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.
Handle high-exposure and complex workers' compensation claims in multiple jurisdictions as a technical Subject Matter Expert.
Serve as primary liaison for key business partnerships and lead claims-related account management for large clients.
Investigate, evaluate, and resolve litigated claims while maintaining compliance with jurisdictional regulations.
BerkleyNet is an innovative workers compensation insurance provider that operates entirely online. The company is part of W.R. Berkley Corporation, a Fortune 500 company known for its fast and easy service culture.
Independently manage workers' compensation claims from initial setup through resolution.
Conduct thorough investigations and evaluate claim exposure to determine compensability.
Deliver excellent customer service while collaborating with internal and external partners.
Our partner is a technology-driven insurance organization focused on improving the small business experience. They foster a collaborative culture built around innovation, ownership, and continuous improvement.
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.
Investigates complex Workers Compensation claims to determine coverage, compensability, and exposure.
Manages litigated files and participates in settlement negotiations and strategy discussions.
Uses data analysis and medical management strategies to resolve high-severity cases effectively.
Liberty Mutual is a diversified insurer offering a range of insurance products and services. The company has a large workforce and fosters an inclusive culture with a focus on professional development and employee well-being.
Plans and conducts investigations of claims to analyze coverage and determine liability, compensability, and damages.
Assesses policy coverage, establishes reserve requirements, and negotiates settlements within assigned authority limits.
Mentors new team members, participates in quality reviews, and coordinates litigation activities for timely resolution.
Liberty Mutual is a fast-growing insurance company that consistently outpaces the industry in year-over-year growth. It has a large workforce and fosters an inclusive culture with comprehensive benefits and professional development opportunities.
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.
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.
Investigate and evaluate auto claims, determine coverage and liability.
Negotiate and settle claims with empathy and professionalism.
Manage claim inventory independently and ensure compliance with state regulations.
Horace Mann is an insurance and financial services company focused on educators. The company serves over 4,100 school districts, has over $12 billion in assets, and is publicly traded on the NYSE.
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.
Investigate multiple sources of health insurance data to identify potential accidents and physical injuries, determining recoverability of claims.
Communicate and negotiate with healthcare plan members, insurance adjusters, and attorneys to recover funds from at-fault parties.
Utilize computer systems for documentation, apply analytical skills to manage workflows, and create medical expense spreadsheets for payment processing.
Machinify is a leading healthcare intelligence company that uses an AI-powered platform to maximize financial outcomes and reduce healthcare costs for health plans. They are deployed by over 85 health plans and represent more than 270 million lives, fostering a culture of asking why, thinking big, and delivering results.
Manage a diverse caseload of Workers' Compensation defense matters from inception through resolution with autonomy in a remote environment.
Collaborate with senior attorneys to develop litigation strategies and conduct comprehensive medical record analysis.
Draft substantive legal documents including motions, pleadings, and discovery responses while maintaining proactive client communication.
Kelley Kronenberg is a law firm specializing in Workers' Compensation Defense representation. They are a well-established team with a focus on precision and technical proficiency, fostering an inclusive and diverse work environment.
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.
Serve as the primary workers compensation case management resource for Munson Healthcare employees.
Coordinate work-related injury cases from report through return to work, collaborating with Occupational Health providers, managers, employees, and third party administrators.
Oversee case management activities, return-to-work coordination, and claim administration support.
Munson Healthcare is northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They are committed to excellence, teamwork, positivity, creativity, and creating exceptional experiences for patients and each other.
Adjust the most complex, high-exposure allied health claims requiring advanced technical expertise.
Conduct coverage analysis, draft reservation of rights letters, and manage litigation.
Investigate facts, set reserves, and maintain clear communication with stakeholders.
Integrated Specialty Coverages is a growth stage technology and data-driven commercial MGA and insurance wholesaler. Backed by Onex Partners, the company fosters a collaborative environment and focuses on attracting top talent to achieve exponential growth.
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.
Prepare pleadings, depositions, motions, and present witnesses at trials and hearings.
The Hartford is an insurance company that goes well beyond coverages and policies. With over 200 years of experience, they are devoted to serving customers, communities, and employees through innovation and inclusivity.
Manage a full caseload of workers' compensation defense cases remotely from inception through resolution.
Develop effective case strategies in collaboration with clients and team members to align with goals.
Represent the firm in hearings, mediations, and other dispute resolution proceedings with strong advocacy skills.
Kelley Kronenberg is a non-traditional, progressive full-service law firm specializing in workers' compensation defense. The firm values diversity, equality, and inclusion, offering a supportive environment with professional growth opportunities and a focus on client service.
Provide telephonic case management to proactively drive return to work.
Perform utilization review and coordinate care with providers and adjusters.
Evaluate treatment plans and partner with adjusters to achieve optimal outcomes.
AmTrust Financial Services is a fast-growing commercial insurance company providing comprehensive telephonic case management. They foster a diverse and inclusive culture with a focus on attracting and retaining the best talent.