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job_organization_name

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<h3>Job Description</h3>
CCI Health Services’ mission is to deliver high quality, accessible care to our community members, leading the way to a more equitable health care system for everyone.
Position Summary
CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical services provided. The Claims Specialist will assure that services are promptly and accurately processed in accordance with all applicable Federal, State, and local regulations and guidelines, that claims are adjudicated in a timely manner, and customer’s needs are met in a professional and courteous manner.
Key Functions &amp; Responsibilities
<ul>
<li>Review and analyze encounters to ensure completeness, accuracy, adherence to all system edits (both core system and clearinghouse), and in compliance with all State, Federal, and/or contracted payer rules, terms, regulations, and guidelines.</li>
<li>Ensures claims are processed in a timely manner, adhering to a standard of claim submission within five (5) days from the date of service, and follows up with individual and/or providers in those situations exceeding five (5) days from the date of service.</li>
<li>Ensures any claims which are rejected by the clearinghouse, or the payer are addressed, resolved, and resubmitted with corrections.</li>
<li>Addresses all denials from individual insurers in a timely, efficient, and collaborative manner, communicating with the health centers and support center personnel to effectively challenge denials and reverse the denial decision.</li>
<li>Files appeal of denials in a timely and professional manner within the specified timeframes as published by regulations, rules, or guidelines of the payer.</li>
<li>Responds in a timely and professional manner to all patient, insurance, or professional inquiries and concerns.</li>
<li>Exhibit and apply knowledge of Commercial Indemnity guidelines in the processing, adjudication, and payment of claims.</li>
<li>Maintain current understanding and application of all Medicare and state Medicaid compliance requirements regarding avoidance of allegations of fraudulent or false claims.</li>
<li>Maintain productive and efficient communication with third-party payers which achieves expeditious claim adjudication and payment.</li>
<li>Maintains consistent and timely follow-up with third-party payers and patients (as applicable) in unpaid claims beyond the expected payment date, ensuring each account is clearly and concisely documented with all efforts to expedite payment.</li>
<li>Utilize online claim status applications in an effective and efficient manner in managing account follow-up.</li>
<li>Make necessary adjustments to account balances with prior authorization from management to ensure the integrity of the account balance.</li>
<li>Checks each insurance payment to ensure accuracy and compliance with contract discount terms.</li>
<li>Evaluates patient financial status and established budget payment plans or eligibility for Sliding Scale consideration.</li>
<li>Must ensure open and constructive coordination with health center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing and account resolution.</li>
<li>Must ensure adherence with all HIPAA Regulations and Compliance Regulations ensuring the protection of PHI (Patient Health Information).</li>
</ul>
Minimum Qualifications
<ul>
<li>Minimum High School diploma, an AA or BS degree preferred or commensurate experience.</li>
<li>Must have at least 2 years of relevant work experience in a Physician Practice/Hospital-based Physician Center/FQHC setting or can have an equivalent combination of training and experience to perform functions outlined for this position.</li>
<li>Strong attention to detail.</li>
<li>Must be familiar with hospital and or physician coding.</li>
<li>Strong customer service skills - bi-lingual (English/Spanish) is a plus.</li>
<li>Must be assertive and goal oriented.</li>
<li>Familiarity with computerized systems is required.</li>
<li>Must be a willing participant in ongoing educational activities and a contributing participant in staff meetings.</li>
<li>Working on-site is an essential duty for the job.</li>
</ul>
Why Work at CCI?
<ul>
<li>Extensive benefits plan</li>
<li>Generous PTO Plan</li>
<li>403B Retirement Plan + Employer match up to 4%</li>
<li>Tuition Reimbursement</li>
<li>Continuing education assistance; can be used toward obtaining certifications, renewal of certifications, or possible conference attendance.</li>
<li>Our providers are insured for malpractice under the Federal Tort Claims Act.</li>
</ul>
** CCI Health Services is an Equal Opportunity Employer **
Founded in 1972, CCI Health Services is a diverse and inclusive workplace grounded in community. Located in the Washington, DC Metro Area, each year CCI cares for more than 60,000 individuals in Montgomery and Prince George’s Counties. As a non-profit, CCI is committed to improving health equity through the provision of affordable primary care for all, across all stages of life. Visit ccicares.org for more information.
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Claims Specialist

<h3>Job Description</h3>
Description:


SEIU Healthcare IL Benefit Funds is a dynamic healthcare organization committed to providing the highest quality health and retirement benefits in the most financially responsible manner, while always acting in the best interest of the union members. We serve over 20,000 union workers in the Nursing Home, Home Care, Child Care and Personal Assistance industries with health and pension benefits. Our employees epitomize the Fund’s core values of quality service, interdependence, effectiveness, and accountability through the alliance to each other, the organization and those we serve.

