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.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conduct investigations of claims to confirm coverage and eligibility to medically manage the claims through resolution.
Liberty Mutual strives in a hybrid setting that fosters in-person collaboration and growth. They have comprehensive benefits, workplace flexibility, and professional development opportunities, along with employee resource groups.
Manages an inventory of claims to evaluate compensability/liability.
Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive, building an environment that welcomes perspectives and experiences.
Plans and conducts investigations of claims to analyze coverage and determine liability.
Assesses policy coverage for submitted claims and establishes reserve requirements.
Coordinates litigation activities to ensure timely, cost-effective resolution and attends trials.
Liberty Mutual strives to create a workplace where everyone feels valued and supported. They foster inclusion through comprehensive benefits, flexibility, and professional development, and encourage employees to contribute to a diverse, impactful community.
Investigate, evaluate, and resolve complex and litigated WC claims with accuracy and timeliness.
Set and manage reserves; develop resolution strategies; negotiate settlements.
Partner with defense counsel and vendors; manage litigation plans and outcomes.
Liberty Mutual strives to create a workplace where everyone feels valued and supported. They foster an inclusive culture with comprehensive benefits, workplace flexibility, and professional development opportunities, empowering employees to make a meaningful impact.
Investigate, evaluate, and resolve General Liability claims.
Analyze coverage, liability, and damages based on policy terms.
Communicate effectively with policyholders and witnesses.
NEXT’s mission is to help entrepreneurs thrive by building the only technology-led, full-stack provider of small business insurance in the industry. Since 2016, they’ve helped hundreds of thousands of small business customers across the United States and are backed by industry leaders in insurance and tech.
Manage a large inventory of claims ranging from minor to moderate complexity.
Investigate, evaluate, negotiate, and settle auto and property damage claims for commercial rideshare and commercial GIG economy.
Document claim files, send correspondence, and communicate with all parties involved.
Mobilitas is a commercial insurance company created by CSAA Insurance, aiming to reinvent commercial insurance in the mobility space by providing technologically advanced solutions. They foster a culture that encourages big thinking, fast action, and dedication to creating a company from the ground up.
Provide technical oversight to TPA claim handlers.
Effectively manage claim diaries to maintain progress.
Core Specialty offers property and casualty insurance for small to mid-sized businesses. They focus on niche markets and local distribution, providing traditional and innovative insurance solutions.
Investigates new claims by reviewing first reports of loss and supporting materials.
Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources.
Manages an inventory of property/casualty and disability claims, evaluates compensability/liability and losses, and negotiates settlements within prescribed limits.
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 their culture.
Investigate, evaluate, analyze, negotiate, and settle residential property claims through on-site inspections.
Conduct thorough field inspections of damaged properties to assess cause, scope, and extent of loss.
Determine appropriate settlement amount based on independent judgment, Xactimate estimates, contractor estimates, and application of applicable limits and deductibles.
Max Insurance is a home insurance carrier entering a period of exciting growth, aiming to provide exceptional customer experiences to Canadians. Their culture values family, promotes work-life balance, and encourages a flat structure where all team members are treated equally and encouraged to have a voice.
Provide prompt, courteous and high-quality customer service to all policyholders and claimants.
Manage an inventory of litigated and non-litigated cases, and ensure compliance with state regulations.
Analyze auto insurance claims, investigate, evaluate liability, negotiate and settle claims.
Reserv is an insurtech company creating AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans and backed by Bain Capital and Altai Ventures, they focus on automating manual tasks and setting a new standard for TPAs, insurance technology providers, and adjusters.
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.
Actively manage and supervise a portfolio of predominantly primary first party and third-party cyber claims with responsibility for end-to-end adjudication processes.
Analyze insurance coverage issues and draft coverage letters and other correspondence.
Confidently navigate in both primary and excess insurance claim environments.
Converge Insurance is a forward-thinking, technology-driven company specializing in cyber risk and insurance solutions. They deliver tailored risk management and insurance solutions that protect organizations from evolving cyber threats and foster a culture of collaboration, innovation, and customer focus.
Reviewing various insurance policies; determine whether the carrier has a duty to provide a defense and/or indemnification to the insured; prepare coverage correspondence, if there is a duty to defend, assign approved defense counsel.
Oversee the work of defense counsel who will report generally in 90-day intervals. Attend mediations.
Determine the most cost-effective way to effectuate resolution of the claims.
They are a Claims Management Third Party Administrator Specializing in Professional Liability Claims Management. They are publicly traded on NYSE and their team includes lawyers who serve as Claim Management Specialists for various insurance companies in the United States.
Analyzes and processes complex veterinary claims, managing them to a timely resolution.
Negotiates claim settlements and calculates appropriate reserves.
Identifies fraud, subrogation, and recovery opportunities to reduce claim costs.
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.
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.