Complex Claims Representative

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Claims Representative managing complex first party homeowner losses in a technology-focused insurance environment. Collaborating with clients and vendors for efficient claims resolution.

Posted 5/14/2026full-timeRemote • Alabama, Arizona, Florida, Kentucky, Louisiana, Massachusetts, Montana, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Texas, Utah, Virginia, Washington, Wisconsin • 🇺🇸 United StatesSeniorLead💰 $70,000 - $80,000 per yearWebsite

About the role

Key responsibilities & impact

Investigate, analyze, and determine the extent of liability concerning first party homeowner property losses and damages.
Effectively communicate and negotiate with policyholders, agents, public adjusters, attorneys, and service providers via phone, email, and internal systems to accurately document claim details.
Successfully manage a pending claim load at varying stages of the claims process.
Interpret and apply the details of an insurance policy to ensure the accuracy of payments and claims declinations.
Interpret and apply computer generated loss estimates, engineer’s reports, and construction terminology.
Update and maintain comprehensive claim handling notations in our electronic claims management system and other related applications.
Mentor our mid and associate level claims representatives.

Requirements

What you’ll need

7+ years of experience as a desk adjuster in the homeowner/property industry.
Adjusting all perils (fire, hail, wind, water, theft, lightning, vandalism, etc.).
Understanding valued policy states and knowledge of which perils apply and when tendering limits are appropriate.
Previous experience working with contractors, and vendors for claims resolution.
Proficient in handling complex claims with loss values $100K and above.
Previous experience evaluating Proof of Losses.
Previous experience handling CRN, DTPA, NOI, mediations, and appraisals
Ability to conduct recorded statements with insureds.
BA or equivalent experience is preferred.
High School Diploma or its equivalent (GED) is required.
Must be proficient with MS Office and other internal insurance related programs, systems or applications (Outlook, Word, and Excel).
Ability to communicate effectively using programs such as Slack & MS Teams.
Previous experience using systems such as Symbility is a plus.

Benefits

Comp & perks

Medical, Dental, and Vision
Short- and Long-Term Disability (Company Paid)
Voluntary Long-Term Disability
Employee Life & AD&D (Company Paid)
Voluntary Employee, Spouse, and Child Life & AD&D
Healthcare, Dependent Care and Transit FSA, and Healthcare Savings Account (HSA)
401K with a generous matching contribution and no vesting schedule
20 days of PTO annually (prorated based on hire date)
Company Paid Holidays and 2 “Choose Your Own Holidays”

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

desk adjustingclaims managementloss estimationclaims resolutionProof of Loss evaluationcomplex claims handlinginsurance policy interpretationnegotiationconstruction terminologyperil adjustment

Soft Skills

communicationnegotiationmentoringorganizational skillsinterpersonal skillsproblem-solvingtime managementattention to detailadaptabilityteam collaboration

Certifications

BA or equivalent experienceHigh School Diploma or GED