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Direct Claims Jobs in Utah (NOW HIRING)

Ogden Clinic

Claims Specialist

South Ogden, UT · On-site

$17.63/hr

Under the direct supervision of the Business Office Manager, the Claims Specialist is responsible for handling the support administrative functions of the business office. Ogden Clinic provides ...

True North Group LLC.

Direct Sales Representative

Logan, UT · On-site

$60K - $100K/yr

Direct Sales Representative Number of Openings: 1 Territory Sales Position Available About Us: At ... You'll keep in touch with them, answer their questions, and support them through things like claims.

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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.

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

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

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

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

What cities in Utah are hiring for Direct Claims jobs?

Cities in Utah with the most Direct Claims job openings:

Direct Claims jobs near you

Claims Specialist

Ogden Clinic

South Ogden, UT • On-site

$17.63/hr

Full-time

Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Ogden Clinic rating

6.2

Company rating: 6.2 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

696th of 891 rated healthcare providers

Job description

Under the direct supervision of the Business Office Manager, the Claims Specialist is responsible for handling the support administrative functions of the business office.
Ogden Clinic provides competitive pay and benefits. Full-Time employees have access to:
  • Medical (including a partially company funded HSA option and in-house discount plan)
  • Dental, Vision, Disability and other plan coverage options.
  • Company paid life insurance for employees and their families.
  • Employee Assistance Program that provides free counseling to employees and their families.
  • Paid Time Off and Holidays
  • Scholarship Program
  • 401k with generous profit sharing contributions.
  • In nearly all cases, no nights, weekends or holiday shifts.
  • Competitive pay starting at $17.63+ hourly with the potential of higher starting pay based on experience.
  • Annual Performance/Merit Increase Program that offers up to a 5% pay increase.
  • Salary ranges reviewed annually.
  • Limited benefits for non-Full-Time employees.

Full job description is available upon request by emailing talent@ogdenclinic.com.
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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About Ogden Clinic

Sourced by ZipRecruiter

Ogden Clinic is a leading healthcare provider based in Ogden, Utah, USA. Operating in the medical industry, the clinic offers a comprehensive range of healthcare services including primary care, specialty care, and urgent care services. Founded in 1950, Ogden Clinic has grown to become one of the most trusted healthcare providers in the region, boasting a network of over 20 locations and more than 150 healthcare providers. The clinic is committed to improving community health, guided by its core values of integrity, collaboration, excellence, and compassion. Their mission is to provide superior and personalized healthcare, changing lives for the better.

Industry

Outpatient health care

Company size

201 - 500 Employees

Headquarters location

Ogden, UT, US

Year founded

1950

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