Financial Services

Claims Adjusters, Examiners, and Investigators

Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures.

A Day In The Life

Financial Services Industry

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Salary Breakdown

Claims Adjusters, Examiners, and Investigators

Average

$59,030

ANNUAL

$28.38

HOURLY

Entry Level

$37,760

ANNUAL

$18.16

HOURLY

Mid Level

$55,350

ANNUAL

$26.61

HOURLY

Expert Level

$80,370

ANNUAL

$38.64

HOURLY


Current Available & Projected Jobs

Claims Adjusters, Examiners, and Investigators

82

Current Available Jobs

15,160

Projected job openings through 2030


Sample Career Roadmap

Claims Adjusters, Examiners, and Investigators

Job Titles

Entry Level

JOB TITLE

Entry-level Adjuster

Mid Level

JOB TITLE

Mid-level Adjuster

Expert Level

JOB TITLE

Senior Adjuster, or Partner

Supporting Programs

Claims Adjusters, Examiners, and Investigators

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Arizona State University
 Credential    In Person

Arizona State University
 Bachelor's Degree    In Person

Arizona State University
 Master's Degree    In Person

Arizona State University
 Credential    In Person

Chandler-Gilbert Community College (MCCCD)
 Associate's Degree    In Person

Estrella Mountain Community College (MCCCD)
 Associate's Degree    In Person

Glendale Community College (MCCCD)
 Associate's Degree    In Person

GateWay Community College (MCCCD)
 Associate's Degree    In Person

Paradise Valley Community College (MCCCD)
 Associate's Degree    In Person

Rio Salado College (MCCCD)
 Associate's Degree    In Person

Scottsdale Community College (MCCCD)
 Associate's Degree    In Person

South Mountain Community College (MCCCD)
 Associate's Degree    In Person

Mesa Community College (MCCCD)
 Associate's Degree    In Person

Estrella Mountain Community College
 Associate's Degree    In Person

Phoenix College (MCCCD)
 Associate's Degree    In Person

University of Arizona
 Bachelor's Degree    In Person

University of Arizona
 Bachelor's Degree    In Person

University of Arizona
 Bachelor's Degree    In Person

ASU
 Bachelor's Degree    In Person

Top Expected Tasks

Claims Adjusters, Examiners, and Investigators


Knowledge, Skills & Abilities

Claims Adjusters, Examiners, and Investigators

Common knowledge, skills & abilities needed to get a foot in the door.

KNOWLEDGE

Customer and Personal Service

KNOWLEDGE

English Language

KNOWLEDGE

Administrative

KNOWLEDGE

Mathematics

KNOWLEDGE

Computers and Electronics

SKILL

Reading Comprehension

SKILL

Active Listening

SKILL

Critical Thinking

SKILL

Speaking

SKILL

Judgment and Decision Making

ABILITY

Written Comprehension

ABILITY

Oral Comprehension

ABILITY

Oral Expression

ABILITY

Deductive Reasoning

ABILITY

Inductive Reasoning


Job Opportunities

Claims Adjusters, Examiners, and Investigators

  • Customer Care Specialist
    Tucson Electric Power    Kingman, AZ 86409
     Posted about 20 hours    

    **Customer Care Specialist**

    Company **UniSource Energy Electric**

    Location **Kingman, AZ**

    Requisition ID **5768**

    **About Us**

    UNS Energy Corporation (http://www.uns.com) , headquartered in Tucson, Arizona, is a subsidiary ofFortis Inc. (https://www.fortisinc.com) , the largest investor-owned electric and gas distribution utility in Canada. Our public utility subsidiaries, Tucson Electric Power Company, UNS Electric, Inc. and UNS Gas, Inc., power our economy by providing electric and gas service to nearly 700,000 customers in Arizona.

    We embrace a spirit of giving, dedicated to improving quality of life in the communities we have served for generations, and in TEP’s case, since the 1890s. We’re building a cleaner, greener grid, with more wind and solar power than ever before, while maintaining safe, reliable, and affordable service.

    **Your Employer of Choice**

    Our culture is rooted inshared core values (https://www.tep.com/careers/#values) that define how we work and who we are. Our team of innovative professionals bring their authentic selves to work each day to power our vision and make a difference. Be Part of Our Story.

