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.
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.
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.
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.
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.
Supervise claim activities to ensure compliance with Corporate Claim Standards, client instructions, and applicable laws.
Investigate, evaluate, and adjust assigned claims; set and oversee reserves within authority levels.
Negotiate settlements, manage litigated files, and train claim staff to drive excellence and quality.
CCMSI partners with global clients to solve risk management challenges through advanced technology and collaborative problem-solving. As the largest privately owned Third Party Administrator (TPA), CCMSI is a certified Great Place to Work® with employee-owners empowered to grow and collaborate.
Process inbound claim contacts from dealers, repair facilities, sales agents, and contract holders.
Manage queue contacts via phone, email, and chat channels.
Correspond with vendors and assist with claim estimation and cost comparison.
Protective helps protect customers against life's uncertainties by providing insurance and claims services. The company offers comprehensive benefits and promotes work/life balance with a focus on employee wellbeing.
Provide daily phone coverage for the Notice of Loss 800 number, following scripts and best practices for customer interactions.
Assist customers by setting up claim first notices and keeping accurate records of all interactions and transactions.
Provide accurate and timely answers to routine claim inquiries while serving as a customer advocate.
Travel Insured International is a leading travel insurance provider with over 30 years of experience, offering travel protection plans to help individuals travel confidently. As part of Crum & Forster's Specialty Business Unit, it values inclusivity, diversity, and employee development with a supportive culture.
Investigates complex Workers Compensation claims to determine coverage, compensability, and exposure.
Manages litigated files and participates in settlement negotiations and strategy discussions.
Uses data analysis and medical management strategies to resolve high-severity cases effectively.
Liberty Mutual is a diversified insurer offering a range of insurance products and services. The company has a large workforce and fosters an inclusive culture with a focus on professional development and employee well-being.
Investigate and resolve auto physical damage and property damage claims in a timely manner.
Serve as primary customer contact, handling high volume calls and providing exceptional service.
Collaborate with team members and document claims activities accurately.
Mercury Insurance is a midsize insurance company dedicated to helping people reduce risk and overcome unexpected events. They have been recognized as one of America's Best Midsize Employers for 2025 and foster a collaborative, growth-oriented culture.
Handle high-volume calls, emails, and chats for workers' compensation policy servicing, billing, and audits.
Process policies and maintain accurate documentation while ensuring regulatory compliance.
Support claims coordination and identify process improvements to enhance service quality.
FOCUS provides cloud-based core administration solutions and services for property and casualty insurance companies and managing general agents. As part of Team Focus Insurance Group with over 75 years of industry experience, the company fosters a collaborative culture where employees learn, laugh, and love their work.
Deliver high-quality customer service in a healthcare environment, handling inbound and outbound calls to resolve claims, benefits, and coverage inquiries.
Research and document member and provider issues, escalate complex cases, and ensure timely follow-up across systems.
Maintain strict confidentiality of sensitive information while adapting communication for diverse audiences including members, clinics, and vendors.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies efficiently. It operates as a partner recruiting organization, facilitating applications and next steps for roles like this one.
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.
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.
Plans and conducts investigations of claims to analyze coverage and determine liability, compensability, and damages.
Assesses policy coverage, establishes reserve requirements, and negotiates settlements within assigned authority limits.
Mentors new team members, participates in quality reviews, and coordinates litigation activities for timely resolution.
Liberty Mutual is a fast-growing insurance company that consistently outpaces the industry in year-over-year growth. It has a large workforce and fosters an inclusive culture with comprehensive benefits and professional development opportunities.
Investigate, evaluate, and resolve complex general liability claims with a focus on construction defect.
Ensure compliance with state-specific claims handling regulations and licensing requirements.
Work independently and collaboratively in a remote environment with strong communication and negotiation skills.
We provide claims services to help clients through life's toughest moments. Our culture is guided by the theme of 'better every day' and we are committed to growth and employee development.
Provide telephone support to patients, healthcare professionals, and funding organizations regarding access, reimbursement, compliance, and support programs.
Manage assigned patient cases and projects while following established operational processes and service standards.
Maintain accurate case documentation within program databases, ensuring all activities and interactions are properly recorded.
This role is posted on behalf of a partner company, which manages all applications and next steps. The company focuses on healthcare support and improving patient access to therapies, with a collaborative culture and opportunities for professional growth.
Respond to customer inquiries via phone and email, processing insurance transactions and escalations.
Build and maintain strong client relationships, support senior specialists, and mentor new team members.
Ensure compliance with service level agreements, identify process improvements, and collaborate with colleagues to achieve team goals.
Jobgether uses AI-powered matching to connect candidates with hiring companies. The partner company manages all applications and next steps, offering a collaborative work environment with opportunities for professional growth.
Full handling of D&O and Financial Institution claims from coverage analysis to resolution.
Evaluate exposure, set reserves, and formulate resolution strategies.
Provide superior customer service and attend industry conferences as needed.
Crum & Forster, dating to 1822, provides specialty and standard commercial lines insurance. With over 2000 employees and an A+ rating, they emphasize an employee-first culture and diversity.