Manage workers' compensation claims from investigation through resolution in compliance with company standards and applicable laws.
Evaluate claim exposure and establish appropriate reserves within authority guidelines.
Review and approve medical, legal, and other claim-related expenses to ensure accuracy and cost effectiveness.
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.
Investigate workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due.
Calculate and set timely financial reserves and proactively manage reserve adequacy throughout claim lifecycle.
Negotiate settlements of claims within designated authority with injured workers and attorneys.
BerkleyNet is an innovative workers compensation insurance provider that does all of its business online. Their goal is to make doing business 'Ridiculously Fast. Amazingly Easy.'
Supervise and support workers' compensation claims staff to ensure quality, compliance, and customer service objectives are met.
Provide technical and jurisdictional guidance on complex claims matters including compensability, litigation, and case management.
Coach, train, and develop team members through performance evaluations and targeted development initiatives.
The company provides workers' compensation claims management services. They emphasize a collaborative, remote culture with opportunities for professional development.
Manage complex workers' comp claims from setup to closure, including high-dollar cases.
Conduct investigations, set reserves, and ensure statutory compliance.
Mentor junior adjusters and collaborate with internal and external partners.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They focus on efficient, objective candidate review and operate in a collaborative, technology-enabled environment.
Assist the claims team and LMVR with tasks related to the ICEP process for Costco, coordinating placement of injured workers.
Communicate effectively with claimants, employers, and claims staff to address return to work barriers and maintain documentation.
Collect data, resolve problems, and identify administrative inefficiencies to enhance workflow and productivity.
Liberty Mutual is a global insurer that helps people protect and insure their assets. The company values inclusion and offers comprehensive benefits, with a large employee base and a culture focused on well-being and professional growth.
Manage and investigate lost time workers' compensation claims, including coverage, liability, and exposure.
Evaluate claims for settlement and negotiate with claimants and attorneys to resolve files timely.
Maintain accurate reserves and document all claim files with appropriate payments and updates.
Acrisure is a global fintech leader that connects clients with customized solutions across insurance, reinsurance, payroll, benefits, cybersecurity, and mortgage services. With revenue of nearly $5 billion and over 19,000 colleagues in 20+ countries, the company emphasizes entrepreneurial spirit, leadership, accountability, and collaboration.
Manage a caseload of post-payment Workers' Compensation bills, including disputes and negotiations.
Conduct proactive outreach to medical providers to resolve disputes and negotiate reductions.
Ensure compliance with state-specific regulations and maintain productivity standards.
Reliant Health Partners is an innovative medical claims repricing service provider that helps employers achieve maximum health plan savings with tailored services. The company values diversity and inclusion, fostering a collaborative environment as an equal opportunity employer.
Plan and conduct investigations of claims to determine coverage, liability, and damages.
Engage independent adjusters and experts, assess policy coverage, and establish reserves.
Negotiate settlements and coordinate litigation activities to ensure timely and cost-effective resolution.
Liberty Mutual is a global insurance company providing property and casualty insurance. They are a large employer with a culture focused on inclusion, professional development, and comprehensive benefits.
Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation claims.
Submit bills and proper documentation to insurance companies, ensuring maximized payments to clients.
Review payer information to resolve denied claims and participate in special projects to achieve goals.
Revecore helps hospitals recover the revenue they've earned. Trusted by over 1,300 hospitals across 48 states, they combine specialized expertise with proprietary technology and foster a supportive, innovative workplace.
Managing a docket of cases to resolution, including preparing clients and attending depositions.
Responding to client inquiries and providing direction to non-attorneys as needed.
Participating in team events and providing feedback to management to improve firm performance.
Abramson Labor Group is a leading employment and workers' compensation law firm dedicated to advocating for employees' rights. Based in Burbank, CA, the firm fosters a dynamic and collaborative work environment where professionals can grow while making a meaningful impact.
Draft pleadings, motions, discovery responses, and correspondence for attorney review.
Build medical chronologies, case timelines, and wage-loss summaries.
Handle e-filing through eJCC and assemble trial preparation materials.
Kelley Kronenberg is a law firm that defends workers' compensation claims. They are a well-established South Florida firm with a remote working culture emphasizing independent work and accountability.
Investigate, evaluate, and adjust first-party auto and property damage claims from assignment through final resolution.
Analyze coverage, conduct timely investigations, and negotiate settlements within authority.
Maintain accurate documentation, diary management, and compliance with corporate and client standards.
CCMSI is a privately-owned Third Party Administrator (TPA) that delivers customized claim solutions to help clients protect their employees, assets, and reputations. As a certified Great Place to Work®, the company is employee-owned, fostering a supportive, team-based culture with opportunities for growth.
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.
Provide strategic direction and guidance on complex Workers' Compensation cases, including case evaluations and settlement negotiations.
Mentor and develop a team of attorneys to ensure high-quality representation and foster a collaborative culture.
Step in for trials, hearings, and negotiations as needed, and conduct client educational webinars.
Abramson Labor Group is a leading employment and workers' compensation law firm dedicated to advocating for employees' rights. The firm fosters a dynamic and collaborative work environment where professionals can grow and make a meaningful impact.
Serve as the primary claims resource for commercial clients, managing investigations, documentation, and communication throughout the claims process.
Monitor open claims, review reserves and settlement strategies, and support workers' compensation programs.
Collaborate with producers, account executives, risk advisors, and carriers to identify cost reduction and risk management opportunities.
Leavitt Risk Advisory is a commercial and personal lines insurance brokerage that manages risk for individuals and businesses. As part of the Leavitt Group, one of the nation's largest privately held insurance brokerages, they combine local agency culture with national resources and support.