8 claims technician jobs found in Lawrenceville

The Vice President, Liability Operational Strategy is empowered to enhance CorVel’s market presence in the administration of liability claims and the overall strategic goals and vision of the company. This role requires a high level of industry knowledge and relationships with insurance carriers, brokers, loss-sensitive insureds and self-insured entities.  Reporting to the Chief Claims Officer, this position will closely collaborate with Product, Operational, and Sales leadership to ensure a cohesive vision and experience is delivered to CorVel customers. This role will have direct oversight and responsibility for the operational needs, staffing and P&L performance of CorVel’s Liability Claim Hubs along with identifying, facilitating and participating in essential strategic projects in support of CorVel’s liability offerings and directly participating in sales presentations/RFP responses and the development of opportunities to support the company’s overall growth.  This is a...

The Indemnity 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 position. 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...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote role. Must be a registered nurse. Must have national certification – CCM, COHN, CRRN, CDMS. Bilingual a plus ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers,...

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 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...