Investigates new claims and gathers information regarding injuries or loss.
Manages an inventory of property/casualty and disability claims, and negotiates settlements within prescribed limits.
Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols.
Liberty Mutual strives to create a workplace where everyone feels valued and supported. They offer comprehensive benefits, workplace flexibility, and professional development opportunities, fostering an inclusive culture where employees can thrive and make a meaningful impact.
Manages an inventory of claims to evaluate compensability/liability.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
Liberty Mutual strives to create a workplace where everyone feels valued, supported, and can thrive. They build an environment that welcomes diverse perspectives, embedding inclusion in their culture and everyday interactions, which includes offering comprehensive benefits and professional development opportunities.
Provide reporting of claims on behalf of brokerage clients
Communicate with carrier adjusters and clients to facilitate successful handling and resolution of claims
Prepare customer claim summaries
Lamb Insurance Services is a commercial insurance broker dedicated to non-profits and social services organizations nationwide. We are a socially conscious organization with an amazing culture of relentless grit and continuous improvement.
Retaining and supervising outside counsel in the defense of our insureds in an effort to effectively resolve claims.
Verus Specialty Insurance, a member of W.R. Berkley Corporation (NYSE: WRB), is a leading Excess and Surplus Lines provider delivering comprehensive solutions across the United States. They blend the best of both worlds to foster innovation with a dynamic culture.
Provide reporting of claims on behalf of brokerage clients
Communicate with carrier adjusters and clients to facilitate successful handling and resolution of claims
Act as claims liaison, including consultative discussions and research regarding coverages
Signers National is a leading insurance platform that provides brokerage and underwriting services to organizations of all sizes. They started in 2008 and have expanded to include commercial real estate and transportation and strive to positively affect people's lives with their amazing culture.
Process low level general liability claims to determine benefits due.
Ensure ongoing adjudication of claims within company standards and industry best practices.
Identify subrogation of claims and negotiate settlements with general supervision.
Sedgwick is a risk and claims administration partner, helping clients navigate the unexpected. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides solutions for the complex risk landscape.
Plans and conducts investigations of claims to analyze and confirm coverage and to determine liability, compensability and damages.
Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
Liberty Mutual strives to create a workplace where everyone feels valued and supported. They build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions.
Provide quality investigation and analysis to adjust claims of medium complexity/severity.
Develop relationships with agencies, policyholders and employees.
Investigate losses, identify coverage, and evaluate liability and damages.
Amerisure is a property and casualty insurance company providing insurance products designed to protect businesses and employees. They are a top 100 Property & Casualty company in the United States, managing nearly $1 Billion of Direct Written Premium and maintaining $1.21 billion in surplus.
Proactively review trends in outstanding A/R, denials, and various payment issues.
Pull and join multiple data sources together, including the use of SQL and API calls.
Communicate findings and recommendations with department and cross functional leadership.
BetterHelp aims to remove barriers to therapy and make mental healthcare accessible. They are the world's largest online therapy service with over 30,000 licensed therapists, focused on employee well-being and professional development.
Performs research, analysis, and resolution of moderate to complex deductible and loss-billing issues.
Partners across Claims, Underwriting, Finance, IT, Helmsman and external stakeholders to drive accurate billing outcomes.
Provides guidance to less-experienced analysts and escalates larger operational issues to management.
Liberty Mutual is an insurance company. They value hard work, integrity and commitment to make things better, and they put people first by offering benefits that support life and well-being.
Apply strong critical‑thinking and problem‑solving skills to independently and proactively manage property claims, evaluate complex facts, make sound decisions within your authority, and recommend fair, well‑supported settlement values.
Deliver compassionate, timely, and solutions‑focused support during moments of loss, ensuring customers feel heard, informed, and genuinely cared for when they need us most.
Leverage and adapt emerging technologies, including AI‑driven tools and modern claims software, to streamline workflows, improve accuracy, and enhance the overall claims experience.
Arbol is a global climate risk coverage platform and FinTech company offering full-service solutions for any business looking to analyze and mitigate exposure to climate risk. Arbol's key differentiator versus traditional InsurTech or climate analytics platforms is the complete ecosystem it has built to address climate risk.
Contacts insurance companies for status on outstanding claims.
Processes and follows up on appeals to insurance companies.
Works outstanding accounts receivable from assigned work queues.
US Anesthesia Partners is dedicated to providing high-quality anesthesia services. They offer equal employment opportunities to all employees and applicants.
Analyze benefit plan documents to accurately build benefit categories and adjudication rules.
Be a leader on the configuration team by supporting training, process development, and peer review / QA.
Support cross-functional teams during implementations/renewals and develop solutions for plan variations.
Gravie aims to improve healthcare access through consumer-centric health benefit solutions. They foster a diverse and authentic work environment where individuals can contribute uniquely to industry-changing products and services.
Investigate and resolve Homeowners claims efficiently.
Collaborate with vendors using imagery and video technology.
Determine coverage and negotiate settlements with customers.
Mercury Insurance has been helping people reduce risk and overcome unexpected events for over 60 years. They have a team-oriented culture that embraces diverse perspectives and encourages growth.
Review and analyze claims, member, and group data.
Establish the correct order of liability for clients’ members.
Input accurate claim recovery information into software tools.
Cotiviti delivers comprehensive payment accuracy services that help organizations improve their healthcare outcomes. Team members enjoy a competitive benefits package and are encouraged to embody Cotiviti's core values.
Leads creation of in-depth test plans and conducts User Acceptance Testing to ensure that systems meet business requirements.
Participates in the design of technology solutions based upon business needs.
Runs data queries and conducts data analysis to identify and solve business problems.
Mercury is committed to helping people reduce risk and overcome unexpected events. Guided by a diverse perspective, Mercury embraces the strengths and values of each team member to serve customers from all walks of life.
Open insurance claims and serve as the primary liaison with adjusters and carriers.
Request, track, and organize medical records, bills, and police reports.
Ensure treatment progression and awareness of treatment outcomes.
EvenUp uses technology and AI with the mission to close the justice gap. It empowers personal injury lawyers and victims to get the justice they deserve and is backed by top VCs. They are one of the fastest-growing vertical SaaS companies.
Investigate and resolve Homeowners claims of moderate complexity in a timely and efficient manner.
Perform field inspections, traveling to customers’ homes to conduct on-site inspections and prepare detailed estimates.
Handle virtual claims using imagery and advanced video technology to collaborate with onsite vendors and insureds.
Mercury Insurance has been helping people reduce risk and overcome unexpected events for more than 60 years. They are one team that embraces diverse perspectives to serve customers from all walks of life.
Leads analysis of clinical and technical denials, using analytics tools to identify patterns and trends.
Performs root cause analysis on denied accounts and uses process improvement expertise to guide subject matter experts.
Oversees denial prevention committee reports and summaries, maintaining client relationships to drive best practice implementations.
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. They believe their people are the most important part of who they are and empower them to challenge the status quo.