Manage and investigate workers' compensation lost time claims to determine compensability and benefit eligibility.
Collaborate with injured workers, employers, and medical providers to facilitate timely return to work and cost-effective outcomes.
Oversee litigation, negotiate settlements, and ensure compliance with jurisdictional requirements.
Encova Insurance is a provider of insurance products and services, specializing in workers' compensation and property insurance. The company fosters a collaborative and inclusive culture, offering challenging opportunities and emphasizing continuous learning and growth.
Investigate, evaluate, and adjust workers' compensation claims with empathy and sound judgment.
Manage a portfolio of claims for a large PEO account, leading investigations and negotiations.
Ensure compliance with state laws and corporate standards while delivering fair, timely outcomes.
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, it is a certified Great Place to Work® with employee-owners empowered to grow and collaborate.
Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage and compensability.
Adjusts and manages claims within the limit of assigned authority, setting reserves and coordinating return to work.
Handles litigation and catastrophic claims with supervisory oversight, adhering to special account handling instructions.
Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. With 3000 employees, the company is consistently recognized as a great place to work.
Serve as strategic advisor and liaison between clients, insurance carriers, and TPAs for workers' compensation claims.
Monitor claims, advocate for investigation, and identify cost containment and fraud prevention opportunities.
Educate clients on claim processes, return-to-work strategies, and maintain compliance with state regulations.
Trucordia is an insurance brokerage built from successful businesses across the US, offering tools and solutions for clients. With over 5,000 team members in 200 offices, the company values caring, collaboration, and results-oriented culture.
Provide effective and timely customer service for members, providers, and insurers regarding health care claims.
Ensure timely follow-up and organize health insurance paperwork and medical records.
Communicate status updates, negotiate with providers, and appeal claim denials on behalf of plan members.
Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone, offering care guidance, advocacy, and personalized virtual and in-person care.
Manage accident benefit claims from investigation through resolution, ensuring compliance with legislation and delivering outstanding customer service.
Investigate and assess Minor Injury Guideline (MIG) claims to determine coverage eligibility and appropriate outcomes.
Coordinate claim activities with claimants, legal representatives, and healthcare providers to facilitate timely resolutions.
The partner company operates in the insurance industry, focusing on accident benefits claims. They maintain a fully remote, collaborative team culture that values integrity and customer service.
Manage a docket of workers' compensation cases to resolution.
Prepare clients for depositions and attend depositions.
Respond to client inquiries requiring attorney negotiation and move matters towards resolution.
We are a leading employment and workers' compensation law firm dedicated to advocating for employees' rights. We foster a dynamic and collaborative work environment where professionals can grow while making a meaningful impact.
Lead and develop a regional workers' compensation claims team, ensuring timely and fair claim resolution while overseeing complex claims.
Monitor reserve adequacy, conduct claim file audits, and manage litigated claims to ensure compliance and profitability.
Partner with underwriting, risk services, and other stakeholders to communicate claim activity, trends, and drive operational excellence.
EMC is an insurance company focused on financial strength and stability, with over 105 years of experience. They have a corporate culture that engages and empowers team members, and have been recognized as a top workplace based on team member feedback.
Conduct property inspections to identify potential damage covered by insurance.
Review and interpret insurance policies to help homeowners understand their coverage.
Provide top-quality service and complete necessary paperwork to support claims efficiently.
Metro Public Adjustment is a trusted leader in the public adjusting industry with over 30 years of experience helping policyholders receive maximum insurance settlements. They offer flexible schedules and a supportive training environment, fostering independence and growth.
Serve as primary liaison with adjusters and carriers, opening insurance claims and ensuring treatment progression.
Request, track, and organize medical records, bills, and police reports, resolving liens and subrogation issues.
Maintain case timelines, oversee demand preparation, and negotiate with insurance carriers to finalize cases.
EvenUp uses technology and AI to close the justice gap, empowering personal injury lawyers and victims. Backed by top VCs, the company is a fast-growing vertical SaaS firm with a collaborative culture.
Conduct virtual or in-person inspections to identify covered property damage.
Interpret insurance policies and provide exceptional customer service.
Complete paperwork and utilize skills to drive business growth.
Metro Public Adjustment helps homeowners receive the maximum amount they are entitled to from their insurance claims. It is a renowned and trusted 30-year-old business that values growth and flexibility.
Manage a high-volume Workers' Compensation caseload, including client communication and case file evaluation.
Attend all relevant hearings at WCAB locations and maintain detailed case notes.
Utilize knowledge of CA Workers' Compensation law, EAMS, and e-filing processes to handle cases efficiently.
Abramson Labor Group is a law firm dedicated to defending employee rights against employers of all sizes. They have a team of skilled attorneys and legal professionals based in Burbank, California, who work tirelessly to secure justice in workplace disputes.
Manage homeowner property claims from investigation through resolution, ensuring accurate assessments and fair outcomes.
Apply technical claims expertise and policy knowledge to negotiate settlements and provide exceptional customer service.
Collaborate with claims professionals, vendors, and internal teams in a fully remote environment to resolve complex situations.
The company is an insurance organization providing property claims services. It fosters a supportive culture with accountability, empathy, and continuous improvement, operating in a fully remote environment.
Manage a portfolio of moderate to complex claims including bodily injury, PIP, and general liability property damage.
Take ownership of claims from investigation through resolution, evaluating coverage, liability, and damages.
Negotiate fair settlements and maintain accurate reserves while ensuring quality and audit standards.
West Bend is an insurance company providing claims services and fostering a culture of appreciation and belonging. The company has been recognized as a top workplace for 14 consecutive years and values diversity and professional growth.
Manage a diverse range of workers' compensation defense cases from inception through resolution.
Develop effective case strategies and foster client relationships with personalized service.
Engage in pre-trial preparation, trial, mediation, and arbitration proceedings while staying current on legislative changes.
Kelley Kronenberg is a premier national law firm specializing in workers' compensation defense. The firm fosters a diverse, inclusive, and professional culture with a focus on career growth and client impact.
Manage recovery efforts for incoming and outgoing subrogation claims, including investigations and negotiations.
Communicate with policyholders, insurance carriers, and payees to resolve disputes efficiently.
Evaluate documentation, process settlements, and apply arbitration referrals as needed.
This company is a modern insurance organization focused on managing complex subrogation claims and recovery processes. They offer a supportive and collaborative team culture with a flexible remote work environment.
Manage, investigate, and resolve commercial general liability claims with speed and empathy.
Communicate clearly with customers and stakeholders regarding claim status and resolution.
Handle a high volume of claims while ensuring accuracy and regulatory compliance.
Our partner is a technology-driven insurance organization that helps small businesses manage commercial insurance claims. They have a remote team and a collaborative culture focused on teamwork and professional development.
Investigate and manage complex large-loss property claims including fire, water, weather, and theft.
Travel to loss locations for field inspections, using virtual video technology for remote collaboration.
Negotiate settlements, handle coverage decisions, and document claim files thoroughly.
This role is posted on behalf of a partner company managing applications. The partner seeks a Catastrophe Field Large Loss Property Adjuster to handle complex claims, leveraging technology and field expertise.
Handle First Notice of Loss (FNOL) calls for auto and property insurance customers.
Gather, verify, and document claim information while explaining the claims process.
Provide empathetic, professional customer service in a high-volume remote environment.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The partner company fosters a supportive, collaborative culture with a focus on professional development and flexibility, though employee size is not specified.