Claims Systems Jobs

This full-time outside sales role focuses on generating new business for Metro Public Adjusting, a firm that advocates for property owners during insurance claims. The position involves visiting residential and commercial sites to assess damage, explaining services to clients, and building referral networks with contractors and brokers. Key duties include meeting monthly sales targets and collaborating with the claims team to ensure seamless service delivery. The role is appealing due to its uncapped commission structure, comprehensive training in public adjusting, and strong marketing support. It offers a flexible schedule, opportunities for career growth into leadership, and requires reliable transportation for field-based work.

The Account Executive role at MES Solutions focuses on driving sales for independent medical examination and peer review services within the New York territory. The position requires a sales professional with a background in claims or workers compensation to identify new clients and nurture existing relationships through strategic territory planning and frequent field travel. Key responsibilities include executing sales strategies to exceed revenue targets, managing client engagement through face-to-face interactions, and utilizing CRM tools for pipeline forecasting. This opportunity appeals to candidates seeking a dynamic environment with a fast-paced team culture, professional development support, and comprehensive benefits. The role is based remotely with approximately 75% travel required within the Syracuse, Buffalo, or Albany areas.

The Senior Vendor Management Professional serves as a liaison between the organization and external vendors within the healthcare sector. Key responsibilities include negotiating contract terms, resolving invoice discrepancies, monitoring vendor performance, and influencing departmental strategy. This role requires managing moderately complex operational issues with a high degree of independence. The position is appealing due to the opportunity to make a tangible impact on consumer health experiences within a caring community. It offers a remote work arrangement with occasional travel for training or meetings, providing flexibility while supporting the mission of improving care for millions of members.

This on-site role in Richmond, Virginia, seeks a Counsel or Senior Counsel to join a respected multi-office law firm's litigation team. The position focuses on civil defense matters, including insurance coverage, fraud investigations, and various tort claims in state and federal courts. Key responsibilities involve managing files with autonomy, conducting discovery, drafting motions and briefs, and leading trial efforts. The opportunity is appealing for mid-level litigators seeking a hands-on position with significant responsibility and 1st or 2nd chair trial experience. The firm offers a collaborative environment with strong professional development support, comprehensive benefits, and a clear path for long-term career growth within a defense practice.

This senior litigation attorney role is based in Los Angeles within a complex litigation team representing individuals and corporations in high-stakes matters. The position covers a diverse caseload including business litigation, class actions, antitrust disputes, and commercial conflicts. Key responsibilities involve managing all phases of litigation from pleadings and discovery to trial advocacy, while drafting briefs, motions, and settlement evaluations. The role appeals to experienced attorneys seeking a collegial environment with a clear path for professional growth and strong team support. Candidates will work independently on a demanding caseload while collaborating closely with a supportive litigation group.

This full-time Physical Education teaching role for the 2026-2027 academic year involves designing and delivering curriculum that meets diverse student needs within a Florida school district. Key responsibilities include planning instructional programs, assessing student progress, maintaining accurate records, and supervising support personnel while ensuring compliance with state regulations and student safety protocols. The position appeals to educators seeking a collaborative environment focused on student well-being and school improvement initiatives. Candidates must hold a valid Florida teaching certificate and a bachelor's degree, with a master's degree and management experience preferred. The role is based on-site at the school facility.

The Customer Success Manager role serves as the dedicated point of contact for key producer accounts within Trustmark's insurance division. The position focuses on managing post-implementation relationships, triaging complex service issues, and collaborating with subject matter experts to ensure timely resolutions. Key responsibilities include tracking service level metrics, analyzing trends to drive process improvements, and conducting quarterly reviews to maintain high customer satisfaction and Net Promoter Scores. This opportunity appeals to professionals seeking a purpose-driven environment where diversity, inclusion, and mutual respect are core values. The role offers significant career growth within a collaborative team that supports a mission to improve wellbeing, with a hybrid work arrangement that includes up to 20% travel for relationship building.

The Accountant role within PCL Construction's Civil West team supports operational and financial functions for construction projects. Key responsibilities include managing full-cycle accounting tasks, preparing client billing packages, performing monthly reconciliations, and assisting with financial forecasting and reporting. The position requires interpreting contract terms and ensuring compliance with insurance and bonding documentation. This opportunity is appealing due to the company's 100% employee-owned structure, which fosters a culture of shared success and long-term value. Employees benefit from extensive career growth pathways, leadership development, and access to specialized training through the College of Construction. The role is based in Tempe, Arizona, and offers a supportive environment that values diverse perspectives and professional development.