    We create opportunities for employees to thrive through:

    + **Continual growth:** In an industry changing faster than ever before, our commitment to professional growth and leadership development means we never stop challenging ourselves to explore new possibilities.

    + **Active Engagement:** We support a collaborative environment, with peer-to-peer learning and employee-driven groups that foster an inclusive culture.

    + **Total compensation:** UNS Energy Corporation also offers a competitive compensation and benefits package that includes a 401k plan with a generous company match, a company-sponsored pension plan, affordable individual and family health insurance plans, tuition assistance, life insurance, long-term disability insurance and much more.

    Hear from some of our employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) .

    **Job Description - Customer Care Specialist**

    Position Title:

    Customer Care Specialist

    Business Reporting Unit:

    UNSE Kingman Elect Cust Svc

    FLSA Status:

    Non-Exempt

    Level:

    Non-Manager

    EEOC Category:

    Administrative Support Workers

    EEOC Job Group

    Admin Support - Classified

    Does this position involve transmission and/or marketing functions? - TRM, MKT, or N/A

    No

    CIP status -Cyber, Physical, Both or Neither (Select one)

    No

    Job Code

    KG005

    Safety Sensitive:

    No

    Last Business Review Date

    10/25/2023

    Position Description

    Responsible for retail customer billing services for all Divisions – TEP, UNS Electric and UNS Gas. Maintain established productivity and quality standards.Represent Company professionally, promote a positive attitude and a team environment.

    Position-Related Responsibilities

    · Analyze meter read edits

    · Analyze billing exceptions

    · Process usage generation estimates

    · Analyze validation queries

    · Generate / process service requests

    · Process pre / post billing adjustments

    · Monitor commercial accounts for appropriate rate

    · Perform quality assurance and records management functions

    · May assist in handling customer inquiries, including ACC Complaints and Inquiries

    · Promote team environment; lead by example, represent company professionally

    · This position may provide services to affiliates of the Company subject to the UNS Energy Code of Conduct and the related Policies and Procedures.

    Knowledge, Skills and Abilities

    · Advanced Customer Information System skills desired

    · Demonstrated software skills (i.e. MS Office Suite)

    · Demonstrated problem solving and analytical skills

    · Demonstrated conflict resolution skills

    · Knowledge of basic accounting principles desired

    · Ability to read meter registers desired

    · Thorough knowledge of ACC Rules & Regulations desired

    · Thorough knowledge of rate schedules & tariffs desired

    · Excellent communication and organizational skills

    · Strong interpersonal skills

    · Demonstrated teamwork

    · High school diploma or equivalent

    All employees are expected and required to adhere to the Company Code of Ethics and Principles of Conduct.

    Starting pay: $27.07/hr

    Closes: 10/01/2024

    **Pay Rate:** $27.07

    **All job offers are contingent on successful completion of a pre-employment drug screen and background check.**

    California Job Applicants -click here (https://www.tep.com/california-job-applicant-and-independent-contractor-privacy-notice/) to see our Job Applicant Privacy Notice.


    Employment Type

    Full Time

  • Avail Customer Care Specialist
    Realtor.com    Scottsdale, AZ 85258
     Posted about 20 hours    

    **At** **Realtor.com®, we have among the most comprehensive and accurate coverage of real estate listings and the most engaged users across all the online real estate portals. Our mission is to make buying, selling, renting, and living in homes easier and more rewarding for everyone.**

    **Building your career? Build it better at Realtor.com®. Join us** **and** **help change the world of real estate, one home at a time.**

    **Avail Customer Care Specialist**

    **Location: Scottsdale or Austin**

    This role will align with the Avail team, a part of the realtor.com® network. Avail offers a software platform with a complete set of tools, guidance, and best in class educational content providing landlords with everything they need to be confident and professional.

    Are you a people expert? Are you eager to create lasting impressions by using your ability to teach, empathize, and build relationships? At Avail, we are as passionate about our customers as we are about improving the rental process for everyone. In this role, you will be our customer's first point of contact, and you will have the opportunity to drive the value they find on the platform. We build our policies around our favorite company values- Customers Are Our North Star and People Are Our Foundation! What we mean by that is the people on our team are just as important as our customers. If you want to pursue your professional goals as you help grow an innovative real estate tech company, this work is for you. Join us as our newest **_Customer Care Specialist_** and help change the world of real estate, one home at a time.

