212 medical only claims adjuster jobs found

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities Investigates and maintains claims. Reviews and evaluates coverage and/or liability. Secures and analyzes necessary information (i.e., reports, policies,...

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.    **This position is eligible to work from home anywhere in the United States** Step into a role where your expertise directly drives meaningful outcomes, leveraging your investigative instincts, sound judgment, and negotiation skills to bring clarity and resolution to complex claims. In this position, you will make an immediate impact by confidently guiding claims from first notice through resolution, balancing thorough investigation with efficient, fair settlements. Your ability to interpret coverage, evaluate liability, and manage litigation will not only protect the organization but also deliver exceptional experiences to insureds and...

Overview The Workers’ Compensation Medical Only Claims Examiner is responsible for the prompt and effective investigation of workers’ compensation claims involving injuries requiring medical treatment without lost wages. Claim adjudication requires interaction with employers, claimants, medical providers, and other parties to ensure adequate medical treatment is provided utilizing company resources in a cost-effective manner.    Note, this is a hybrid opportunity out of our Princeton, NJ office. Responsibilities Ability to multitask and prioritize work in a fast-paced environment and manage time effectively Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogation Verifies coverage and confirms policy conditions have been met Obtains missing information and ensures data integrity for regulatory reporting Communicates effectively...

Overview The Workers’ Compensation Medical Only Claims Examiner is responsible for the prompt and effective investigation of workers’ compensation claims involving injuries requiring medical treatment without lost wages. Claim adjudication requires interaction with employers, claimants, medical providers, and other parties to ensure adequate medical treatment is provided utilizing company resources in a cost-effective manner.    Note, this is a hybrid opportunity out of our Maitland, FL office. Responsibilities Ability to multitask and prioritize work in a fast-paced environment and manage time effectively Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogation Verifies coverage and confirms policy conditions have been met Obtains missing information and ensures data integrity for regulatory reporting Communicates effectively...

Overview Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex General Liability Claims Specialist. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed.    This position will ideally require hybrid attendance in an AmTrust location and is posted remotely for nationwide visibility. Responsibilities Identifying potential risks and managing timely reserves effectively Evaluating coverage issues and risk transfer opportunities Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and...

Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking an Excess and Surplus Complex Commercial Claims Adjuster. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will directly handle both litigated and non-litigated commercial general liability claims.  The successful candidate will also exhibit a strong proficiency in insurance coverage analysis and risk transfer. This position will report to an AVP of Claims. Responsibilities Recognizing exposures and ensuring reserving is appropriate and timely Evaluating coverage issues and risk transfer opportunities Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed. Effectively...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): TEMP - Workers’ Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote   Summary: We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of October 9, 2026 and work from anywhere in the United States. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the state of DE & Washington, DC. As this is a temporary assignment, only government mandated benefits will be provided.   Contractors in...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): TEMP - Workers’ Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote   Summary: We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of October 9, 2026 and work from anywhere in the United States. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the states of CT, MA & ME. As this is a temporary assignment, only government mandated benefits will be provided.   Contractors in this...

Overview AmTrust is actively seeking a skilled Resolution Examiner specializing in Workers' Compensation Claims. The  primary focus will be on negotiating and settling claims efficiently and at a cost effective value. In this role, you will be entrusted with the independent review and resolution of workers' compensation claims; utilizing your expertise in negotiation and settlement strategies to bring claims to resolution posture. Your ability to effectively interact with insureds, claimants, and their legal representatives will be essential in driving timely settlements while adhering to AmTrust’s mission, vision, and values. Responsibilities   Proactively negotiate settlements for workers' compensation claims, ensuring fair and expedient resolutions that meet the needs of all parties involved. Conduct thorough investigations by engaging with insured representatives, claimants, and witnesses to gather critical information...

Overview The Lead Product Owner leads a major product domain within claims & operations, advancing Operational initiatives and projects across the claim & operations organization. The position requires both strategic and tactical capabilities to drive continuous improvement and enhanced business results in claims. The Lead Product Owner is primarily responsible for the most complex, highest-impact initiatives while reporting directly to the Assistant Vice President. Responsibilities · Drive the most complex, cross-functional, high-impact initiatives from discovery through delivery and adoption. · Partner with Product and business stakeholders to develop critical business requirements utilized to support system and technical enhancement efforts throughout the designated Business Units. · Partner with Product and business resources to analyze workflows and processes to identify areas of opportunity and...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): TEMP - Workers’ Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: Field   Summary: We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of October 9, 2026 and work remotely from New Mexico. However, this assignment can be considered temp-to-hire if a candidate has an AZ license at the start of the assignment. This role reports to a manager in North Carolina and focuses on adjudicating workers’ compensation indemnity claims in AL, AZ, CO, & FL and focuses on...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client DEDICATED CLIENT CAPPED CASELOADS FL JURISDICTION & FL LICENSE REMOTE Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?   Apply your knowledge and experience to adjudicate complex customer claims in the...

Job Title: Claims Adjuster II - Casualty FLSA Status: Exempt Job Family: Claims Department: Casualty Claims Location: Corporate Office (Fort Wayne, IN) JOB SUMMARY Responsible for effectively analyzing and resolving assigned claims consistent with Claims Department standards and company objectives. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Resolve all assigned claims (including the occasional serious/complex claim, which could include but not be limited to unusual damage or coverage issues, or that need the involvement of expert analysis or require early recognition of policyholder concerns) within established settlement authority in a prompt, fair and equitable manner. Identify and investigate coverage, damage, and reserve...

Job Title: Sr Claims Adjuster - Casualty FLSA Status: Exempt Job Family: Claims Department: Casualty Claims Location: Corporate Office (Fort Wayne, IN) JOB SUMMARY Responsible for effectively analyzing and resolving assigned serious/complex claims consistent with claims department standards and company objectives. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Resolve primarily serious/complex, (including but not limited to claims involving unusual damage or coverage issues or need to involve expert analysis or that require early recognition of policyholder concerns), claims within established settlement authority in a prompt, fair and equitable manner. Identify and investigate coverage, damage, and reserve adequacy on assigned...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): TEMP - Workers’ Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote   Summary: We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of October 9, 2026 and work from anywhere in the United States. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the state of  FL. As this is a temporary assignment, only government mandated benefits will be provided.   Contractors in this role are...

The salary range for this job posting is $55,132.00 - $110,642.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. We will consider candidates who reside in any of our listed payroll approved states with the related experience. This role will manage lost time and medical only Workers' Compensation claims. Ideal candidates will have experience managing Workers' Comp claims in West Virginia and/or Pennsylvania. We may hire a senior level depending on the candidate's background and experience and the salary range is inclusive of all levels. The position reports to the Director, Workers' Compensation Claims. Are you a Referral? If you...

SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job)   This is an entry-level position. This position leads to a Medical Only Claims Specialist I and is expected to last up to 12 months. Upon completion of the training plan the incumbent is expected to be proficient with the Medical Only Claims policies, processes, procedures, and terminology related to the job. In addition, the incumbent will be proficient in the job responsibilities and tasks of the Medical Only Claims Specialist I position description. The incumbent will be evaluated on their progress and successful completion of the training plan each quarter. Upon satisfactory completion, the incumbent will be eligible for the Medical Only Claims Specialist I position.  Medical Only Claims Associate will work with all members of the team and may receive direction, support, and instruction from the Manager or Medical Only Claims Specialists depending on the assignment....