Analyze and process workers compensation lost-time claims, investigating to determine benefits and exposure.
Negotiate settlement of claims within designated authority and communicate with claimants and clients.
Report claims to excess carrier and respond to requests in a professional and timely manner.
Sedgwick is the world’s leading risk and claims administration partner, helping clients navigate the unexpected with advanced AI-enabled technology. With over 33,000 colleagues and 10,000 clients across 80 countries, it offers a caring culture that values work-life balance and professional growth.
Investigate and adjudicate workers' compensation claims, including medical-only and indemnity claims in MN, as well as Federal and State Black Lung claims.
Conduct claimant, employer, and provider outreach, set reserves, deny non-compensable claims, and ensure timely, accurate medical payments.
Manage a diary, complete tasks to resolve cases timely, and prepare reports for file documentation.
Argo Group is an underwriter of specialty insurance products in the property and casualty market, offering a full line of products and services for businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc., and the company fosters a collaborative, inclusive work environment that values innovation.
Examines claims data and conducts investigations to determine coverage, compensability, and benefits under moderate supervisory direction.
Handles California workers compensation claims, including catastrophic claims with supervisory oversight and litigation management.
Coordinates return to work, sets reserves, and reviews medical bills for causal relationship and appropriateness.
Crum & Forster (C&F) provides specialty and standard commercial lines insurance products. With over 2000 employees in the US, they earn recognition as a great place to work with a focus on diversity and inclusion.
Determines coverage, investigates, and resolves complex commercial casualty claims, including litigated bodily injury cases.
Manages litigation, including working with defense counsel, and ensures appropriate reserves and settlements.
Provides mentorship to staff and liaises with business partners such as Underwriting and Reinsurance.
Liberty Mutual is a global insurance company offering commercial casualty coverage. They have a large workforce with an inclusive culture, supporting employee development and providing comprehensive benefits.
Independently manage a caseload of California workers' compensation claims from assignment through resolution.
Investigate claims, evaluate compensability, and develop claim resolution strategies while ensuring compliance with California regulations.
Coordinate with defense counsel, medical providers, and employers to manage litigation and negotiate settlements.
Acrisure is a global fintech leader providing customized insurance, reinsurance, payroll, benefits, and cybersecurity solutions. With nearly $5 billion in revenue and over 19,000 employees across 20+ countries, the company fosters an entrepreneurial culture emphasizing leadership and collaboration.
Investigate and evaluate auto claims, determine coverage and liability.
Negotiate and settle claims with empathy and professionalism.
Manage claim inventory independently and ensure compliance with state regulations.
Horace Mann is an insurance and financial services company focused on educators. The company serves over 4,100 school districts, has over $12 billion in assets, and is publicly traded on the NYSE.
Independently manages a portfolio of moderate to complex personal and commercial auto, General Liability Bodily Injury and Property Damage claims from assignment to resolution.
Conducts thorough investigations, analyzes coverage and liability, evaluates damages, establishes reserves, and negotiates settlements.
Prepares and presents claims to authority committees, drafts legal letters, and ensures accurate documentation with high customer service.
West Bend is an insurance company recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years. They hire conscientious, customer-focused individuals and foster a culture of belonging, appreciation, and professional growth.
Handle high-exposure and complex workers' compensation claims in multiple jurisdictions as a technical Subject Matter Expert.
Serve as primary liaison for key business partnerships and lead claims-related account management for large clients.
Investigate, evaluate, and resolve litigated claims while maintaining compliance with jurisdictional regulations.
BerkleyNet is an innovative workers compensation insurance provider that operates entirely online. The company is part of W.R. Berkley Corporation, a Fortune 500 company known for its fast and easy service culture.
Manage a caseload of complex workers' compensation cases including litigation and disability.
Investigate claims to determine compensability, establish reserves, and manage medical treatment.
Collaborate with clients, legal counsel, and healthcare professionals to resolve claims.
Berkley Risk provides program administration and insurance services for self-insured entities. It is a member company of W. R. Berkley Corporation, a Fortune 500 firm, offering a competitive compensation and robust benefits package.
Analyzes, investigates, and evaluates loss to determine coverage and claim disposition for complex financial lines claims.
Manages litigation process, sets reserves, and prepares comprehensive reports to communicate trends and issues.
Participates in mediations, arbitrations, and claims audits while maintaining adjuster licenses.
Liberty Mutual is an insurance company that provides property and casualty insurance products and services. With a large employee base, the company fosters an inclusive culture with comprehensive benefits and opportunities for professional development.
Initiate investigation of new claims and evaluate coverage to make appropriate policy decisions.
Evaluate and negotiate settlements of property, collision, and transportation losses while managing outside adjusters.
