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Direct Claims Jobs in Tennessee (NOW HIRING)

Cna

Claims Consultant, Life Sciences

Nashville, TN · On-site

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 ...

Addison Group

Member Experience Advocate

Columbia, TN · On-site

$18 - $20/hr

  • Medical

  • Dental

  • Vision

  • Retirement

... Direct claims calls to UMR or Medicare Supplement Specialist as applicable • Effectively communicate and accurately document Member Experience inquiries in the Salesforce/Broker Portal system • ...

Addison Group

Member Experience Advocate

Columbia, TN · On-site

$18 - $20/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Direct claims calls to UMR or Medicare Supplement Specialist as applicable * Effectively communicate and accurately document Member Experience inquiries in the Salesforce/Broker Portal system

CHS Corporate

Manager, Liability Claim

Franklin, TN · Hybrid

... directing negotiation efforts as appropriate. This role provides leadership to outside claims adjusters, ensuring compliance with organizational policies and insurance reporting requirements.

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Showing results 21-40

All JobsDirect Claims JobsDirect Claims Jobs in Tennessee

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 are popular job titles related to Direct Claims jobs in Tennessee?

For Direct Claims jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Direct Claims jobs in Tennessee look for?

The top searched job categories for Direct Claims jobs in Tennessee are:

What cities in Tennessee are hiring for Direct Claims jobs?

Cities in Tennessee with the most Direct Claims job openings:

Direct Claims jobs near you

Auto Claims Representative

Auto-Owners Insurance

Brentwood, TN • On-site

Other

Retirement, PTO

Re-posted 22 days ago

Auto-Owners Insurance rating

9.2

Company rating: 9.2 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

22nd of 306 rated insurance

Job description

Claims Trainee

A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.

Job Description

Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to:

  • Investigate, evaluate, and settle entry-level insurance claims
  • Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
  • Learn and comply with Company claim handling procedures
  • Develop entry-level claim negotiation and settlement skills
  • Build skills to effectively serve the needs of agents, insureds, and others
  • Meet and communicate with claimants, legal counsel, and third-parties
  • Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
  • Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements
Desired Skills & Experience
  • Bachelor's degree or direct equivalent experience with property/casualty claims handling
  • Ability to organize data, multi-task and make decisions independently
  • Above average communication skills (written and verbal)
  • Ability to write reports and compose correspondence
  • Ability to resolve complex issues
  • Ability to maintain confidentiality and data security
  • Ability to effectively deal with a diverse group individuals
  • Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
  • Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage
  • Continually develop product knowledge through participation in approved educational programs
Benefits

Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!

Equal Employment Opportunity

Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.

*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.

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