2 claim representative ii jobs found

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. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source Provide assessment, planning, implementation, and evaluation of...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Orchid Insurance, an Arrowhead Intermediaries company, is seeking an Underwriter II to join our growing team in Tampa, Vero Beach, or remotely. The Underwriter II is a highly skilled professional, proficient in all aspects of underwriting, including new business, renewals, and the integration of inspection findings to inform risk decisions.  In this position, the Underwriter II is responsible for making informed decisions to approve, modify, or reject risks based on carrier underwriting guidelines. They evaluate documents related to personal lines insurance, such as past claims, inspection reports, losses, and the value and condition of properties. By assessing the degree of risk exposure, they make well-justified exceptions to guidelines, when necessary, all while safeguarding the company's profitability. How You Will contribute:...