Collaborate with claimants, attorneys, medical providers, and insured businesses to ensure accurate, fair, and efficient claim outcomes.
This company provides workers' compensation claims management services, handling lost-time claims across multiple jurisdictions. The role is fully remote, emphasizing independent work, sound judgment, and high-quality service.
Manage an inventory of workers' compensation claims to evaluate compensability and liability.
Plan and conduct investigations to confirm coverage, determine damages, and negotiate settlements within authority limits.
Maintain detailed claim files, authorize timely payments, and represent the company at arbitrations, mediations, or trials.
National Interstate, a member of Great American Insurance Group, provides commercial transportation insurance and alternative risk transfer programs across all 50 states. Its dedicated team has earned multiple Top Workplace honors, with a culture built on integrity, transparency, collaboration, and employee development.
Build and lead the claims operation, including hiring, managing adjusters, and setting quality standards.
Own claims outcomes for assigned customers and report on them.
Partner with product and engineering on workflow design, automation, and reporting.
Brighterway builds AI-native claims software and administration for casualty claims, starting with workers' compensation medical-legal review. Backed by Y Combinator and Maverick Ventures, the small, technical team ships weekly and works closely with customers.
Reviews claim notices, policies, and state requirements to determine coverage and compensability.
Conducts timely claim investigations and coordinates return-to-work efforts with involved parties.
Manages claim documentation, settlement evaluations, and collaboration with internal teams and attorneys.
EMC Insurance is a property and casualty insurer providing workers' compensation and other insurance solutions, with over 105 years of financial strength. The company fosters a collaborative culture that empowers team members, and has been recognized as a top workplace.
Provide strategic direction and mentorship within the Workers' Compensation team to ensure exceptional case outcomes and client service.
Handle complex legal matters, case evaluations, settlement negotiations, and step in for trials, hearings, and negotiations as needed.
Foster a positive, collaborative team culture and conduct client educational webinars to address escalated client matters.
We are a leading employment and workers' compensation law firm dedicated to advocating for employees' rights. Based in Burbank, CA, our team fosters a dynamic and collaborative work environment where professionals can grow while making a meaningful impact.
Adjudicate high-end General Liability claims involving serious injuries, complex coverage scenarios, and legal disputes.
Develop case strategies for satisfactory resolution, coordinating with local counsel, clients, and medical or legal experts.
Work in a remote, flexible environment with opportunities for career growth and comprehensive benefits.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with expertise and AI-enabled technology. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides a caring culture, professional development, and work-life balance.
Lead and execute sales strategy within the workers' compensation and managed care markets.
Mentor and coach sales representatives while managing your own client portfolio.
Collaborate cross-functionally to expand market presence and drive business growth.
The partner company operates in the workers' compensation and managed care industries. It focuses on driving sales growth, building client relationships, and fostering a results-oriented team culture.
Manage assigned California WC caseload from intake through resolution, auditing at each stage.
Calculate TD and PD, review QME/AME reports, and prepare case summaries.
Escalate settlement-ready cases and communicate with defense attorneys and adjusters.
Abramson Labor Group is a leading employment and workers' compensation law firm advocating for employees' rights, based in Burbank, CA. We foster a dynamic, collaborative environment where professionals can grow while making a meaningful impact on clients' lives.
Manage a caseload of workers' compensation claims from intake through resolution, including lost-time and litigated files.
Review and correct AI-generated summaries, chronologies, and risk flags to train the system.
Define reserve, compensability, medical management, and return-to-work practices for workflow automation.
Brighterway builds AI-native claims software and administration for casualty claims, starting with workers' compensation medical-legal review. The team is small and technical, backed by Y Combinator, with a culture of shipping and direct access to customers.
Evaluate, negotiate, and settle low to high complexity bodily injury claims to prevent unnecessary exposure.
Investigate and analyze medical records, law enforcement reports, and witness statements to determine liability and damages.
Coordinate settlement, mediation, and arbitration with attorneys, ensuring compliance with state laws and regulations.
Mercury Insurance helps people reduce risk and overcome unexpected events, providing insurance products and claims services for more than 60 years. They emphasize a collaborative, inclusive culture where team members are encouraged to grow, have fun, and make a meaningful impact.