Position Summary:
The Claims Clerk is responsible for managing and monitoring claims clerical functions within the Medical Benefits &amp; Claims department and for providing general claims support to the claims team.

This position will work closely with the claims team members as well as other department staff throughout the organization. Communication with both external and internal stakeholders and providing excellent customer service is vital for this role. 

The Claims Clerk will be responsible for the following:

Key Duties and Responsibilities:
<ul>
<li>Review and distribute incoming documents throughout the department </li>
<li>Print and mail non-system correspondence such as provider reconsideration letters</li>
<li>Scan paper documents and load electronic documents into the benefit administration system</li>
<li>Create and upload pend letter files, member and zero-pay EOB files to the printing and mailing company</li>
<li>Add new provider records in the system</li>
<li>Load pre-certifications files from external vendors</li>
<li>Load vendor referrals into the benefit administration system</li>
<li>Rename and save vendor referrals into the Claims drive</li>
<li>Scan, image, organize and maintain documents, adhering to the organization's document lifecycle procedures, and archive inactive records in accordance with the document retention policy</li>
<li>Attend and participate in various meetings, including monthly All Staff meetings, department meetings, training sessions, task force or committee meetings, and other meetings as deemed appropriate to share, discuss, and solution for question or error trends, as well as identify potential process improvements</li>
<li>Create one-on-one (1:1) agendas with the Director of Health Plans &amp; Medical Claims using the Purpose, Outcome and Process (POP) Model and keeping thorough notes for each meeting</li>
</ul>

Privacy and Security Responsibilities:
This position requires employee to handle Personal Identifiable Information (PII) and Protected Health Information (PHI) for our members. You will be responsible and accountable for maintaining the confidentiality, integrity, and availability of all PII and PHI. Report any suspected HIPAA violation or breach to our HIPAA Privacy and Security Officer.

Requirements:
Education Requirements:
<ul>
<li>High school diploma or equivalent required</li>
</ul>

Job Requirements:
<ul>
<li>A minimum of 1-2 years’ general office experience</li>
<li>Data entry experience </li>
<li>Ability to type 35 words per minute accurately </li>
<li>Knowledge of standard office equipment such as scanner, printer, photocopier and fax machines</li>
<li>Basic skills in Microsoft Office (Word, Excel and Outlook)</li>
<li>Excellent written and verbal communication skills</li>
<li>Ability to communicate effectively with internal and external stakeholders</li>
<li>Ability to organize and prioritize task</li>
<li>Ability to demonstrate teamwork and work independently </li>
<li>Ability to meet deadlines</li>
<li>Exercise clear and concise judgment</li>
<li>Ability and willingness to assist in special projects and handle multiple tasks</li>
</ul>

Preferred Skills:
<ul>
<li>Experience in a claims operation</li>
<li>Knowledge of the Fund’s benefit administration system (HPS or basys)</li>
<li>Experience with project management software, such as Smartsheet</li>
<li>Experience working in a remote environment with laptop provided</li>
<li>Experience with virtual conference software (Teams and Zoom)</li>
<li>Internal and external awareness of social movements, labor movements, and political issues that impact the work and the organization</li>
</ul>

Physical Demands:
<ul>
<li>Ability to lift a minimum of 30lbs</li>
<li>Flexible work schedule when workflow requires</li>
</ul>

Career Development &amp; Continuing Education Opportunities: Yes

Benefits:
SEIU Healthcare IL Benefit Funds offers a comprehensive health benefits (medical, dental and vision coverage) for employees and eligible dependents, including no employee premium option for employee only; competitive compensation; generous holidays and PTO policies; and a pension retirement plan.

