Automobile Claims Adjuster for National Accounts at ClaimsPro. Handling automotive claims including accidents and theft, ensuring high - level service throughout the claims process.
About the role
- Workers Compensation Claims Adjuster at Sedgwick analyzing claims and determining benefits for clients. Collaborating with a global network to deliver exceptional service and uphold industry standards.
Responsibilities
- To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
- Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
- Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
- Ensures claim files are properly documented and claims coding is correct.
- May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
- Maintains professional client relationships.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Four (4) years of claims management experience or equivalent combination of education and experience required.
- SIP required or must be obtained within one (1) year of employment; California workers compensation jurisdictional knowledge required.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one.
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Entry Level Auto Claims Representative at Hastings Insurance responsible for managing auto physical damage claims. Focused on delivering timely and accurate customer service in a hybrid work environment.
Claims Specialist managing complex investigations of claims at CNA. Responsible for settlement negotiations and compliance with regulations across various Canadian cities.
Claims Representative handling liability and property claims with close supervision at Erie Insurance. Resolving coverage and liability issues in accordance with state insurance laws in remote position.
Claims Specialist at Voya guiding claimants through FMLA and other leave experiences. Ensuring high service standards and compliance with regulatory requirements in a remote role.
Claims Manager overseeing a portfolio of MRH and material recovery claims. Engaging with clients from declaration to closure while ensuring partnership sustainability.
Claims Examiner role at Sedgwick analyzing workers' compensation claims and ensuring timely adjudication. Requires 5 years of claims management experience and California workers' compensation knowledge.
Claims Examiner analyzing complex workers' compensation claims for clients within a caring culture. Join a global industry leader offering flexibility and professional growth opportunities.
Junior Associate Claims position focusing on processing and evaluating claims at Carelon Global Solutions. Working with a team to ensure high quality and productivity standards.
Claims Analyst investigating and resolving first - party property damage claims for Eversource Energy. Collaborating with outside counsel and representing the company in court as needed.