44 medical case manager jobs found

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Connecticut or Massachusetts. 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. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source Utilizes their...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are currently seeking a dedicated personal injury Trial Attorney in the Hartford, CT metro area. In this position, you will provide legal representation to USAA members, insured clients, and USAA entities in all phases of civil litigation and legal proceedings pertaining to Property and Casualty covered losses. This position will offer flexibility to work remotely out of your home office. You are expected to travel to attend trial, hearings, depositions, or other case related proceedings as needed....

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It’s our promise to you.  Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a hybrid position until fully trained. Training will be full-time onsite. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient...

Description Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Long-Term Care Claims Team and assist with other specialty lines claims including Miscellaneous Medical Facilities, Custom, and Group Practice . This is a high‑visibility, hands‑on role for an experienced professional‑liability claims handler. With minimal supervision, the Complex Claims Specialist will manage a book of specialty LTC Professional Liability Claims, MMF, Custom, and/or Group Practice through the entire lifecycle, applying advanced coverage interpretation, clinical issue spotting, complex litigation management and prudent reserving to resolve high‑exposure matters economically and defensibly.   Why this role matters Lead ownership of complex professional liability claims (nursing homes, assisted living, hospice, home health, ancillary providers, physician groups, and other facilities). Opportunity to shape claim strategy on...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to...

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.   In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.   The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.   The A&H Specialty Business Unit (SBU) takes a forward-thinking, flexible approach to solutions...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: The Opportunity: The Data Intake Associate is responsible for processing and managing claim data with high accuracy and efficiency. This role requires strong attention to detail, proficiency in data management systems, and the ability to work both independently and collaboratively to meet established...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description The Direct Sales Agent Specialist (Direct Auto Insurance is an Allstate Business) is responsible for the profitable growth and attainment of business goals by driving new business sales and understanding customers’ needs to build rapport and trust. This position drives sales and builds and retains their book of business within the market / retail location. This position is responsible for attracting and generating new customers and cross-selling existing customers, in support of our product offerings including but not limited to Auto, Life, Auto Club, and Roadside Assistance. This role sells to walk-in...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description Are you someone who enjoys being on the move, solving problems, and making a real impact for customers? As a Field Auto Appraiser, you'll be at the forefront of our claims process—meeting customers where they are, whether it's at their home, a repair shop, or a tow yard. You'll take the lead in writing estimates and guiding customers through the repair or total loss process , using a mix of in-person visits, virtual inspections, and written communication. No two days are the same—whether you're evaluating damage on-site or...

Description Ready to grow your career in a role that makes a meaningful impact? Liberty Mutual is hiring Workers' Compensation Claims Specialists in our Northeast Region to help injured workers navigate the claims process and return to work with confidence.   We’re hiring across multiple levels—Associate Claims Specialist, Claims Specialist I, and Claims Specialist II—depending on your experience. The salary range posted reflects the varying pay scale across various locations.   In this role, you’ll manage a caseload of routine to moderately complex claims, making key decisions on compensability, evaluating losses, and negotiating fair outcomes. You’ll collaborate closely with claimants, policyholders, attorneys, and partners throughout the claim lifecycle.   Training is a critical component of your success, and that success starts with reliable attendance and active engagement. Training will include 1 week of travel to our Plano, TX office in...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Responsible for the retention, upselling and cross selling of an assigned book of Personal Lines clients comprised primarily of CHUBB, Berkley One, AIG, Cincinnati and PURE accounts up to $15k in premium.  Must work independently and proactively with executing all aspects of account management and servicing, handling client questions, remarketing and coverage review. **Position is posted as Hybrid but there is the possibility for fully remote for the right candidate depending on distance to Westport, CT**  Responsibilities include, but are not limited to:   Quoting on carrier sites, including application preparation, loss analysis, pre-underwriting of the risk for professional, quality new and renewal submissions.   Analyze and compare carrier quotes for proper coverage, terms and conditions in order to present the best coverage solutions to the client.  Comfortably have...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Responsible for the retention, upselling and cross selling of an assigned book of HNW Personal Lines clients comprised primarily of CHUBB, Berkley One, AIG, Cincinnati and PURE accounts over $15k in premium.  Must work independently and proactively with executing all aspects of account management and servicing, handling client questions, remarketing and coverage review. **Position is posted as Hybrid but there is the possibility for fully remote for the right candidate depending on distance to Westport, CT**  Responsibilities include, but are not limited to:   Quoting on carrier sites, including application preparation, loss analysis, pre-underwriting of the risk for professional, quality new and renewal submissions.   Analyze and compare carrier quotes for proper coverage, terms and conditions in order to present the best coverage solutions to the client.  Comfortably have...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description Are you someone who enjoys being on the move, solving problems, and making a real impact for customers? As a Field Auto Appraiser, you'll be at the forefront of our claims process—meeting customers where they are, whether it's at their home, a repair shop, or a tow yard. You'll take the lead in writing estimates and guiding customers through the repair or total loss process , using a mix of in-person visits, virtual inspections, and written communication. No two days are the same—whether you're evaluating damage on-site or...

