Analyze Auto Bodily Injury and Property Damage claims on behalf of clients to determine benefits due.
Ensure ongoing adjudication of claims within service expectations and industry best practices.
Negotiate settlement of claims within designated authority and communicate claim activity with the claimant and the client.
Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Manage medical records, bills, and documentation for personal injury claims.
Communicate with clients, providers, and insurance adjusters professionally.
Maintain accurate case documentation and track records within the system.
The Ward Law Group is recognized as one of the Best Places to Work. They serve their community with compassion and excellence, empowering their employees to deliver real results for their clients. They foster a collaborative, innovative, and high-accountability environment where each team member contributes to meaningful outcomes.
Investigates claims to determine coverage, analyze policy provisions and draft coverage position letters.
Establishes liability, verifies damages, and resolves claims within authority, recommending case value and resolution strategy.
Works with defense counsel, manages litigated files, and identifies/handles suspicious claims and claims with subrogation potential.
Liberty Mutual strives to create a workplace where everyone feels valued and supported. They welcome diverse perspectives, embedding inclusion in their culture to foster an environment where individuals can thrive and make a meaningful impact.
Manage moderate to complex commercial claims involving bodily injury and property damage.
Independently investigate, evaluate, negotiate, and resolve third-party General Liability claims.
Develop thoughtful strategies that balance fairness, efficiency, and business outcomes.
West Bend believes that their associates are their greatest asset. They hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. The company has been recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years.
Investigate complex Homeowners/Commercial claims to confirm facts and determine coverage.
Assess damages, document findings, and establish reserve amounts within authority limits.
Ensure exceptional customer service through timely communication and adherence to regulations.
Mercury Insurance has been helping people reduce risk and overcome unexpected events for more than 60 years. The company has a diverse and inclusive culture where team members are encouraged to grow and work together.
Report, oversee, monitor, and investigate insurance claims across all jurisdictions.
Partner with insurance carriers to mitigate loss by evaluating and implementing tools.
Develop, implement, and improve scalable processes and training to build a best-in-class claims function.
Instawork's AI-powered labor marketplace helps local businesses scale and enables global technology companies to push the frontiers of robotics and AI. They connect more than 7M skilled workers with local restaurants, hotels, warehouses, stadiums, and more.
Determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims.
Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit.
Accountable for security of financial processing of claims, as well as security information contained in claims files.
Liberty Mutual is an insurance company that values hard work, integrity and commitment to make things better. They offer benefits that support your life and well-being and strive to create a workplace where everyone feels valued, supported, and can thrive.
Investigates claims using internal and external resources, analyzing reports and researching past claim activity to make damage and loss assessments.
Determines policy coverage through analysis of investigation data and policy terms, establishes claim reserves, and negotiates settlements within authority limits.
Maintains accurate claim file documentation throughout the life cycle of cases and alerts leadership to potential fraud or subrogation issues.
Liberty Mutual is a diversified global insurer and the third-largest property and casualty insurer in the United States. The company fosters an inclusive culture where everyone feels valued and can thrive, supported by comprehensive benefits and a commitment to professional development within a large corporate environment.
Minimum of 1 year experience as an auto/liability claims adjuster.
Demonstrated knowledge of claims laws and regulations.
Strong analytical and problem-solving skills.
Cottingham & Butler sells a promise to help clients through life’s toughest moments. Their culture is guided by the theme of “better every day,” constantly pushing themselves to improve, with high expectations for their people and performance.
Responsible for processing insurance claims accurately and efficiently.
Analyze claim data to identify trends, errors, and potential irregularities.
Serve as a liaison between departments to support seamless claims resolution and continuous process improvement.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults. They are a fast-growing company serving over 200,000 seniors in 1,500+ communities across 32 states.
Manage a portfolio of claims presenting moderate to high complexity and exposure.
Conduct investigation and evaluation on coverage, liability, and damages throughout the life of the claim.
Positively influence claims outcomes through developing and executing action plans.
Amerisure creates exceptional value for its partners, policyholders, and employees. It is a property and casualty insurance company focusing on construction, manufacturing and healthcare, managing nearly $1 Billion of Direct Written Premium and maintaining $1.21 billion in surplus.
Performs advanced level work related to denial management.
Processes and follows up on all appeal types, at an expert level, to all payers.
Takes actionable steps to resolve open claims, including refiling or appealing claims, or resolving manual tasks.
US Anesthesia Partners is a company that provides anesthesia services. They provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, or disability.
Analyzes and answers inquiries regarding pharmacy claims adjudication.
Adjudicates pharmacy claims and processes pharmacy claims for payment.
Performs varied activities and moderately complex administrative/operational/customer support assignments.
Humana is committed to helping people live healthy lives, creating personalized experiences, and working collaboratively. They offer medical, dental, and vision benefits, a 401(k) retirement savings plan, and paid time off.
Manage client files and coordinate communication among clients, attorneys, and third parties.
Gather and organize necessary documentation and assist with the preparation of legal documents.
Ensure effective case progression and maintain detailed records, providing regular updates to clients.
SolvoGlobal is a company that likely provides legal support or staffing solutions, especially in case management roles. They operate with a remote-first culture, utilizing AI tools in their hiring process while emphasizing human decision-making in final selections.
Research and document new payment integrity concepts by analyzing medical policies, billing regulations, and reimbursement logic.
Translate complex billing rules into precise technical specifications for automated claim auditing algorithms.
Conduct hands-on data analysis using Microsoft Excel to explore datasets and quantify savings potential for clients.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. They work with over 660,000 providers and handle over 12 million prior authorization requests annually. The Coherenauts who succeed here are empathetic teammates who are candid, kind, caring, and embody their core values and principles.
Identifying construction defect claim exposures and ensuring timely and accurate reserves.
Assessing insurance coverage issues and opportunities for risk transfer.
Proficiently communicate claim exposures both internally and externally.
AmTrust Financial Services is a fast-growing commercial insurance company. They strive to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected.
Handling of all aspects of first and third party Property Damage claims stemming from accidents involving tractor-trailers.
Handling of all aspects of Cargo claims.
Adaptable to various business demands and assist with special claims projects and other duties assigned.
High Definition Vehicle Insurance (HDVI) brings telematics, software and data together with commercial trucking insurance, taking transportation insurance and fleet risk management to the next level. HDVI is values-driven, data-driven, ambitious, and collaboratively minded.
Serve as the primary point of contact for clients throughout the intake and treatment phases of the case.
Maintain frequent communication with clients regarding treatment status, property damage, case progression, and outstanding needs.
Coordinate with medical providers regarding appointments, treatment status, records, and billing requests.
The Ward Law Group is recognized as one of the Best Places to Work. They serve their community with compassion and excellence, empowering employees to deliver real results for clients in a collaborative, innovative, and high-accountability environment.
Lead the resolution of complex financial and benefits billing escalations to ensure accurate member financial tracking.
Perform root-cause analysis on multi-system issues, coordinate corrective actions, and reconcile claims data across platforms.
Act as the primary bridge between internal and external teams to clarify issues and expedite resolutions while communicating clearly with members.
Maven Clinic is the world's largest virtual clinic for women and families, providing clinical, emotional, and financial support through its digital platform across fertility, maternity, parenting, and menopause care. It is an award-winning, mission-driven company trusted by over 2,000 employers and health plans, with a culture recognized for innovation and as a great place to work.