Claims Adjuster
Maryville, TN ยท On-site +1
Hybrid - 3 days in office, 2 days remote after training. PAY: T h e expected hiring range for this ... Maintainsworkflow to ensure timely processing of claims. * Partners withClaimsleadershipon ...
Maryville, TN ยท On-site +1
Hybrid - 3 days in office, 2 days remote after training. PAY: T h e expected hiring range for this ... Maintainsworkflow to ensure timely processing of claims. * Partners withClaimsleadershipon ...
Maryville, TN ยท On-site +1
Hybrid - 3 days in office, 2 days remote after training. PAY: T h e expected hiring range for this ... Maintainsworkflow to ensure timely processing of claims. * Partners withClaimsleadershipon ...
Maryville, TN ยท On-site +1
Hybrid - 3 days in office, 2 days remote after training. PAY: The expected hiring range for this ... Maintainsworkflow to ensure timely processing of claims. * Partners withClaimsleadershipon ...
Maryville, TN ยท On-site +1
Hybrid - 3 days in office, 2 days remote after training. PAY: The expected hiring range for this ... Maintainsworkflow to ensure timely processing of claims. * Partners withClaimsleadershipon ...
Nashville, TN ยท Remote
$63K - $82K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Nashville, TN ยท Remote
$63K - $82K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Nashville, TN ยท Remote
$63K - $82K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Nashville, TN ยท Remote
$63K - $82K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Nashville, TN ยท On-site +1
$68K - $102K/yr
Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness. * Collaborate with Partners: Work closely with third ...
Nashville, TN ยท On-site +1
$68K - $102K/yr
Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness. * Collaborate with Partners: Work closely with third ...
Nashville, TN ยท On-site +1
$68K - $102K/yr
Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness. * Collaborate with Partners: Work closely with third ...
Nashville, TN ยท On-site +1
$68K - $102K/yr
Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness. * Collaborate with Partners: Work closely with third ...
Nashville, TN ยท Remote
$75K - $85K/yr
Fully Remote Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Nashville, TN ยท Remote
$75K - $85K/yr
Fully Remote Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Only, TN ยท Remote
$80K - $85K/yr
... Remote PRIMARY PURPOSE OF THE ROLE To analyze and process complex auto and commercial ... Processes complex auto commercial and personal line claims, including bodily injury and ensures ...
Only, TN ยท Remote
$80K - $85K/yr
... Remote PRIMARY PURPOSE OF THE ROLE To analyze and process complex auto and commercial ... Processes complex auto commercial and personal line claims, including bodily injury and ensures ...
Only, TN ยท Remote
$80K - $85K/yr
... Remote PRIMARY PURPOSE OF THE ROLE To analyze and process complex auto and commercial ... Processes complex auto commercial and personal line claims, including bodily injury and ensures ...
Only, TN ยท Remote
$80K - $85K/yr
... Remote PRIMARY PURPOSE OF THE ROLE To analyze and process complex auto and commercial ... Processes complex auto commercial and personal line claims, including bodily injury and ensures ...
Murfreesboro, TN ยท Remote
$25/hr
Remote, U.S. Pay: $25/hour | Full-time Hours: Mon-Fri 8am-5pm CST Are you an experienced auto ... Requests for accommodation related to our application process can be directed to the Kelly Human ...
Quick apply
Murfreesboro, TN ยท Remote
$25/hr
Remote, U.S. Pay: $25/hour | Full-time Hours: Mon-Fri 8am-5pm CST Are you an experienced auto ... Requests for accommodation related to our application process can be directed to the Kelly Human ...
Nashville, TN ยท Remote
$75K - $85K/yr
Fully Remote Jurisdictions: All except AK Industry: Commercial Auto / General Liability Build Your ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Nashville, TN ยท Remote
$75K - $85K/yr
Fully Remote Jurisdictions: All except AK Industry: Commercial Auto / General Liability Build Your ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans ...
Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans ...
