Top 280 Claims Associate Siu Jobs

Claims Examiner III
Wellington Insurance Group —Fort Worth, TX
- Full-time
- Bilingual
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
8d
Third Party Sr. Claims Representative
Fleet Response —Hudson, OH
- $22.00 - $22.50 an hour
- Full-time
- Research
- Analysis skills
- Math
- Disability insurance
- Health insurance
Quick Apply
12d
Claims Investigator - Full Time
Command Investigations, LLC —Los Angeles, CA
- $23 - $30 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
7d
Claim Examiner Associate - Boca Raton Office
AmTrust Financial Services, Inc. —Boca Raton, FL
- $26.50 an hour
- Full-time
- Mid-level
- Office
- 3 years
- Paid training
- Wellness program
Claim Examiner Associate - South Jordan Office
AmTrust Financial Services, Inc. —South Jordan, UT
- $28.50 an hour
- Full-time
- Office
- 3 years
- Analysis skills
- Paid training
- Wellness program
SIU Investigator - NY Labor Law
Allied Universal® Compliance and Investigations —Edison, NJ
- $32 - $40 an hour
- Weekends as needed
- Spanish
- OSHA
- Military
- AD&D insurance
- Paid holidays
Quick Apply
9d
Field Site Inspector
Allied Universal® Compliance and Investigations —Portland, OR
- $23 - $28 an hour
- Weekends as needed
- Computer literacy
- Public speaking
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
3d
Surveillance / Claims Investigator - Part Time
Allied Universal® Compliance and Investigations —Fairbanks, AK
- Part-time
- Military
- Mid-level
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
3d
SIU Investigator
Centene —Kentucky
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid holidays
- Health insurance
SIU Claims Investigator
Lemieux & Associates LLC —Odessa, TX
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
Investigator
UnitedHealthcare —Houston, TX
- $49,700 - $88,800 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Mid-level
Field Investigator - SIU Claims
Auto-Owners Insurance Company —Columbia, MO
- Full-time
- Writing skills
- Mid-level
- Driver's License
- Paid holidays
- Paid time off
Quick Apply
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Washington, DC
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
Special Investigations Unit (SIU) - Field Investigator
Ethos Risk Services —Seattle, WA
- $25 - $30 an hour
- Part-time
- Military
- Mid-level
- Residential
- Paid time off
- Referral program
Quick Apply
Workers Compensation Claims Specialist, Sr
NJM Insurance Group —Pittsburgh, PA
- $79,129 - $91,834 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid parental leave
- Disability insurance
Investigator- Remote in Nebraska
UnitedHealthcare —Omaha, NE
- $49,700 - $88,800 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Analysis skills
- AD&D insurance
- Employee stock purchase plan
SIU - Experienced Field Investigator - Part-Time
Command Investigations, LLC —Midland, TX
- $28 - $32 an hour
- Overtime
- Bilingual
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Senior (Special Investigation Unit (SIU) Investigator
AAA Life Insurance Company —Livonia, MI
- Full-time
- Remote
- Finance
- 8 years
- Analysis skills
- Life insurance
Private Investigator - Retired/Former Law Enforcement
Lemieux & Associates LLC —Reno, NV
- $25 - $30 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Mileage reimbursement
Quick Apply
SIU Manager
Berkley —Urbandale, IA
- Full-time
- 7 years
- Office
- Supervising experience

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Claims Examiner III

Wellington Insurance Group -
Fort Worth, TX

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Job Details

Full-time
8 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching

Qualifications

Bilingual
Spanish
Customer service
English
Analysis skills
Organizational skills
Negotiation

Full Job Description

As a Claims Examiner III at Wellington, you would be responsible for investigating, evaluating, negotiating, and resolving personal lines property claims (homeowner). You would also be responsible for adjusting major and complex losses in their entirety, including high dollar claims. You may also adjust standard losses.

**This role requires on-site attendance in Fort Worth, Texas**

Responsibilities

Responsible for completing coverage investigations and coverage analysis and develop a detailed resolution plan.
Responsible for providing exceptional customer service and handles claims in accordance with prescribed authority and best claims practices.
Develop relationships with customers via telephone, investigate insurance policy coverage, determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately.
Identify, analyze, and resolve coverage issues according to established Company protocol, including thorough policy review and analysis of application to the individual claim. With supervisor approval, negotiate with policyholders to settle claims of limited monetary value.
Develop and direct investigative plans. Conduct timely and detailed investigations that include scene investigation (e.g., photos, diagrams, blueprints, maps), statements, official reports (e.g., police, fire, weather, hail), and ownership documents (e.g., tax liens, judgments, encumbrances). Identify alleged and actual damages, identify potential liable parties, recognize and address potential fraud.
Conduct thorough damage development, leading to timely and adequate evaluations, including appraisals/estimates, business records, invoices, detailed inventory, purchase records, receipts, credit card statements, and ALE documents. Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations.
Establish voice to voice communication within 24 hours. Maintain effective communications with the Customer at all times. Consistently work within specific time limits and authority.
Maintain company reputation and integrity of insurance products by complying with federal and state regulations, Company protocol, and service standards. Maintain current knowledge of regulations and issues, industry activity, and trends.
Partner with SIU and Subrogation to identify questionable claims and subrogation opportunities. Assist or prepare files for suit, trial, or subrogation.
Train and mentor lower-level Examiners, as appropriate. May conduct Quality Audits.
Handle authority requests during the absence of a Supervisor.

Qualifications

Five years of related, applicable experience, but eight years is preferred.
Associates degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school.
Adjusters License for states in which the Company conducts business.
Bilingual with the ability to translate documents and verbal messages from English to Spanish (and vice versa) preferred.
Completion of a major insurance designation, or actively pursuing insurance related courses is preferred.

Wellington is an Equal Opportunity Employer and considers all qualified applicants regardless of race, gender, color, religion, national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance

Ability to Commute:

Fort Worth, TX 76116 (Required)

Ability to Relocate:

Fort Worth, TX 76116: Relocate before starting work (Required)

Work Location: In person

Quick Apply

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