Manage and investigate workers' compensation lost time claims to determine compensability and benefit eligibility.
Collaborate with injured workers, employers, and medical providers to facilitate timely return to work and cost-effective outcomes.
Oversee litigation, negotiate settlements, and ensure compliance with jurisdictional requirements.
Encova Insurance is a provider of insurance products and services, specializing in workers' compensation and property insurance. The company fosters a collaborative and inclusive culture, offering challenging opportunities and emphasizing continuous learning and growth.
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.
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.
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.
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.
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.
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.
Performs clinical evaluations on disability claims to substantiate medical necessity for absence.
Communicates with employees and providers to discuss clinical status and provides follow-up recommendations.
Acts as a clinical resource to claims examiners, ensuring accurate medical terminology and claim decisions.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with AI-enabled technology and expertise. With over 33,000 colleagues and 10,000 clients across 80 countries, they've been recognized as a Great Place to Work and offer a caring culture.
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.
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.