Nashville, TN ยท Remote
$75K - $80K/yr
Fully Remote Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Nashville, TN ยท Remote
$75K - $80K/yr
Fully Remote Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Brentwood, TN ยท On-site +1
$17.25 - $22.25/hr
We are seeking Medical Billing Specialist to assist with filing medical claims, processing payments ... Eligible to Work Remote * Quarterly Bonus Program * Health Insurance * Dental amp; Vision Insurance
Brentwood, TN ยท On-site +1
$17.25 - $22.25/hr
We are seeking Medical Billing Specialist to assist with filing medical claims, processing payments ... Eligible to Work Remote * Quarterly Bonus Program * Health Insurance * Dental amp; Vision Insurance
Nashville, TN ยท Remote
$85K - $105K/yr
Remote Salary Range: $85,000 - $105,000 annually Build Your Career With Purpose at CCMSI At CCMSI ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Nashville, TN ยท Remote
$85K - $105K/yr
Remote Salary Range: $85,000 - $105,000 annually Build Your Career With Purpose at CCMSI At CCMSI ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Nashville, TN ยท Remote
$21.64 - $23/hr
... in a professional remote environment. The Mechanical Claims Adjuster is responsible for ... Manage Workflow - Process and complete all requests and documents in accordance with established ...
Quick apply
Nashville, TN ยท Remote
$21.64 - $23/hr
... in a professional remote environment. The Mechanical Claims Adjuster is responsible for ... Manage Workflow - Process and complete all requests and documents in accordance with established ...
Only, TN ยท On-site +1
$63K - $90K/yr
... I Remote Are you looking for an opportunity to join a global industry leader where you can bring ... Analyzing and processing claims through well-developed action plans to an appropriate and timely ...
Only, TN ยท On-site +1
$63K - $90K/yr
... I Remote Are you looking for an opportunity to join a global industry leader where you can bring ... Analyzing and processing claims through well-developed action plans to an appropriate and timely ...
Only, TN ยท On-site +1
$63K - $90K/yr
... I Remote Are you looking for an opportunity to join a global industry leader where you can bring ... Analyzing and processing claims through well-developed action plans to an appropriate and timely ...
Only, TN ยท On-site +1
$63K - $90K/yr
... I Remote Are you looking for an opportunity to join a global industry leader where you can bring ... Analyzing and processing claims through well-developed action plans to an appropriate and timely ...
Memphis, TN ยท On-site +1
FL - Required (Remote) Are you looking for an opportunity to join a global industry leader where ... Analyzing and processing claims through well-developed action plans to an appropriate and timely ...
Memphis, TN ยท On-site +1
FL - Required (Remote) Are you looking for an opportunity to join a global industry leader where ... Analyzing and processing claims through well-developed action plans to an appropriate and timely ...
Memphis, TN ยท On-site +1
FL - Required (Remote) Are you looking for an opportunity to join a global industry leader where ... Analyzing and processing claims through well-developed action plans to an appropriate and timely ...
Memphis, TN ยท On-site +1
FL - Required (Remote) Are you looking for an opportunity to join a global industry leader where ... Analyzing and processing claims through well-developed action plans to an appropriate and timely ...
$10.91 - $12.10
2% of jobs
$12.10 - $13.29
6% of jobs
$13.29 - $14.48
9% of jobs
$15.10 is the 25th percentile. Wages below this are outliers.
$14.48 - $15.67
14% of jobs
$15.67 - $16.86
18% of jobs
The median wage is $16.90 / hr.
$16.86 - $18.05
17% of jobs
$18.70 is the 75th percentile. Wages above this are outliers.
$18.05 - $19.24
16% of jobs
$19.24 - $20.43
7% of jobs
$20.43 - $21.62
4% of jobs
$21.62 - $22.81
4% of jobs
$22.81 - $24
2% of jobs
$10
$17
$23
| Aspect | Remote Claims Processing | Remote Claims Adjuster |
|---|---|---|
| Credentials | Typically requires insurance or claims processing certifications | Requires insurance licenses and adjuster certifications |
| Work Environment | Home-based, administrative setting | Home-based or field, investigative and evaluative tasks |
| Industry Usage | Insurance companies, third-party administrators | Insurance companies, public adjusting firms |
| Job Focus | Processing claims, data entry, customer service | Investigating claims, assessing damages, settlement negotiations |
Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.
