Investigate and adjudicate workers' compensation claims, including medical-only and indemnity claims in MN, as well as Federal and State Black Lung claims.
Conduct claimant, employer, and provider outreach, set reserves, deny non-compensable claims, and ensure timely, accurate medical payments.
Manage a diary, complete tasks to resolve cases timely, and prepare reports for file documentation.
Analyze and process workers compensation lost-time claims, investigating to determine benefits and exposure.
Negotiate settlement of claims within designated authority and communicate with claimants and clients.
Report claims to excess carrier and respond to requests in a professional and timely manner.
Sedgwick is the world’s leading risk and claims administration partner, helping clients navigate the unexpected with advanced AI-enabled technology. With over 33,000 colleagues and 10,000 clients across 80 countries, it offers a caring culture that values work-life balance and professional growth.
Manage a caseload of complex workers' compensation cases including litigation and disability.
Investigate claims to determine compensability, establish reserves, and manage medical treatment.
Collaborate with clients, legal counsel, and healthcare professionals to resolve claims.
Berkley Risk provides program administration and insurance services for self-insured entities. It is a member company of W. R. Berkley Corporation, a Fortune 500 firm, offering a competitive compensation and robust benefits package.
Investigate, evaluate, and adjust assigned multi-line claims in accordance with corporate standards, client guidelines, and jurisdictional requirements.
Manage claims cradle to grave across all jurisdictions, including licensed states such as NY and FL.
Negotiate settlements with claimants, attorneys, and vendors in alignment with client expectations and authority levels.
CCMSI partners with global clients to solve complex risk management challenges through advanced technology and collaborative problem-solving. As the largest privately-owned Third Party Administrator, CCMSI is a certified Great Place to Work® with employee-owners empowered to grow and make meaningful contributions.
Examines claims data and conducts investigations to determine coverage, compensability, and benefits under moderate supervisory direction.
Handles California workers compensation claims, including catastrophic claims with supervisory oversight and litigation management.
Coordinates return to work, sets reserves, and reviews medical bills for causal relationship and appropriateness.
Crum & Forster (C&F) provides specialty and standard commercial lines insurance products. With over 2000 employees in the US, they earn recognition as a great place to work with a focus on diversity and inclusion.
Process inbound claim contacts from dealers, repair facilities, sales agents, and contract holders.
Manage queue contacts via phone, email, and chat channels.
Correspond with vendors and assist with claim estimation and cost comparison.
Protective helps protect customers against life's uncertainties by providing insurance and claims services. The company offers comprehensive benefits and promotes work/life balance with a focus on employee wellbeing.
Investigate, evaluate, and adjust commercial auto and property claims from assignment through resolution while ensuring compliance with standards and regulations.
Conduct thorough liability investigations, establish reserves, and negotiate settlements within authority limits in alignment with client expectations.
Maintain accurate claim documentation, communicate effectively with clients and claimants, and identify subrogation opportunities where applicable.
CCMSI is the largest privately-owned Third Party Administrator (TPA) that partners with global clients to solve complex risk management challenges through advanced technology and collaborative problem-solving. As a certified Great Place to Work®, the company is employee-owned and empowers its staff to grow, collaborate, and make meaningful contributions every day.
Supervise claim activities to ensure compliance with Corporate Claim Standards, client instructions, and applicable laws.
Investigate, evaluate, and adjust assigned claims; set and oversee reserves within authority levels.
Negotiate settlements, manage litigated files, and train claim staff to drive excellence and quality.
CCMSI partners with global clients to solve risk management challenges through advanced technology and collaborative problem-solving. As the largest privately owned Third Party Administrator (TPA), CCMSI is a certified Great Place to Work® with employee-owners empowered to grow and collaborate.
Independently manages a portfolio of moderate to complex personal and commercial auto, General Liability Bodily Injury and Property Damage claims from assignment to resolution.
Conducts thorough investigations, analyzes coverage and liability, evaluates damages, establishes reserves, and negotiates settlements.
Prepares and presents claims to authority committees, drafts legal letters, and ensures accurate documentation with high customer service.
West Bend is an insurance company recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years. They hire conscientious, customer-focused individuals and foster a culture of belonging, appreciation, and professional growth.
Initiate investigation of new claims and evaluate coverage to make appropriate policy decisions.
Evaluate and negotiate settlements of property, collision, and transportation losses while managing outside adjusters.
Ensure compliance with state laws, maintain licenses, and handle small claim suits as needed.
ClaimsPro LP, part of SCM Insurance Services, is a Third Party Administrator handling claims across the US and Puerto Rico. SCM is Canada's largest privately owned insurance services provider, known for a culture of continuous learning and recently winning a Culture Innovator Award.
Review claim files to determine coverage and develop collection strategies with insurance partners and customers.
Negotiate with responsible parties and interpret facts of loss to establish settlement strategies.
Maintain accurate account records, update system notes, and make decisions for settlement strategy.
Enterprise Mobility is a family-owned portfolio of brands and leading provider of mobility solutions worldwide. Founded over 60 years ago, it operates a global network with 80,000 dedicated team members across nearly 100 countries.
Review and investigate vehicle service contract claims to determine coverage and eligibility.
Collaborate with repair facilities to evaluate repair needs and authorize covered work.
Calculate repair costs, negotiate fair pricing, and maintain clear documentation of claim decisions.
APCO Holdings partners with dealerships across North America to deliver innovative vehicle protection products and services. The company fosters a collaborative, results-driven culture with teams across operations, technology, risk, finance, marketing, and sales.
Determines coverage, investigates, and resolves complex commercial casualty claims, including litigated bodily injury cases.
Manages litigation, including working with defense counsel, and ensures appropriate reserves and settlements.
Provides mentorship to staff and liaises with business partners such as Underwriting and Reinsurance.
Liberty Mutual is a global insurance company offering commercial casualty coverage. They have a large workforce with an inclusive culture, supporting employee development and providing comprehensive benefits.
Provide superior customer service and assist clients in getting compensation for their losses.
Work flexible hours in a remote setting, handling claims for homeowners and business owners.
Collaborate with a supportive team and pursue opportunities for career advancement.
Metro Public Adjustment is a leading provider of claims adjusting services to homeowners and business owners who have suffered a loss. The company offers a supportive and collaborative work environment with opportunities for advancement and flexible work hours.