Claims Specialist

• Coordinate residential product claims with the TNA Claims team and Technical and Field Services Groups
• Analyze product-related issues and customer claims and prepare reports
• Enter and process claims data in the Microsoft Dynamics CRM system
• Retrieve invoice and purchase order information from the SAP ERP system
• Manage claims through investigation, documentation, disposition, and timely resolution
• Attach samples, photos, investigative documents, and correspondence to claim records
• Answer questions regarding residential products, installation, and maintenance
• Provide product and installation support to internal and external customers
• Generate technical correspondence and claims analysis and disposition information
• Report claim data and complaint trends to internal and external customers and management
• Facilitate technical product knowledge training
• Serve as primary contact for residential flooring claim issues
• Investigate complaints with Quality Assurance and communicate resolutions
• Identify improvement opportunities to reduce claims and enhance customer experience
• Collaborate with Research and Development, Manufacturing, Sales and Marketing, Quality Assurance, Customer Service, and Technical Services

Senior Claims Coordinator, Residential

• Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes
• Complete assigned tasks in alignment with department, facility, operational, and corporate goals and objectives
• Assist in business development activities for new and existing service offerings
• Promote and maintain customer relations with adjusters to support retention and repeat use
• Communicate daily with the Field Manager and Service Manager regarding operational issues and improvements
• Follow standard operating and safety procedures
• Present professionally in personal and vehicle appearance
• Work in adverse conditions involving post-loss insurance claims
• Perform assignments safely according to Enservio safety standards
• Coordinate with the Scheduling team on scheduled and receiving assignments
• Meet insured parties, adjusters, public adjusters, and restoration companies onsite
• Conduct walkthroughs and brief insured interviews while photographing each room
• Independently capture a complete inventory of total-loss contents throughout homes or businesses
• Complete reports and administrative duties within 24 hours of inventory capture

Field Claims Representative

• Investigate and maintain claims
• Review and evaluate coverage and/or liability
• Secure and analyze reports, policies, appraisals, releases, statements, records, and other documents in claims investigations
• Participate in affecting settlements/reserves within prescribed limits
• Submit recommendations to a supervisor on cases exceeding personal authority
• Ensure claims payments are issued in a timely and accurate manner
• Ensure claims handling complies with applicable statutes, regulations, legal requirements, company procedures, and policies
• Convey coverage, decisions, and outcomes to appropriate parties
• Perform other duties as assigned
• Join the Trucking Division’s Physical Damage team in the Cincinnati, OH office

Senior Claims Representative

• Provide daily inbound and outbound communication coverage by phone, email, and other channels
• Manage customer and retailer inquiries and follow-up throughout the claim process
• Determine coverage, send inspection packets, authorize technicians, order parts, recommend exchanges, administer settlements, and collect complaints
• Review and monitor open claims and proactively follow up to facilitate claim closure
• Provide timely actions and responses to retailers, customers, and manufacturers
• Receive and review inspection packets and determine warranty replacement or denial
• Offer and facilitate service solutions for consumers whose claims are out-of-warranty or not covered by a protection plan
• Understand the retailer portal and provide claims guidance
• Process inbound technician calls, document updates, and perform required follow-up
• Support or perform Intake Specialist functions when required

• Investigate and maintain property claims
• Secure information, review coverages, complete field inspections, and settle claims
• Handle moderately complex homeowner property field claims
• Occasionally handle desk claims
• Investigate origin and cause of claims by contacting insureds, claimants, agents, attorneys, contractors, experts, special investigation units, adjusters, and public personnel
• Identify complex issues and seek assistance as needed
• Handle 1st-party and 3rd-party claims under multiple policy types and endorsements
• Conduct on-site inspections, evaluate damages, and negotiate claims
• Respond to customer inquiries, make decisions, and close files
• Interpret policies, leases, by-laws, declarations, articles, and contract coverages
• Provide claim process and status updates and answer or redirect questions
• Complete additional assignments, duties, or projects as needed
• Report to the Property Claim Manager
• Spend approximately 80% of time in the field

Property Field Claims Adjuster, Northwest Akron, Medina, Brunswick

• Investigate and maintain property claims
• Secure information, review coverages, complete field inspections, and settle claims
• Handle moderately complex homeowner property field claims, typically within 2 hours of Cleveland, Ohio
• Occasionally handle desk claims
• Investigate claim origin and cause by contacting insureds, claimants, agents, attorneys, contractors, experts, investigators, adjusters and public personnel
• Identify complex issues and seek assistance as needed
• Handle 1st-party and 3rd-party claims under multiple policy types and endorsements
• Conduct on-site inspections, evaluate damages, and negotiate settlements
• Respond to customer inquiries, make decisions, and close files as needed
• Interpret policies, leases, by-laws, declarations, articles and contract coverages
• Provide claim process and status updates and answer or redirect questions
• Complete other assignments and participate in projects as needed
• Report to the Property Claim Manager
• Travel to office locations occasionally for team meetings, training and culture events

Property Field Claims Adjuster, Southwest Cleveland/Lorain

• Review and investigate vehicle service contract claims to determine coverage eligibility
• Verify contract information, service history, and failure details to assess each claim accurately
• Collaborate with repair facilities to evaluate repair needs and authorize covered work
• Apply contract terms and conditions when approving or declining repairs
• Calculate repair costs and negotiate fair pricing for parts and labor when appropriate
• Maintain clear and accurate documentation of claim decisions in company systems
• Manage claim queues and ensure timely claim handling and communication
• Evaluate vehicle repair claims, determine coverage, and support fair, accurate, and timely claim resolutions

Mechanical Claims Adjuster

• Review, evaluate, and settle wellness, illness, and accident claims
• Calculate coverage amounts accurately and efficiently while minimizing errors and processing time
• Follow up with pet parents and veterinary clinics for additional required information
• Respond to pet parents’ phone, email, or web inquiries about claim-related questions
• Meet processing efficiency goals set by the Claims Leadership Team
• Generate ideas to improve protocols, customer satisfaction, and service levels
• Take personal responsibility for claims department tasks and follow through on assigned work
• Seek assistance when unsure of procedures or protocols
• Answer questions, provide insights, and complete claims-related tasks for other departments as needed
• Communicate with pet parents and veterinary clinics regarding claims-related questions

Claims Adjuster, Associate

• Investigate, evaluate, and settle insurance claims
• Determine policy coverage for claimed losses and appropriate compensation amounts
• Work with veterinary hospitals and policyholders to evaluate and review pets’ medical histories
• Investigate and process assigned insurance claims
• Verify coverage and compensation amounts according to insurance policies
• Update Explanation of Benefits (EOB), pay, and close claims
• Order medical records from providers as needed
• Communicate with clients and providers during treatment as needed
• Perform other assigned duties

Claims Specialist jobs in Ohio

Senior Claims Coordinator, Residential

Field Claims Representative

Senior Claims Representative