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Direct Claims Jobs in Kansas (NOW HIRING)

You will determine need for and direct independent adjusters to gather information to determine ... Work with TPA Claims Financial to check the accuracy of TPA financials ensuring alignment with TTPO ...

Risk Claims Manager

Kansas City, KS ยท Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation ... Direct Reports: Yes COMPANY OVERVIEW CrossCountry Freight Solutions (CCFS) is an exceptional ...

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

Commercial Lines Insurance Account Manager

Capitol Federal Savings Bank

Overland Park, KS โ€ข On-site

Full-time

Re-posted 26 days ago


Job description

Job Description:
Role
The Commercial Lines Insurance Account Manager's role at Capitol Federal Insurance is integral to the growth and retention of the agency's book of commercial business. This position acts as a point of contact for commercial lines customers and companies, assists with policy remarketing and renewals, and helps to maintain the agency's high compliance standards.
Essential Duties & Responsibilities
  • Assists Account Executives and customers with placing Commercial Lines insurance coverage.
  • Explains products and services, submits applications, and processes endorsements.
  • Services and maintains existing accounts including responding to customer's requests and generating policy documents.
  • Maintains accurate records for customer/company interactions in the agency management system.
  • Assists with policy remarketing and premium audits at the direction of their assigned Account Executive.
  • Prepares, processes, and reviews insurance applications for accuracy and completeness.
  • Assists with customer billing inquiries and changes.
  • Assists with claims process by directing the customer to the company for direct claims reporting.
  • Perform other duties as assigned.
  • Participate in proactive team efforts to achieve departmental and company goals.
  • Must comply with current applicable laws, regulations and bank policies and procedures. Comply with all safety policies, practices and procedures. Report all unsafe activities to supervisor and/or Human Resources.

Experience
Minimum one to three years of similar or related experience.
Education/Certifications/Licenses
Bachelor's degree or equivalent. Currently possess or must obtain Kansas/Missouri Property & Casualty License and Kansas/Missouri Life & Health License. CISR, CIC or other insurance related designations are preferred. Must have a valid driver's license.
Skills
  • A high level of organization and attention to detail is required. Must be able to work independently and problem solve complex coverage placement and issues with minimal supervision. A significant level of trust, credibility and diplomacy is required. In-depth dialogues, conversations and
  • explanations with customers, direct and indirect reports and outside vendors can be of a sensitive and/or highly confidential nature. Communications may involve motivating, influencing, educating and/or advising others on matters of significance.

CapFedยฎ is an equal opportunity employer.