Ten to fifteen (10-15) years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts
Ten to fifteen (10-15) years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts
Appeals Specialist (Medical Claims)
Seattle, WA · On-site
$30.70 - $41.54/hr
Review and process member and provider appeals, ensuring accuracy and adherence to policies ... Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance * Optional ...
Appeals Specialist (Medical Claims)
Seattle, WA · On-site
$30.70 - $41.54/hr
Review and process member and provider appeals, ensuring accuracy and adherence to policies ... Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance * Optional ...
Appeals Specialist (Medical Claims)
Federal Way, WA · Hybrid
$30.70 - $41.54/hr
Review and process member and provider appeals, ensuring accuracy and adherence to policies ... Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance * Optional ...
Quick apply
Appeals Specialist (Medical Claims)
Federal Way, WA · Hybrid
$30.70 - $41.54/hr
Review and process member and provider appeals, ensuring accuracy and adherence to policies ... Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance * Optional ...
Appeals Specialist (Medical Claims)
Seattle, WA · Hybrid
$30.70 - $41.54/hr
Review and process member and provider appeals, ensuring accuracy and adherence to policies ... Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance * Optional ...
Quick apply
Appeals Specialist (Medical Claims)
Seattle, WA · Hybrid
$30.70 - $41.54/hr
Review and process member and provider appeals, ensuring accuracy and adherence to policies ... Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance * Optional ...
Provide exceptional customer service throughout the claims process, addressing inquiries and ... Strong knowledge of property insurance policies, coverage and claim handling practices * Knowledge ...
Provide exceptional customer service throughout the claims process, addressing inquiries and ... Strong knowledge of property insurance policies, coverage and claim handling practices * Knowledge ...
Appeals Specialist (Medical Claims)
Mountlake Terrace, WA · Hybrid
$30.70 - $41.54/hr
Review and process member and provider appeals, ensuring accuracy and adherence to policies ... Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance * Optional ...
Quick apply
Appeals Specialist (Medical Claims)
Mountlake Terrace, WA · Hybrid
$30.70 - $41.54/hr
Review and process member and provider appeals, ensuring accuracy and adherence to policies ... Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance * Optional ...
Provide exceptional customer service throughout the claims process, addressing inquiries and ... Strong knowledge of property insurance policies, coverage and claim handling practices * Knowledge ...
Provide exceptional customer service throughout the claims process, addressing inquiries and ... Strong knowledge of property insurance policies, coverage and claim handling practices * Knowledge ...
Lead code reviews, design reviews, production on-call support and incident triaging process ... Prior experience in insurance, claims management, workflow orchestration or external vendors is a ...
Lead code reviews, design reviews, production on-call support and incident triaging process ... Prior experience in insurance, claims management, workflow orchestration or external vendors is a ...
Lead code reviews, design reviews, production on-call support and incident triaging process ... Prior experience in insurance, claims management, workflow orchestration or external vendors is a ...
Lead code reviews, design reviews, production on-call support and incident triaging process ... Prior experience in insurance, claims management, workflow orchestration or external vendors is a ...
... Insurance Claims Operations Consultant, Manager, you will play a pivotal role in helping clients ... processes - Mentoring team members to develop skills and encourage growth beyond comfort zones ...
... Insurance Claims Operations Consultant, Manager, you will play a pivotal role in helping clients ... processes - Mentoring team members to develop skills and encourage growth beyond comfort zones ...
Insurance Eligibility & Follow-Up Specialist (Remote)
Tacoma, WA · Remote
$16 - $18/hr
Strong knowledge of insurance plans, claims management, and revenue cycle processes is essential. Position Responsibilities: * Follow-up with insurance companies on billed claims regarding claim ...
Insurance Eligibility & Follow-Up Specialist (Remote)
Tacoma, WA · Remote
$16 - $18/hr
Strong knowledge of insurance plans, claims management, and revenue cycle processes is essential. Position Responsibilities: * Follow-up with insurance companies on billed claims regarding claim ...