For Remote Claims Processing jobs in Tennessee, the most frequently searched job titles are:
The top searched job categories for Remote Claims Processing jobs in Tennessee are:
Cities in Tennessee with the most Remote Claims Processing job openings:

Maryville, TN โข On-site, Remote
Full-time
Medical, Dental, Vision, Retirement
This job post hasย expired 5 days ago.ย Applications are no longer accepted.
POSITION TITLE: Claims Adjuster I
JOB STATUS:Full-time/Hourly
DEPARTMENT: Claims
REPORTS TO:Claims Team Lead
TRAVEL REQUIRED:Asneeded
WORK SCHEDULE: Hybrid - 3 days in office, 2 days remote after training.
PAY: The expected hiring range for this position is from $21.69 to $27.11 plus additional bonus opportunity. The stated hiring range is based on experience, qualifications, and other relevant factors. Final compensation decisions will take into account a variety of considerations, including individual skills, internal equity, and organizational needs.
HomeFirst Agency is a leading insurance agency offering a wide range of insurance products from nationally-known insurance companies to protect your home, property and life. We strive to help customers find the right insurance products to fit their needs at competitive rates. Located in Maryville, Tennessee, we offer homeowners insurance to customers nationwide, and insurance to protect your other property and life in select states. For over 20 years, we have helped customers with their insurance needs. Today, we have more than 180,000 customers.
JOB SUMMARY
The Claims Adjuster Ireviewsclaims related to property damage or loss.This position reports to the Claims Team Lead andworks with various experts during the claims process to obtain accurate assessments and supportinclaims decisions.The Claims Adjuster Ipartners withClaims Trainer and Claims Team Leadtointerpret the terms and conditions ofinsurance policiesto determine coverage and exclusions applicable to each claim.This position also engages with policyholders to gather information, provide updates on the status of claims, and explain the claims process and decisions.
JOBFUNCTIONS:
ClaimsHandlingandInvestigating
Maintainsaccurate and detailed notes regarding interactions, decisions, and actions taken throughout a claim.
Partners with Claims Team Lead and Trainers to review, evaluate, and investigate photos, estimates, forms, receipts, inspection reports, and official reports presented on a claim.
Reviews, partners,and processesproperty damage claims submitted by policyholders.
Reviews insurance policies to determine coverageby working with Claims Trainers and leadershiptointerpret and apply policy provisions to claimsunder considerationbased on coverage and investigation findings.
Conducts,records, andinterviews withthoseinsuredtosecure information regardingpersonalloss.
Workswith claimants orrepresentativesofclaimants(contractors, public adjusters,attorneys, or other legal representatives)to gather necessary information regarding the claim andto negotiate fair and equitable settlements, overseen by Claims Team Lead.
Collaborateswith other insurancecarriers as needed regarding duplicate claims and coverage.
Selects and assignsclaims for inspections.
Requests and issues settlement checkswithexplanation lettersbased on policy terms and investigation findings,withlimitedauthority.
Preparesand issuesdenial letters toclaimants, clearly outlining the reasons for denial based on policy terms and investigation findings.
Identifiespotential fraudulent claims and refersfor additional investigation as warranted.
Ensures claimshandling complies with company and regulatory policies.
Escalates complex insurance claims tomanagementand legal teamsincludingthose subject to complaints and litigation.
Consults withClaims TeamLeadstoresolve disagreements with a claim,utilizing alternative dispute resolutions(arbitration,appraisal, and mediation).
Collaborateswith management on arbitration, appraisal, and mediations.
Maintainsworkflow to ensure timely processing of claims.
Partners withClaimsleadershipon difficult or unusual situations that arise onclaims.
