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...

Investigates, evaluates, reserves and resolves Automobile 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 claim resolution including loss...

Job Description: As a member of the Premium Operations team insure efficient and timely processing of all work assignments in to applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals.   Responsibilities: Work with supervisor to identify training needs and provide ongoing training to team. Monitor processing changes, update training materials on a weekly basis Effectively communicate with corporate underwriting operations regarding policy processing changes that impact the team and/or workflows Communicate all procedural and workflow changes to team as implemented. Function as first point of contact to provide daily technical and procedural support to team members Perform quality reviews on a daily basis per established guidelines. Provide weekly scorecards to supervisor for review and distribution to team. Research and resolve field inquiries, or appropriately delegate to team...

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 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 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...

Investigates, evaluates and resolves complex and litigated workers' compensation claims in order to achieve prompt and appropriate outcomes. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with legal statutes, policy provisions, and company guidelines. Responsibilities: Promptly evaluates all assigned claims; establishes and executes a strategy to mitigate indemnity, medical and allocated loss adjustment expense exposure. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Tracks status of assigned clams, individually and in the aggregate, using available management reports and tools such as Excel, including but not limited to such information as permanency evaluations, hearing dates, attorney information, settlement evaluation, venue, judges, current litigation status, subrogation credits due, and overall...

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...

PMA, an Old Republic Company, has a unique, fully remote opportunity for an experienced Multi-state Workers Compensation Claims Adjuster on our exclusive full-time permanent Regional Technical Support Team! Bring your expertise to our group of highly regarded claims professionals who play a critical role in our organization's success. Enjoy work/life balance filling in for our adjusters who are on vacation or leave to keep their desks moving forward and our clients satisfied. If you like variety, are solution oriented and team focused but no longer want the responsibility of handling claim reviews and an ongoing pending this is the role for you! 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...

PMA, an Old Republic Company, has a unique, fully remote opportunity for an experienced Multi-state Workers Compensation Claims Adjuster on our exclusive full-time permanent Regional Technical Support Team! Bring your expertise to our group of highly regarded claims professionals who play a critical role in our organization's success. Enjoy work/life balance filling in for our adjusters who are on vacation or leave to keep their desks moving forward and our clients satisfied. If you like variety, are solution oriented and team focused but no longer want the responsibility of handling claim reviews and an ongoing pending this is the role for you! 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...

In this role, utilize your knowledge of general liability to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes. Provide superior customer service to internal and external business partners. Administer and resolve assigned claims in a timely manner, in accordance to jurisdictional requirements, policy coverages and company guidelines.   Responsibilities: Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect changes in exposure Notify appropriate claims management when exposure exceeds authority Negotiate claims resolution within granted authority Establish and execute appropriate action plans for claim resolution...

Investigates, evaluates, reserves and resolves Automobile 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 claim resolution including loss...

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...

Investigates, evaluates and resolves General Liability and Automobile claims for self-insured clients. Provides 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 higher loss exposures, coverage issues and includes a pending of litigated files. Responsibilities: Promptly investigates all assigned claims for coverage, liability assessment, damages evaluation and subrogation/contribution. 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 the claim to reflect changes in exposure. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within...

PMA, an Old Republic Company, has a unique, fully remote opportunity for an experienced Multi-state Workers Compensation Claims Adjuster on our exclusive full-time permanent Regional Technical Support Team! Bring your expertise to our group of highly regarded claims professionals who play a critical role in our organization's success. Enjoy work/life balance filling in for our adjusters who are on vacation or leave to keep their desks moving forward and our clients satisfied. If you like variety, are solution oriented and team focused but no longer want the responsibility of handling claim reviews and an ongoing pending this is the role for you! 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...

As a member of our underwriting support team you will provide a high level of support to the underwriting function. In this role you will assist in the preparation of new business quotes and policy issues as well as rating both new business and renew applications while maintaining accuracy and targeted due dates. Responsibilities: Correspond with various parties including rating bureaus clients and underwriting staff to support our underwriting efforts Ensures quality and timeliness of policies and correspondence and responds to customers inquiries Perform exposure comparisons and loss trending/developing review applications assure issuance of policies Quote/issue workers compensation line of coverage and process endorsements New business quote support tasks include classification of exposures completion of loss trend and analysis of large claim and prior audit information for renewal business requesting additional information as needed Review applications and...

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...

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...

Investigates, evaluates and resolves General Liability and Automobile claims for self-insured clients. Provides 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 higher loss exposures, coverage issues and includes a pending of litigated files. Responsibilities: Promptly investigates all assigned claims for coverage, liability assessment, damages evaluation and subrogation/contribution. 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 the claim to reflect changes in exposure. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within...