Top 54 Claims representative Jobs in Maryville, Tn

Claims Adjuster
HomeFirst Agency —Maryville, TN
- $21.69 - $27.11 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Paid parental leave
- Dental insurance
Quick Apply
2d
Customer Service Representative - State Farm Agent Team Member
Steve Whitley - State Farm Agent —Knoxville, TN
- $50,000 - $70,000 a year
- Full-time
- Office
- Children
- Communication skills
- 401(k)
- Paid time off
Quick Apply
Patient Services Rep, Blount Medical Park-Joule St, Full-Time, Days
Prisma Health —Maryville, TN
- Full-time
- Hospital
- No experience needed
- High school diploma or GED
Multi-Line Representative - State Farm Agent Team Member
Steve Whitley - State Farm Agent —Knoxville, TN
- $60,000 - $80,000 a year
- Full-time
- Office
- Children
- Organizational skills
- 401(k)
- Paid time off
Quick Apply
PATIENT ACCOUNT REP II CORPORATE
Covenant Health —Knoxville, TN
- Full-time
- HIPAA
- Mid-level
- Office
CUSTOMER SERVICE REP- RBO Full Time Days
East Tennessee Children's Hospital —Knoxville, TN
- Full-time
- High school diploma or GED
- Children
- Typing
Site Coordinator
TeamHealth —Knoxville, TN
- Full-time
- Remote
- Computer literacy
- Medical office experience
- HIPAA
Denials Representative, Anesthesia
TeamHealth —Louisville, TN
- Full-time
- Hybrid work
- Computer literacy
- High school diploma or GED
- Organizational skills
- Paid holidays
- Health insurance
PT ACCOUNT REP I-CLINIC
Covenant Health —Knoxville, TN
- Full-time
- Medical office experience
- HIPAA
- Office
Utility Customer Resolution Specialist
Knoxville Utilities Board —Knoxville, TN
- $47,300 - $85,700 a year
- Overtime
- Pass drug screening
- Mid-level
- Office
- Paid holidays
- Health insurance
12d
PATIENT ACCOUNT REP I CORPORATE
Covenant Health —Knoxville, TN
- Full-time
- HIPAA
- High school diploma or GED
- Computer skills
Customer Service Representative - State Farm Agent Team Member
Ozzie Gutierrez Holden - State Farm Agent —Knoxville, TN
- $50,000 - $70,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Sage Kohler State Farm Agent —Knoxville, TN
- $40,000 - $55,000 a year
- Full-time
- Sales
- Office
- Leadership
- Health insurance
- Dental insurance
Customer Service Representative - State Farm Agent Team Member
Josh Ellis - State Farm Agent —Knoxville, TN
- $45,000 - $60,000 a year
- Full-time
- Spanish
- Office
- Communication skills
- Paid time off
- 401(k) matching
Quick Apply
Reimbursement Specialist
Helen Ross McNabb Center —Knoxville, TN
- Full-time
- Bilingual
- Background check
- Microsoft Outlook
Commercial Lines Client Service Representative
Correll Insurance Group —Knoxville, TN
- Full-time
- Word processing
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
1d
Customer Service Representative - State Farm Agent Team Member
Mansour Hasan - State Farm Agent —Knoxville, TN
- $40,000 - $70,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
Reimbursement Specialist - Insurance Verification (UTMC Program)
Helen Ross McNabb Center —Knoxville, TN
- $19.54 an hour
- Full-time
- Bilingual
- Background check
- Microsoft Outlook
Workers' Compensation Claims Coordinator
INVO CLAIMS ADMINISTRATORS —Oak Ridge, TN
- Full-time
- Customer service
- Mid-level
- Office
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Sage Kohler - State Farm Agent —Knoxville, TN
- $40,000 - $55,000 a year
- Full-time
- Sales
- Office
- Leadership
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for claims representative in maryville, tn

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims representative jobs near maryville, tn

