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Direct Claims Jobs in Indiana (NOW HIRING)

Claims Professional I

Elkhart, IN · On-site

$60K - $80K/yr

Conduct direct negotiations or, if warranted, mediated settlement discussions. * Review and approve ... Claims * Excellent written and verbal communication skills * Indiana adjuster license is required ...

Complete special projects (including research) as assigned by Claims Supervisor or Director of Claims * High level understanding of state and federal laws specific to health plan administration ...

Complete special projects (including research) as assigned by Claims Supervisor or Director of Claims * High level understanding of state and federal laws specific to health plan administration ...

Complete special projects (including research) as assigned by Claims Supervisor or Director of Claims * High level understanding of state and federal laws specific to health plan administration ...

Direct and manage outside defense counsel to ensure litigation strategy, budgeting, case assessment ... Provide meaningful claims reporting and trend analysis to management, including loss drivers ...

Claims Professional I

Indianapolis, IN · On-site

$60K - $80K/yr

Conduct direct negotiations or, if warranted, mediated settlement discussions * Review and approve ... Claims * Excellent written and verbal communication skills * Indiana adjuster license is required ...

Showing results 41-60

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.

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 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 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 Investigator - REPO Plus

Carmel, IN

Allied Solutions LLC
Finance and Insurance • 1 - 5K employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 hours ago


Allied Solutions rating

7.9

Company rating: 7.9 out of 10

Based on 11 frontline employees who took The Breakroom Quiz


Job description

The REPO Plus Claim Investigator is responsible for investigating and gathering information from outside insurance carriers (OICs) related to collateral being investigated for coverage by the REPO Plus department. The position will make outbound calls to OIC claim departments to inquire and follow up on details needed to make coverage judgments on REPO Plus claims. They will document the required information within the file and continue making follow up calls until the information is gathered, or all contact attempts are exhausted.

*Job Duties and Responsibilities:

REPO Plus Investigation Handling (40%)

  • Responsible for managing the receipt of new investigation assignments as well as managing pending inventory assigned to them including:
    • Initial review of new assignments
    • Contact with Outside Insurance Carriers (OICs)
    • Gathering and documenting information on a claim file as directed by a REPO Plus Claims Adjuster or Analyst
    • Asking follow-up questions of the OIC as needed based on the information gathered to that point
    • Timely follow up in situations where initial contact was unsuccessful
    • Managing a pending inventory of 60-100 assignments
  • Must meet individual QA targets as set by REPO Plus management
  • Must meet individual Production targets as set by REPO Plus management

REPO Plus Claim Reporting Handling (25%)

  • Will make outbound calls to report New Claims to OICs as directed by the REPO Plus Claims Adjusters and Analysts
    • Assignments are made daily
    • Must meet certain departmental cycle time metrics as set by REPO Plus management
    • Documents the REPO Plus claim file with information obtained or that the New Claim report was unsuccessful
  • Must meet individual QA targets as set by REPO Plus management
  • Must meet individual Production targets as set by REPO Plus management

REPO Plus Coverage Investigations (25%)

  • Will make outbound calls to OICs as directed by REPO Plus Claims Adjusters and Analysts to gather information relative to coverage relative to a specific vehicle or borrower
    • Assignments are made daily
    • Must meet certain departmental cycle time metrics as set by REPO Plus management
    • Documents the REPO Plus claim file with information obtained or that the Coverage Verification was unsuccessful
  • Must meet individual QA targets as set by REPO Plus management
  • Must meet individual Production targets as set by REPO Plus management

REPO Plus Condition Report Review (10%)

  • Review the condition reports submitted by lender clients (through various channels) for damaged collateral and identifies those with damage for movement to the next stage of the REPO Plus process
  • Must meet individual QA targets as set by REPO Plus management
  • Must meet individual Production targets as set by REPO Plus management

*Qualifications (Education, Experience, Certifications & KSA):

  • High School Diploma or GED required
  • Associate's degree, or Vocational or Technical School Degree preferred; or equivalent combination of education and experience

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-AB2

#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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