Diversity creates a healthier atmosphere: SEIU Healthcare IL Benefit Funds is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

The SEIU Healthcare IL Benefit Funds vision is to create a more just and equitable society that fosters a lifetime of quality healthcare and financial security for all. We hope that our social justice values and the responsibility we take to operate a socially conscious organization aligns with your professional desire to contribute and serve with purpose.

Claims Clerk

<h3>Job Description</h3>
Position: Claims Adjuster Range No: 1401
Revised Date: 10/2021
Job Purpose
Under limited supervision of the Supervisor this position will apply techniques to process routine and complex claims, analyze expenditures and make recommendations for third-party liability claims.
Job Duties:
 Reviews plan documents and procedures to apply plan provisions, limitations and exclusions when making benefit determinations. 
 Provides customer service to all members, providers and/or Local Union personnel and/or other persons, as necessary, concerning claims processing.
 Performs computations and authorizes payment to a maximum of $25,000.00.
 Communicates professionally in written or oral format as necessary to request and receive data on incomplete claims and requests investigation when necessary, according to procedures.
 Applies knowledge and procedure to third-party liability claim claims.
 Exercises professional judgment on daily tasks and seeks approval from supervisor when current or for new or unfamiliar tasks
 Maintain a 10 business-day turnaround time on assigned claim responsibilities.
 Maintain and update a pending file with follow-ups on correspondence as required.
 Ability to meet production and quality goals on a consistent basis as outlined by department management.
 Corresponds with providers, insurance companies and/or external vendors on various matters relating to claims.
 Routes claims requiring review to the assigned Claim Adjuster Senior II.
 .
 Demonstrates knowledge of assigned duties as well as the legacy and recently migrated claims processing system.
 Performs other related duties as assigned.
Minimum qualifications:
 6 months as a Claims Examiner and 6- months as a Claims Examiner within WPAS or
 2 years of comparable outside claims processing experience.
 Working knowledge of basic office equipment.
 Proven track record of positive interpersonal communications with internal and external clients and vendors.
 Demonstrated ability to keep calm and positive within all communications.
 Proven ability to accurately and timely complete assigned tasks.
 Utilize computer, phone systems and reference materials to be able to effectively perform the essential functions of the position.
 Previous experience utilizing Microsoft office software
 High school diploma or G.E.D
Preferred qualifications
 Previous experience processing claims within a TPA environment
 2 years of college experience in a related field- do not have to have an associate degree
Physical/Mental requirements:
 The physical and mental demands described here are representative of those that must be met by employees to successfully perform the essential functions of this job.
 While performing the duties of this job, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents; analyze and solve non-routine and complex office administrative problems; use math and mathematical reasoning; observe and interpret situations; learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions.
Work environment:
 The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this class. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees work under typical office conditions.
 WPAS is an equal opportunity employer. We celebrate diversity and strive to continually create the most inclusive work environment for all our employees.