    **What you’ll do:**

    + _Develop a deep knowledge of_ _Avail.co_ _products and services_

    + _Guide and support customers through phone and email channels as they learn to navigate the renter and landlord lifecycle from beginning to end_

    + _Help customers troubleshoot issues of low to medium complexity levels_

    + _Answer questions for landlords and tenants about topics such as:_

    + _How do I list my property?_

    + _How do I apply?_

    + _How do I build a residential lease that complies with my state laws?_

    + _How do ACH payments work?_

    + _Identify the need for and create self-help solutions for customers and internal team members_

    **How we work**

    We balance creativity and innovation on a foundation of in-person collaboration. For most roles, our employees work three or more days in our offices, where they have the opportunity to collaborate in-person, adding richness to our culture and knitting us closer together. This is a hybrid role based in Scottsdale, Arizona.

    **What you’ll bring:**

    + _Deep passion and drive to help others and humanize the customer service experience_

    + _At least 1 year of supporting customers by taking high volume inbound calls_

    + _At least 2 years experience in customer-facing roles_

    + _Expert-level written and oral communication_

    + _Bachelor's Degree, preferred_

    + _Experience working with a fast-growth technology company, preferred_

    + _Experience in the following tools: Zendesk and JIRA, preferred_

    **Do the best work of your life at Realtor.com®**

    Here, you’ll partner with a diverse team of experts as you use leading-edge tech to empower everyone to meet a crucial goal: finding their way home. And you’ll find your way home too. People are our foundation—the core that drives us passionately forward. At **Realtor.com®** , you’ll bring your full self to work as you innovate with speed, serve our consumers, and champion your teammates. In return we’ll provide you with a warm, welcoming, and inclusive culture; intellectual challenges; and the development opportunities you need to grow.

    _Diversity is important to us, therefore,_ **Realtor.com®** _is an Equal Opportunity Employer regardless of age, color, national origin, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, marital status, status as a disabled veteran and/or veteran of the Vietnam Era or any other characteristic protected by federal, state or local law. In addition,_ **Realtor.com®** _will provide reasonable accommodations for otherwise qualified disabled individuals._


    Employment Type

    Full Time

  • Claims Adjuster (SCA) HHG/Military Move
    HomeSafe Alliance    Phoenix, AZ 85067
     Posted about 20 hours    

    **Title:**

    Claims Adjuster (SCA) HHG/Military Move

    **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

    When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

    Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

    As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

    The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to support and promote process improvement methodologies and best practices that enhance claims service.

    **This is an SCA position** .

    **Position Summary** :

    **HomeSafe Alliance** is seeking experienced Claims Adjustors with experience in HHG/Military Move to process and settle claims according to DOD regulations and/or account requirements within the required company timeframe. Adjust claims and make payments and chargeback assessments for cargo, property damage, inconvenience claims, and MCO Demand settlement according to company policies. The claims adjuster responds to internal and external customer disputes and inquiries according to company policies. Must be exceptionally customer service oriented, have effective listening, verbal, and written communication skills, and possess a friendly, helpful demeanor.

    **Required Education, Knowledge & Skills:**

    + High school diploma, some college-related courses or Associates Degree desired

    + Previous claims adjusting experience preferred in personal property or cargo claims

    + Must be a U.S. citizen due to contractual requirements.

    + Excellent oral and written communication skills

    + Proficient computer skills – MS Office: Outlook, Word, Excel, PowerPoint)

    + Detail-oriented with superior organizational and time management skills

    + Positive interpersonal and problem-resolution skills

    **Job Functions:**

    + Analyze, process, and settle incoming DOD claims in accordance with company policies and within assigned time limits (and per DOD regulations if applicable), assuring that an average claims settlement quota per week is met. This includes cargo, property, and inconvenience claims as assigned.

    + Assess claims liability and chargebacks in accordance with contracts and policies, including providing advance notice of chargeback to agents.

