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Direct Claims Jobs in Indiana (NOW HIRING)

Responsible to advise claims and other company personnel on legal issues relating to claims; communicate legal information to internal and external contacts as directed. Complete assigned legal ...

Responsible to advise claims and other company personnel on legal issues relating to claims; communicate legal information to internal and external contacts as directed. Complete assigned legal ...

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 ...

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 ...

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 ...

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 ...

ESSENTIAL FUNCTIONS Claims Function Leadership + Responsible for all aspects of hiring, training, mentoring, and professional development of direct reports. + Maintain a high performing, engaged, and ...

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 ...

ESSENTIAL FUNCTIONS Claims Function Leadership + Responsible for all aspects of hiring, training, mentoring, and professional development of direct reports. + Maintain a high performing, engaged, and ...

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Direct Claims information

What is a direct claim?

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.

Can you work remotely in direct claims jobs?

Many direct claims jobs offer remote work options, especially for roles involving claims processing, customer service, or administrative tasks. Employers may require familiarity with claims management software and good communication skills, and remote positions often involve standard office hours and secure internet connections.

Do I need a degree to be a direct claims specialist?

A degree is not typically required to become a direct claims specialist, but relevant experience, knowledge of insurance policies, and strong communication skills are important. Many employers provide on-the-job training and may prefer candidates with a high school diploma or equivalent. Certifications in insurance or claims processing can enhance job prospects.

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?

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 cities in Indiana are hiring for Direct Claims jobs? Cities in Indiana with the most Direct Claims job openings:

Claims Attorney

Brotherhood Mutual

Fort Wayne, IN • On-site

Full-time

Re-posted 13 days ago


Brotherhood Mutual rating

7.3

Company rating: 7.3 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

235th of 301 rated insurance


Job description

Job Title: Claims Attorney
FLSA Status: Exempt
Job Family: Claims
Department: Casualty Claims
Location: Corporate Office (Fort Wayne, IN)
JOB SUMMARY
Effectively analyze and resolve serious/complex claims and/or litigation consistent with department standards and company objectives. Responsible to advise claims and other company personnel on legal issues relating to claims; communicate legal information to internal and external contacts as directed. Complete assigned legal research projects in a timely and effective manner.
POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Identify and investigate coverage, liability, damage, and possible exposure issues on claims.
  • Analyze and address insurance coverage issues and claims legal research issues and recommend claims resolution strategies.
  • Apply and/or provide guidance to claims personnel concerning the application of policy language, statutes, common law, and other applicable legal and regulatory concepts for effective, efficient, and equitable resolutions.
  • Communicate with policyholders, agents, adjusters, claimants/claimant attorneys, defense counsel, and other persons and entities as needed to ensure claims resolution.
  • Acquire, record, and maintain all essential file documentation in accordance with established guidelines, including the timely provision of status reports or other updates as requested by management.
  • Identify and/or offer guidance regarding appropriate cost containment, loss mitigation, and subrogation recovery opportunities.
  • Negotiate and resolve serious/complex claims and/or litigation within established settlement authority in a prompt, fair and equitable manner.
  • Effectively and efficiently undertake routine legal document review and analysis and draft releases, coverage letters, and other claims-related documents for the claims department.
  • Contribute as requested to departmental or interdepartmental projects or processes that relate to the claims function, including regularly scheduled meetings involving collective decision-making.
  • Travel as needed to conduct claims-related investigations and attend training programs, mediations, trials, and other legal proceedings related to the resolution of serious/complex claims and/or litigation.
  • Understand the claims department's reserving practices and offer guidance regarding reserving as needed.
  • Effectively, efficiently, and fairly bring serious/complex claims and/or litigation to resolution and achieve company objectives for Loss Adjustment Expense.
  • Ensure the security and accuracy of checks issued through the claims processing system.
  • Complete other projects as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES
The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Demonstrate expertise in communicating complex coverage and legal concepts in both an oral and written format.
  • Possess knowledge relating to litigation and tort, contract, and insurance law. Must be able to conduct effective legal research.
  • Must have a thorough understanding of pertinent coverage and complex legal issues related to claims.
  • Demonstrate strong organizational, analytical, prioritization, and time management skills.
  • Possess strong negotiation and resolution skills, utilizing them in the resolution of serious/complex claims and/or litigation.
  • Demonstrate a thorough understanding of all automated claim department processing systems, workflows, and the claims department policies and procedures.
  • Possess legal drafting skills.
  • Must be able to sit for prolonged periods of time.
  • Effectively interface with external contacts, Brotherhood employees, managers, and department staff members.

EDUCATION AND/OR EXPERIENCE
  • Must have a Bachelor's degree and a JD degree.
  • Must be able to take and pass required adjuster licensing requirements.
  • Must have one to two years of general business, insurance, or related experience.
  • CPCU or other insurance-related coursework is desired.
  • Member of at least one State Bar is desired.
  • Two years of legal research and writing experience are desired.
  • Experience in investigation, customer service, and/or negotiation fields is desired.

Terms and Conditions
This description is intended to describe the general content of and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Because the company's niche is the church and related ministries market, and because effective service requires a thorough understanding of this market, persons in this position must be familiar with church operations and must conduct themselves in a manner that will neither alienate nor offend persons within this target niche.
Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this position description in any way the company desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise. The employment relationship remains "at-will".
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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