Sr. Claims Service Representative
W. R. Berkley Corporation
Responsibilities As a Sr Claims Service Representative, you'll develop skills and acquire the knowledge necessary to investigate and resolve high frequency, low severity workers’ compensation claims in a prompt and equitable manner via telephone investigation. You'll determine coverage, liability, damages, reserves and conclude claims through negotiation or denial of claim. We'll trust you to evaluate, assign, extract or input data for new claims assignments as well as provide administrative support to the Senior Claims Adjusters. This role will be based in one of our three offices: Urbandale, IA; Luverne, MN; Lincoln, NE. A hybrid work schedule with 4 days in the office and 1 day remote where it makes sense to do so. Learn and become adept at examining policies, contracts and claim forms to determine coverage for routine matters. Investigate loss, evaluate exposures, and establish accurate reserves on high frequency, low severity commercial claims within established authority level. Deny or negotiate and settle claims. Correctly enter claim data into claim and related systems for reporting purposes. Re‑evaluate exposures and reserves during the life of the claim. Review new losses received by Claims Department to determine type and level of loss. Make initial contact with insureds and/or claimants to obtain additional information related to the claim if necessary. May assign claims to Claims staff based on analysis of exposure. Review data and create Excel spreadsheets to assist management with expenses, portal and goal management. Perform administrative support functions such as preparing routine correspondence, processing payments, completing routine forms for submission to State and National regulatory agencies and testing production system releases. Answer calls received from the Customer Experience Center and assist callers or direct call to appropriate claims staff. May assist agents, policyholders and claimants with questions related to claims handled by others on the line‑of‑business team. Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge. Perform other related duties as assigned by management. Qualifications Two years related claims experience and/or training; or equivalent combination of education and experience. Effective listening, verbal and written communication skills necessary to interact effectively with internal and external customers. Proven customer service experience with strong customer orientation. Ability to successfully negotiate. Ability to interpret information, evaluate, research and take steps to resolve problems. Proficient with Microsoft Word, Excel and Outlook. Ability to travel on an occasional basis to participate in business unit meetings and development opportunities. What Makes You Stand Out Bachelor’s Degree preferred but not required. Demonstrates a willingness to embrace new systems, processes, technology and ideas. Acts with a sense of urgency and possess efficient planning, time management and organizational skills. Regularly and consistently demonstrates commitment to company values and guiding principles. Completion of or progress toward AINS, AIC or similar designations preferred. Benefits Competitive compensation. Paid time off. Comprehensive wellness benefits and programs. Employer funded health savings account. Profit sharing. 401(k). Paid parental leave. Employee stock purchase plan. Tuition assistance and professional continuing education. Hybrid work schedule with 4 days in office, 1 remote. The company is an equal opportunity employer. #J-18808-Ljbffr W. R. Berkley Corporation
$23.5 - $31.5 per hour
Job Description First Hawaiian Bank is currently seeking an analytical, collaborative and team-oriented Corporate Banking Service Representative/Sr. Service Representative to join our Corporate Banking Division team. Compensation The hourly salary range for this role is...SeniorHourly payWork at officeMonday to Friday- Progressive Insurance is seeking a Senior Claims Specialist to investigate complex injury claims, including those involving attorneys and litigation features. You will determine coverage, liability, and the total value of the claim with guidance from a supportive team....SeniorWork at office
- Progressive is committed to helping employees advance in their careers. A senior claims specialist will investigate high-risk injury claims, coordinate with police, medical professionals, and claimants to determine coverage, liability and total claim value. The role is...SeniorWork at office
$53.2k
...insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people:...SeniorRemote jobWork at office$25 - $30 per hour
...5 Salary Range: $25.00 To $30.00 Hourly The Senior Deposit Servicing Representative is responsible for performing advanced deposit servicing functions... ...multi-party shared branch matters and cross-institution claims. Conduct second-level review of high-risk transactions,...SeniorHourly payFull timeWork at officeLocal areaMonday to FridayFlexible hours- CVS Health in Hawaii is seeking a claims adjudicator to review and resolve complex medical claims, guided by plan processing guidelines... ...a subject matter expert, coach teammates, and support customer service by addressing inquiries to ensure a positive member experience....SeniorRemote jobFull time
- DescriptionSAIC is seeking an Engagement Representative, the ideal candidate will be responsible for the following: Serve as CCMD J2 staff... ...custodian for NRO communication terminal. Provide support to services to CCMDs, and echelons.Additionally, the ideal candidate will...SeniorCivilian Contractor
- ...to work part-time around classes in a role that can improve presentation skills, time management skills, and networking. Sales representatives present Cutco cutlery through preset virtual or in-person appointments. Previous sales experience or knowledge is not required...Weekly payExtra incomeTemporary workPart timeWork from homeFlexible hours
- ...Our company is looking to add multiple customer service positions to our growing team of remote representatives. This is a full time position with upwards mobility and the ability to work from home! We service union and association members by matching clients to the products...Weekly payFull timeLocal areaRemote workWork from home
$18.5 - $42.35 per hour
