Claims Examiner
$75k - $100kSedgwick
US Telecommuter Full time R71833 By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Construction Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Apply your general liability/ construction defect examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. + Enjoy flexibility and autonomy in your daily work, your location, and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. **ARE YOU AN IDEAL CANDIDATE?** To analyze general liability claims involving New York labor law or construction defect on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. **QUALIFICATIONS** Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required. + High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. + Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: Anywhere in the United States with construction defect experience **TAKING CARE OF YOU** + Flexible work schedule. + Referral incentive program. + Opportunity to work in an agile environment. + Career development and promotional growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. _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 $75,000 - $100,000/yr. 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._ Always accepting applications. 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
- ...Independent Solutions. REAL Results R espect E mpowerment A gility L eadership Be part of a growing and prospering company as a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and...SuggestedFull timeCasual workMonday to FridayFlexible hoursShift workDay shift
$51k - $101.77k
...position is in or near Madison, Wisconsin. This position is based out of your home with a company-provided vehicle for travel to the claim sites. Grinnell Mutual employees and their family members enjoy a comprehensive health benefits package that reduces premiums for...SuggestedWork at officeLocal areaRemote workHome officeFlexible hoursNight shift$62.7k
...identifying opportunities and concerns. Calculate rates utilizing company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the standard formula. Maintain accurate book management details,...SuggestedContract workFor contractorsWork at officeLocal area- ...Claims Adjuster ***This role can be FULLY REMOTE or HYBRID (in office days Tuesday-Thursday) if in close proximity to one of our office locations below*** Merrill, WI Milwaukee, WI Madison, WI What you'll be doing: In accordance with application of state...SuggestedWork at officeRemote work
$80k - $125k
About MGT InsuranceMGT is the first AI-driven, neo-insurer focused on evolving commercial P&C insurance for the brokers and small business owners. By combining the expertise of industry veterans with state-of-the-art technology, we are ushering in the next evolution of...SuggestedFlexible hours- Rural Mutual Insurance is seeking an analytical, detail-driven Personal Lines Underwriter to join our team. You’ll work closely with agents and internal teams to evaluate risk and support sound underwriting decisions for personal lines products. This role offers the flexibility...
$68.93k - $108.09k
...with sufficient detail and clarity. Provide territory performance reports and action plans to leadership. Collaborate with sales, claims, loss control, and agency partners. Lead agency visits and promote product line benefits and growth/incentive efforts. Support agency...Temporary workWork at officeLocal areaFlexible hours$60k - $65k
...requests to ensure continued compliance with underwriting standards and eligibility requirements. • Evaluate underwriting alerts, claims activity, and other risk-related information to determine appropriate renewal actions and risk management outcomes. • Provide timely...Work at office$50k - $55k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims....Contract workWork at officeLocal areaFlexible hours- Are you an underwriting professional who thrives in high-stakes, transformative environments? Do you find satisfaction in mitigating risk, identifying opportunities, and shaping the course of a rapidly growing company? If so, it's time to take your career to the next level...Full timeLocal areaRemote work
$60k - $65k
...requests to ensure continued compliance with underwriting standards and eligibility requirements. Evaluate underwriting alerts, claims activity, and other risk-related information to determine appropriate renewal actions and risk management outcomes. Provide timely...Work at office- ...AF - Group in Wisconsin is seeking an entry level professional claim handler focused on medical and indemnity benefits. You will assess compensability, review medical relationships, and manage claim reserves within your authority. The role involves negotiating settlements...
- ...Claims ManagerA well-established insurance organization is seeking an experienced Claims Manager to oversee day-to-day claims operations and support a team of claims professionals.This is a great opportunity for an experienced claims professional who enjoys solving complex...
