Insurance Claims Representative jobs in Newton, MA

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Complex Claims Representative - New England states
  • Berkshire Hathaway GUARD Insurance Companies
  • Boston, MA FULL_TIME
  • Overview

    Complex Claims Representative

     

    Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is hiring and we’re looking for talented individuals to join our team and establish a rewarding career with us. 

    Our success is founded on our strong reputation, and we have received an A “Superior” grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you’re looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings.

    Benefits:

    • Work life balance schedule- No Nights or Weekends!
    • Hybrid work schedule: Three days in the office, two days from home (if near one of our office locations) 
    • Generous vacation and sick time
    • Closed on all major holidays
    • Healthcare benefits begin on your first day of employment
    • 401K with company match and profit sharing
    • Every 5 years employees receive a generous monetary award to be used toward a vacation!
    • Tuition reimbursement after six months of employment
    • Discover opportunities to advance your career
    • Be part of Berkshire Hathaway Inc., one of the world’s most admired companies

    Responsibilities

    The Complex Claims Representative would handle loss time CCU level claims in New England jurisdictions. This could be a great promotional opportunity for someone looking to expand their knowledge and experience of handling lost time claims.

     

    Responsibilities:

    • Handle New England (CT/VT focused)complex claims and other jurisdictions as needed
    • Adjusts loss time claims only – no medical only claims
    • Determines compensability and/or coverage issues for workers’ compensation loss time claims
    • Negotiates and completes settlements under management’s review
    • Gathers medical and factual evidence
    • Coordinates and directs the activities of outside investigation
    • Manages outside counsel and litigation within given authority
    • Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents
    • Completes timely and efficient claims handling responsibilities

    Qualifications

    • Ability to learn claims handling procedures in multiple states
    • Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills
    • Shows positive attitude toward GUARD and claims department
    • Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment
    • Innovative thinker with the ability to multi-task
    • Excellent verbal and written communication skills
  • 13 Days Ago

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Claims Analyst
  • SAFETY INSURANCE COMPANY
  • Boston, MA OTHER
  • Job Details Level: Experienced Job Location: Safety Insurance Main Office - Boston, MA Position Type: Full Time Education Level: 4 Year Degree Salary Range: Undisclosed Travel Percentage: None Job Shi...
  • 1 Month Ago

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Claims Adjuster Trainee
  • Progressive Insurance
  • Westwood, MA FULL_TIME
  • Join Forbes’ 2023 Best Employer for Diversity! As a claims adjuster trainee, you’ll learn how to help customers get back on the road after an accident. This is not a field position which means you’ll ...
  • 18 Days Ago

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Claims Adjuster Trainee
  • Progressive Insurance
  • Woburn, MA FULL_TIME
  • Join Forbes’ 2023 Best Employer for Diversity! As a claims adjuster trainee, you’ll learn how to help customers get back on the road after an accident. This is not a field position which means you’ll ...
  • 20 Days Ago

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Injury Claims - Attorney Represented
  • Progressive Insurance
  • Woburn, MA FULL_TIME
  • Join Forbes’ 2023 Best Employer for Diversity! As a claims adjuster specialist, you’ll play a critical role managing attorney represented bodily injury (BI) claims. An ideal candidate will have experi...
  • 23 Days Ago

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Auto Damage Claims Adjuster
  • Progressive Insurance
  • Lynn, MA FULL_TIME
  • Join Forbes' 2023 Best Employer for Diversity! As an auto damage claims adjuster, you’ll serve as Progressive’s point of contact with customers – directing and making decisions regarding the repair pr...
  • 24 Days Ago

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0 Insurance Claims Representative jobs found in Newton, MA area

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Life Insurance Sales Agent
  • The Diaz Agency
  • Chestnut Hill, MA
  • Looking for entry level and experienced professionals who appreciate a cutting-edge company with the desire to work for ...
  • 3/28/2024 12:00:00 AM

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Vice President, Sales
  • First American Insurance Underwriters
  • Needham, MA
  • About First American Insurance Underwriters Over the last 35 years, First American Insurance Underwriters (FAIU), based ...
  • 3/27/2024 12:00:00 AM

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Customer Service Account Manager (sales/insurance experience ideal!)
  • J. M. Whitney and Co.
  • Watertown, MA
  • Job Description Job Description We currently need a customer service manager who will be responsible for handling our cu...
  • 3/27/2024 12:00:00 AM

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Producer (Insurance) - Commercial Lines
  • Alera Group, Inc.
  • Boston, MA
  • Overview Alera Group Northeast is seeking an Insurance Consultant out of our Worcester, MA office to join the team. Are ...
  • 3/26/2024 12:00:00 AM

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Vice President, Sales
  • Integrity Marketing Group
  • Needham Heights, MA
  • Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a ...
  • 3/26/2024 12:00:00 AM

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Property & Casualty Licensed Insurance Rep (Remote) – (English or Bilingual Spanish)
  • Concentrix
  • Providence, RI
  • Job Title: Property & Casualty Licensed Insurance Rep (Remote) (English or Bilingual Spanish) Job Description ****Must h...
  • 3/25/2024 12:00:00 AM

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Remote Manager for Senior Life Insurance Company
  • Pope Insurance Group (A Security National Life Insurance Company Agency)
  • Lexington, MA
  • **THIS POSITION REQUIRES THAT YOU HOLD A VALID INSURANCE PRODUCERS LICENSE** We are actively hiring licensed agents that...
  • 3/25/2024 12:00:00 AM

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Dispatch Assistant for Towing Company
  • Stephens Automotive Transport
  • Medford, MA
  • Job Description Job Description We have a need for a dispatch assistant for our tow facility. We are looking to fill an ...
  • 3/24/2024 12:00:00 AM

Newton is a suburban city in Middlesex County, Massachusetts, United States. It is approximately 7 miles (11 km) west of downtown Boston and is bordered by Boston's Brighton and West Roxbury neighborhoods to the east and south, respectively, and by the suburb of Brookline to the east, the suburbs of Watertown and Waltham to the north, and Weston, Wellesley and Needham to the west. Rather than having a single city center, Newton resembles a patchwork of thirteen villages. According to the 2010 U.S. Census, the population of Newton was 85,146, making it the eleventh largest city in the state. Ne...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Claims Representative jobs
$51,247 to $68,007
Newton, Massachusetts area prices
were up 2.5% from a year ago

Insurance Claims Representative
Evaluate and adjust claims within limit of authority and summarize claims in excess of authority and submit to manager for approval.
September 16, 2022
Demonstrate proficiency in file audits to agreed standard of efficient claims quality.
October 17, 2022
Participates in department quality improvement, clinic safety, infection control and hazardous materials programs and activities.
December 15, 2022
Adheres to all policies and procedures.
January 04, 2023
Contact insurance companies in reference to all insurance claims.
February 13, 2023
Review and validation of requests for claim review and other claims documents.
February 16, 2023
Seeks assistance from Team Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating claims and to develop individual skills and grow professionally.
February 16, 2023
Documents all insurance information into eachaccount, includes patient co payments and deductible amounts (if applicable).
March 25, 2023