...complex, sensitive, and specialized medical claims in accordance with established plan... ...technically challenging issues. Supports customer service operations by addressing inquiries and... ...role is: $18.50 - $42.35 This pay range represents the base hourly rate or base annual full...SeniorRemote jobHourly payFull timeWork experience placementLocal area- ...and responsibilities include the timely processing of new TDI claims as assigned, including contacting insured, employee, and physician... ...The work environment characteristics described here are representative of those an employee encounters while performing the essential...Full timeWork at officeMonday to FridayFlexible hours
- ...onboarding, and oversee account maintenance and reporting. The ideal candidate has 4-7+ years in investment advisory or financial services, excellent communication, and strong organizational skills. Proficiency with MS Office, Tamarac Advisor View, CRM, and eMoney is valuable...Senior
- We are looking for a Senior Account Manager to drive sales for Lowe's largest regional pro customers. This role involves building relationships, conducting market research, and leveraging product solutions to achieve sales gains. Join us to make a siSenior
$161.5k - $184.3k
...Sr Principal Relationship Management and Business Development Manager (Remote-Eligible... ...relationships in the financial services or payments space Combine strategic consulting... ...corridors Industry Representation: Represent Discover Network at regional trade shows,...SeniorFull timeContract workPart timeH1bLocal areaRemote workShift work- ...Retail Sr. Store Associate-Part Time As a Retail Sr. Store Associate-Part Time, you will actively connect with customers, addressing their needs by recommending the right products, services, and solutions to enhance their experience. Through enthusiasm and expertise...SeniorPart timeWork at officeLocal area
$60k - $75k
...s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation | Jurisdiction: MI, TX, IN, IL, OH | Licensing: Required - Remote Are you looking for an...Full timeContract workLocal areaRemote workFlexible hours- ...Join Globe Life’s McQuade Organization as a Remote Client Services Representative and help individuals and families understand their available benefits. Enjoy a 100% remote opportunity with flexible scheduling, comprehensive training, and opportunities for professional...Remote jobFull timeFlexible hours
$16 - $19.07 per hour
...Overview As a Retail Sr. Store Associate-Part Time, you will actively connect with customers, addressing their needs by recommending the right products, services, and solutions to enhance their experience. Through enthusiasm and expertise, Sr. Store Associates...SeniorMinimum wageFull timeTemporary workPart timeWork at officeLocal areaFlexible hours$60k - $75k
...world-class resources to deliver insurance solutions that protect your property, business, and livelihood. With offices across California, Hawaii, New York, and Guam, our dedicated team works to deliver exceptional service, ensuring peace of mind for every policyholder.Full timeWork at officeLocal areaRemote workMonday to Friday$50k - $100k
...Hawaii, New York, and Guam, we provide innovative insurance solutions tailored to protect your property, business, and livelihood. We are committed to fostering a culture of inclusion and innovation, ensuring exceptional service and peace of mind for every policyholder.Hourly payFull timeCasual workWork at officeRemote workMonday to FridayFlexible hours$80k - $140k
...Elevator Company in Honolulu has sales opportunities available. Job Description Company seeks a highly motivated Service Sales Representative to sell service for elevators and escalators. JOB DUTIES Estimating, negotiating and selling service and maintenance...Contract work$35 per hour
...organizational skills with aptitude for attention to detail Experience in the hospitality industry in the sales or conference services arena and/or degree in Hospitality and Tourism Management or Business Administration/Marketing Exceptional written and verbal communication...Hourly payTemporary workInterim roleWork at officeLocal areaWork from homeMonday to Friday- ...for supporting the Commercial Loan, Deposit, Cash Management servicing and account operation servicing functions of the Commercial Banking... ...another Commercial Banking Service & Support (CBSS) Service Representative. Performs all other miscellaneous responsibilities and duties...Work experience placementFlexible hoursAfternoon shift
- Position Function:Provide exceptional service to grow the Bank's business.Advocate our mission and be committed to creating value for our customers, employees, community and shareholders.Performs all duties and interacts with internal and external customers in a manner...Work experience placementWork at office
- Job DescriptionAccurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the group to ensure...Contract workWork experience placementWork at office
- .... Our work includes ground-up and existing building renovation projects in several sectors including education, retail, financial services, hospitality, secular, some residential and other project types. In this position you will participate in/manage all aspects...SeniorFull timeWork at office
$30.39 per hour
...development and hospitality management company, is seeking a dependable, service-oriented Sales Coordinator to join our team. If you're... ...designed to achieve revenue and market-share objectives.Represent the hotel professionally at community events, trade shows, and...Work at officeLocal area$126.52k - $168.68k
...customer satisfaction, and maintains positive ongoing relationships to maximize sales for the company. Introduces company products and services to new and/or existing customers. Responsible for the implementation of strategic and tactical sales account plans. Develops and...SeniorFull timeTemporary workRemote workWork from home- We are looking for a Senior Financial Analyst to strengthen financial planning, reporting, and business performance analysis for our Honolulu, Hawaii operations. This role will work closely with leadership and cross-functional partners to deliver clear financial insights...Senior
$19.39 per hour
...quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following... ...reviews history records and determines benefit eligibility for service. Reviews payment levels to arrive at final payment determination...For contractorsLocal areaRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Sr. Claims Service Representative. Be the first to apply!
- remote medical claims processor Honolulu, HI
- medical insurance claims specialist Honolulu, HI
- claims processor Honolulu, HI
- insurance claims processor Honolulu, HI
- insurance customer service advisor Honolulu, HI
- customer success associate Honolulu, HI
- manufacturing customer service representative Honolulu, HI
- customer service attendant Honolulu, HI
- client service consultant Honolulu, HI
- customer associate Honolulu, HI