CLAIMS ADJUSTER

<h3>Job Description</h3>
CLAIMS ADJUSTER GENERAL DESCRIPTION:Performs advanced specialized technical work in the investigation and adjustment of public liability and/or Workers' Compensation claims. Works under general supervision, independently developing work methods and sequences.GENERAL DUTIES AND RESPONSIBILITIES: The functions listed below are those that represent the majority of the time spent working in this class. Management may assign additional functions related to the type of work of the job as necessary. Reviews and analyzes reports of accidents including property damage and bodily injury to determine liability; reviews and analyzes Liability and/or Workers' Compensation claims and recommends appropriate action. Consults on injury cases with various medical personnel in order to ascertain the extent and cost of treatment, loss of earning capacity and prognosis; confers with County physician on employment limitations. Performs the calculation and payment of benefits whether indemnity and/or medical benefits, including entering all payments for benefits. Coordinates the gathering of formal evidence by taking photographs, preparing diagrams and making measurements at accident scene; arranges for witnesses to appear at legal proceedings; and prepares accident reports. For Workers Compensation claims the adjuster will contact the injured employee, employer, and medical provider to document the claim. For Liability claims the adjuster will contact the claimant, the division and any witnesses. Contacts injured employee, employer, and medical provider to document claim. Conducts field investigations, face-to-face statements with employees, employer representatives and witnesses to understand the nature of the claim and gain an understanding of what occurred prior to the claim. Negotiate claim settlements with the Director of Risk Management, the County Administrator, the County Attorney, claimants and/or their legal teams. Attend mediations with the County Attorney's office to support the claims process. Provide advice regarding potential fraud, subrogation, and underwriting/safety risk, and communication with counsel.Authorizes/coordinates medical treatment with walk-in facilities and specialists to update claim. Analyze complex information from different sources, such as police reports, videos from surveillance cameras or audio, and other information to further understand the incident. Make decisions for approvals of medical treatments and property restoration. Make determinations on liability or compensability for Workers Compensation claims. Apportion percentage of liability and negotiate settlement with claimant or claimant's attorney or Liability ClaimsMonitors/obtains discharge papers for impairment ratings and issues benefits when owed and paid within mandated timeframe to avoid penalties.Sets up medical only claims to document/update current work status and treatment. Monitors work status for a disability of 7 days or less through discharge for closing a claim. Processes employee-received notices of outstanding medical bills to resolve non-payment issues. Reviews/corrects reporting by Center for Medicare/Medicaid Services (CMS) for accuracy. Denies/processes claims for non-work-related injuries with timely electronic filing to avoid penalties. The Workers Compensation Adjuster calculates/processes disability benefits for impairment ratings of 1% or more when issuing benefits to avoid penalties. Sets up medical claims to document/update current work status and treatment. Monitors/obtains medical records and work status to ensure timely calculation and payment of indemnity and impairment ratings, complete State EDI mandated reporting within regulated time frames to avoid penalties. Processes employee-received notices of outstanding medical bills to resolve non-payment issues. Reviews/corrects reporting by Center of Medicare/Medicaid Services (CMS) for accuracy. For disability more than 8 days, initiates timely electronic filings to Division of Workers' Compensation. Conducts recorded interviews with employees and witnesses. Attends meetings with other Divisions, Professional Standards/Human Rights Section (PS/HRS), and Human Resources to discuss complex claims. Performs related work as assigned.MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS: Requires two (2) years equivalent of higher-level education from an accredited college or university with major coursework in insurance, risk management, or closely related field. (One year of relevant experience may be substituted for each year of required education.) Requires four (4) years in adjusting workers' compensation and/or bodily injury/property damage liability claims or closely related experience. SPECIAL CERTIFICATIONS AND LICENSES: Possession/retention of a Florida All-Lines Adjuster's License (Type 6-20 or 7-20) from the State of Florida Division of Insurance Agent and Agency Services. Must possess and maintain a valid Florida Class E Driver's License for duration of appointment

Claims Adjuster

<h3>Job Description</h3>
Job Description
A Claims Analyst I would be responsible for taking first report of claims from a dealership. The Claims Analyst I would spend most of their time working on claims through our VIP website and will be communicating with dealership representatives from all 50 states.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES
<ul>
<li>Gathering data and documents to report the claim to the insurance company.</li>
<li>Following up with personal auto carriers to receive status of claims.</li>
<li>Following up with our insured’s carrier regarding claims numbers and status.</li>
<li>Responding to Dealer inquires and questions about the claim process or the program.</li>
</ul>
MINIMUM JOB SKILLS, ABILITIES AND QUALIFICATIONS
<ul>
<li>Ability to multitask/work efficiently in a fast-paced environment.</li>
<li>Outstanding customer service experience &amp; ability.</li>
<li>Great written and verbal communication skills.</li>
<li>Ability to communicate both orally an in writing on an above average level.</li>
<li>Ability to read and interpret documents.</li>
<li>Ability to deal comfortably and professionally with all levels of personnel.</li>
<li>Advanced proficiency in MS Office Applications - Email, Word &amp; Excel.</li>
</ul>
Company DescriptionThe Amynta Group is the parent company of our Company. Located in Hunt Valley MD (The PDP Group). We are a Title Service company, and we service automobile title for our clients (financial institutions that assist with financing automobiles for retail sales). 
<h3>Company Description</h3>
The Amynta Group is the parent company of our Company. Located in Hunt Valley MD (The PDP Group). We are a Title Service company, and we service automobile title for our clients (financial institutions that assist with financing automobiles for retail sales).

