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Claims Resolution Manager Jobs in Arizona (NOW HIRING)

Proactively manage assigned claims caseload comprised of claims with moderate complexity damages ... Demonstrated negotiation, investigation, communication, and conflict resolution skills. * Working ...

Proactively manage assigned claims caseload comprised of claims with moderate complexity damages ... Demonstrated negotiation, investigation, communication, and conflict resolution skills. * Working ...

Proactively manage assigned claims caseload comprised of claims with moderate complexity damages ... Demonstrated negotiation, investigation, communication, and conflict resolution skills. * Working ...

ESIS Claims Associate

Phoenix, AZ ยท On-site

$47K - $67K/yr

Join ESIS, a leader in risk management and insurance services, where your skills and talents can ... Maintain control of the claims resolution process to minimize current exposure and future risks.

ESIS Claims Associate

Phoenix, AZ ยท On-site

$17.50 - $23.75/hr

Join ESIS, a leader in risk management and insurance services, where your skills and talents can ... Maintain control of the claims resolution process to minimize current exposure and future risks.

Showing results 21-40

Claims Resolution Manager information

What does a claims resolution manager do?

A Claims Resolution Manager oversees the process of handling insurance claims from initiation to closure, ensuring that claims are resolved efficiently and fairly. They investigate claim details, coordinate with adjusters, clients, and third parties, and work to resolve disputes or issues that may arise during the claims process. Their goal is to ensure compliance with company policies and legal regulations while optimizing customer satisfaction and minimizing losses for the organization.

What are the primary challenges a claims resolution manager faces when balancing client expectations with policy limitations?

Claims Resolution Managers often navigate the delicate balance between meeting client expectations and adhering to insurance policy terms. One common challenge is communicating complex policy details to clients who may be experiencing stress or frustration. Additionally, managers must ensure timely and fair claims processing while coordinating with adjusters, legal teams, and external vendors. Success in this role requires strong negotiation skills, empathy, and a thorough understanding of regulatory and company guidelines.

What are the key skills and qualifications needed to thrive as a claims resolution manager, and why are they important?

To thrive as a Claims Resolution Manager, you need a solid background in insurance claims processing, dispute resolution, and regulatory compliance, often supported by a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, CRM tools, and relevant certifications such as AIC or CPCU is common. Strong analytical thinking, negotiation skills, and effective communication are crucial soft skills for managing complex cases and guiding teams. These abilities ensure efficient claims handling, customer satisfaction, and minimized financial risk for the organization.

What is the difference between Claims Resolution Manager vs Claims Adjuster?

AspectClaims Resolution ManagerClaims Adjuster
CredentialsInsurance licenses, sometimes management certificationsInsurance licenses, specific to claims handling
Work EnvironmentSupervisory roles, team coordinationField or office-based, claims investigation
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding managerial roles in claimsDetails about claims handling and investigation

The Claims Resolution Manager oversees claims processes and manages teams, focusing on strategy and resolution. Claims Adjusters handle the investigation and evaluation of individual claims. While both roles require insurance licenses, the manager's role is more supervisory, whereas the adjuster is more hands-on with claims investigation.

What are the most commonly searched types of Claims Resolution jobs in Arizona?

The most popular types of Claims Resolution jobs in Arizona are:

What cities in Arizona are hiring for Claims Resolution Manager jobs?

Cities in Arizona with the most Claims Resolution Manager job openings:

Injury Claims Examiner (Central to West Region)

USAA Careers

Phoenix, AZ โ€ข On-site

$85K - $162K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago


Job description

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Injury Claims Examiner (Central to West regions), you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications both over the phone and in writing, advice, and empathy. This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site three days per week. What you'll do: * Adjusts complex auto bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality), high exposures including umbrella claims and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims. * Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes. * Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates. * Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation. * Partners and/or directs vendors and internal business partners to facilitate timely claims resolution. * Serves as a resource for team members on complex claims. * Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication. * Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. * Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: * High School Diploma or General Equivalency Diploma. * 4 years auto injury claims adjusting experience. * Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations. * Advanced negotiation, investigation, communication, and conflict resolution skills. * Demonstrated strong time-management and decision-making skills. * Proven investigatory, prioritizing, multi-tasking, and problem-solving skills. * Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims. * Ability to exercise sound financial judgment and discretion in handling insurance claims. * Advanced knowledge of coverage evaluation, loss assessment, and loss reserving. * Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. * Should be in Central, Mountain or Pacific time zone. What sets you apart: * 2 or more years of high-value catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality) to include UM/UIM coverage * College Degree (Bachelor's or higher) * Insurance Designation * US military experience through military service or a military spouse/domestic partner Compensation range: The salary range for this position is: $85,040 - $162,550 . Licensed positions require a background check, that includes criminal history, education, employment verification, and a credit check consistent with applicable laws. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). USAA will consider qualified applicants with a criminal history pursuant to the San Diego County Fair Chance Ordinance and the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if USAA is concerned about a conviction(s) that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Find out more about the Fair Chance Ordinance by visiting the San Diego County Office of Labor Standards and Enforcement webpage. USAA will consider qualified applicants with a criminal history pursuant to the L os Angeles County Fair Chance Ordinance and the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if USAA is concerned about a conviction(s) that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Find out more about the Fair Chance Ordinance by visiting the Los Angeles County Office of Labor Standards and Enforcement website. Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.