The Service Manager role at Sunbelt Rentals oversees the repair and maintenance of company and customer equipment within a fast-growing rental business. Key responsibilities include managing service schedules, organizing yard inventory, ordering parts, training mechanics, and ensuring strict safety and quality control standards. The position involves handling customer inquiries, processing work orders, and maintaining detailed service records. This opportunity appeals to candidates seeking an entrepreneurial environment with a clear career track and extensive on-the-job training. The company fosters a supportive culture that values employee growth and offers a comprehensive benefits package. The role requires a mix of indoor and outdoor work and involves physical tasks such as lifting and equipment inspection.

The Associate role within Blackstone's Portfolio Management Valuations and Analytics team supports Private Equity Strategies by preparing and analyzing investment valuation results. Key responsibilities include building and updating discounted cash flow and performance multiple models, managing the onboarding process for new portfolio investments, and coordinating valuation reviews with external auditors and third-party firms. The position also involves creating presentation materials for internal committees and driving process improvements using technology. This opportunity appeals to candidates seeking to work within the world's largest alternative asset manager, offering exposure to a global investment platform with a focus on long-term value creation. The role requires strong analytical skills and collaboration across finance, operations, and deal teams.

This remote Employment and Labor Attorney role within the legal team at GardaWorld Security combines employment litigation with labor relations in a multi-state environment. Key responsibilities include managing state and federal litigation, responding to agency charges, advising on union matters, and supporting collective bargaining negotiations. The position also involves providing practical legal guidance to HR and operations teams while overseeing case progress with outside counsel. This opportunity appeals to attorneys seeking a dynamic mix of courtroom work and strategic business advisory. The role offers remote flexibility with travel as required, alongside a collaborative culture recognized as a Great Place to Work. It provides significant career growth potential within a global security organization that values professional development and internal mobility.

This independent contractor role involves providing risk assessments and loss control surveys for commercial insurance carriers within the San Antonio area. The position requires evaluating property and casualty risks for diverse businesses, including retail, manufacturing, and construction sites, to generate reports that support underwriting decisions. Key responsibilities include scheduling on-site inspections, identifying potential loss conditions, and delivering actionable recommendations for risk improvement. The opportunity appeals to experienced professionals seeking flexibility to work from a home office while managing their own local territory. It offers the chance to utilize extensive industry knowledge in a role that values autonomy, professional growth, and direct client interaction without the constraints of a traditional employee schedule.

The Sous Chef role serves as a key member of the restaurant leadership team at Eddie Merlot's, responsible for directing safe and profitable kitchen operations. Key duties include managing daily food production for dining and events, leading and training kitchen staff to ensure high-quality standards, and monitoring food and labor costs to meet financial goals. The position appeals to culinary professionals seeking growth opportunities through cross-training and mentorship within a collaborative culture. The role requires active partnership with other locations and dining managers to enhance the guest experience while maintaining strict adherence to safety and sanitation regulations.

This field investigator role at Ethos Risk Services focuses on identifying fraudulent insurance claims through covert surveillance and evidence collection. The position involves reviewing case files, conducting stationary and mobile surveillance from a personal vehicle to capture video evidence, and drafting detailed, court-ready investigative reports. The role appeals to those seeking an independent career with opportunities for mentorship and professional growth within a leading industry firm. While the position requires early morning starts, weekend availability, and occasional travel, it offers the flexibility of working autonomously in the field. Candidates must possess a valid driver's license, a reliable vehicle, and relevant surveillance equipment or the willingness to obtain a private investigator license.

This full-time on-site role in Charlotte supports the Technical Department by managing warranty claims for key national accounts. The position involves reviewing and processing claim documentation, coordinating with engineers for validation, and ensuring timely reimbursement through accurate data entry and tracking. Key responsibilities include handling customer inquiries via phone and email, maintaining organized claim status records, and coordinating the logistics for tire inspections and shipments. The role appeals to candidates seeking a structured environment where strong organizational skills and problem-solving abilities are valued. It offers the opportunity to work closely with engineering and administrative teams while developing expertise in warranty policies and customer service operations within a collaborative office setting.

The Inside Property Adjuster role within the Property Damage Department involves handling property claims telephonically with independent judgment. Key responsibilities include investigating claims, interviewing policyholders and witnesses, inspecting damage, preparing estimates, and determining coverage and payment amounts. The position offers a hybrid work arrangement based in the Lexington, KY office and provides opportunities for professional growth through industry training and a supportive culture. The role is appealing due to the company's commitment to employee well-being, including comprehensive health benefits, a traditional pension plan, and a collaborative environment within a Fortune 500 organization.

The Shop Foreman role oversees daily operations within a heavy construction equipment service department. Key responsibilities include managing work orders and invoices, performing basic diagnostics and repairs on machinery, and maintaining inventory and safety standards. The position also involves assisting with technician training, conducting safety meetings, and supporting performance reviews. This opportunity appeals to candidates seeking a leadership position that combines technical expertise with administrative duties in a team-oriented environment. The role requires a flexible schedule with occasional evenings and weekends, and involves working on-site at the branch facility.