Claims Analyst I

<h3>Job Description</h3>

COMPANY PROFILE

Club Car Wash is one of the fastest growing tunnel car wash companies in the United States. We currently operate 150+ stores throughout Missouri, Kansas, Illinois, Iowa, Oklahoma, Nebraska, Wisconsin, Texas, Arkansas, and Tennessee with plans of expanding to several other markets. With this type of growth, there is boundless opportunities for career-minded talent who strives to provide exceptional service and excellent car wash quality for all our customers. Have fun working in a professional, indoor/outdoor work environment. 
Are you ready to #JoinTheClub ? 
As A Claims Agent You Will:
<ul>
<li>Review and investigate all property claims filed with our company</li>
<li>Helping &amp; assisting our customer with their needs</li>
<li>Negotiating estimates with body shops across several states</li>
<li>Establishing new accounts with body shops, negotiating rates to our benefit</li>
</ul>
Expectations:
<ul>
<li>Have a background of both claims adjusting/body shop operations prefered but not required</li>
<li>Looking for a positive and creative individual to bring resolution to all customer claims</li>
<li>Requires great organizational skills, as well as some "outside the box" thinking</li>
</ul>

Benefitting You:
<ul>
<li>Career advancement opportunities – A job that grows with you, we promote great team members</li>
<li>On-site &amp; continual training and development</li>
<li>Competitive compensation </li>
<li>Paid Time Off beginning from the day you start</li>
<li>Comprehensive benefits package including medical, dental and vision for full-time employees</li>
<li>Plan for your future with 401K contribution options</li>
</ul>
We are looking for friendly, enthusiastic people who enjoy serving customers — we will teach you everything else you need to know.

#CCW1
Club Car Wash is an equal opportunity employer.
All positions are contingent on passing a pre-employment drug screening and background check.

Claims Agent

<h3>Job Description</h3>
We are looking for a dedicated Claims Associate to assist in overseeing the claims process between our clients and insurance carriers, ensuring smooth management from beginning to end. This role is critical in assuring our clients receive exceptional service when they need us the most.
Who We Are
As one of the largest independent agencies in Texas, we’re proud to be known for our exceptional, values-based culture and are consistently recognized as one of the best places to work. We believe this serves as a reflection of our excellent client service, our philanthropic efforts, focus on employee well-being, sound financial management, and a bright prospect for the future.
What You Will Do
<ul>
<li>Review new claim request from clients and submit to their insurance carriers as requested.  </li>
<li>Take incoming calls regarding new losses</li>
<li>Escalate customer service complaints, claims issues, and serious injury and/or large loss property damage claims to the claims advocates and/or manager.</li>
<li>Secure and update adjuster for submitted claims within 72hrs. </li>
<li>Request claim and payment updates from adjuster and then provide information to clients.</li>
</ul>
What You Will Bring
<ul>
<li>Bachelor's degree preferred </li>
<li>Acquiring state licensing, once hired</li>
<li>Passion and dedication for continued learning</li>
<li>Carrier, Agency or Third-Party Administrator Claims Experience </li>
<li>Proficiency in Applied Systems, electronic signature platforms, Microsoft Office, Adobe Acrobat, and related tools</li>
</ul>
What You Will Experience
<ul>
<li>Competitive compensation package</li>
<li>Professional development track to support career growth</li>
<li>Generous time-off allowance, as well as major holidays</li>
<li>Comprehensive benefit selection, including company 401(k) match</li>
<li>Gym membership reimbursement</li>
<li>Support for work/life integration, with flexible work from home options available.</li>
</ul>
Hotchkiss is an EOE and drug-free workplace. All applicants must be authorized to work in and currently reside in the United States.
NO AGENCIES OR 3RD PARTY INQUIRIES
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Claims Associate

<h3>Job Description</h3>
Salary: $17.00 - $18.00 hourly
Royal Plus, Inc. is currently seeking an Claims Administrator for our Berlin,MD office. Duties include, but are not limited to:  

<ul>
<li>Handle Emergency Mitigation/Restoration calls</li>
<li>Work closely with Estimators, Project Managers and Field Technicians</li>
<li>Data entry </li>
<li>Spreadsheet maintenance </li>
<li>Accounts receivable                   </li>
<li>Several other office duties assigned</li>
</ul>

If you have proficient computer experience, great customer service skills and enjoy working in a fast-paced office, send us your resume today. We are looking to expand our team with the right candidate. 

