Top 214 Claims representative Jobs in Washington State

Director of Claims
Enduris —Spokane, WA
- $124,900 - $187,900 a year
- Extended hours
- Hybrid work
- Background check
- 5 years
- Writing skills
- Health insurance
- Paid time off
Quick Apply
1d
Property Field Claims Adjuster Sr- Spokane, Washington and surrounding areas
COUNTRY Financial —Spokane, WA
- $77,600 - $106,700 a year
- Full-time
- Remote
- 7 years
- Senior level
- Negotiation
- Disability insurance
- Health insurance
Bilingual Customer Service Rep
Jason Hogue Agency-American Family Insurance —Pasco, WA
- $40,000 - $60,000 a year
- Full-time
- Bilingual
- Basic math
- Communication skills
- Paid training
- Dental insurance
Quick Apply
3d
Customer Service Representative
State Farm - Tim Lane Agency —Spokane Valley, WA
- From $22 an hour
- 8 hour shift
- Background check
- Microsoft Outlook
- Customer service
- Paid holidays
- Health insurance
Quick Apply
Outside Sales Representative
True North Group LLC. —Edmonds, WA
- $60,000 - $100,000 a year
- Choose your own hours
- Presentation skills
- Bachelor's degree
- Entry level
- Flexible schedule
Quick Apply
13d
340B Analyst
Skagit Regional Health —Mount Vernon, WA
- $28.36 - $42.54 an hour
- Overtime
- Hybrid work
- Background check
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Senior Claims Specialist I, Workers Compensation - West Region
Liberty Mutual —Vancouver, WA
- $67,000 - $126,000 a year
- Full-time
- Office
- 3 years
- Bachelor's degree
Customer Service and Sales Representative
Farmers Insurance and Financial Services —Bellevue, WA
- $50,000 - $65,000 a year
- Full-time
- Background check
- US work authorization
- In-person
- Health insurance
- Paid time off
Quick Apply
Customer Service and Sales Representative
Farmers Insurance and Financial Services —Bellevue, WA
- $55,000 - $65,000 a year
- Full-time
- Background check
- US work authorization
- In-person
- Health insurance
- Paid time off
Quick Apply
Sales Representative Entry-Level
True North Group LLC. —Puyallup, WA
- $50,000 - $70,000 a year
- Choose your own hours
- High school diploma or GED
- Bachelor's degree
- Experience equivalent to degree accepted
- Flexible schedule
Quick Apply
13d
Customer Service Representative - State Farm Agent Team Member
Matt Flinn - State Farm Agent —Redmond, WA
- $45,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Flexible spending account
- Paid time off
Quick Apply
Insurance Account Representative - State Farm Agent Team Member
Jason Cowgill - State Farm Agent —Pasco, WA
- $35,000 - $80,000 a year
- Full-time
- Spanish
- Communication skills
- Marketing
- 401(k)
- Paid time off
Quick Apply
1d
Customer Care Representative - Farmers Workplace Solutions (FWS)
Farmers Insurance Group —Washington State
- $22.89 - $33.48 an hour
- Monday to Friday
- Remote
- High school diploma or GED
- Fair chance
- In-person
- Paid training
- Paid parental leave
Claims Analyst - REMOTE
Ryder System —Olympia, WA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Customer service
- Bachelor's degree
- Experience equivalent to degree accepted
- Disability insurance
- Health insurance
14d
Representative, Pharmacy - Remote must reside in EST, PST or MST
Molina Healthcare —Washington State
- $21.65 - $27.62 an hour
- Full-time
- Remote
- 1 year
- Communication skills
- Entry level
- Health insurance
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Kennewick, WA
- $57,750 - $94,800 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
Representative, Support Center (Bilingual Spanish)
Molina Healthcare, Inc. —Washington State
- $21.65 - $28.82 an hour
- Overtime
- Spanish
- Sales
- Computer literacy
- Health insurance
Patient Account Customer Service Representative - Remote
Proliance Surgeons, Inc. —Seattle, WA
- $21.30 - $33.54 an hour
- Full-time
- Remote
- Microsoft Outlook
- Medical office experience
- HIPAA
- Health insurance
- Paid time off
Quick Apply
14d
Correspondence Representative
Humana —Washington State
- $40,000 - $52,300 a year
- 8 hour shift
- Remote
- Microsoft Word
- Microsoft Outlook
- Customer service
- Paid parental leave
- Paid holidays
3d
Medical Claims Representative Trainee
Progressive —Everett, WA
- $29.81 - $31.73 an hour
- Hybrid work
- Office
- US work authorization
- In-person
- Health savings account
- Disability insurance

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Director of Claims

Enduris
Spokane, WA

Quick Apply

Job Details

Full-time
$124,900 - $187,900 a year
1 day ago

Benefits

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

Qualifications

Liability determination
Insurance claims inquiry response
Term negotiation
Insurance claims settlement negotiation
Data analysis reporting
Homeowners insurance knowledge
Writing skills
Civil litigations
Data reporting
Claims negotiation
Microsoft Office
Math
Bachelor's degree
Health insurance knowledge
Insurance claims litigation
Insurance claims summary preparation
Claims documentation review
Managing insurance claims teams
Insurance claims management software
Insurance claims status tracking
Insurance claims reserve management
Data-driven decision making
General management
Insurance claims data reporting
Senior leadership

Full Job Description

About Enduris

Enduris is Washington’s premier risk-sharing pool for special-purpose districts. With a membership of approximately 500 districts, we provide liability and property coverage along with risk management solutions. Recognized both statewide and nationally, Enduris is a member-owned organization committed to exceptional service and community impact.

