellence throughout our communities. As we continue to grow, we’re looking for dynamic leaders who can help guide and elevate our high-performing sales teams. 
<h3>Company Description</h3>
Excel Roofing &amp; Restoration is a leading provider of roofing solutions for residential and commercial clients. Built on integrity, craftsmanship, and customer-first service, we’ve earned a reputation for excellence throughout our communities. As we continue to grow, we’re looking for dynamic leaders who can help guide and elevate our high-performing sales teams.

<h3>Job Description</h3>
Job Title: Claim Processor/Analyst
Location: Minneapolis MN
Pay Rate: $38.9/hr on W2
 
Job Summary:
The Claims Management team is responsible for managing all aspects of claim processing and case management, while maintaining positive internal and external relationships with our dealers and customers. This role will also be responsible for performing analytics, defining, and finding patterns within claim processing and providing input for process improvements.
 
Responsibilities:
• Analyze cases and claims for our Warranty and Service Contract business. Analyst to uphold policy guidelines and create process improvements for Warranty Policy and Procedure Manual, as well as our Guaranteed Maintenance and Centralized Billing Programs.
• Provide input to implement process and system updates and enhancements to drive automation and deliver a world class customer experience to our dealers and customers.
• Support team efforts and remain flexible to meet shifting team priorities.
• Data mine, research and analyze dealer warranty performance, driving and supporting field efforts to reduce warranty spend through dealer training and development.
• Execute scheduled and ad hoc reports for various business partners, dealers, and customers.
• Responsibility for administrative tasks that include but are not limited to: Contract Setups, Unit Modifications, Reinstatements, Parts Pricing, Standard Work Creation/Edits, etc.
• Provide superior Customer Service support via telephone calls, emails, claims, and any other aspect related to the Warranty and Service Contracts business.
 
Qualifications:
Min. Yrs. Experience: 3-5
Education Standard: Bachelors Degree *Highly Preferred
Education Type: Bachelors
 
Key Competencies:
• Background in providing superior customer service while always demonstrating a positive demeanor with dealers/customers and teammates.
• Excellent written and verbal communication skills.
• Detailed knowledge working in Microsoft Word, Excel and Outlook.
• Working knowledge of systems/databases – Preferred: Claim Processing/Analytics Experience.
• Demonstrated self-learning abilities.
 
About Acro: Acro Service Corporation is a global professional services and contract staffing company that has provided IT, Engineering, and Professional services/ personnel to major corporations. Acro values diversity in our workforce and is an Affirmative Action &amp; Equal Opportunity Employer. Acro is also committed to hiring veterans and offers sponsorship opportunities

<h3>Job Description</h3>
Job Description
This is a full-time, on-site position for a Claims Representative at Muse Disability Services in Jackson, MS. The Claims Representative will assist clients as they navigate the Social Security disability claims process, working directly with claimants to help gather and organize medical records and vocational documentation, clarify requirements, and explain claim procedures. This role is responsible for answer incoming calls, maintaining ongoing communication with clients to keep them informed of case status, filing disability appeals, and acting as a resource for questions throughout the process. The Claims Representative guides and supports claimants through every stage, providing ongoing case management to facilitate favorable outcomes in disability claims.
Company DescriptionMuse Disability Services is a company dedicated to assisting individuals in obtaining Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) benefits. Located in Jackson, MS, we are committed to helping our clients navigate the complex disability claims process and secure the benefits they deserve with integrity, expertise, and professional care. 
<h3>Company Description</h3>
Muse Disability Services is a company dedicated to assisting individuals in obtaining Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) benefits. Located in Jackson, MS, we are committed to helping our clients navigate the complex disability claims process and secure the benefits they deserve with integrity, expertise, and professional care.