Hours are Monday through Friday 8:00 A.M. -5:00  P.M. with rotating evenings/weekends during peak season.  

Qualification/Skills:

<ul>
<li>Must have a valid drivers license, with reliable transportation to and from work</li>
<li>Must be at least 18 years of age</li>
<li>3+ years of Excellent Customer Service experience</li>
<li>3+ years of QuickBooks experience </li>
<li>3+ years of Microsoft Word, Excel &amp; Outlook experience</li>
<li>1+ years of Commercial &amp; Residential Restoration experience</li>
<li>3+ years of Data Entry &amp; Spreadsheet Maintenance</li>
<li>1+ years of TPA experience: XactAnalysis, Alacrity &amp; Symbility</li>
<li>Type 40+ wpm</li>
<li>Knowledge of industry policies</li>
<li>Communicate well; verbally and written</li>
<li>Conduct themselves in a professional manner</li>
<li>Maintain Teamwork with Respect at all times</li>
<li>Maintain a positive attitude</li>
<li>Available weekends &amp; holidays for on-call rotation after training.</li>
<li>Available to work overtime when required.</li>
<li>Available to travel with our CAT Team if needed</li>
<li>Personable and professional individual who makes a good first impression with customers</li>
</ul>

Job Duties: 

<ul>
<li>Answer multi-line phone system</li>
<li>Dispatch Emergency Calls to our Mitigation Department</li>
<li>Schedule Reconstruction, Mold Remediation &amp; Asbestos Abatement Inspections with local Estimator</li>
<li>Create job files &amp; enter customer's information into company software.</li>
<li>Data Entry</li>
<li>Spreadsheet Maintenance</li>
<li>Invoicing</li>
<li>Post payments</li>
<li>Job Tracking</li>
<li>Work closely with Project Managers, Insurance Carriers/Adjusters &amp; Property Management Groups</li>
<li>Update TPA notes and correspondence from Adjusters</li>
</ul>


Physical Requirements:

<ul>
<li>While performing the duties of this job, the employee is regularly required to sit or stand for extended periods of time. Normal manual dexterity is required.</li>
<li>Normal speaking and hearing abilities to interact with others in an office environment, over telephone or other video conferencing platform.</li>
<li>The employee is occasionally required to stand; walk; and reach with hands and arms and continuously repeat the same hand, arm finger motion many times as in typing.</li>
</ul>


Benefits:

<ul>
<li>Health, Dental, Vision, Life Insurance (Eligible 1st of the month after 60 days)</li>
<li>Paid Vacation days (one (1) week, or five (5) days, of paid vacation after one (1) year of employment. Two (2) weeks, or ten (10) days of paid vacation after three (3) years of employment. Three (3) weeks, or fifteen (15) days of paid vacation after seven (7) years of employment)</li>
<li>Paid Holidays (Eligible after ninety (90) days of full-time employment)</li>
<li>AFLAC supplemental insurance</li>
<li>401(k) with Match Plan (Royal Plus will match employee’s deferral up to maximum of 3% of employee</li>
</ul>
compensation)


Equal Employment Opportunity: As an Equal Opportunity Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability

