Claims Specialist

• The position of Care Advocate will play a leading role in developing an innovative digital product strategy based off your deep expertise and knowledge of the long-term care needs of the aging in your market.
• You will be part of a team delivering concierge services care-seekers and care-managers including but not limited to Caregiver support and Education.
• Conducting consultations with older adults and caregivers on aging services and supports providing support and guidance on the caregiving journey.
• Unlike other traditional Care Advocacy roles, your responsibilities will not stop there but will extend to working with digital product teams to help infuse your patient-centered knowledge into the design process and provide feedback that will help create incredible digital user experiences for millions of care-seekers and care-managers at a tremendous scale.
• This role will provide Subject Matter expertise on the local and state level programming and resources for aging adults and their caregivers.
• This role will provide education and resources to aging individuals seeking assistance with care options and navigating challenges.
• Intensive case management experience and crisis intervention.
• Approach problem-solving with a human-centered lens.
• Regular document key and frequent needs of users and report qualitative data (such as quotes and anecdotal stories that representative of user needs) and quantitative data (such as frequency of user needs and trends in gaps in local care environments and resources) to the digital product and design teams.
• Bring deep understanding of landscape and individual aging and long-term resources, facilities, organizations, agencies, and referral sources to help marketing team reach key partnerships and potential consumers who would benefit from our digital products.
• Report back to product and design teams opportunities for improvement of the digital products based off of user feedback.
• Review new product features before they are released to consumers to identify improvements or potential issues to proactively improve user experience.

Associate Claims Clinical, Care Advocacy

• We are seeking an experienced and dynamic Catastrophe Claims Adjuster & Field Service Manager to join our team in the Lubbock, TX or Amarillo, TX area.
• This position will handle West Texas, Oklahoma and potentially New Mexico.
• This is a highly field-intensive position where you will represent Ford and its various departments.
• You will manage complex physical damage claims and respond to catastrophic events, requiring extensive travel.
• Manage complex insurance claims in a key-pointed area, work independently, schedule appointments for vehicle inspections, and travel throughout your key-point territory.
• Conduct thorough coverage investigations, including fire, theft, false pretense claims, and coverage decisions for floor-planned units.
• Prepare accurate damage estimates using computerized estimating systems (e.g., Mitchell Connect) to establish the cost of repairs.
• Lead subrogation investigations, salvage disposal, and fraud investigations.
• Perform loss prevention reviews and provide essential dealer training activities.
• Remain on-call for CAT/Storm losses and be prepared for extensive travel away from home for extended periods of time. Interested candidates must be willing to travel overnight as required and the travel can be as much as 50-70% particularly during CAT (storm) season.

Auto Claims Adjuster

• Completes field inspections and related responsibilities
• Measures fields, storage bins, and discusses findings of crop loss with farmers
• Conveys complex regulations and interpretations to claimants, agents, and industry people
• Performs fact finding regarding crop damage, records information, and transmits loss information
• Gather relevant facts utilizing applicable law and establishing basic principles of negligence
• Complete claim reviews and audits on lower-level adjusters as assigned
• Ensure legal compliance by maintaining a strong working knowledge of regulatory and company policies and procedures
• Participate on projects as needed

Crop Claims Field Adjuster I, Crop Claims Specialist

• Investigate claims issues and provide information to damagers and utility company field technicians
• Negotiate settlements with damagers and insurance companies as applicable
• Review claim information and request/research additional reference material to complete the claim record
• File subrogation packages with insurance companies
• Dispute resolution and response to damager objections
• Enter data into customized claims systems
• Tracks fees, closed and open claims, and other claims information

Auto Insurance Claims Adjuster

• Communicating directly and following up with insureds to perform loss adjustments, pre-acceptance or quality control inspections to gather facts involved with the settlement of reported claims or inspections
• Staying abreast of crop insurance industry procedures relating to proper adjustment of claims
• Analyzing and making recommendations for enhancements for company software products to assure compliance with company and RMA procedures
• Performing claim audits and reviews

Claims Adjuster

• Investigate and resolve Homeowners claims of moderate complexity in a prompt and efficient manner.
• Document with photographs, measurements, recorded interviews as needed, write a repair estimate to capture damages, and complete thorough file notes.
• Ability to use imagery and advanced video technology to collaborate with onsite vendors and insureds to identify damage and write damage estimates from a virtual setting.
• Compare facts gathered during the investigation against the policy to determine coverage of claim; extend or deny coverage as appropriate.
• Establishes reserve amounts within prescribed settlement authority limit and negotiates settlement of claims; recommends claims which exceed personal authority limit to supervisor for approval.
• Responsible for effectively and timely communicating with insureds and /or their representatives to resolve issues and ensure customer satisfaction.

Property Claims Examiner II – Wind/Hail

• Manage a caseload of General Liability, Construction Defect, and Professional Liability claims from first notice of loss through resolution
• Conduct thorough coverage analysis on all new losses
• Investigate claims by gathering and analyzing relevant documentation
• Assign, direct, and manage outside defense counsel
• Maintain accurate and timely reserves on all files
• Proactively communicate with insureds, brokers, and carriers on claim status
• Identify subrogation, contribution, and recovery opportunities on applicable files

Claims Specialist jobs in Oklahoma

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