Claims Representative

<h3>Job Description</h3>
Job DescriptionDescriptionJob Title: Manager - Claims Department: Ops - Claims Ops About the Role:We are currently seeking a highly motivated Manager - Claims. This role will report to the Director - Claims and enable us to continue to scale in the healthcare industry.&nbsp; What You'll Do
<ul>
<li>Responsible for quality and performance metrics of processing team</li>
<li>Manage claims inventory to minimize claims turnaround times and ensure contractual SLAs are met</li>
<li>Drive continuous improvement efforts to improve claims quality and efficiency</li>
<li>Resolve processing/system issues within assigned department</li>
<li>Prioritize work volumes on a daily basis</li>
<li>Oversee status of production in assigned department to ensure production and quality goals are being met</li>
<li>Analyze impact of new implementations on assigned department and reallocate staff duties as necessary</li>
<li>Utilize claims management systems to provide reports and analysis to management on a regular basis</li>
<li>Develop team members to ensure accountability for achievement of departmental goals and objectives</li>
<li>Update and facilitate implementation of process and workflow modifications to improve operational efficiency</li>
<li>Educate and train claims employees on the overall claims process and best practices for successful outcomes</li>
<li>EZCAP experience is a huge plus</li>
<li>Telephone claim inquiries and claim payments by sensitive providers and members.</li>
<li>JOC meetings-attendance and corrective action response when required</li>
<li>System updates maintaining the integrity of the Claims Payment Database; working inter-departmentally with other managers</li>
<li>Off-site Seminars IE: E-Z Cap and HMO Regulatory training</li>
<li>High level grievances or claim reconsideration request for reimbursable claim reviews</li>
<li>Policies and Procedures- create and maintain an updated Claim Department Manual documenting and outlining DMHC/DHCS Regulations and CMS Guidelines claims workflow compliance</li>
<li>Job Descriptions- format a standardized Claim Department Organizational Chart outlining performance responsibilities and requirements for each position</li>
<li>Performance evaluation- monitors track and documents the annual performance evaluation of each Claim Department staff</li>
<li>Recruit monitor, and document the attendance, production and work quality of Claim Department staff to include employee counseling and/or termination in accordance with HRIS Guidelines</li>
<li>Staff analysis and growth potential</li>
<li>Maintain open and effective channels of communication between staff and management</li>
<li>Represent DMHC Regulatory and CMS Claims Payment Compliance issues at Management Meetings and with the Executive Board</li>
<li>Using all tools available ( IE: Industry Communications, Seminars, Internet, Professional Networking) to maintain the most current levels of understanding of trends, occurrences, ideology and law that will affect the operation, compliance and stability of the Claims Department and of NMM. Communicate this information timely and effectively to both Claims Department Staff and to Management</li>
<li>PDR and CSI Claims performance</li>
<li>Maintains the strictest confidentially at all times</li>
<li>Responsible for other miscellaneous assignments as requested by Management</li>
</ul>
 Qualifications
<ul>
<li>Minimum of a Bachelor's degree (B. A.) from a four-year college or university; or four (4) years current&nbsp; Management experience with an MSO or IPA Management&nbsp;</li>
<li>Full knowledge of DMHC, DHS and CMS Regulations and Guidelines, ICD-9, CPT, RV/RBRVS codes</li>
<li>Experience with contract law and Division Responsibility matrix interpretation&nbsp;</li>
<li>Comprehensive knowledge in the AB1455 regulations</li>
</ul>
 Environmental Job Requirements and Working Conditions
<ul>
<li>Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis.&nbsp; The office is located at 1600 Corporate Center Dr. Monterey Park, CA 91754.&nbsp;</li>
<li>The target pay range for this role is between $130,000.00 - $145,000.00. This salary range represents our national target range for this role.</li>
</ul>
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at <a href="mailto:humanresourcesdept@astranahealth.com" target="_blank">humanresourcesdept@astranahealth.com</a> to request an accommodation.&nbsp;Additional Information:The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Manager - Claims

<h3>Job Description</h3>
Job DescriptionDescription:Claims Specialist – Job Description
Manteca, CA – Onsite
 
Who We Are
Mountain Valley Express (MVE) is a leading LTL Carrier and 3PL Services provider with locations across California, Arizona, and Nevada.
With years of experience, a dedicated team, and cutting-edge technology, MVE offers a broad range of services, including less-than-truckload (LTL), full truckload, custom invoicing and auditing, optimization, warehousing and distribution, engineering solutions, and packaging and shipping supplies. Our deep understanding of the market, along with strong carrier partnerships, allows us to deliver highly tailored services that meet the unique needs of our customers.
 Benefits
· Comprehensive medical, dental, and vision insurance.
· 401(k) plan with company match.
· Company-paid Life and AD&amp;D Insurance policies.
· Paid vacation, sick leave, and holidays.
 The Opportunity
We are seeking a Claims Specialist to join our team. In this role, you will be responsible for managing the end-to-end freight claims process, including receipt, investigation, documentation, and resolution. This position is integral to maintaining MVE’s reputation for accuracy, transparency, and customer service excellence. You will work closely with the Operations, Customer Service, and Accounting teams to ensure claims are resolved efficiently and in compliance with company policies and federal regulations.
 Essential Duties and Responsibilities
• Claims Management: Receive, review, and process freight loss and damage claims in accordance with company policies and industry regulations.
• Investigation and Documentation: Collect all supporting documentation, including photos, inspection reports, and terminal or driver statements, to thoroughly evaluate each claim.
• Communication and Resolution: Maintain clear and professional communication with customers, internal departments, and third parties throughout the claims process.
• Reporting and Analysis: Track claim data, analyze trends, and identify areas for process improvement or risk mitigation.
• Compliance and Recordkeeping: Ensure all claims are handled in compliance with applicable laws and carrier liability rules while maintaining accurate digital records within the TMS system.
• Collaboration: Partner with operations and leadership teams to recommend corrective actions that prevent recurring claim issues.
 Skills &amp; Attributes
• Strong analytical and investigative skills with excellent attention to detail.
• Exceptional written and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency in Microsoft Office Suite (Excel, Word, Outlook); experience with TMS or claims software preferred.
• Knowledge of LTL operations, NMFC classifications, and cargo liability principles is highly desirable.
• Strong organizational and problem-solving abilities with a customer service mindset.
Requirements:Minimum Requirements
· Education: High school diploma or equivalent required; Associate’s or Bachelor’s degree in Business, Logistics, or a related field preferred.
· Experience: Minimum of 2 years of experience in freight claims, transportation, logistics, or a related administrative role.
 Compensation
· Compensation: $20.00 – $24.00 per hour, based on experience and location.
· Classification: Non-Exempt, subject to all applicable state and federal laws.
 Work Environment
This is a full-time, at-will position with typical work hours scheduled from Monday to Friday, 8:00 a.m. to 5:00 p.m.
 
Physical Requirements:
· Prolonged periods of sitting at a desk and working on a computer 
· Frequent walking throughout the facility and between departments as part of daily operational tasks
· Ability to lift and/or move up to 20-25 pounds.
· Ability to navigate each department and the company’s facilities as needed.
 Equal Opportunity Employer
Mountain Valley Express is an at-will and equal opportunity employer. We are committed to employing and assigning the best-qualified candidates without discrimination based on race, color, religion, gender, marital status, age, national origin, physical or mental disability, sexual orientation, veteran/reserve and National Guard status, or any other status or characteristic protected by law.

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