77 workers compensation jobs found

Claims Representative - CH09CN 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 Worker Compensation Claim Representative is accountable to plan, recommend and execute the investigation of worker compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Additionally, the Claim Representative will work within established procedures in adherence to statutory, regulatory and ethical requirements. Work Arrangement : This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations (Hartford, CT, Lake...

Team Leader Claims - CH08AE 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 Workers' Compensation Claims Plus Team Leader will manage and direct claim investigation, compensability determination, disposition, and settlement, in compliance with corporate claim settlement policies and procedures. They will seek to effectively manage allocated loss costs relative to budget guidelines and fully comply with statutory, regulatory and ethics requirements. This individual shall also effectively communicate and teach a thorough understanding of business vision, strategies and plans for achieving business goals. Through effective training, coaching and staff development, they will enable optimal job performance and the...

CopperPoint has an exciting opportunity for a fully remote Workers’ Compensation Claims Adjuster Senior, Indemnity. The ideal candidate must possess Arizona jurisdiction technical claims knowledge.  Additional experience in MO, KS, CO, UT, NM, NV and/or TX jurisdictions is preferred.  The Workers’ Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers’ compensation claims to determine compensability. They will also adjudicate claims to ensure timely payment of indemnity and medical benefits due within company standards and in compliance with regulatory requirements, as well as establishing and maintaining action plans and reserves to ensure proactive, cost-effective claims management.   Job Responsibilities: Analyze and investigate indemnity claims to determine compensability decisions by interpreting and applying laws, rules, and regulations of workers’ compensation. Utilize all available resources as appropriate.  Build and...

The Claims Assistant will support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific customer needs. This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless), and input notes/diary entries in the claims system Process payments, as needed Process form letters, state forms and reports Assist claims examiners with telephone calls including provider, claimant and customer calls Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent written and verbal communication skills PC literate, including Microsoft Office (Word, Excel) Ability to work independently and in a team environment Strong organizational skills   EDUCATION & EXPERIENCE:  High school diploma, college degree preferred Six (6) months of service oriented office...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Field Nurse Case Manager position in Phoenix AZ.   Work from home, and on the road. Monday – Friday, regular business hours.   As a Field Nurse 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.   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 medical and nursing knowledge...

Overview Good Things Start Here.   Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.   Good Things You Can Count On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours (no nights, weekends, or holidays) Competitive pay + generous PTO Medical, dental & vision starting day one 401(k), tuition reimbursement & longevity bonuses Responsibilities In this position, you will be responsible for evaluating, selecting, and pricing new and renewal business based on company standards and within granted underwriting authority. Qualifications Bachelor’s degree or an equivalent combination of education...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.   PRIMARY PURPOSE:  To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.  Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim.  These responsibilities may include utilization review, pharmacy oversight and care coordination.   This position is hybrid out of Irvine, CA, Scottsdale, AZ or Salt Lake City, UT.  Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities...

Overview Responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process. Responsibilities Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers’ comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans. Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan. Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute Answer questions...

The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions.  This role requires internet upload and download speeds of at least 80Mbps and candidate must reside in Phoenix, AZ area.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Answer phone calls, return phone calls Answer emails from clients, providers and internal referring offices Review previous history of the provider in MedCheck, Scheck and SalesCloud Consult with Supervisor or other departments to clarify answers to inquiries Contact provider to discuss findings at the appropriate level Maintain reports and spreadsheets as needed Additional duties as assigned   KNOWLEDGE & SKILLS: Knowledge of Workers Compensation fee schedules and regulations Effective verbal and written communication skills Good...

The WC Senior Claims Specialist handles 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. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early...

CopperPoint has an exciting opportunity for an Associate Underwriter I. In this role, you will support the Underwriter in quoting, issuing, and maintaining new and renewal business across Workers’ Compensation and/or Property & Casualty lines. You will take ownership of the overall process and workflow for assigned new and renewal accounts, ensuring accuracy, timeliness, and a seamless experience. This includes reviewing submissions and requesting the necessary underwriting information to facilitate policy quoting, issuance, and ongoing maintenance.     Job Responsibilities: Prepare quotes based on set criteria/thresholds/revisions and instructions from Underwriting Assist in reviewing quotes in rating system pre underwriting to ensure quality control for new and renewal business. Solicit renewal information from broker/agency to include sending required pre-renewal notifications Quality assurance of below...

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 RN Field Case Manager This Field Case Manager will cover our Phoenix, AZ region and must live in this area in order to be considered. Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation experience. ​ PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers t o facilitate; though advocacy, progressive medical treatment, and timely return-to-work;...