Insurance Eligibility & Follow-Up Specialist (Remote)
Tacoma, WA · Remote
$16 - $18/hr
Strong knowledge of insurance plans, claims management, and revenue cycle processes is essential. Position Responsibilities: * Follow-up with insurance companies on billed claims regarding claim ...
Quick apply
Insurance Eligibility & Follow-Up Specialist (Remote)
Tacoma, WA · Remote
$16 - $18/hr
Strong knowledge of insurance plans, claims management, and revenue cycle processes is essential. Position Responsibilities: * Follow-up with insurance companies on billed claims regarding claim ...
Puyallup, WA - Field Roof Inspector
Puyallup, WA · On-site
$32 - $40/hr
... with numerous insurance agencies for efficient claims management. At Hancock, we are at the ... Our established process ensures top-tier claims support, ranging from rapid catastrophe response to ...
Puyallup, WA - Field Roof Inspector
Puyallup, WA · On-site
$32 - $40/hr
... with numerous insurance agencies for efficient claims management. At Hancock, we are at the ... Our established process ensures top-tier claims support, ranging from rapid catastrophe response to ...
Seattle/Renton, WA - Field Roof Inspector
Renton, WA · On-site
$32 - $40/hr
... with numerous insurance agencies for efficient claims management. At Hancock, we are at the ... Our established process ensures top-tier claims support, ranging from rapid catastrophe response to ...
Seattle/Renton, WA - Field Roof Inspector
Renton, WA · On-site
$32 - $40/hr
... with numerous insurance agencies for efficient claims management. At Hancock, we are at the ... Our established process ensures top-tier claims support, ranging from rapid catastrophe response to ...
Claims Adjuster - Attorney Represented Injury
Federal Way, WA · On-site
$33.37 - $43.17/hr
Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process ... Auto and/or commercial insurance experience * 12 months injury claims experience Compensation * You ...
Claims Adjuster - Attorney Represented Injury
Federal Way, WA · On-site
$33.37 - $43.17/hr
Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process ... Auto and/or commercial insurance experience * 12 months injury claims experience Compensation * You ...
Claims Adjuster - Attorney Represented Injury
Everett, WA · On-site
$33.37 - $43.17/hr
Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process ... Auto and/or commercial insurance experience * 12 months injury claims experience Compensation * You ...
Claims Adjuster - Attorney Represented Injury
Everett, WA · On-site
$33.37 - $43.17/hr
Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process ... Auto and/or commercial insurance experience * 12 months injury claims experience Compensation * You ...
Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac)
Seatac, WA · On-site
$51K - $72K/yr
... Insurance Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac) PRIMARY PURPOSE OF THE ROLE: To process low level workers compensation claims to determine ...
Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac)
Seatac, WA · On-site
$51K - $72K/yr
... Insurance Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac) PRIMARY PURPOSE OF THE ROLE: To process low level workers compensation claims to determine ...
Insurance Eligibility & Follow-Up Specialist (Remote)
Tacoma, WA · On-site +1
$16 - $18/hr
Strong knowledge of insurance plans, claims management, and revenue cycle processes is essential. Position Responsibilities: * Follow-up with insurance companies on billed claims regarding claim ...
Insurance Eligibility & Follow-Up Specialist (Remote)
Tacoma, WA · On-site +1
$16 - $18/hr
Strong knowledge of insurance plans, claims management, and revenue cycle processes is essential. Position Responsibilities: * Follow-up with insurance companies on billed claims regarding claim ...
Field Auto Claims Estimator - Olympia, WA - National General
Seattle, WA · On-site
$35.82 - $45.58/hr
By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to comply. #LI-TR1 Skills Auto Estimating, Auto Insurance Claims, Business Acumen ...
New
Field Auto Claims Estimator - Olympia, WA - National General
Seattle, WA · On-site
$35.82 - $45.58/hr
By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to comply. #LI-TR1 Skills Auto Estimating, Auto Insurance Claims, Business Acumen ...