Role Summary

We are seeking a seasoned leader to serve as our Director of Claims. This role oversees the strategic and operational management of the claims department, ensuring fair, timely, and effective resolution of member claims. The Director will supervise internal claims adjusters, collaborate with legal counsel and members on coverage determinations, and manage third-party adjusters. This position plays a key role in shaping claims policies and procedures and contributes to the broader strategic goals of the organization.

Essential Functions:

Claims

Regular and reliable attendance in-person or virtually is required 5 days per workweek
Must be available to attend in-person meetings as requested by supervisor
Supervise and/or manage each claim submitted to Enduris, from inception to the settlement, including a preliminary coverage assessment, liability and damage determination, reserve assessment and recoveries.
Supervise the Claim staff and administrative staff supporting claims.
Work with the members and legal counsel to determine coverage and find coverage when possible
Develop and recommend Claims policies and procedures to the Executive Director
Develop and maintain Claim Management Guidelines Manual
Manage and oversee the work of Third-Party Claims adjusters
Manage all aspects of claims including investigating, evaluating and settling claims
Settle claims within authority set by Executive Director and/or Board of Directors
Obtain authority from Executive Director, Board of Directors and/or reinsurer to settle claims above the authority limit
Coordinate and oversee communication regarding claim concerns with Claims Associate, Financial Services Coordinator, Chief Operating Officer and the Executive Director
Work with the members to resolve disputes that may lead to a claim; and work with members to mitigate any potential claim
Coordinate Reservation of Rights and Denial of Coverage Letters to Members
Designate and manage claims on 'watch list'
Manage Origami (the claims information system)
Oversees verification and documentation of Medicare eligibility as required for Medicare reporting under Section 111

Litigation

Supervise and/or manage litigation of all claim files
Attend mediations, settlement conferences, depositions, arbitrations and trials as necessary
Oversee and manage Defense Counsel and supervise and/or establish a litigation strategy including approval of claims budget for each litigated file
Manage defense counsel's compliance with Enduris policies, procedures, and/or guidelines
Oversee selection of Defense Counsel
Schedule independent claims audit

General Administration

Oversee status and condition of claims files
Review and analyze reinsurance/excess policies from the broker
Evaluate, coordinate and implement changes in the Memorandum of Coverage
Regularly attend and participate in management meetings and staff meetings
Attend appropriate conferences and meetings as a representative of Enduris
Advise and assist with the development of claims and risk management training for members
Accept, develop and implement special projects as assigned

Accounting and Finance

Work with the Director of Finance, actuary and the Financial Services Coordinator for claims accounting and/or reconciliation
Prepare and manage claims files for the audit review and financial data
Coordinate loss revenues and expenses with the Financial Services Coordinator
Assist and make recommendations in the budgeting process
Performs other duties as assigned

Required Skills/Competencies:

Leadership
Managing a diverse team
Negotiating
Performing mathematical calculations
Analyzing data and using data to make decisions
Reviewing, organizing, writing, and presenting reports

Physical Activities / Working Conditions:

Working hours of 8AM-5PM M-F
Occasional travel, evenings, or extended hours may be required
Office environment, interacting with other employees in person or virtually
Ability to sit, stand, communicate, and use office technology for extended periods
Excellent written and verbal communication skills

Qualifications:

BA in Business or related field
15 or more years as a claim professional; prefer some supervisory or management experience
Experience with high-severity, bad faith exposure cases and coverage disputes
Five years of experience in multi-line claims adjustment and coverage analysis
Expertise in applying critical thinking and analysis of complex issues
Extensive knowledge and experience in litigation management
Proficiency in effectively communicating complex issues and managing complex situations
Ability to travel via car and airplane for overnight business travel
Proficient computer skills: MS-Office, Excel and Origami (claims system)
Capable of working well with others including the management team, co-workers, members and service providers

Professional certifications (highly preferred / often required):

CPCU (Chartered Property Casualty Underwriter)
ARM (Associate in Risk Management)
AIC (Associate in Claims)
SCLA (Senior Claims Law Associate)
State insurance adjuster licenses (multi-state if applicable)

Job Type: Full-time

Pay: $124,900.00 - $187,900.00 per year

Benefits:

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

People with a criminal record are encouraged to apply

Ability to Commute:

Spokane, WA 99224 (Preferred)

Work Location: Hybrid remote in Spokane, WA 99224

Quick Apply

Refine Your Search

claims representative jobs in washington state

Director of Claims

Property Field Claims Adjuster Sr- Spokane, Washington and surrounding areas

Bilingual Customer Service Rep

Customer Service Representative

Outside Sales Representative

340B Analyst

Senior Claims Specialist I, Workers Compensation - West Region

Customer Service and Sales Representative

Customer Service and Sales Representative

Sales Representative Entry-Level

Customer Service Representative - State Farm Agent Team Member

Insurance Account Representative - State Farm Agent Team Member

Customer Care Representative - Farmers Workplace Solutions (FWS)

Claims Analyst - REMOTE

Representative, Pharmacy - Remote must reside in EST, PST or MST

Claims - Field Claims Representative

Representative, Support Center (Bilingual Spanish)

Patient Account Customer Service Representative - Remote

Correspondence Representative

Medical Claims Representative Trainee

I want to receive the latest job alert for claims representative in washington state

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