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Insurance Claims Associate Remote Jobs in Arizona

This position has the potential to be remote. ESSENTIAL JOB DUTIES Investigate and maintain claims for the company. Review and determine coverages and work with insurance companies to set claim ...

Mechanical Claims Analyst

Phoenix, AZ · On-site +1

$25 - $35/hr

Reliable high-speed internet and a quiet workspace for remote or hybrid work Preferred Experience ... Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term ...

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Insurance Claims Associate Remote information

What are the key skills and qualifications needed to thrive as an Insurance Claims Associate (Remote), and why are they important?

To thrive as an Insurance Claims Associate (Remote), you need strong analytical skills, attention to detail, and a background in insurance or related fields, often supported by a high school diploma or relevant certifications. Familiarity with claims management software, document processing systems, and Microsoft Office Suite is typically required. Exceptional communication, problem-solving abilities, and time management are standout soft skills for remote collaboration and customer service. These skills are crucial to efficiently process claims, ensure accuracy, and deliver a positive experience for policyholders in a virtual work environment.

What are some of the main challenges faced by remote Insurance Claims Associates, and how can they be overcome?

One of the key challenges for remote Insurance Claims Associates is maintaining effective communication with both clients and internal teams, especially when handling complex claims. Staying organized and using digital collaboration tools can help bridge the gap and ensure timely follow-ups. Additionally, remote associates may need to be proactive in seeking support or clarification on policy details and claim procedures. Regular check-ins with supervisors and participating in virtual training sessions can help address these challenges and foster professional growth in a remote setting.

What does an Insurance Claims Associate do when working remotely?

An Insurance Claims Associate working remotely is responsible for processing and evaluating insurance claims submitted by policyholders. They review documentation, verify claim details, communicate with clients and other stakeholders, and ensure claims comply with company policies and regulations. Remote associates use digital tools to manage claims, handle customer inquiries, and keep accurate records, all while maintaining a high level of confidentiality and customer service. Their goal is to resolve claims efficiently and fairly, either approving payment or denying claims as appropriate.

What is the difference between Insurance Claims Associate Remote vs Insurance Claims Processor?

AspectInsurance Claims Associate RemoteInsurance Claims Processor
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma or equivalent; insurance certifications beneficial
Work EnvironmentRemote, home-based settingTypically office-based or remote, depending on employer
Industry UsageCommon in insurance companies, third-party administratorsUsed in insurance companies, claims departments
Job FocusHandling claims inquiries, customer service, initial claim reviewProcessing claims, data entry, verifying information

Both roles involve working with insurance claims, often requiring similar credentials and industry experience. The main difference is that Insurance Claims Associate Remote emphasizes customer interaction and initial claim handling in a remote setting, while Insurance Claims Processor focuses more on data processing and verification, which can be in-office or remote.

What job categories do people searching Insurance Claims Associate Remote jobs in Arizona look for? The top searched job categories for Insurance Claims Associate Remote jobs in Arizona are:
What cities in Arizona are hiring for Insurance Claims Associate Remote jobs? Cities in Arizona with the most Insurance Claims Associate Remote job openings:
Senior Complex Claims Specialist (REMOTE)

Senior Complex Claims Specialist (REMOTE)

Amerisure Mutual Insurance Company

Phoenix, AZ • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 11 days ago


Job description

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best "A" (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.

Amerisure is currently recruiting for a Senior Complex Claims Specialist. This role will sit remote. The ideal candidate will have a proven commercial litigated claim background and also possess the following skill set.

Summary Statement

Manage a portfolio of claims presenting moderate to high complexity and exposure to ensure Industry Leading Customer Experience through exceptional service, unmatched relationships and superior claims outcomes. Contribute to the achievement of Claims department goals, established to achieve the company's strategic objectives.

Essential Tasks/Major Duties

  • Build and maintain strong relationships with agents and policyholders through being inclusive, communicative, accessible, and maintaining relevant, insightful, and informative file documentation.
  • Directly handle an assigned portfolio of litigated and non-litigated commercial general and auto liability claims presenting moderate to high complexity and exposure across multiple jurisdictions.
  • Conduct relevant, creative, and comprehensive investigation and evaluation on coverage, liability, and damages throughout the life of the claim by analyzing material facts, circumstances, and developments applying applicable law and legal principles.
  • Positively influence claims outcomes through developing, continuously adjusting, and executing on action plans designed to achieve desired resolutions.
  • Identify and pursue early resolution when appropriate.
  • Identify and evaluate risk transfer.
  • Proactively establish and adjust loss reserves throughout the life of the claim based on newly identified and material information and developments in order to reflect probable ultimate exposure.
  • Report on and present large losses during file conferences and claim reviews.
  • Serve as subject matter expert to less experienced staff.
  • Participate in mediations and settlement conferences and attend trials.
  • Negotiate settlements.
  • Maintain current knowledge of multijurisdictional legal and regulatory claims developments and trends.
  • Engage in/external resources as needed to achieve optimal claims outcomes while monitoring and mitigating costs.
  • Adjudicate claims in accordance with Amerisure claims guidelines and quality standards.

Knowledge, Skills & Abilities

  • Bachelor's degree or equivalent work-related experience.
  • 10 years of commercial claims experience, including 5 years with moderate to high complexity and exposure commercial general and auto liability claims (including trucking liability), and 3 years handling litigated files and directing outside defense counsel.
  • Extensive knowledge of current tort, contract, and coverage laws in multiple jurisdictions.
  • Experience in FL, GA, IL, SC, and TX, with a proven ability to handle claims in new or less familiar jurisdictions.
  • Ability to identify potential for aggravated liability and create resolution strategies to mitigate exposure.
  • Ability to lead discussions, make presentations, and communicate technical results to a non-technical audience.
  • Excellent organizational skills and ability to function in a changing environment.
  • Willingness to take on new assignments as required.
  • Ability to think strategically with supporting analytical and problem-solving skills, including the ability to deal with ambiguity.
  • Demonstrated successful ability to build positive relationships and partnerships within the department, across the organization, and with external customers.
  • Industry accreditation preferred.
  • Ability to obtain appropriate state licensing as required.
  • Ability to travel overnight up to 20%

Just as we are committed to creating exceptional value for our Partners For Success agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest Companies to Work For in the Nation and one of Business Insurance magazine's Best Places to Work in Insurance, we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you.

Amerisure Mutual Insurance Company is an Equal Employment Opportunity employer. Amerisure provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (to include sexual orientation and gender identity), national origin, age, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local laws. Amerisure complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Amerisure prohibits harassment or discrimination of any kind and is committed to maintaining a workplace free from unlawful harassment or discrimination. Amerisure prohibits retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices. Any improper interference with an employee's ability to perform their job duties may result in disciplinary action, up to and including termination.