Claims Administrator

<h3>Job Description</h3>
Salary: $18 - $22ph DOQ
Claims Specialist - Ramsey, MN Cloud Contents is seeking growth minded team members who are looking for a long-term, recession-proof opportunity. Cloud Contents is a full-service personal property restoration company that specializes in saving memories after a fire, water, and mold loss. We get to help people and contractors every day when people are in need of help!! Applicants should be motivated to serve others with a mindset of whatever it takes.
 Responsibilities
<ul>
<li>As a team member of Cloud Contents, Claims Specialist will demonstrate to clients, customers and the community Cloud Contents is here to serve in a time of need, you will play a vital role in providing an outstanding customer experience by using negotiation skills to process a variety of estimates in a fast paced, detail-oriented, team environment. In this role, you will write up estimates, enter data into company software and submit to home owner’s insurance. As well as negotiate with home owner’s insurance adjusters until estimate is approved.</li>
</ul>
Essential Duties &amp; Responsibilities:
<ul>
<li>Able to Interact extensively with various parties involved in the claim process</li>
<li>Able to Process estimates consistently, following department policies, procedures and best practices.</li>
<li>Able to clearly communicate concise action plans, and present plans for moving the estimate to get approved.</li>
<li>Ensure estimate is brought to completion and collection in a timely fashion.</li>
<li>Ability to think critically, solve problems, plan, organize and negotiate effectively.</li>
<li>Able to communicate verbally and in writing.</li>
<li>Analytical skill necessary to make decisions and resolve complex issues.</li>
<li>Ability to successfully negotiate an estimate.</li>
<li>Handle serious estimates including the ability to interpret related documentation.</li>
</ul>
Benefits Include
<ul>
<li>Health insurance</li>
</ul>
<ul>
<li>Paid time off</li>
</ul>
<ul>
<li>Dental insurance</li>
</ul>
<ul>
<li>401(k) matching</li>
</ul>
<ul>
<li>Paid vacation/holidays</li>
</ul>
<ul>
<li>Company Vehicle / gas expense</li>
</ul>
 Qualifications
<ul>
<li>High school diploma or equivalent</li>
<li>Type 40wpm+</li>
<li>Claims experience preferred but not required</li>
<li>Computer experience with related estimates and business software</li>
<li>Data entry</li>
<li>Detailed oriented</li>
<li>Excellent interpersonal and written communication skills.</li>
</ul>
<ul>
<li>Must have a whatever it takes mentality to serve our clients and customers!!</li>
</ul>

Job Type: Full-time/Monday to Friday 7:30am to 4:30pm &amp; on Call Salary: $18 - $22

<h3>Job Description</h3>
The Branch Claims Representative II investigates, evaluates and determines the appropriate disposition of all types of claims, with varied levels of complexity, arising out of the Company’s business. This job also provides service to agents, insureds, and others in the course of handling those claims to their conclusion. Work is performed under limited supervision.
Responsibilities
<ul>
<li>Assemble facts, determine coverage, evaluate the amount of loss, and analyze legal liability. </li>
<li>Study insurance policies, endorsements, and forms and apply coverage analysis skills. </li>
<li>Demonstrate proficient knowledge of claim handling procedures and skills in claim negotiations and settlements. </li>
<li>Deliver a high level of customer service to agents, insureds, and others. </li>
<li>Meet with people involved with claims, sometimes outside of our office environment. </li>
<li>Obtain and maintain appropriate adjuster’s license(s) as required. </li>
<li>Handle claims activities and investigations by phone, mail, and occasional on-site investigations. </li>
<li>Use technology-based information for reference, enter information into computer systems, and apply specialized skills, including but not limited to property estimating, auto estimating, and use of computer-based programs as tools. </li>
<li>Utilize experience to devise alternative approaches to providing service, dependent upon the circumstances.</li>
</ul>
Requirements
<ul>
<li>Bachelor’s degree or several years of experience or training that the Company considers sufficiently related; or the equivalent combination of education and such related experience is required </li>
</ul>
<ul>
<li>A minimum of two years of experience as a Branch Claims Representative 1 or a minimum of three years of insurance claims experience is required</li>
<li>Ability to understand verbal and/or written instructions and to carry tasks to completion. </li>
<li>Ability to read and interpret documents such as policy and procedure manuals. </li>
<li>Professional telephone manner</li>
<li>Proficient in Excel and PC Windows environment</li>
<li>Ability to work together in a team setting on shared tasks</li>
<li>Ability &amp; desire to obtain a P&amp;C Adjuster license</li>
</ul>
Benefits
Concord Group employees are eligible for a comprehensive total compensation package including but not limited to medical, vison, dental, life, and disability insurance. We offer a generous Paid Time Off Program that includes vacation, personal, sick time and holiday pay. Invest in your future with our competitive 401(k) plan with company match!
About Us
As a leading regional provider of property and casualty insurance, The Concord Group helps protect the families and small businesses that enable our communities to thrive. Our positive work environment, competitive benefits, and rapid growth make The Concord Group a great place to build your career.
The Concord Group is an Equal Opportunity Employer. The Concord Group participates in E-Verify.

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