Customer Service Representative jobs in Knoxville, TN

Patient Services Representative jobs in Maryville, TN

Patient Accounts Representative jobs in Knoxville, TN

Reimbursement Specialist jobs in Knoxville, TN

Claims Adjuster jobs in Maryville, TN

Insurance Agent jobs in Knoxville, TN

Independent Contractor Cleaning Service jobs in New York, NY

Entry Level Customer Service Representative jobs in Atlanta, GA

Medical Sales Representative jobs in Miami, FL

Customer Service Representative jobs in Leesburg, VA

Customer Service Representative jobs in Westminster, CO

Customer Service Representative jobs in Bettendorf, IA

Customer Service Representative jobs in Southaven, MS

Director Social Service jobs in Buffalo, NY

Customer Service Representative jobs in Fort Collins, CO

Software Sales Representative jobs in Dallas, TX

Customer Service Representative jobs in Cedar Park, TX

Patient Service Representative jobs in Las Vegas, NV

Customer Service Representative jobs in Arlington, TX

Customer Service Representative jobs in Chino, CA

Claims Adjuster

HomeFirst Agency
Maryville, TN

Quick Apply

Job Details

Full-time
$21.69 - $27.11 an hour
2 days ago

Benefits

Paid parental leave
On-site gym
Dental insurance
Tuition reimbursement
Parental leave
Employee assistance program
Vision insurance

Qualifications

Computer operation
High school diploma or GED
Productivity software
Video conferences (communication methods)

Full Job Description

POSITION TITLE: Claims Adjuster I

JOB STATUS: Full-time/Hourly

DEPARTMENT: Claims

REPORTS TO: Claims Team Lead

TRAVEL REQUIRED: As needed

WORK SCHEDULE: Hybrid - 3 days in office, 2 days remote after training.

PAY: The expected hiring range for this position is from $21.69 to $27.11 plus additional bonus opportunity. The stated hiring range is based on experience, qualifications, and other relevant factors. Final compensation decisions will take into account a variety of considerations, including individual skills, internal equity, and organizational needs.

HomeFirst® Agency is a leading insurance agency offering a wide range of insurance products from nationally-known insurance companies to protect your home, property and life. We strive to help customers find the right insurance products to fit their needs at competitive rates. Located in Maryville, Tennessee, we offer homeowners insurance to customers nationwide, and insurance to protect your other property and life in select states. For over 20 years, we have helped customers with their insurance needs. Today, we have more than 180,000 customers.

JOB SUMMARY

The Claims Adjuster I reviews claims related to property damage or loss. This position reports to the Claims Team Lead and works with various experts during the claims process to obtain accurate assessments and support in claims decisions. The Claims Adjuster I partners with Claims Trainer and Claims Team Lead to interpret the terms and conditions of insurance policies to determine coverage and exclusions applicable to each claim. This position also engages with policyholders to gather information, provide updates on the status of claims, and explain the claims process and decisions.

JOB FUNCTIONS:

Claims Handling and Investigating

Maintains accurate and detailed notes regarding interactions, decisions, and actions taken throughout a claim.

Partners with Claims Team Lead and Trainers to review, evaluate, and investigate photos, estimates, forms, receipts, inspection reports, and official reports presented on a claim.

Reviews, partners, and processes property damage claims submitted by policyholders.

Reviews insurance policies to determine coverage by working with Claims Trainers and leadership to interpret and apply policy provisions to claims under consideration based on coverage and investigation findings.

Conducts, records, and interviews with those insured to secure information regarding personal loss.

Works with claimants or representatives of claimants (contractors, public adjusters, attorneys, or other legal representatives) to gather necessary information regarding the claim and to negotiate fair and equitable settlements, overseen by Claims Team Lead.

Collaborates with other insurance carriers as needed regarding duplicate claims and coverage.

Selects and assigns claims for inspections.

Requests and issues settlement checks with explanation letters based on policy terms and investigation findings, with limited authority.

Prepares and issues denial letters to claimants, clearly outlining the reasons for denial based on policy terms and investigation findings.

Identifies potential fraudulent claims and refers for additional investigation as warranted.

Ensures claims handling complies with company and regulatory policies.

Escalates complex insurance claims to management and legal teams including those subject to complaints and litigation.

Consults with Claims Team Leads to resolve disagreements with a claim, utilizing alternative dispute resolutions (arbitration, appraisal, and mediation).

Collaborates with management on arbitration, appraisal, and mediations.

Maintains workflow to ensure timely processing of claims.

Partners with Claims leadership on difficult or unusual situations that arise on claims.

Prepares response letters to complaints or legal issues received.

Customer Service

Provides excellent customer service by maintaining professional and constant dialogue with claimants in addition to handling claims promptly, efficiently, and with empathy.

Communicates regularly with policyholders or other relevant parties providing updates on the status of claims and addressing any questions or concerns.

Provides support to related teams during high work volume to meet or exceed established service levels.

Educates policyholders on the claim process and coverages by maintaining open communication throughout the claim duration.