    + Respond to internal and external customer disputes and inquiries, assuring timely response per company policy whether the dispute is in writing or by phone.

    + Utilize the internet as a source for dollar amount comparisons

    + Pay routine repair invoices

    + Answer and direct incoming calls

    + Provide excellent customer service using sound judgment and decision making

    + Strong time management and organization skills with the ability to prioritize and complete assignments on schedule

    + Professional, friendly customer-centered demeanor

    + Ensure claims files are properly documented and claims coding is accurate

    + Typing, filing, scanning, copying, and general office clerical duties

    + Ability to interpret procedures and ensure understanding of compliance

    + Performs other job-related duties as needed

    **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment, employee provided **high speed internet is required.**

    **Inclusion and Diversity at HomeSafe Alliance:**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!

    **INCLUSION AND DIVERSITY AT KBR**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture.

    These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

    **HomeSafe​ — Delivering Solutions, Changing the World.**

    HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

    More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

    With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We thank you for your service, and for the privilege of serving you in return.

    **A** **t HomeSafe,** **We Deliver.**

    **Fraud Alert**

    Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

    HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!


    Employment Type

    Full Time

  • Senior Claims Specialist - Construction Defect - National Claims Services
    CRC Insurance Services, Inc.    Remote, AZ
     Posted about 21 hours    

    **The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.**

    _If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to_ Accessibility ([email protected]?subject=Accommodation%20request) _(accommodation requests only; other inquiries won't receive a response)._

    **Regular or Temporary:**

    Regular

    **Language Fluency:** English (Required)

    **Work Shift:**

    1st Shift (United States of America)

    **Please review the following job description:**

    Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department.

    **ESSENTIAL DUTIES AND RESPONSIBILITIES**

    Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

    1. Supervise a multi-person team ensuring all pertinent information is communicated.

    2. Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium, attachments, etc.

    3. Authenticate all relevant activity on assigned files and makes recommendation for additional activity as appropriate.

    4. Determine where new loss claims should be reported.

    5. Manage all claim documentation.

    6. Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.

    7. Analyze claim coverage with insurance carriers to ensure claims are paid accurately.

    8. Assess eligibility status of denied claims.

    9. Anticipate and meets all customer needs (both internal and external).

    10. Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. from outside sources.

    11. Process all departmental claims in a timely manner according to company policy.

    12. Facilitate the training of new employees in the department.

    13. Provide supervision to Claims Assistants.

    14. Perform other duties as assigned.

    **QUALIFICATIONS**

    **Required Qualifications:**

    The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    1. Bachelor's degree with a concentration in business or equivalent work experience

    2. Three years of Claims handling experience and commercial and multi-line knowledge

    3. Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations

    4. Ability to make independent decisions following CRC guidelines with minimal or no supervision

    5. Good organizational, time management, and detail skills

    6. Extensive knowledge of insurance and CRC processes

    7. Ability to maintain a high level of tact and professionalism

    8. Good leadership skills to influence all departmental employees in a positive manner

    9. Possess strong interpersonal skills

    10. Strong verbal and written communication skills

    11. Strong computer and office skills

    12. Ability to work extended hours when necessary

    **Preferred Qualifications:**

    1. Adjusting experience

    **General Description of Available Benefits for Eligible Employees of TIH Insurance:** All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on TIH's generous benefit plans, please visit our site (https://tihinsurance.com/careers) . Depending on the position and division, this job may also be eligible for TIH’s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

    **_CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace._**

    EEO is the Law (https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf) Pay Transparency Nondiscrimination Provision E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\_Participation\_Poster\_ES.pdf)

    Join CRC Group, a leader in specialty wholesale insurance, and take your career to new heights. We're a dynamic team dedicated to innovation, collaboration, and excellence.

    Why CRC Group?

    • Growth: Advance your career with our learning and leadership development programs.

    • Innovation: Work in a forward-thinking environment that values new ideas.

    • Community: Be part of a supportive team that celebrates success together.

    • Benefits: Enjoy competitive compensation, health benefits, and retirement plans.

    Who We’re Looking For

    We seek passionate individuals who thrive in a fast-paced, collaborative environment. If you value integrity and are driven to succeed, CRC Group is the place for you.


    Employment Type

    Full Time

  • Claims Adjuster - Liability
    Sedgwick    Flagstaff, AZ 86011
     Posted 4 days    

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

    A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

    Great Place to Work®

    Most Loved Workplace®

    Forbes Best-in-State Employer

    Claims Adjuster - Liability

    **PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

    **ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

    + Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

    + Assesses liability and resolves claims within evaluation.

    + Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

    + Manages subrogation of claims and negotiates settlements.

    + Communicates claim action with claimant and client.

    + Ensures claim files are properly documented and claims coding is correct.

    + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

    + Maintains professional client relationships.

    **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

    + Performs other duties as assigned.

    + Supports the organization's quality program(s).

    + Travels as required.

    **QUALIFICATION**

    **Education & Licensing**

    Bachelor's degree from an accredited college or university preferred.

    **Experience**

    Four (4) years of claims management experience or equivalent combination of education and experience required.

    **Skills & Knowledge**

    + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

    + Excellent oral and written communication, including presentation skills

    + PC literate, including Microsoft Office products

    + Analytical and interpretive skills

    + Strong organizational skills

    + Good interpersonal skills

    + Excellent negotiation skills

    + Ability to work in a team environment

    + Ability to meet or exceed Service Expectations

    **WORK ENVIRONMENT**

    When applicable and appropriate, consideration will be given to reasonable accommodations.

    **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    **Physical:** Computer keyboarding, travel as required

    **Auditory/Visual** : Hearing, vision and talking

    NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

    **Pay Transparency:**

    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 $50,000. 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

    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.**

    **Taking care of people is at the heart of everything we do. Caring counts**

    Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)


    Employment Type

    Full Time

  • Claims Adjuster - Liability
    Sedgwick    Phoenix, AZ 85067
     Posted 4 days    

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

    A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

    Great Place to Work®

    Most Loved Workplace®

    Forbes Best-in-State Employer

    Claims Adjuster - Liability

    **PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

    **ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

    + Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

    + Assesses liability and resolves claims within evaluation.

    + Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

    + Manages subrogation of claims and negotiates settlements.

    + Communicates claim action with claimant and client.

    + Ensures claim files are properly documented and claims coding is correct.

    + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

    + Maintains professional client relationships.

    **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

    + Performs other duties as assigned.

    + Supports the organization's quality program(s).

    + Travels as required.

    **QUALIFICATION**

    **Education & Licensing**

    Bachelor's degree from an accredited college or university preferred.

    **Experience**

    Four (4) years of claims management experience or equivalent combination of education and experience required.

    **Skills & Knowledge**

    + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

    + Excellent oral and written communication, including presentation skills

    + PC literate, including Microsoft Office products

    + Analytical and interpretive skills

    + Strong organizational skills

    + Good interpersonal skills

    + Excellent negotiation skills

    + Ability to work in a team environment

    + Ability to meet or exceed Service Expectations

    **WORK ENVIRONMENT**

    When applicable and appropriate, consideration will be given to reasonable accommodations.

    **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    **Physical:** Computer keyboarding, travel as required

    **Auditory/Visual** : Hearing, vision and talking

    NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

    **Pay Transparency:**

    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 $50,000. 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

    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.**

    **Taking care of people is at the heart of everything we do. Caring counts**

    Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)


    Employment Type

    Full Time

  • Claims Adjuster - Liability
    Sedgwick    Tucson, AZ 85702
     Posted 4 days    

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

    A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

    Great Place to Work®

    Most Loved Workplace®

    Forbes Best-in-State Employer

    Claims Adjuster - Liability

    **PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

    **ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

    + Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

    + Assesses liability and resolves claims within evaluation.

    + Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

    + Manages subrogation of claims and negotiates settlements.

    + Communicates claim action with claimant and client.

    + Ensures claim files are properly documented and claims coding is correct.

    + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

    + Maintains professional client relationships.

    **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

    + Performs other duties as assigned.

    + Supports the organization's quality program(s).

    + Travels as required.

    **QUALIFICATION**

    **Education & Licensing**

    Bachelor's degree from an accredited college or university preferred.

    **Experience**

    Four (4) years of claims management experience or equivalent combination of education and experience required.

    **Skills & Knowledge**

    + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

    + Excellent oral and written communication, including presentation skills

    + PC literate, including Microsoft Office products

    + Analytical and interpretive skills

    + Strong organizational skills

    + Good interpersonal skills

    + Excellent negotiation skills

    + Ability to work in a team environment

    + Ability to meet or exceed Service Expectations

    **WORK ENVIRONMENT**

    When applicable and appropriate, consideration will be given to reasonable accommodations.

    **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    **Physical:** Computer keyboarding, travel as required

    **Auditory/Visual** : Hearing, vision and talking

    NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

    **Pay Transparency:**

    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 $50,000. 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

    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.**

    **Taking care of people is at the heart of everything we do. Caring counts**

    Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)


    Employment Type

    Full Time

  • Auto Claim Representative Trainee
    Travelers Insurance Company    Phoenix, AZ 85067
     Posted 5 days    

    **Who Are We?**

    Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

    **Job Category**

    Claim

    **Compensation Overview**

    The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

    **Salary Range**

    $40,600.00 - $66,900.00

    **Target Openings**

    1

    **What Is the Opportunity?**

    This position is part of a formal training program to advance to a Auto claim representative position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.

    **What Will You Do?**

    + Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.

    + The on the job training includes practice and execution of the following core assignments:

    + Participates in on-going training sessions for the inside auto business.

    + Works closely with Unit Manager or mentor to promptly resolve assigned claim.

    + Customer Contacts/Experience:

    + Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file.

    + Coverage Analysis:

    + Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply.

    + Investigation/Evaluation:

    + Investigates each claim to obtain relevant facts necessary to determine coverage, causation, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, etc.) Takes recorded statements as necessary.

    + Recognizes and requests appropriate inspection type based on the details of the loss and coordinate the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling.

    + Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e., Subrogation, SIU, Property, Adverse Subrogation, etc.).

    + Reserving:

    + Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner.

    + Negotiation/Resolution:

    + Determines settlement amounts based upon appraisal estimate, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants.

    + May provide support to other parts of Auto Line of Business (e.g. Total Loss, Salvage, etc.) when needed.

    + Insurance License:

    + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.

    + Perform other duties as assigned.

    **What Will Our Ideal Candidate Have?**

    + Bachelor’s Degree preferred or a minimum of 2 years of work OR customer service related experience preferred.

    + Demonstrated ownership attitude and customer centric response to all assigned tasks - basic

    + Ability to work in a high volume, fast paced environment managing multiple priorities - basic

    + Attention to detail ensuring accuracy - basic

    + Keyboard skills and Windows proficiency, including Excel and Word - Intermediate

    + Verbal and written communication skills –Intermediate

    + Analytical Thinking - Basic

    + Judgment/Decision Making - Basic

    **What is a Must Have?**

    + High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree required.

    **What Is in It for You?**

    + **Health Insurance** : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.

    + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.

    + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.

    + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.

    + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

    **Employment Practices**

    Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

    In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

    If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ([email protected]) so we may assist you.

    Travelers reserves the right to fill this position at a level above or below the level included in this posting.

    To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .


    Employment Type

    Full Time

  • Avail Customer Care Specialist
    Realtor.com    Scottsdale, AZ 85258
     Posted 6 days    

    **At** **Realtor.com®, we have among the most comprehensive and accurate coverage of real estate listings and the most engaged users across all the online real estate portals. Our mission is to make buying, selling, renting, and living in homes easier and more rewarding for everyone.**

    **Building your career? Build it better at Realtor.com®. Join us** **and** **help change the world of real estate, one home at a time.**

    **Avail Customer Care Specialist**

    **Location: Scottsdale**

    This role will align with the Avail team, a part of the realtor.com® network. Avail offers a software platform with a complete set of tools, guidance, and best in class educational content providing landlords with everything they need to be confident and professional.

    Are you a people expert? Are you eager to create lasting impressions by using your ability to teach, empathize, and build relationships? At Avail, we are as passionate about our customers as we are about improving the rental process for everyone. In this role, you will be our customer's first point of contact, and you will have the opportunity to drive the value they find on the platform. We build our policies around our favorite company values- Customers Are Our North Star and People Are Our Foundation! What we mean by that is the people on our team are just as important as our customers. If you want to pursue your professional goals as you help grow an innovative real estate tech company, this work is for you. Join us as our newest **_Customer Care Specialist_** and help change the world of real estate, one home at a time.

    **What you’ll do:**

    + _Develop a deep knowledge of_ _Avail.co_ _products and services_

    + _Guide and support customers through phone and email channels as they learn to navigate the renter and landlord lifecycle from beginning to end_

    + _Help customers troubleshoot issues of low to medium complexity levels_

    + _Answer questions for landlords and tenants about topics such as:_

    + _How do I list my property?_

    + _How do I apply?_

    + _How do I build a residential lease that complies with my state laws?_

    + _How do ACH payments work?_

    + _Identify the need for and create self-help solutions for customers and internal team members_

    **How we work**

    We balance creativity and innovation on a foundation of in-person collaboration. For most roles, our employees work three or more days in our offices, where they have the opportunity to collaborate in-person, adding richness to our culture and knitting us closer together. This is a hybrid role based in Scottsdale, Arizona.

    **What you’ll bring:**

    + _Deep passion and drive to help others and humanize the customer service experience_

    + _At least 1 year of supporting customers by taking high volume inbound calls_

    + _At least 2 years experience in customer-facing roles_

    + _Expert-level written and oral communication_

    + _Bachelor's Degree, preferred_

    + _Experience working with a fast-growth technology company, preferred_

    + _Experience in the following tools: Zendesk and JIRA, preferred_

    **Do the best work of your life at Realtor.com®**

    Here, you’ll partner with a diverse team of experts as you use leading-edge tech to empower everyone to meet a crucial goal: finding their way home. And you’ll find your way home too. People are our foundation—the core that drives us passionately forward. At **Realtor.com®** , you’ll bring your full self to work as you innovate with speed, serve our consumers, and champion your teammates. In return we’ll provide you with a warm, welcoming, and inclusive culture; intellectual challenges; and the development opportunities you need to grow.

    _Diversity is important to us, therefore,_ **Realtor.com®** _is an Equal Opportunity Employer regardless of age, color, national origin, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, marital status, status as a disabled veteran and/or veteran of the Vietnam Era or any other characteristic protected by federal, state or local law. In addition,_ **Realtor.com®** _will provide reasonable accommodations for otherwise qualified disabled individuals._


    Employment Type

    Full Time

  • Team Leader, Absence Claim Managment
    Guardian Life    Phoenix, AZ 85067
     Posted 6 days    

    **Job Posting Title**

    **Team Leader, Absence Claims Management**

    **Job Description**

    The **Team Leader, Absence Claims Management** is responsible for leading a team of Absence Management Case Managers to get results within their team and the organization. The Team Leader will serve as a primary resource and provide direction to team members by setting objectives, communicating progress, and holding the staff accountable for adhering to all quality assurance, turnaround time, operational efficiency, and best practice standards. The Team Leader is responsible for assisting staff with career development and career progression, along with encouraging candor and challenging the status quo to continuously improve the way we work. The Team Leader partners with internal cross functional areas for program direction, goal setting, service delivery and development of action plans and using bench strength.

    The Team Leader will validate that all FML, STD, State, and PFL are accurately adjudicated according to plan provisions, established standard methodologies and within state and federal guidelines. The Team Leader must be able to manage and resolve issues that pertain to claim administration procedures, cost containment activities, reports, quality control and complex customer issues. The Team Leader will work with external customers/clients to enhance the overall experience for the customer. The Team Leader is responsible for the overall functioning of the team and communicating to leadership on team status and performance.

    **You will:**

    + Partner with leadership to develop and communicate objectives and performance goals for the team.

    + Manage direct reports’ performance by coordinating with HR to implement coaching plans and performance improvement plans.

    + Develop employee goals to promote career growth that enhance level of knowledge for future opportunities.

    + Collaborate with internal business partners including Short Term Disability, Long Term Disability, Service, Sales and Account Management, Group Quality Management, and other areas within the Company.

    + Create regular action plans based on results from employee engagement surveys – the Team Leader owns and acts on engagement survey results.

