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Direct Claims Jobs in Kentucky (NOW HIRING)

$120 - $180/hr

Direct, monitor and assist outside counsel in negotiating and resolving claims to effectuate best possible claim outcomes. * Assist in the establishment and improvement of existing processes.

New

The Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis ... The ideal candidate will have 3+ years direct supervisory experience along with 3rd party billing ...

$68 - $102/hr

Direct the evaluation, investigation, negotiation, and settlement of complex claims, ensuring optimal balance between policyholder interests and company objectives. * Manage and Develop Staff:

New

Manages an inventory of highly complex commercial claims with large exposures that require a high ... Reporting Relationship Typically Director or above Skills, Knowledge & Abilities * Thorough ...

Showing results 21-40

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 Kentucky are hiring for Direct Claims jobs?

Cities in Kentucky with the most Direct Claims job openings:

Risk & Insurance Lead - In-Person | Schulte Hospitality Group

Schulte Companies

Louisville, KY โ€ข On-site

Full-time

Medical, Life, Retirement, PTO

Posted 14 days ago


Job description

Schulte Hospitality Groupis seeking an energetic, experienced, and hands on Risk & Insurance Leadto join our team! Schulte Hospitality Groupis an organization whose success is rooted in its service culture. Our mission is to exude hospitality, be respectful and authentic, prioritize the needs of our internal and external stakeholders above our own, and continuously strive to make a positive impact in all we do. We are passionate hoteliers eager to add like-minded people to our rapidly growing team!

What's in it for you? When you join Schulte you'll be part of a team committed to an inclusive, employee-focused workplace that is invested in your development. We want you to feel engaged, empowered, and excited to grow with us. After all, we believe our greatest and most valuable asset is our people! Schulte provides a rewarding, fun and flexible work environment, exciting perks, an atmosphere designed to encourage and promote career growth within the company and a robust benefit package including, but not limited to:

Work Today, Get Paid today, with Daily Pay!

Free Telemedicine and Virtual Mental Health care access for all Associates starting day one!

Multiple Health Insurance and Life Insurance options

401k Plan + Company Match for eligible associates

Paid Time Off

Holiday Pay

Pet Insurance

Employee Assistance Program

Schulte Savings Marketplace Discounts on event tickets, electronics, gym memberships + more!

Our Company: Schulte Companies is a leading third-party management company with deep, multi-generational experience in all facets of the hospitality industry. We are a diverse team of innovative hoteliers and restauranteurs operating more than 200 locations across 38 states and 3 countries. Our portfolio includes a wide array of reputable brands like Marriott, Hilton, IHG and Hyatt as well as many unique, independent, boutique and lifestyle properties and restaurants.

The Risk & Insurance Manager will lead the company's risk management function and oversee all insurance-related matters for a multi-property hospitality portfolio. This leadership role is responsible for setting strategy, guiding risk mitigation initiatives, and overseeing insurance and claims operations while managing and developing a dedicated risk management team. The position combines high-level program ownership with hands-on involvement in complex and high-exposure matters, ensuring effective claims resolution, financial protection, and alignment with the company's broader risk management objectives. The Manager serves as a key internal advisor and primary liaison to insurance carriers, brokers, third-party administrators, and legal counsel.

Responsibilities:

  • Lead, mentor, and manage a team of three Risk Management Specialists, setting clear expectations and performance standards.
  • Establish workflows, best practices, and controls to ensure consistent, timely, and compliant claims handling.
  • Provide subject-matter expertise and escalation support for complex, high-exposure, or litigated claims.
  • Oversee and actively participate in all phases of insurance claims, including general liability, workers' compensation, auto, property, and hospitality-specific exposures.
  • Oversee and direct claims lifecycle, ensuring timely, accurate, and effective handling from first notice of loss through final resolution, settlement, or litigation.
  • Provide leadership and oversight to Risk Management Specialists managing claims, serving as the final decision-maker on strategy, settlement authority, and resolution.
  • Coordinate closely with defense counsel, insurance adjusters, TPAs, and carriers on litigation strategy, discovery, evaluations, mediations, and settlements.
  • Monitor reserves, claim valuations, settlement authority, and financial exposure
  • Responsible for preparing, monitoring, and tracking active and threatened litigation across portfolio.
  • Identify and oversee subrogation and recovery opportunities for property damage, liability losses, and other incidents, including those that do not meet insurance deductible thresholds or policy qualifications
  • Manage demand letters, negotiations, and escalation to legal action when appropriate.
  • Create, implement, maintain, and update compliance-related information databases such as injury and illness logs, insurance contacts, safety training audits, lag time reports, etc.
  • Develop standardized tools and procedures to improve compliance process efficiencies
  • Maintain fleet card accounts to include new account setup
  • Process and record insurance and legal invoicing
  • Review contracts/agreements in connection with requesting required insurance coverages
  • Other duties as assigned

Education and Experience:

  • Bachelor's degree in Risk Management, Business, Insurance, Legal Studies, or a related field (or equivalent experience).
  • Progressive experience in risk management, insurance, or complex claims handling.
  • Demonstrated experience managing litigated claims, subrogation, and third-party recoveries.
  • Prior experience leading or supervising a team.
  • Strong working knowledge of general liability, workers' compensation, auto liability, and property insurance.

Knowledge, Skills, and Abilities:

  • Strong leadership and negotiation skills.
  • Ability to manage complex, high-volume claims and recovery matters simultaneously.
  • Excellent communication skills with executives, attorneys, carriers, and operational teams.
  • Analytical mindset with strong financial and risk evaluation capabilities.
  • Comfortable operating in a hands-on role while providing strategic oversight.
  • Extremely detail-oriented
  • Ability to multi-task, self-direct and self-pace
  • Ability to maintain a high level of confidentiality

*The hiring process may consist of a phone interview, manager(s) interview, drug screen, background check, reference checks, and potential employment assessment. This job description is only intended to provide a general description of the benefits and compensation applicable to this position. Paid Time Off (PTO) is available for eligible associates in accordance with the Company's Paid Time Off policy. Specific compensation and benefit details will be discussed during the interview process.

*Schulte Hospitality Groupis an Equal Opportunity Employer.


Schulte logo

About Schulte

Sourced by ZipRecruiter

Schulte Hospitality Group is a division of Schulte Companies, a leading third-party management company with deep, multi-generational experience in all facets of the hospitality industry. We are a diverse team of innovative hoteliers and restauranteurs operating more than 200 locations across 38 states and 3 countries. Our portfolio includes a wide array of reputable brands like Marriott, Hilton, IHG and Hyatt as well as many unique, independent, boutique and lifestyle properties and restaurants.

Industry

Hospitality services

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

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