New
Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac)
Seatac, WA · Hybrid
$51K - $72K/yr
... Insurance Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac) PRIMARY PURPOSE OF THE ROLE: To process low level workers compensation claims to determine ...
Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac)
Seatac, WA · Hybrid
$51K - $72K/yr
... Insurance Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac) PRIMARY PURPOSE OF THE ROLE: To process low level workers compensation claims to determine ...
Insurance Claims Processing information
See Seattle, WA salary details
$13.68 - $15.97
2% of jobs
$15.97 - $18.25
13% of jobs
$20.43 is the 25th percentile. Wages below this are outliers.
$18.25 - $20.54
11% of jobs
$20.54 - $22.83
14% of jobs
The median wage is $23.68 / hr.
$22.83 - $25.12
29% of jobs
$25.12 - $27.41
6% of jobs
$27.55 is the 75th percentile. Wages above this are outliers.
$27.41 - $29.69
9% of jobs
$29.69 - $31.98
3% of jobs
$31.98 - $34.27
3% of jobs
$34.27 - $36.56
3% of jobs
$36.56 - $38.85
7% of jobs
$13
$25
$38
How much do insurance claims processing jobs pay per hour?
What is insurance claims processing?
What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?
What does an insurance claims processing do?
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Is insurance claims processing a stressful job?
What is the difference between Insurance Claims Processing vs Insurance Adjuster?
| Aspect | Insurance Claims Processing | Insurance Adjuster |
|---|---|---|
| Credentials | Typically requires a high school diploma or equivalent; certifications like CPCU or AIC are common | Requires a high school diploma; certifications like AIC or state licensing often needed |
| Work Environment | Office-based, processing claims via computer systems | Field and office work, inspecting damages and interviewing claimants |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, independent adjusting firms |
| Primary Focus | Reviewing and processing insurance claims efficiently | Assessing damages and determining claim validity and payout |
While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.
What are the key skills and qualifications needed to thrive in insurance claims processing?
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 21 days ago
Job description
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.
Position Overview
Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Middle Market Property team as a Executive General Adjuster, Property. In this role, the responsibilities include handling of first party large property claims including: investigating, evaluating, and negotiating to ensure optimal claim resolution for commercial property claims of high severity and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This role reports to the Claims Director, Property and is an individual contributor position.
Responsibilities
Handles first party property claims of high severity and complexity as assigned.
Completes field inspection of losses including accurate scope of damages, photographs, and estimates.
Broad scale use of innovative technologies.
Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate.
Establishes timely and accurate claim and expense reserves.
Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits.
Writes denial letters, Reservation of Rights and other complex correspondence.
Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
Meets all quality standards and expectations in accordance with the Company Guidelines.
Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
Manages file inventory to ensure timely resolution of cases.
Handles files in compliance with state regulations, where applicable.
Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
Recognizes when to refer claims to Special Investigations Unit and/or Subrogation Unit.
Performs administrative functions such as expense accounts, time off reporting, etc. as required.
May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
CAT Duty ~ This position will require participation in our Catastrophe Response Program to assist our customers in other states.
Must secure and maintain company credit card required.
In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Company requirements.
Perform other duties as assigned.
Experience & Required Skills
Ten to fifteen (10-15) years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts
Considerable working knowledge of insurance industry and insurance claims operations particularly in the area of commercial property claims, property policy construction, ISO Commercial Property forms, and property insurance coverage evaluation/interpretation
Proper adjuster licensing in all applicable states
Legal concepts and processes knowledge base
Exceptional communication (written and verbal), influencing, evaluation, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
Strong time management and organizational skills
Demonstrated ability to take part in active strategic discussions
Demonstrated ability to work well independently and in a team environment
Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint, and Word
Willing and able to travel up to 75%
Education
Bachelor's degree from an accredited university or two or more insurance industry designations or four additional years of related experience beyond the minimum experience required above may be substituted in lieu of a degree.
Proper & active adjuster licensing in all applicable states
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$111,100 - $135,000/year
Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.