    + Review and analyze daily, weekly, and monthly reports on team productivity 1) for operational reporting and monitoring purposes; 2) to identify trends and training opportunities; and 3) to create action plans for improvement.

    + Review processes/reports regularly for process improvement opportunities.

    + Own relationship with client and get involved, when necessary, in meetings, phone calls, and closing the loop on service issues.

    + Prioritize the customer/client experience in day-to-day interactions and processes.

    + Identify Continuous Improvement opportunities by reviewing process and eliminating unnecessary steps.

    + Empower staff to submit process improvement ideas to revise workflows and procedures.

    + Support claims initiatives by encouraging/providing relevant feedback and acting as a change leader for project rollouts.

    + Schedule and facilitate team meetings and individual touchpoints.

    + Mentor, coach, supervise and develop talent of direct reports by acting as a partner in recommending and coordinating training resources, tools, and plans for individuals to achieve personal and departmental goals and objectives.

    + Review claim staff QA/CMA assessments for training or enhancement opportunities.

    + Use data and analytics to improve or change business process/procedures and team outcomes procedures and team outcomes.

    **You have:**

    + Bachelor’s degree in related field and/or equivalent relevant disability work experience; integrated absence management preferred.

    + 5+ years of disability claims experience.

    + 3+ years of demonstrated leadership experience.

    + Extensive knowledge of disability products, business rules and procedures.

    + Familiarity with mandated state and federal regulations.

    + Professional oral, written and presentation skills.

    + Proven organizational and time management skills.

    + Excellent math aptitude and analytical skills

    + Strong PC skills, including Microsoft Office applications.

    **Leadership Behaviors**

    Team Leadership – Hire, develop and retain top talent. Recognize and reward team members. Model leadership behavior and act as a servant leader to ensure team success. Communicate effectively with team, champion, and challenge changes with positivity. Own messaging and decision making. Lead team through ambiguity.

    Problem Solving – Be creative and take calculated risks to achieve goals and deliverables. Make mistakes and learn quickly from them, model this behavior for your team.

    Customer/Client Focused – Act with urgency and ownership to resolve customer issues. Proactively identify and resolve issues when possible. Work to ensure self and team prioritize the customer experience.

    Results Focused – drive team to achieve results, focusing on desired outcomes. Action plan for team management despite operational challenges.

    **Location**

    This is a flexible remote position. Minimal travel expected into one of our office locations for leadership meetings or training.

    **Salary Range**

    $56,200.00 - $92,335.00

    The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

    **Our Promise**

    At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

    **Inspire Well-Being**

    As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues.

    **Health Care**

    + Choice of medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits

    + Dental plan

    + Vision plan

    + Health care accounts – flexible spending, health reimbursement, and health savings accounts

    + Critical illness insurance

    **Life and Disability Insurance**

    + Company-paid Life and Disability insurance plus voluntary supplemental coverage

    + Accident insurance

    **Retirement and Financial**

    + 401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable

    + Complimentary 1:1 financial guidance with a licensed Fidelity representative

    **Time Off and Remote Work**

    + Flexible work arrangements (part in-person/part remote)

    + Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement

    + Personal holidays for colleagues to use in recognition of religious, cultural, or civic days

    + Paid parental leave and paid family and medical leave policies

    **Emotional Well-being and Work-Life**

    + Emotional well-being, mental health, and work/life resources powered by Spring Health

    + Wellness programs, including fitness program and equipment reimbursement

    + Child, adult, and elder back-up care support through Bright Horizons

    + Adoption assistance

    + College planning

    + Tuition reimbursement

    + Student loan assistance

    + Commuter benefits in select metropolitan areas

    **Equity & Inclusion**

    Opportunities to build inclusive and meaningful connections through involvement in colleague-led affinity groups:

    + Employee Resource Groups:

    + Colleague Connection Committees

    + Community Involvement Committees

    A culture that encourages colleagues to bring their authentic selves to work

    + Voluntary self-ID

    + Pronunciation and phonetic spelling of names

    **_Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._**

    **Equal Employment Opportunity**

    Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

    **Accommodations**

    Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [email protected] .

    **Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.**

    Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being — mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .


    Employment Type

    Full Time


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