Sorts and responds to incoming emails.

Training and Education

Assists with one-on-one training or job shadowing for new hires.

Completes required state continuing education requirements to maintain and renew adjuster license.

Other duties as assigned

This job description is not an exhaustive list of all the functions that a team member performs and other duties may be assigned.

QUALIFICATIONS:

Education: High School diploma or equivalent required, college degree preferred.

Experience: 0-2 years of related experience preferred.

Travel as needed.

Must have strong computer skills with ability to navigate Microsoft Office Suite.

Maintains excellent knowledge of state and federal laws and regulations.

Ability to communicate effectively and efficiently via phone, email, and person to person.

Capability of gathering facts accurately, analyzing causes, evaluating alternate solutions, and arriving at sound conclusions on action to be taken.

Ability to manage multiple and/or conflicting responsibilities.

Great attention to detail, organizational skills, and time management.

Good sense of urgency and follow up.

Ability to handle stressful situations.

Ability to work in a team environment.

Ability to make relatively complex decisions.

Licenses/Certifications : A current Property & Casualty Adjuster license preferred but not required. Must obtain license within 90 days of hire if not currently licensed and maintain state licensing requirements through the completion of continuing education when required by the state.

Knowledge, Skills and Abilities (KSAs):

Must have strong computer skills with ability to navigate Microsoft Office Suite

Maintains excellent knowledge of state and federal laws and regulations

Claims experience helpful, working knowledge of AS/400 and basic understanding of insurance a plus

Ability to communicate effectively and efficiently via phone, email, and person to person

Capable of gathering facts accurately, analyze causes, evaluate alternate solutions, and arriving at sound conclusions on action to be taken

Ability to manage multiple and/or conflicting responsibilities

Great attention to detail, organizational skills, and time management

Good sense of urgency and follow up

Ability to handle stressful situations

Ability to work in a team environment

Capable of dealing with changes that can and will occur periodically

Ability to make complex decisions

PHYSICAL DEMANDS:

Must be able to remain in a stationary position 75% of the time.

Will be constantly operating a computer and other office productivity machinery, such as a telephone, calculator, copy machine, and computer printer.

Will be communicating via phone, Teams, and Zoom.

Must be able to exchange accurate information at all times.

Must be able to identify and assess account status and determine appropriate process.

Will primarily work in a state-of-the-art indoor temperature controlled, sealed window office environment, while working a hybrid schedule.

Here are some more reasons to choose HomeFirst Agency!

Full-time team members have the flexibility to create their own health, dental, and vision benefits package. HomeFirst Agency provides competitive 401(k) programs, including investment options and company matching for full and part time team members after one year to help our team members achieve their financial goals. Additional benefits include paid parental leave, tuition reimbursement, Employee Assistance Programs, and more.

As part of HomeFirst’s commitment to Opening Doors to a Better Life, HFA is now providing paid time for Team Members to volunteer to causes that are meaningful to them through the Clayton Impact program.

At HFA, we encourage holistic wellness with physical, nutritional, social, financial, spiritual, and occupational programs available online or in-person for team members.

Our newly renovated Home Office campus offers an onsite restaurant, onsite fitness facility with full gym, in-person and virtual workout classes, yoga/barre studio, volleyball, and basketball courts, walking paths, and a disc golf course.

Clayton is committed to creating an inclusive workplace. HomeFirst Agency is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

HomeFirst Agency. Where you start a job and gain a career!

Business Unit -

Homefirst Agency

Work Location: Hybrid remote in Maryville, TN 37804

Quick Apply

Refine Your Search

claims representative jobs in maryville, tn

Claims Adjuster

Customer Service Representative - State Farm Agent Team Member

Patient Services Rep, Blount Medical Park-Joule St, Full-Time, Days

Multi-Line Representative - State Farm Agent Team Member

PATIENT ACCOUNT REP II CORPORATE

CUSTOMER SERVICE REP- RBO Full Time Days

Site Coordinator

Denials Representative, Anesthesia

PT ACCOUNT REP I-CLINIC

Utility Customer Resolution Specialist

PATIENT ACCOUNT REP I CORPORATE

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Reimbursement Specialist

Commercial Lines Client Service Representative

Customer Service Representative - State Farm Agent Team Member

Reimbursement Specialist - Insurance Verification (UTMC Program)

Workers' Compensation Claims Coordinator

Customer Service Representative - State Farm Agent Team Member

I want to receive the latest job alert for claims representative in maryville, tn

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected