Investigate complex Homeowners/Commercial claims to confirm facts and cause of loss.
Compare investigation facts against policy to determine coverage of claim.
Assess and determine extent of damages, document with photos, measurements, repair estimate.
Mercury has been helping people reduce risk and overcome unexpected events for over 60 years. They are a team that encourages growth, fun, and collaboration, embracing diverse perspectives and offering competitive compensation and benefits.
Oversee a team of Claims Analysts and outsourced vendor staff.
Ensure team meets quality, production, and service expectations.
Address complex claims and customer service inquiries.
Jobgether is a platform that uses AI-powered matching process to ensure applications are reviewed quickly and fairly. They identify top-fitting candidates and share the shortlist with the hiring company, while not replacing human judgement in the final hiring decisions.
Thoroughly verifies and explains coverage to Policyholders.
Sets reserves for anticipated losses and arranges required inspections.
Coordinates with other departments and researches customer inquiries.
Mercury Insurance has been helping people reduce risk and overcome unexpected events for over 60 years. They value their team members and offer diverse perspectives to serve customers from all walks of life.
Review, analyze, and process moderately complex to complex workers compensation claims.
Make decisions about liability/compensability and negotiate settlements.
Manage an inventory of commercial property/casualty claims.
Liberty Mutual is a fast-growing company that consistently outpaces the industry in year-over-year growth. They offer comprehensive benefits, flexible workplace options, and professional development in an inclusive environment where everyone can thrive.
Investigate, evaluate, analyze, negotiate, and settle residential property claims.
Maintain ongoing communication and status updates to customers until file closure.
Determine appropriate settlement amount based on independent judgment and estimates.
Max Insurance is an insurance carrier focused on providing customer experiences to Canadians. They are looking for smart, motivated claims professionals to join their energetic and rapidly growing team where they emphasize flexibility & benefits.
Accountable for the full handling and control of all claim matters assigned from inception to resolution.
Consistently evaluate potential exposure present as to all claims assigned and adapt to changing circumstances as claims develop.
Provide superior customer service to all co-employees, agents, policyholders and others encountered during the claims handling process.
Crum & Forster (C&F) provides specialty and standard commercial lines insurance products through their admitted and surplus lines insurance companies. C&F has more than 2000 employees in locations throughout the United States and is part of Fairfax Financial Holdings, a global, billion dollar organization.
Be responsible for department quality audit process related to service standards, adherence to procedural, regulatory and financial requirements.
Review the referral of, submit, monitor and track all subrogation referrals receive by the Claim department and forwarded to external vendors.
Handle overpayment, check void and refunds, including maintenance of the overpayment log.
Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With its entrepreneurial culture and a strong emphasis on analytics, they can help employers better manage their risk.
Investigate, evaluate, and adjust multi-line general liability claims.
Establish and recommend reserves within defined authority levels.
Negotiate settlements in compliance with state laws and client expectations.
CCMSI partners with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology and collaborative problem-solving. As the largest privately-owned Third Party Administrator (TPA), they deliver customized claim solutions and are a certified Great Place to Work®.
Investigate and determine whether medical insurance claims are recoverable from a liable third party.
Communicate and negotiate with healthcare plan members, insurance adjusters, and attorneys.
Utilize computer systems to accurately document collected information.
Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. With over 85 health plans and 270 million lives represented, we bring together a configurable, AI-powered platform along with expertise.
Managing multiple claims units/teams; Requires general knowledge of workers’ compensation statutes, regulations and compliance within the jurisdictions.
Provide strategic direction for the appropriate analysis of claims ensuring they are resolved in an equitable and timely.
Ensure the early recognition of exposures and setting of appropriate case reserves to ensure that future claim costs are accurately estimated.
Crum & Forster (C&F) provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F has more than 2000 employees and they are winning recognition as a great place to work, earning several workplace and wellness awards.
Manage, process, and monitor Off Campus Authorization (OCA) requests through the online OCA system.
Coordinate with various departments and outside entities to produce or request required Certificates of Insurance.
Support initial investigation into risk management issues and identify and address customer needs related to potential and actual claims.
Oregon Health & Science University aims to provide a comprehensive risk management program contributing to health, safety, and protection of patients, employees, faculty, students, and visitors, while also protecting the University's resources. They manage over 30 lines of insurance and a captive insurance company, with claims managed internally.