Investigate workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due.
Calculate and set timely financial reserves and proactively manage reserve adequacy throughout claim lifecycle.
Negotiate settlements of claims within designated authority with injured workers and attorneys.
BerkleyNet is an innovative workers compensation insurance provider that does all of its business online. Their goal is to make doing business 'Ridiculously Fast. Amazingly Easy.'
Manage workers' compensation claims from investigation through resolution in compliance with company standards and applicable laws.
Evaluate claim exposure and establish appropriate reserves within authority guidelines.
Review and approve medical, legal, and other claim-related expenses to ensure accuracy and cost effectiveness.
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.
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.
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.
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.
Manage a diverse portfolio of California workers' compensation claims with professionalism and empathy.
Conduct thorough investigations and make compensability decisions with seasoned judgment.
Deliver timely resolution strategies and exceptional client experience while upholding high quality standards.
CCMSI partners with global clients to solve their most complex risk management challenges through advanced technology and collaborative problem-solving. As the largest privately owned Third Party Administrator, they are a certified Great Place to Work® with employee-owners empowered to grow and collaborate.
Ensure timely and accurate adjudication and payment of medical claims.
Process appeals and disputes by gathering and verifying claim information.
Work independently and as part of a team to meet daily processing quotas.
Sana is a health plan solution built for small and midsize businesses, designed around integrated primary care. Founded in 2017, Sana is remote-first with a fully distributed team across the U.S., valuing curiosity, ownership, and speed.
Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation claims.
Submit bills and proper documentation to insurance companies, ensuring maximized payments to clients.
Review payer information to resolve denied claims and participate in special projects to achieve goals.
Revecore helps hospitals recover the revenue they've earned. Trusted by over 1,300 hospitals across 48 states, they combine specialized expertise with proprietary technology and foster a supportive, innovative workplace.
Manage a caseload of post-payment Workers' Compensation bills, including disputes and negotiations.
Conduct proactive outreach to medical providers to resolve disputes and negotiate reductions.
Ensure compliance with state-specific regulations and maintain productivity standards.
Reliant Health Partners is an innovative medical claims repricing service provider that helps employers achieve maximum health plan savings with tailored services. The company values diversity and inclusion, fostering a collaborative environment as an equal opportunity employer.
Provide responsive, timely service to payroll partners via email and platform-based communication.
Resolve routine to advanced customer issues with Workers Comp knowledge and cross-functional collaboration.
Build relationships and advocate for partner needs while maintaining SLA's and improving processes.
Pie Insurance empowers small businesses by making commercial insurance affordable and easy as pie. They are a diverse team of builders, dreamers, and entrepreneurs driven by core values.
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.
Make high-volume outbound calls to investigate and bill medical claims for auto accidents.
Research accident details to determine payer and submit bills with proper documentation.
Follow up on unpaid bills, resubmit for additional payment, and contribute to team reports.
We help hospitals recover the revenue they've earned, trusted by over 1,300 hospitals across 48 states. We combine specialized expertise with proprietary technology and have built a supportive workplace where people embrace innovation.
Manage commercial general liability claims from investigation to resolution, including coverage analysis, damages evaluation, and negotiation.
Handle bodily injury, auto material damage, and total loss claims, including vehicle appraisal, subrogation, and salvage procedures.
Ensure compliance with state regulations, maintain accurate reserves, and provide excellent customer service to insureds, agents, and internal stakeholders.
Berkley Southeast Insurance Group is a member company of W.R. Berkley Corporation, a Fortune 500 company, offering local underwriting, risk services, claim, marketing, and audit services for agents and policyholders in the southeastern US. As a part of a large, well-rated organization, the company emphasizes a broad underwriting approach for best-in-class businesses.
Conduct property inspections to identify potential damage covered by insurance.
Review and interpret insurance policies to help homeowners understand their coverage.
Provide top-quality service and communication to clients throughout the claims process.
Metro Public Adjustment is a public adjusting firm that helps policyholders maximize their insurance claim settlements. The company has been operating for over 30 years and is currently expanding its team, offering a flexible and supportive culture.
Prepare and file stop loss claim submissions, assessing eligibility against policy terms and gathering required documents.
Build and maintain claimant files, ensuring accurate and audit-ready records throughout the claim lifecycle.
Track and recover outstanding reimbursements, monitoring requests and following up with carriers to drive resolution.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. The company serves employers, health plans, and health systems with data-driven solutions and is on a mission to empower people to lead healthier lives.
Review and analyze existing policies for renewal, including term file corrections and changes.
Gather and input information from third-party services, verify premiums, and determine pricing and coverage terms.
Build and maintain outstanding customer relationships and provide technical assistance to cross-functional teams.
Pie Insurance leverages technology to transform how small businesses buy and experience commercial insurance, making it affordable and as easy as pie. They are a diverse team of builders, dreamers, and entrepreneurs driven by core values and operating principles.
Draft pleadings, motions, discovery responses, and correspondence for attorney review.
Build medical chronologies, case timelines, and wage-loss summaries.
Handle e-filing through eJCC and assemble trial preparation materials.
Kelley Kronenberg is a law firm that defends workers' compensation claims. They are a well-established South Florida firm with a remote working culture emphasizing independent work and accountability.
Assist the claims team and LMVR with tasks related to the ICEP process for Costco, coordinating placement of injured workers.
Communicate effectively with claimants, employers, and claims staff to address return to work barriers and maintain documentation.
Collect data, resolve problems, and identify administrative inefficiencies to enhance workflow and productivity.
Liberty Mutual is a global insurer that helps people protect and insure their assets. The company values inclusion and offers comprehensive benefits, with a large employee base and a culture focused on well-being and professional growth.