Claims Adjuster

Horizon Grove Corp.; Philadelphia (Philadelphia County); On-site; USD 80,000 - 118,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Tuition reimbursement

Professional development

Job summary

Horizon Grove Corp. seeks a Claims Adjuster in Philadelphia, PA to evaluate insurance claims, determine liability, and negotiate settlements. This full-time role offers a salary range of $80,000 to $117,644 and comprehensive benefits.

The ideal candidate has 2+ years in claims adjustment and strong communication skills to interact with policyholders and legal representatives. Based in our Philadelphia office, the role emphasizes teamwork, professional development, and work-life balance.

Qualifications

• Bachelor's degree or equivalent experience in a related field.
• 2+ years of experience in claims adjustment or a related role.
• Strong knowledge of insurance policies, coverage rules, and claim procedures.

Responsibilities

• Assess and evaluate insurance claims to determine coverage and payout amounts.
• Conduct thorough investigations to gather evidence and information supporting or denying claims.
• Communicate effectively with policyholders, insurance adjusters, and other stakeholders throughout the claims process.
• Review and analyze medical records, police reports, and other documentation to support claim decisions.
• Collaborate with legal and medical professionals to resolve complex claims cases.
• Stay up-to-date with industry trends, regulations, and best practices in claims adjustment.
• Meet and exceed established targets for claim resolution times and accuracy.
• Maintain accurate and detailed records of all claims activities and decisions.

Skills

Strong communication

Negotiation

Attention to detail

Travel willingness

Education

Bachelor's degree or equivalent experience

Job description

Horizon Grove Corp. seeks a Claims Adjuster in Philadelphia, PA. This full-time role involves evaluating insurance claims, determining liability, and negotiating settlements. The company offers a salary range of $80,000 to $117,644.

Daily tasks include assessing claim details, interviewing witnesses, and reviewing medical records. You'll also communicate with policyholders, adjusters, and legal representatives to resolve claims efficiently.

Working in a collaborative team environment at our Philadelphia office, employees are encouraged to contribute their unique ideas and perspectives, fostering a culture of innovation. The company promotes a supportive workplace, with a strong emphasis on work-life balance, allowing employees to maintain a healthy equilibrium between their professional and personal lives. This environment not only encourages professional growth but also ensures that employees feel valued and appreciated. The company's commitment to a positive work culture is evident in its various initiatives and policies that aim to create a harmonious and productive workplace.

The annual salary for this position ranges from $80,000 to $117,644, providing a competitive financial package.

• In addition to the base salary, employees are offered comprehensive health insurance coverage, which includes medical, dental, and vision plans.
• The company also provides a retirement plan with a generous employer match, allowing employees to save for their future.
• Furthermore, professional development opportunities are available, such as tuition reimbursement for further education or certifications, and access to workshops and training sessions to enhance skills and knowledge in the field.
• These benefits contribute to a well-rounded compensation package that supports both the financial and personal growth of employees.

Requirements include a high school diploma or equivalent, 2-4 years of experience in claims adjustment, and strong communication skills. Knowledge of insurance policies and legal procedures is beneficial.

The deadline for submitting your application online is November 23, 2026.

Job Responsibilities:

• Assess and evaluate insurance claims to determine coverage and payout amounts.
• Conduct thorough investigations to gather evidence and information supporting or denying claims.
• Communicate effectively with policyholders, insurance adjusters, and other stakeholders throughout the claims process.
• Review and analyze medical records, police reports, and other documentation to support claim decisions.
• Collaborate with legal and medical professionals to resolve complex claims cases.
• Stay up-to-date with industry trends, regulations, and best practices in claims adjustment.
• Meet and exceed established targets for claim resolution times and accuracy.
• Maintain accurate and detailed records of all claims activities and decisions.

Job Requirements:

• Bachelor's degree in a related field or equivalent experience.
• Minimum of 2 years of experience in claims adjustment or a related role.
• Strong understanding of insurance policies, coverage rules, and claim procedures.
• Excellent communication, negotiation, and interpersonal skills.
• Attention to detail and the ability to work under pressure in a fast-paced environment.
• Valid driver's license and the ability to travel to claim sites as needed.
• Basic computer proficiency and experience with claims management software.
• Ability to work both independently and as part of a team.