Top 4233 Claim Resolution Representative Jobs

Senior Casualty Claims Representative
Western National Group & Umialik Insurance —Edina, MN
- $66,300 - $91,190 a year
- Full-time
- Customer service
- Mid-level
- Bachelor's degree
- Paid parental leave
- Health savings account
Quick Apply
10d
Customer Service Rep
Pexco, LLC —Yorba Linda, CA
- $27 - $30 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
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Healthcare Customer Service Representative
University of Colorado Medicine —Remote
- $22 - $25 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health insurance
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Claims Customer Service Representative I
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Computer literacy
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Allowables Representative
TeamHealth —Remote
- Full-time
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Medicare Account Resolution Specialist - Digitech - Remote
Sarnova —Remote
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- Microsoft Outlook
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Account Resolution Specialist - Insurance HMOs - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Research
- 401(k)
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Enrollment Representative
GLOBALHEALTH HOLDINGS LLC —Oklahoma City, OK
- Full-time
- Remote
- Microsoft Excel
- Writing skills
- HIPAA
- Health insurance
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Claims Resolution Coordinator
Partnership HealthPlan of California —Fairfield, CA
- $37.22 - $46.53 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
Insurance Billing - Special Utilities - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Computer literacy
- HIPAA
- High school diploma or GED
- 401(k)
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12d
Contact Center - CSR-1 - Customer Service Representative 1
Wellcove —Remote
- Full-time
- Remote
- Background check
- High school diploma or GED
- Typing
Quick Apply
9d
Patient Financial Navigator (Customer Service Focused)
Kandu —Remote
- $24.50 - $29.00 an hour
- Remote
- Spanish
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Pharmacy Claims Representative 2 - Remote
Dragonfly Health —Arlington, TX
- From $22 an hour
- 12 hour shift
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
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Customer Service Representative - Part Time (Remote)
GETIX HEALTH —Houston, TX
- $17 an hour
- Part-time
- Remote
- Spanish
- HIPAA
- English
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Supplemental Health Claim Analyst
Mutual of Omaha —Remote
- $20.50 an hour
- Overtime
- Remote
- Computer literacy
- Typing
- Medical terminology
- Paid holidays
- 401(k)
1d
Commercial Lines CSR
ALTUM RISK & INSURANCE SOLUTIONS LLC —Remote
- $70,400 - $110,000 a year
- Email
- Remote
- High school diploma or GED
- Organizational skills
- Associate's degree
Quick Apply
Client Support Representative
EnableComp —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Mid-level
Quick Apply
Supervisor Claims
Mutual of Omaha —Remote
- $75,500 - $97,000 a year
- Email
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid holidays
- 401(k)
Claims EDI Helpdesk Support
RADcube —Remote
- Full-time
- Remote
- Background check
- High school diploma or GED
- 1 year
Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule

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Senior Casualty Claims Representative

Western National Group & Umialik Insurance -
Edina, MN

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Job Details

Full-time
$66,300 - $91,190 a year
10 days ago

Benefits

Paid parental leave
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Life insurance

Qualifications

Casualty insurance experience
Customer relationship building
Claims negotiation

Full Job Description

Description:

Who are we?

Western National Insurance Group is a private mutual insurance company with over 125 years of experience serving customers' property-and-casualty insurance needs in the Midwestern, Northwestern, and Southwestern United States. Known as “The Relationship Company®,” we define success as a measure of the relationships we’ve built over time. In everything that we do, we know that delivering a friendly and helpful interaction makes for a better experience for everyone involved. That’s the power of “nice”. At Western National, nice is something we work to bring to every person and organization with whom we partner and serve.

Does this opportunity interest you?

Western National is seeking a Senior Casualty Claims Representative to join our team! The individual in this role will have the opportunity to investigate, evaluate, negotiate, and resolve multi-line insurance claims as assigned.

What are the responsibilities and opportunities of this role?

Handles moderate-to-high complexity casualty claims within settlement authority.
Evaluates both personal and commercial lines property claims.
Ensures customer service excellence.
Investigates and reviews policy forms, facts, and claim-related documents to make claim resolution decisions, identify claim file exposures, and escalate issues as appropriate.
Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience while maintaining appropriate reports to ensure the status of claims is clearly documented at all times.
Provides direction to outside resources.
Makes decisions guided by general instructions and practices requiring interpretation.
Automatically makes decisions on routine issues.
Makes recommendations to solve more complex problems.
Recognizes problems or situations that are new or without clear precedent.
Finds solutions using a systematic, multistep approach.
Demonstrates commitment to personal development and improvement to enhance performance.
Maintains regular contact with customers, such as policyholders, claimants, and agents, as well as regular contact with employees across the organization and outside vendors.
Travels occasionally for field work (e.g., scene investigations, mediation, court hearings).
Performs special projects and other duties as assigned.

Requirements:

What are the must-have qualifications for a candidate?

Understanding of industry practices, standards, and claim concepts.
Prior casualty claims experience.
Ability to multitask and solve problems.
Proficient oral and written communication skills.
Strong negotiation and relationship-building skills.
Analytical with ability to exercise sound business judgment.
Strong time management skills.
Bachelor’s degree or equivalent related experience.

What will our ideal candidate have?

Working toward AIC or AINS certification is preferred.
Proficient use of various core systems, office and computer equipment, and software packages.
Experience handling bodily injury and / or commercial general liability claims.

Compensation overview

The full hiring range for this role is $66,300 – $91,190, annually. However, the base pay offered may vary depending on the job-related knowledge, skills, credentials, and experience of each candidate as well as other factors such as the scope and location of the role. Candidates looking for compensation outside of the posted range are encouraged to apply and will be considered based on their individual qualifications and / or may be considered for other positions.

Western National Insurance Group reserves the right to fill this position at a level above or below the level included in this posting.

Culture and Total Rewards

Western National has long been known as “The Relationship Company®” and caring for our employees is part of that relationship commitment. We value connectiveness, empowerment, and accountability, and we believe that our employees are our biggest asset.

Currently ranked as the 41st largest private company by revenue in Minnesota (Minneapolis/St. Paul Business Journal), Western National has earned accolades year-over-year as an employer of choice and garnered multiple awards for wellness in the workplace. Western National has also been named a Top Workplace by the Star Tribune for the past four consecutive years. In addition, the Group is consistently recognized as a Ward’s 50 property-and-casualty insurance company for its outstanding financial results.

Western National offers full-time employees a significant Total Rewards Package, including:

Medical insurance plan options and other standard employee benefits, including dental insurance, vision benefits, life insurance, disability insurance, and more!

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
401(k) Plan (participants are eligible for 100% matching on the first 6% of their contributions)
Wellbeing Program, including onsite fitness studio
Paid Time Off – including holiday, vacation, and volunteer
100% company-paid tuition reimbursement for approved job-relevant coursework and access to The Institutes (Risk and insurance education)
Paid parental leave
Bonus opportunities

Western National believes in supporting balance between work and life by providing a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department, and company needs.

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Western National provides employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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Refine Your Search

Claim Resolution Representative jobs

Senior Casualty Claims Representative

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Claims Customer Service Representative I

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Claims Resolution Coordinator

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Commercial Lines CSR

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Claims EDI Helpdesk Support

Account Resolution Representative

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