47 jobs found in blue bell

As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service.   Responsibilities: Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up Process payments, answer phone calls, authorize treatment associated with Medical Only claims Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up Determine whether treatment is appropriate and causally related to the compensable injury Redirect treatment to network physicians as appropriate Refer subrogation potential claims or potential permanency claims to Supervisor Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable Maintain a working knowledge of...

As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a culture of communication. Responsibilities: Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management. Ensures timely, accurate documentation of claim activity. Selects, trains, coaches and mentors unit personnel. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals. Ensures appropriate case...

Investigates, evaluates and resolves complex and litigated Automobile, General Liability, Professional Liability and Property claims for large self-insured and unbundled clients. Provide a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with client, company and regulatory guidelines. This position is typically assigned claims of highest loss exposures, more difficult coverage and excess issues and includes a diary of predominantly litigated professional liability losses. Responsibilities: Promptly investigates all assigned claims for coverage, liability assessment, damages evaluation and subrogation/contribution potential. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Within granted authority, establishes appropriate loss and expense reserves with documented rationale.  Maintains and adjusts    reserves over the life of...

As a member of our TPA Operations team, the Manager, TPA Business Analytics will lead a team of Analytics and Metrics Specialists who are responsible for the data analysis and reporting of PMA Management Corp. The Assistant Manager will have responsibility for setting the strategy for the team, developing new analytic capabilities for the organization and will partner with members of Operations, Sales, Service, and Claims Leadership to define and advance these objectives. Responsibilities: Design, plan and manage the execution of business metrics and analytics transformation initiatives Drive reporting functionality and business insights from data analysis. Provide actionable recommendations based on analysis of the data that will result in operational improvement and efficiency Define and manage project scope, timelines and deliverables and identify the interdependencies across projects and functions Evaluate broker portals and digital sales platforms to improve...

The Supervisor, Accounts Receivable is responsible for the billing and collections of large, small and third party deductibles, all claims handled by the TPA business, service fees, and cash applications. The Supervisor will interact with clients, brokers and colleagues on a daily basis and is expected to provide information as requested. Additional responsibilities will include preparing monthly/quarterly reports and manage a team of six (6) Accounts Receivable Representatives. Responsibilities: Set objectives for the Accounts Receivable team that align with the Company's goals to maximize cash flow and minimize uncollected balances. Manage the collection of large and small deductibles, self-insured loss reimbursements, service fees and cash collateral. Manage the billing and collections process for PMA Management Corp business unbundled from third party insurance carriers, including the preparation and distribution of monthly reports, research and analysis of...

As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service. Responsibilities: Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up Process payments, answer phone calls, authorize treatment associated with Medical Only claims Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up Determine whether treatment is appropriate and causally related to the compensable injury Redirect treatment to network physicians as appropriate Refer subrogation potential claims or potential permanency claims to Supervisor Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable Maintain a working knowledge of...

Responsible for the design, delivery and continuous improvement of underwriting training programs across all segments. Includes conducting needs assessments, establishing appropriate curricula, executing and/or coordinating the delivery of training and evaluating its effectiveness. Responsibilities: Completes and periodically updates a skills inventory analysis of Underwriting staff Develops curriculum based on research and analysis of business needs Confers with Subject Matter Experts at all levels to obtain a complete understanding of business practices and procedures. Learns and then translates complex business products and procedures into clear, concise training modules in a timely manner Designs employee training schedules for newly hired underwriters at PMA Companies. Acclimates new hires to the business and conducts orientation sessions Assists new employees with system set-up and access Responsible for creating, maintaining and/or establishing a resource...

As an integral member of the Claims team for our Third-Party Administrator, you will have the responsibility to investigate, coordinate and evaluate the legal liability of any party involved in claims we receive. This position requires the candidate to work closely with our claims personnel, clients, and all related parties to obtain the necessary information to create subrogation recovery opportunities, coordinating the development of evidence to support subrogation recoveries and pursue these recoveries in accordance with legal statutes, policy provisions and client handling guidelines. Responsibilities: Conduct investigation to determine a claim's subrogation potential and pursue appropriate recovery Identify, investigate and gather proper information in support of recovery opportunity in a timely and effective manner Prepare materials and documentation on unsettled claims to communicate to all relevant parties inclusive of; claims professionals, clients, attorneys,...

