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Direct Claims Jobs in Indiana (NOW HIRING)

Allied Solutions LLC

Bond Claims Agent

South Bend, IN · On-site

Direct policyholders what policy and insuring agreement may be triggered, the policy reporting requirements, policy conditions and exclusions and deductibles. * Manage the Bond Claims inbox, triage ...

Squaremouth

Claims Advocate

South Bend, IN

Claims Management Position At HUB International, we are a team of entrepreneurs. We believe in ... Sincerity - Giving and receiving direct and caring communication Qualifications: * Post-secondary ...

Squaremouth

Claims Advocate

Indianapolis, IN

Claims Management Position At HUB International, we are a team of entrepreneurs. We believe in ... Sincerity - Giving and receiving direct and caring communication Qualifications: * Post-secondary ...

HUB International

Claims Advocate

Indianapolis, IN

The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ... Sincerity - Giving and receiving direct and caring communication Qualifications: * Post-secondary ...

HUB

Claims Advocate

South Bend, IN · On-site

The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ... Sincerity - Giving and receiving direct and caring communication Qualifications: * Post-secondary ...

RendER Revenue

Claims Support, Part-Time

Muncie, IN · On-site

Claims Support representatives work under the direct supervision of the Operations Manager. RESPONSIBILITIES: * Setting up new claims with insurance carriers. * Obtaining file supports from client ...

HUB

Claims Advocate

Indianapolis, IN · On-site

The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ... Sincerity - Giving and receiving direct and caring communication Qualifications: * Post-secondary ...

Gregory & Appel

Claims Advocate

Indianapolis, IN

Claims Advocate The Claims Advocate (CA) at Gregory & Appel works closely with our clients ... loss, directing emergency restoration to mitigate damage; Confirms coverage and deductibles;

RendER Revenue

Claims Support, Part-Time

Muncie, IN

Claims Support representatives work under the direct supervision of the Operations Manager. RESPONSIBILITIES: * Setting up new claims with insurance carriers. * Obtaining file supports from client ...

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All JobsDirect Claims JobsDirect Claims Jobs in Indiana

Direct Claims information

What are direct claims?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are some common challenges faced by professionals in Direct Claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What are the key skills and qualifications needed to thrive as a Direct Claims Specialist, and why are they important?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Indiana? For Direct Claims jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Direct Claims jobs in Indiana look for? The top searched job categories for Direct Claims jobs in Indiana are:
What cities in Indiana are hiring for Direct Claims jobs? Cities in Indiana with the most Direct Claims job openings:
Direct Claims jobs near you
Bond Claims Agent

Bond Claims Agent

Allied Solutions LLC

South Bend, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Allied Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

102nd of 261 rated insurance

Job description

This position is directly responsible for the support of the Bond and Property & Casualty product lines for claims. This encompasses working with underwriters, financial institutions and risk management on claims, tracking loss trends, and escalations. 24/7 on call response leader. This role will create best practices for how they complete & hand-off claims to the carrier. This position will be responsible for managing discussions bi-monthly with carrier partners on claim file downloads. Assist Claims Director in setting annual loss ratio goals and tracking against progress. Manage escalated complaints and claims and provide recommendation to Director of Claims for remediation. Manages training for account managers and administrative assistants on claims inbox. This position may entail availability on weekends to manage clientele as needed.
Management of Claims
  • Manage loss scenarios with financial institutions and Risk Management Dept.
  • Review and verify policies are in force.
  • Direct policyholders what policy and insuring agreement may be triggered, the policy reporting requirements, policy conditions and exclusions and deductibles.
  • Manage the Bond Claims inbox, triage, and prioritize incoming emails.
  • Manage new claims in TAM by creating items in TAM that the team will work on.
  • Monitor and facilitate communication between the financial institution leader and the adjuster as needed, additional follow up as needed.
  • Coordinate claims decision calls for financial institution partners & carrier's legal department for high level litigation documents.
  • Advocate for the credit union to get the most favorable outcome.
  • Review policy insuring agreements, based on the loss, in order to speak on behalf of the financial institution to the insurance carrier to ensure the claims are filed correctly.
  • Work with insurance carrier to determine covered loss or declinations.
  • When litigation, ensure insurance carrier has hired legal representation.
  • When no legal representation, advise to attain outside council.

Claims Assessment
  • Manage financial institutions partners on claims issues with carriers. (Denial disputes, coverage issues, lack of contact, follow up on individual claims to ensure the carrier is handling in a timely manner when requested.) Review carrier coverage positions/claim denials.
  • Manage the insurance carriers claims that have been registered and be the liaison between both parties.
  • Monitor the discussion with Account Executives and Producers in claims when necessary and provide coverage or denial letters.

Agency Management System
  • Document (attach in TAM) claim acknowledgements, denials, closings, (all documentation) received from carriers.
  • Document (attach in TAM) all claim submissions to carriers. Including all Plastic card, and P&C insurance claim submissions.
  • Subject matter expert, liaison, and project manager in CenterPoint for Bond Claims in conjunction with Allied Solutions development team and insurance carrier partners.
  • Manage escalated claim issues and work with point of contact at the insurance carrier.
  • Monitor claims with each carrier to ensure adjusters request close-out documentation promptly and settle in a timely manner.

Coordination and Collaboration
  • Support various functions within the Bond division by partnering with internal teams to enhance workflow efficiency, address operational needs, and assist with key departmental initiatives.
  • On call support for clients and financial institutions to answer questions for CenterPoint.
  • Onboard new clients into CenterPoint to set them up in CenterPoint.
  • Act as a liaison between tech support and 1st and 3rd party when IT issues arise.
  • Facilitate Plastic Card automation enrollment.
  • Participate in regional and business unit claims meetings.

QUALIFICATIONS (EDUCATION, EXPERIENCE, CERTIFICATIONS & KSA):
  • High School Diploma or GED Required, Bachelor's Degree preferred.
  • Property and Casualty license is preferred.
  • Adjusters license is preferred.
  • 3 - 4 years of relevant work experience required.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job.
#LI-SJ1
#LI-Onsite
We offer our employees a robust compensation package! Our comprehensive benefits include: medical, dental and vision insurance coverage; 100% company-paid life and disability coverage, 401k options with company match, three weeks PTO by the end of the first year and much more. Allied proudly promotes from within as part of a strong commitment to providing career growth opportunities for employees of all levels. Our diverse business portfolio allows employees broad career options with the advantage of staying with the same organization.
All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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