This Insurance Agent role within the Commercial Lines department focuses on servicing policyholders and evaluating coverage needs for businesses. Key responsibilities include performing frontline underwriting for new applications and renewals, binding coverage according to guidelines, and assisting with claims processing and policy inquiries. The position involves building client relationships, coordinating with lenders, and maintaining accurate account records. The role offers a hybrid work arrangement allowing up to three days of remote work after initial in-person training. It is appealing due to the company's structured training program, mentorship opportunities, and a collaborative culture that supports long-term career growth in a top-rated insurance carrier.

The Program Integrity Clinical Reviewer II role supports CareSource's investigative and audit teams by evaluating medical records for documentation accuracy, coding compliance, and potential fraud. Key responsibilities include conducting claim reviews against clinical standards, presenting findings to medical directors, developing training materials, and collaborating with cross-functional departments to improve policies. This position is appealing for professionals seeking to leverage their clinical background and coding expertise in a collaborative environment that values continuous learning and professional development. The role requires a current RN license and coding certification, with a preference for readmission and fraud investigation experience. The position operates within a general office setting.

This experienced desk-based Property Adjuster role at USAA focuses on investigating, evaluating, and settling low to moderate complexity property insurance claims for the military community. Key responsibilities include analyzing coverage, negotiating equitable settlements, utilizing estimating technology like Xactimate, and collaborating with vendors and internal teams to resolve claims efficiently. The position offers a hybrid work arrangement requiring three days in the office within select locations, providing a stable environment with opportunities for professional growth through comprehensive training and career path planning. The role is appealing due to its mission-driven culture centered on integrity and service, along with access to best-in-class benefits including retirement plans and wellness programs.

This full-time remote Medical Case Manager role supports federal workers with occupational injuries and illnesses within Sedgwick Government Solutions. The position involves developing comprehensive case management plans, coordinating acute and chronic treatment phases, and serving as the primary communication link between patients, providers, and agencies. Key responsibilities include tracking patient improvement goals in a database and implementing services to minimize disability outcomes. The role appeals to nurses seeking a meaningful career where caring for others is central to the mission, offering the flexibility of a home-based office while collaborating with a supportive nationwide team. Success in this position requires an active nursing license, relevant workers' compensation experience, and the ability to obtain a federal security clearance.

This full-time Project Manager role oversees restoration and reconstruction projects within Homeowners Association communities. The position manages the full project lifecycle from initial assessment to completion, including water, fire, mold, and storm damage repairs. Key responsibilities involve developing project scopes and budgets, coordinating subcontractors and vendors, conducting site inspections for safety and quality, and serving as the primary liaison for HOA boards, property managers, and insurance adjusters. The role requires a blend of office planning and frequent field visits to active construction sites. It is appealing for candidates seeking a dynamic environment that values strong leadership, professional client relationships, and the opportunity to manage complex multi-unit residential projects with a focus on timely delivery and high-quality workmanship.

This 1099 field adjuster role is based in the Des Moines, Iowa area, focusing on residential and commercial property claims for CCMS & Associates. The position requires at least one year of first-party adjusting experience and involves conducting on-site property inspections, investigating claims through interviews and official reports, and preparing detailed loss statements and reserve recommendations using estimating software like Xactimate. The role appeals to professionals seeking flexible independent work arrangements within an innovative team that handles complex property and casualty cases. Success in this position relies on strong time management, communication skills, and a valid driver's license to travel to various claim sites.

This entry-level medical role within the BlueCross BlueShield of South Carolina family focuses on conducting medical reviews and managing utilization for inpatient, outpatient, and facility services. The position involves evaluating medical claims, determining coverage based on clinical guidelines, and documenting decisions for appeals. Key responsibilities include performing authorization processes, assessing medical necessity, and providing education to members and providers. The role offers a stable career path with a company rooted in the community for over seven decades, featuring a supportive culture that values diversity and professional growth. While the position begins with six months of onsite training in Myrtle Beach, it transitions to a remote work arrangement thereafter, providing long-term flexibility for qualified candidates.

This part-time Special Investigations Unit role focuses on detecting and combating insurance fraud across auto, property, and liability lines. The position involves conducting in-person and recorded interviews, collecting evidence at accident scenes, and preparing detailed investigative reports for clients. Candidates collaborate with law enforcement to support regulatory compliance and criminal prosecutions. The role appeals to experienced professionals seeking a hybrid work arrangement that combines remote flexibility with local travel. The team offers a collaborative culture, comprehensive training, and essential support including equipment, mileage reimbursement, and professional licensing fees.