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...

Investigates, evaluates, reserves and resolves Automobile, General Liability and Property claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines.   Responsibilities: Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements. Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for...

The Claims Apprentice Program is an exciting opportunity for recent college graduates interested in a career as a Claims Adjuster in the Property & Casualty insurance industry. As a Claims Apprentice, you will be trained by PMA's team of claims experts and leaders. Over the course of the nine-month program, you will develop your skills and knowledge in the area of workers' compensation and/or property and liability as well as assume a caseload of claims of increasing complexity. Apply now to be considered for our June 2023 program. Job Responsibilities: Promptly investigate assigned claims. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable). Ensure timely denial or payment of benefits in accordance with jurisdictional requirements. Within granted authority, establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure....

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...

The Claims Apprentice Program is an exciting opportunity for recent college graduates interested in a career as a Claims Adjuster in the Property & Casualty insurance industry. As a Claims Apprentice, you will be trained by PMA's team of claims experts and leaders. Over the course of the nine-month program, you will develop your skills and knowledge in the area of workers' compensation and/or property and liability as well as assume a caseload of claims of increasing complexity. Apply now to be considered for our June 2023 program. Job Responsibilities: Promptly investigate assigned claims. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable). Ensure timely denial or payment of benefits in accordance with jurisdictional requirements. Within granted authority, establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure....

As an integral member of the Claims team for our Third-Party Administrator, you will have the responsibility to investigate, coordinate and evaluate the legal liability of any party involved in claims we receive. This position requires the candidate to work closely with our claims personnel, clients, and all related parties to obtain the necessary information to create subrogation recovery opportunities, coordinating the development of evidence to support subrogation recoveries and pursue these recoveries in accordance with legal statutes, policy provisions and client handling guidelines. Responsibilities: Conduct investigation to determine a claim's subrogation potential and pursue appropriate recovery Identify, investigate and gather proper information in support of recovery opportunity in a timely and effective manner Prepare materials and documentation on unsettled claims to communicate to all relevant parties inclusive of; claims professionals, clients, attorneys,...

Investigates, evaluates, reserves and resolves Automobile, General Liability and Property claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines.   Responsibilities: Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements. Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for...

As an integral member of the Claims team for our Third-Party Administrator, you will have the responsibility to investigate, coordinate and evaluate the legal liability of any party involved in claims we receive. This position requires the candidate to work closely with our claims personnel, clients, and all related parties to obtain the necessary information to create subrogation recovery opportunities, coordinating the development of evidence to support subrogation recoveries and pursue these recoveries in accordance with legal statutes, policy provisions and client handling guidelines. Responsibilities: Conduct investigation to determine a claim's subrogation potential and pursue appropriate recovery Identify, investigate and gather proper information in support of recovery opportunity in a timely and effective manner Prepare materials and documentation on unsettled claims to communicate to all relevant parties inclusive of; claims professionals, clients, attorneys,...

Investigates, evaluates, reserves and resolves Automobile, General Liability and Property claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines.   Responsibilities: Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements. Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for...

As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service. Responsibilities: Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up Process payments, answer phone calls, authorize treatment associated with Medical Only claims Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up Determine whether treatment is appropriate and causally related to the compensable injury Redirect treatment to network physicians as appropriate Refer subrogation potential claims or potential permanency claims to Supervisor Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable Maintain a working knowledge of...

As an integral member of the Claims team for our Third-Party Administrator, you will have the responsibility to investigate, coordinate and evaluate the legal liability of any party involved in claims we receive. This position requires the candidate to work closely with our claims personnel, clients, and all related parties to obtain the necessary information to create subrogation recovery opportunities, coordinating the development of evidence to support subrogation recoveries and pursue these recoveries in accordance with legal statutes, policy provisions and client handling guidelines. Responsibilities: Conduct investigation to determine a claim's subrogation potential and pursue appropriate recovery Identify, investigate and gather proper information in support of recovery opportunity in a timely and effective manner Prepare materials and documentation on unsettled claims to communicate to all relevant parties inclusive of; claims professionals, clients, attorneys,...

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...