Analyze workers compensation claims to determine benefits due.
Ensure ongoing adjudication of claims within service expectations and best practices.
Negotiate settlement of claims within designated authority.
Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Oversee a team responsible for handling claims efficiently.
Ensure adherence to quality standards and enhance customer service.
Foster a high-performance environment through training and evaluations.
Jobgether is a company that helps connect job seekers with employers through an AI-powered matching process. The company uses AI tools to support parts of the hiring process but does not replace human judgment.
Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.
Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims.
Liberty Mutual provides insurance products and services. They aim to create a workplace where everyone feels valued and supported, offering comprehensive benefits and professional development opportunities to foster an inclusive culture where employees can thrive.
Supervise Claim Specialists, handling diverse claim complexities.
Monitor claims trends and report actionable plans to leadership.
Direct policies to ensure compliance with best practices and regulations.
Jobgether is using AI to streamline job applications. They connect candidates with hiring companies to ensure qualified applicants are reviewed quickly and fairly.
Assists WC department with handling of claim tasks.
Issues medical records payments once approved by adjuster.
Maintains accurate diaries on all incident only claims.
EMC is focused on working together to create a meaningful impact. They strive to nurture growth, encourage contribution, and facilitate valuable experiences for their team members, aiming to be supportive leaders, partners, and experts.
Oversee a team of Claims Analysts and outsourced vendor staff.
Ensure team meets quality, production, and service expectations.
Address complex claims and customer service inquiries.
Jobgether is a platform that uses AI-powered matching process to ensure applications are reviewed quickly and fairly. They identify top-fitting candidates and share the shortlist with the hiring company, while not replacing human judgement in the final hiring decisions.
Oversee teams of Claims Analysts and ensure high standards of quality and service are met.
Guide team members through complex claims processing and customer service inquiries.
Foster team development and drive improvements within the department.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. The system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Determines coverage, investigates claims, determines liability, sets and adjusts reserves, evaluates claims, negotiates settlements, authorizes and pays claims.
Reviews lawsuit documentation and supporting documents, claims files, investigation, etc. to establish actions to resolve lawsuits, including determining coverage and setting reserves.
Responsible for managing outside counsel, ensuring financial processing security, training staff, and maintaining relationships with business partners.
Liberty Mutual is an insurance company. They strive to create an inclusive workplace where employees feel valued and supported, offering comprehensive benefits and professional development opportunities.
Oversee the daily operations of a team or multiple teams.
Play a crucial part in achieving team quality and facilitating staff development.
Provide support and guidance on complex claims and customer service inquiries.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Thoroughly verifies and explains coverage to Policyholders, setting clear expectations on the claims process.
Sets reserves for anticipated losses, arranges vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted.
Serves as the primary customer contact and coordinates with other departments to ensure customer satisfaction and retention.
Mercury Insurance has been dedicated to helping people reduce risk and overcome unexpected events for over 60 years. They are one team encouraging growth, fun, and collaboration with diverse perspectives to serve customers from all walks of life.
Investigate and resolve Homeowners claims of moderate complexity in a prompt and efficient manner.
Use imagery and advanced video technology to collaborate with onsite vendors and insureds to identify damage and write damage estimates from a virtual setting.
Compare facts gathered during the investigation against the policy to determine coverage of claim; extend or deny coverage as appropriate.
Mercury Insurance has been helping people reduce risk and overcome unexpected events for more than 60 years. They are one team with a common goal to help others, having a diverse perspectives where everyone is included, to serve customers from all walks of life.
Review claim files for quality and monitor performance indicators of Claims Reps.
Provide coaching and timely feedback to employees on performance.
Manage recruitment and development of team members.
Jobgether is a platform that connects job seekers with companies. They use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.