Ensure compliance with state laws, maintain licenses, and handle small claim suits as needed.
ClaimsPro LP, part of SCM Insurance Services, is a Third Party Administrator handling claims across the US and Puerto Rico. SCM is Canada's largest privately owned insurance services provider, known for a culture of continuous learning and recently winning a Culture Innovator Award.
Analyze reported lower-level general liability claims to determine benefits due and ensure ongoing adjudication within company standards.
Support other claims representatives with larger or more complex claims, process payments, and maintain professional client relationships.
Ensure claim files are properly documented, monitor reserve accuracy, and file necessary documentation with state agencies.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with expertise and advanced technology. With over 33,000 colleagues across 80 countries, they offer a caring culture, career growth, and work-life balance, recognized as a Great Place to Work and Fortune Best Workplace.
Investigate, evaluate, and adjust commercial auto and property claims from assignment through resolution while ensuring compliance with standards and regulations.
Conduct thorough liability investigations, establish reserves, and negotiate settlements within authority limits in alignment with client expectations.
Maintain accurate claim documentation, communicate effectively with clients and claimants, and identify subrogation opportunities where applicable.
CCMSI is the largest privately-owned Third Party Administrator (TPA) that partners with global clients to solve complex risk management challenges through advanced technology and collaborative problem-solving. As a certified Great Place to Work®, the company is employee-owned and empowers its staff to grow, collaborate, and make meaningful contributions every day.
Manage an assigned pending of claims from the Security Profit Center, including verifying coverage, interpreting complex coverage issues, and writing reservation of rights and declination letters.
Conduct thorough investigations, evaluate claims within authority, assess risk transfer and recovery potential, and manage litigated claims.
Provide superior customer service to agents, insureds, and others, and meet with customers to discuss claims capabilities.
Crum & Forster (C&F), founded in 1822, provides specialty and standard commercial lines insurance products through admitted and surplus lines companies, with an AM Best rating of A+ (Superior). With over 2000 employees across the US, C&F has earned recognition as a great place to work, including a 2025 Great Place to Work Award for its employee-first focus and commitment to diversity and inclusion.
Recognizing exposures and ensuring reserving is appropriate and timely.
Evaluating coverage issues and risk transfer opportunities.
Effectively communicating exposures both internally and externally.
Amtrust Financial Services is a fast growing commercial insurance company. It offers a competitive compensation package and excellent career advancement opportunities, with a focus on diversity and inclusion.
Manage complex homeowner property claims in litigation and appraisal from assignment through final resolution.
Conduct thorough investigations, coverage analysis, and estimate writing using Cotality, while negotiating settlements.
Collaborate with defense counsel, appraisers, and vendors to drive strategy and deliver fair outcomes.
Openly is rebuilding home insurance from the ground up, using data and technology to provide customizable, competitive coverage. They foster a remote-first culture with a growing team of curious, empathetic employees, committed to diversity and work-life balance.
Investigate and manage complex, high-exposure multi-line claims from assignment through resolution, including coverage analysis and litigation strategy.
Lead claim strategy on heavily litigated files, working closely with defense counsel and negotiating high-value settlements.
Provide strategic communication and reporting to clients, manage reserves, and ensure compliance with corporate standards.
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, we deliver customized claim solutions; we are a certified Great Place to Work® with employee-owners empowered to grow and make meaningful contributions.
Investigate, evaluate, and adjust assigned multi-line claims in accordance with corporate standards, client guidelines, and jurisdictional requirements.
Manage claims cradle to grave across all jurisdictions, including licensed states such as NY and FL.
Negotiate settlements with claimants, attorneys, and vendors in alignment with client expectations and authority levels.
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 empowered to grow and make meaningful contributions.
Accurately capture Auto and Property claims, ensuring complete First Notice of Loss documentation and triaging exposures.
Provide consultative policy guidance and effortless customer experiences to help customers understand coverage and next steps.
Collaborate with teams and vendors to drive timely claim resolution and maintain accuracy and compliance.
Liberty Mutual is a Fortune 100 insurance company that helps people navigate life's uncertainties with coverage and claims services. They are a large employer with a focus on inclusion and employee well-being, offering comprehensive benefits and professional development.
Supervise a team of claims adjusters handling first-party property claims with compassion and efficiency.
Provide coaching, mentoring, and technical oversight to ensure consistent file handling and compliance.
Manage staffing levels, performance evaluations, and disciplinary actions to achieve company goals.
Mercury Insurance helps people reduce risk and overcome unexpected events, offering property and casualty insurance for over 60 years. The company fosters a collaborative and inclusive culture, supporting team growth and customer service excellence.