12 jobs found in Lawrenceville

Company Details   Berkley Southeast is a member company of W. R. Berkley Corporation, a Fortune 500 Company, whose insurance company subsidiaries are rated A+(Superior) by A. M. Best Company. BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. We take a broad approach to underwriting for ‘best in class’ businesses, primarily in: construction, light manufacturing, wholesale, distribution and business service industries.   The Company is an equal employment opportunity employer.   www.berkleysoutheast.com   Responsibilities The Senior Claim Specialist – Casualty position is responsible for the quality handling and resolution of non-litigated claims including commercial auto claims and general liability in a timely and professional manner with emphasis on providing quality...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

CorVel is seeking a dynamic and experienced Special Investigation Director to lead our Special Investigations Unit (SIU). This role is critical in safeguarding the integrity of our claims and managed care operations while ensuring compliance with regulatory standards. The ideal candidate will combine investigative expertise with strategic leadership to enhance CorVel’s market image and deliver measurable results. This is a remote role.   ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Education & Training: Develop and deliver SIU training programs for CorVel claims and managed care personnel to ensure awareness of fraud indicators and compliance requirements. Data Mining & Analysis: Utilize ISO and other data sources to identify red flags and determine when further investigation is warranted. Vendor Audits: Review and analyze audit findings from strategic vendors to ensure adherence to contractual and regulatory obligations. Regulatory & Carrier...

The Claims Supervisor-Strategic is responsible for supervising a direct reports team of Senior Claim Specialists - Strategic, or assisting with the supervision of field claims specialists (indirect) as the need arises. The primary responsibility of this position is to ensure all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. In this role, the supervisor will be a part of the corporate claims team and made available for special projects and assignments to support the field claims organization. Engagement with a field operation and their claims will usually last no more than 10 weeks at which time the role will be reassigned to a new strategic project. This is a hybrid role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises...

The Senior Claims Specialist - Strategic handles or helps support the assigned adjuster on  complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.  In this role, the adjuster will be a part of the corporate claims team and made available for special projects and assignments to support the field claims organization.  Engagement with a field operation and their claims will usually last no more than 10 weeks at which time the role will be reassigned to a new strategic project. This is a Hybrid role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the...

Company Details   Berkley Southeast is a member company of W. R. Berkley Corporation, a Fortune 500 Company, whose insurance company subsidiaries are rated A+(Superior) by A. M. Best Company. BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. We take a broad approach to underwriting for ‘best in class’ businesses, primarily in: construction, light manufacturing, wholesale, distribution and business service industries.   The Company is an equal employment opportunity employer.   www.berkleysoutheast.com Responsibilities The Sr. Claims Litigation Specialist – Construction Defect is a vital member of our Claims Department, primarily responsible for managing complex, high-exposure Construction Defect claims and Third-Party Property General Liability matters. This role demands...

Company Details   Berkley Southeast is a member company of W. R. Berkley Corporation, a Fortune 500 Company, whose insurance company subsidiaries are rated A+(Superior) by A. M. Best Company. BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. We take a broad approach to underwriting for ‘best in class’ businesses, primarily in: construction, light manufacturing, wholesale, distribution and business service industries.   The Company is an equal employment opportunity employer.   www.berkleysoutheast.com Responsibilities The Risk Services Director provides strategic direction, coordination, and evaluation of the entire Risk Services function.  Proactively participates with the senior management team and functional department staff in developing and executing strategic plans to...

Company Details Berkley Southeast is a member company of W. R. Berkley Corporation, a Fortune 500 Company, whose insurance company subsidiaries are rated A+(Superior) by A. M. Best Company. Berkley Southeast provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. We take a broad approach to underwriting for ‘best in class’ businesses, primarily in: construction, light manufacturing, wholesale, distribution and business service industries. Responsibilities The VP, Sales and Marketing will be a member of the Senior Staff that contributes to the overall strategic direction of the Operating Unit and will be directly responsible for the sales, distribution, agency engagement and marketing strategy to ensure long term growth and profitability.   The VP, Sales and Marketing supports the organization’s...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Atlanta - Lawrenceville, GA area. Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction. Candidate must be a registered nurse and have national certification of one of the following: CCM, COHN, CRRN, CDMS, LPC, or CRC   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals,...

Company Details   Berkley Southeast Insurance Group (BSIG) is a member company of W. R. Berkley Corporation, a Fortune 500 Company, whose insurance company subsidiaries are rated A+(Superior) by A. M. Best Company. BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. We take a broad approach to underwriting for ‘best in class’ businesses, primarily in: construction, light manufacturing, wholesale, distribution and business service industries.   The Company is an equal employment opportunity employer.   www.berkleysig.com Responsibilities In this role, you’ll provide your expertise, guidance, and support to our regional offices to ensure that the Underwriting team is adequately equipped and supported to achieve Company growth and profitability objectives.  You will develop...

Company Details   Berkley Southeast Insurance Group (BSIG) is a member company of W. R. Berkley Corporation , a Fortune 500 Company, whose insurance company subsidiaries are rated A+(Superior) by A. M. Best Company. BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. We take a broad approach to underwriting for ‘best in class’ businesses, primarily in: construction, light manufacturing, wholesale, distribution and business service industries.   This role will be based in our Lawrenceville, GA office.  We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.   The company is an equal opportunity employer.  #LI-AV1 Responsibilities The Presiden t is responsible for the successful management of virtually all aspects of the...