$18.5 - $42.35 per hour
...one family and one community at a time. Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering...Hourly payFull timeWork experience placementLocal areaRemote work$68.64k - $87.36k
Introduction Help shape Wisconsin's transportation future by joining the Southwest Region team! We are currently recruiting to fill a Contracts Specialist-Advanced position that can be headquartered in Madison, WI or La Crosse, WI! This position offers a hybridized...Permanent employmentContract workCasual workWork at officeLocal areaImmediate startRemote workVisa sponsorshipWork visaFlexible hours$38 - $41.51 per hour
Press Control+M to start dragging object This position can work remotely up to 5 days per week but may be required to report to an office location occasionally based on training or operational need. This position can be headquartered at one of our central or regional offices...Hourly payContract workWork at officeImmediate startRemote workVisa sponsorshipWork visa$56k - $65k
Schedule: Full-Time Salary Range: USD $56000.00 - $65000.00 Job Category: Sales - Comparion Description Comparion Insurance Agency is hiring self-motivated, relationship-driven professionals for a rewarding outside sales career. This role offers autonomy and ...Full timeWork at officeLocal areaRemote workFlexible hours$54k - $57.5k
...live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee , you'll learn how to help customers get back on the road after an accident. This is not a field position, which...Hourly payTemporary workTraineeshipWork experience placementH1bWork at officeLocal areaMonday to FridayFlexible hours- ...We are seeking a Claims Adjuster for the corporate office of a large global manufacturer that has an internal claims department. This is an ideal position for a claims adjuster who would like to change from an insurance company to a corporate environment. In this role...Work at officeLocal area
$68k - $90k
...Job TitleHandle Complex Property ClaimsJob DescriptionHandle complex property claims in the Madison, WI area with minimal supervision and guidance from the manager.Work LocationThis is a fully remote/work from home role where you will spend up to 50% of your time in the...Live inWork at officeLocal areaRemote workWork from home$66.8k - $81.6k
...is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. As an auto damage claims adjuster , you’ll serve as Progressive’s point of contact with customers – directing and making decisions regarding the repair process...Temporary workWork experience placementH1bWork at officeLocal areaFlexible hours$22.4 - $30.87 per hour
...Zurich is currently looking for a RCIS Crop Claims Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. RCIS provides insurance and superior services through leading agents to protect America’s farmers and ranchers. It’s been an innovator in crop...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeVisa sponsorship- ...circumstances that may disrupt their plans. Travel Guard became part of Zurich Cover-More in December 2024. Travel Guard is seeking a Claims Adjuster within a 150-mile radius of Stevens Point, WI. We’re seeking empathetic, dependable, detailed, and service-minded...Work at officeWork from homeWorldwide
- ...Multi-Line Claims AdjusterA dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area. There are many competing vendors in our marketplace, but we are not your typical "vendor". Our...Immediate startRemote work
$21.75 - $32.5 per hour
...Claims Support Representative Location: USA Texas Work Arrangement: Hybrid or Remote The salary range for this role is: $21.75-$32.50 per hour The Opportunity This role will support internal and external customers by responding to claims file inquiries,...Hourly payFull timePart timeWork experience placementWork at officeRemote workWork from home- ...Generative or Predictive AI experience not required but a plus (ChatGPT, Azure, etc.). Any API Mapping experience between Policy, Claims, and Financial Insurance Applications. Proficient with Microsoft Office (Word, Outlook, PowerPoint, Visio, Excel, etc.). A...For contractorsWork at office
- A specialized insurance firm is seeking a Workers' Compensation Claims Adjuster for a temporary assignment with the possibility of transitioning to a permanent role. This position requires adjudication of more complex claims, especially in Maryland and Pennsylvania. Candidates...Permanent employmentTemporary workRemote work
- ...Senior Property Claims Representative Client is seeking a Senior Property Claims Representative to join our field claims team. You'll be providing a consistent, positive, and satisfying claims experience for our clients through the proper investigation, evaluation,...Full timeWork at officeWork from homeRelocation
$37.66 - $44.33 per hour
...products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description...Hourly payTemporary workRemote work$65k - $75k
...Wisconsin families, farms, and businesses is more than our mission, it is our commitment. We are seeking an experienced Desk Auto Claims Adjuster to independently manage moderate-complexity automobile claims. In this role, you are responsible for investigating claims...Remote work
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