The Cross Family of Agencies welcomes you. We need your talent and expertise. The Commercial Lines Account Manager is responsible for day‑to‑day management of an assigned book of commercial P&C business, providing excellent service to clients and supporting producers in the growth and retention of accounts. This role handles coverage placement, policy servicing, and ongoing client relationship management. Compensation: The base salary range for this role is $85,000–$95,000 annually..  Actual compensation will be based on factors including location, skills, experience, and internal equity. Cross Insurance offers a comprehensive benefits package including medical, dental, vision, 401(k) with match, paid time off, and more.

TDC Specialty Underwriters, Inc. (TDCSU) serves as the Excess & Surplus lines specialist within TDC Group, focused on providing specialty insurance capabilities and related services to the rapidly evolving healthcare industry. We design liability solutions for a variety of healthcare organizations and professionals, including hospitals, physicians, physician groups, medical and long-term care facilities, managed care organizations, and life sciences organizations. As part of TDC Group, our affiliated writing companies, TDC Specialty Insurance Company and TDC National Assurance Company, are rated A (Excellent) by AM Best Company.  TDCSU is currently seeking Underwriting Service Coordinator candidates to support the expansion of its medical professional liability business. This is a hybrid opportunity at our office in Unionville, CT.  Responsibilities: Working under the supervision of the Underwriting Support Manager, the Underwriting Service Coordinator is expected to:...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Summary: The Assistant Vice President of Construction Excess Casualty must be a highly-motivated, career-oriented individual who is technically proficient in underwriting casualty business.  Candidate must be able to underwrite large, highly technical risks within the Construction Industry in accordance with Arch Insurance business standards and sound underwriting practices. The AVP of Construction Excess Casualty will manage a book to achieve organization goals via the effective utilization of assigned human and financial resources in the interpretation, implementation, and achievement of these business goals.  Responsibilities: Work independently to underwrite umbrella and...

Sr Cons Learning - TD07FE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              This position fills a critical need as a member of the Middle & Large Business Underwriting Learning team supporting the culture of learning within the Middle & Large Business Underwriting organization.  We are looking for a Senior Learning Consultant who will be responsible for facilitating various types of learning for new and existing underwriters on a variety of underwriting topics. The Senior Learning Consultant will also be responsible for collaborating routinely with Middle & Large Business leaders to reinforce training as well as keep training material up to date, relevant, and meaningful. The Senior Learning Consultant will be...

AD Marketing - MC07AE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              The Assistant Director, Digital Marketing provides leadership and strategic direction for Personal Lines digital marketing to drive new business at an acceptable return on investment. This role is accountable for maximizing the impact of the marketing budget by prioritizing strategies and tactics that deliver the strongest results. In partnership with analytics, creative, and cross-functional teams, the Assistant Director oversees the development and optimization of paid digital campaigns. Responsibilities include budget and performance management, vendor partnerships, measurement and forecasting, process improvement, and creative and testing strategy. The...