Prepares responselettersto complaints or legal issuesreceived.
Customer Service
Provides excellent customer service bymaintainingprofessional and constant dialogue with claimantsin addition tohandling claims promptly, efficiently, and with empathy.
Communicates regularlywith policyholders or other relevant partiesprovidingupdates on the status of claims and addressingany questions or concerns.
Provides supporttorelated teams during high work volumeto meet or exceed established service levels.
Educatespolicyholders on the claim process and coveragesby maintaining open communication throughout the claim duration.
Sorts and responds to incoming emails.
Training and Education
Assists with one-on-one training or job shadowing for new hires.
Completesrequired state continuing education requirements to maintainand renewadjuster license.
Other duties as assigned
This job description is not an exhaustive list of all the functions that a team memberperformsand other duties may be assigned.
QUALIFICATIONS:
Education:High School diploma or equivalentrequired, collegedegreepreferred.
Experience:0-2 years of related experiencepreferred.
Travel as needed.
Must have strong computer skills with ability to navigate Microsoft Office Suite.
Maintains excellent knowledge of state and federal laws and regulations.
Ability to communicate effectively and efficiently via phone, email, and person to person.
Capability of gathering facts accurately, analyzing causes, evaluating alternate solutions, and arriving at sound conclusions on action to be taken.
Ability to manage multiple and/or conflicting responsibilities.
Great attention to detail, organizational skills, and time management.
Good sense of urgency and follow up.
Ability to handle stressful situations.
Ability to work in a team environment.
Ability to makerelativelycomplex decisions.
Licenses/Certifications:A current Property & Casualty Adjuster license preferred but not required. Must obtain license within 90 days of hire if not currently licensedand maintain state licensing requirements through the completion of continuing education when required by the state.
Knowledge, Skills and Abilities (KSAs):
Must have strong computer skills with ability to navigate Microsoft Office Suite
Maintains excellent knowledge of state and federal laws and regulations
Claims experience helpful, working knowledge of AS/400 and basic understanding of insurance a plus
Ability to communicate effectively and efficiently via phone, email, and person to person
Capable of gathering facts accurately, analyze causes, evaluate alternate solutions, and arriving at sound conclusions on action to be taken
Ability to manage multiple and/or conflicting responsibilities
Great attention to detail, organizational skills, and time management
Good sense of urgency and follow up
Ability to handle stressful situations
Ability to work in a team environment
Capable of dealing with changes that can and will occur periodically
Ability to make complex decisions
PHYSICAL DEMANDS:
Must be able to remain in a stationary position 75% of the time.
Will be constantly operating a computer and other office productivity machinery, such as a telephone, calculator, copy machine, and computer printer.
Will be communicating via phone, Teams, andZoom.
Must be able to exchange accurate information at all times.
Must be able to identify and assess account status and determine appropriate process.
Willprimarilywork in a state-of-the-art indoor temperature controlled, sealed window office environment, while working a hybrid schedule.
Here are some more reasons to choose HomeFirst Agency!
Full-time team members have the flexibility to create their own health, dental, and vision benefits package. HomeFirst Agency provides competitive 401(k) programs, including investment options and company matching for full and part time team members after one year to help our team members achieve their financial goals. Additional benefits include paid parental leave, tuition reimbursement, Employee Assistance Programs, and more.
As part of HomeFirst's commitment to Opening Doors to a Better Life, HFA is now providing paid time for Team Members to volunteer to causes that are meaningful to them through the Clayton Impact program.
At HFA, we encourage holistic wellness with physical, nutritional, social, financial, spiritual, and occupational programs available online or in-person for team members.
Our newly renovated Home Office campus offers an onsite restaurant, onsite fitness facility with full gym, in-person and virtual workout classes, yoga/barre studio, volleyball, and basketball courts, walking paths, and a disc golf course.
Clayton is committed to creating an inclusive workplace. HomeFirst Agency is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.
HomeFirst Agency. Where you start a job and gain a career!
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