Analyze high-value and complex claims, ensuring alignment with carrier guidelines and regulatory requirements.
Oversee delegated claims operations and third-party administrators, monitoring compliance and quality.
Provide subject matter expertise and process improvements to strengthen claims governance and outcomes.
They are an insurance organization focused on claims governance, compliance, and operational performance. They are a growing company that prioritizes accountability, service quality, and effective risk management.
Investigate, evaluate, negotiate, and resolve personal auto and commercial transportation claims.
Manage claims of moderate complexity, including attorney-represented bodily injury cases.
Apply strong analytical and negotiation skills to evaluate settlement opportunities and manage exposure.
The company operates in the insurance claims industry, specializing in transportation claims management. It fosters a collaborative, technology-driven culture with a commitment to diversity and inclusion.
Lead complex Workers' Compensation audits, including multi-state and test-state audits.
Investigate disputes, apply state-specific rules, and ensure regulatory compliance.
Collaborate with teammates and improve audit processes and accuracy.
ERGO NEXT is a technology-led, full-stack provider of small business insurance, transforming the customer experience for entrepreneurs. Since 2016, they've helped hundreds of thousands of small business customers and are backed by industry leaders, with a culture of teamwork and inclusion.
Analyze and evaluate worker's compensation claim payments using proprietary software and tools.
Research and acquire medical records and submit claims with supporting documentation to insurance companies.
Conduct telephone follow-up with payers to ensure claims are received and facilitate prompt reimbursement.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging a unified platform to improve financial sustainability. The company is a multi-year Top Workplaces award recipient and has been among the fastest-growing private companies in the US for eleven years.
Supervise and develop a team of multi-line claim professionals handling complex casualty claims.
Provide technical guidance on coverage analysis, contractual risk transfer, and litigation strategy for high-exposure claims.
Partner with clients and defense counsel to drive timely, accurate claim resolutions and maintain strong relationships.
CCMSI is a third-party administrator providing complex risk management and claim solutions to commercial clients. As the largest privately-owned TPA, its employee-owned culture empowers team members to take ownership and drive results.
Handle a book of Commercial Casualty Excess/Umbrella claims throughout the entire claims life cycle.
Conduct investigations, determine coverage, set reserves, negotiate settlements, and settle claims within authority limits.
Manage outside counsel, mentor staff, and stay current on legislation affecting specialty coverage.
Liberty Mutual is a global insurance company providing a wide range of products and services. With a focus on inclusion and well-being, it supports employees through comprehensive benefits and development opportunities.
Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation medical claims.
Review denied or troubled claims, working with employers, insurers, attorneys, and patients to resolve issues.
Submit bills and documentation to payers, track payments, and support team special projects for client success.
Revecore helps hospitals recover revenue they've earned through specialized expertise and proprietary technology. Trusted by more than 1,300 hospitals, the company fosters a supportive, innovative workplace where employees are trusted to do their best work.
Lead premium audit strategy and operations to ensure regulatory compliance and financial integrity.
Oversee audit quality, data integrity, and implementation of business-wide improvements.
Manage budgets, workforce planning, vendor relationships, and team development.
The company is an insurance organization specializing in workers' compensation premium audit operations. It fosters a collaborative work environment with a focus on integrity, customer service, accountability, innovation, and employee fulfillment.
Open insurance claims and manage communication with carriers
Request, track, and follow up on medical records and police reports
Monitor lien and subrogation issues, ensuring timely resolution
Finch builds infrastructure to make justice more accessible by automating admin work in consumer law, starting with personal injury. In just over a year, the company has grown 10x, raised a $20M Series A, and is backed by Sequoia and Redpoint, with a culture focused on expert operators and purpose-built AI.
Lead Pie's Claims Vendor Management program, focusing on managed care vendors and contract negotiations.
Oversee vendor performance, billing audits, and compliance across legal, investigative, and technology vendors.
Drive strategic initiatives including RFP processes, sunset programs, and cost savings across claims vendor portfolios.
Pie Insurance empowers small businesses to thrive by making commercial insurance affordable and as easy as pie through technology. They are a diverse team of builders, dreamers, and entrepreneurs guided by core values and operating principles.