Overview Provide administrative support to multiple underwriters, including monitoring email correspondence, and completing administrative tasks to expedite the underwriting process. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Performs underwriting support associated with information gathering and rating of new business, renewals and mid-term changes. 2. Provides policy binder preparation/processing instruction for issuance as instructed by underwriter for new and renewal business. 3. Reviews and provides instruction to processing department for endorsement requests as instructed by underwriter. 4. Completes Loss Control Inspection ordering instructed by underwriter. 5. Identifies renewal solicitation/cross sell opportunities. 6. Provides instruction to processing department for new and renewal accounts. 7. Fulfills...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description PURPOSE OF THE JOB:   A Farm Family Territory Leader is responsible for driving profitable P&C growth in a designated territory.  The role involves engaging in sales, service, and risk management activities to achieve profitability and growth goals, while providing technical and procedural advice to appointed distribution partners. This role will market, manage, and expand all P&C lines of business insurance through select distribution partners, driving profit and premium to meet financial...

CopperPoint has an exciting opportunity for a Sr. Underwriter I – Middle Market Workers Compensation in Phoenix, AZ or Dallas, TX. In this key role, you will support short- and long-term business strategies to drive profitable growth through sound underwriting and effective agency marketing. This role also provides training, coaching, and development to less experienced staff.   Job Responsibilities: Analyzes middle market workers compensation accounts to make sound decisions based on individual risk characteristics, exposure analysis, hazard recognition and controls. Adheres to individual authority levels. Prices business according to company underwriting and pricing guidelines. Must balance effective pricing and risk selection that produces profit and growth while maintaining successful producer relations. Communicates with agency personnel on underwriting issues including declinations, cancellations, exposure concerns, and loss control survey...

CopperPoint has an exciting opportunity for a Sr. Underwriter II – Middle Market Workers Compensation in Phoenix, AZ or Dallas, TX. In this key role, you will support short- and long-term business strategies to drive profitable growth through sound underwriting and effective agency marketing. This role also provides training, coaching, and development to less experienced staff.   Job Responsibilities: Analyzes middle market workers compensation accounts to make sound decisions based on individual risk characteristics, exposure analysis, hazard recognition and controls. Adheres to individual authority levels. Prices business according to company underwriting and pricing guidelines. Must balance effective pricing and risk selection that produces profit and growth while maintaining successful producer relations. Communicates with agency personnel on underwriting issues including declinations, cancellations, exposure concerns and loss control survey...

CopperPoint has an exciting opportunity for a P&C Underwriting Services Representative. In this role, you will support Underwriting within established guidelines by rating, binding, and issuing new business, as well as processing midterm policy changes across all Lines of Business. You’ll handle endorsements, cancellations, reinstatements, renewals, audits, and broker changes while ensuring accuracy and compliance. The ideal candidate brings commercial P&C experience, strong attention to detail, excellent customer service skills, and the ability to prioritize and deliver quality results in a team environment.     Job Responsibilities Understand Underwriting instructions to rate ALL lines of business effectively and accurately. Rate and process ALL lines of business premium and non-premium bearing endorsements. Process cancellations, reinstatements, and rewrites. Prep new business and renewal accounts, including...

CopperPoint has an exciting opportunity for an Associate Underwriter I. In this role, you will assist the Underwriter with the quoting, issuance, and maintenance of new and renewal business across Workers’ Compensation and Property & Casualty lines. You will own overall process and workflow responsibility for assigned new and renewal accounts, including reviewing and requesting the necessary underwriting information to support policy quoting, issuance, and ongoing maintenance.     Job Responsibilities Prepare quotes based on set criteria/thresholds/revisions and instructions from Underwriting Assist in reviewing quotes in rating system pre underwriting to ensure quality control for new and renewal business. Solicit renewal information from broker/agency to include sending required pre-renewal notifications Quality assurance of below throughout the lifecycle of policy: Loss information in account summary. Underwriting platform/system...

CopperPoint has an exciting opportunity for a Business Process Lead. In this role, you will be responsible for analyzing, designing, and optimizing workflows across CopperPoint’s insurance operations to improve efficiency, reduce costs, and enhance overall customer experience. The Business Process Lead will play a critical role in identifying process bottlenecks, evaluating, and implementing automation opportunities where appropriate, and ensuring workflows remain compliant with regulatory standards. This position is ideal for a continuous improvement professional who is passionate about driving operational excellence and delivering meaningful, measurable results across the organization.   Job Responsibilities Workflow Analysis & Design: Map current-state processes across underwriting, claims, operations, and policy administration for all journeys and workstreams. Identify inefficiencies, redundancies, and compliance risks. Establish ground rules...

CopperPoint has an exciting opportunity for a Sr. Underwriter I. In this role, you’ll play a key part in supporting short- and long-term business strategies to drive profitable growth. You’ll leverage your technical underwriting expertise to evaluate risks, collaborate with agency partners, and help achieve business objectives within your assigned territory. Working closely with a Business Development Representative, you’ll contribute to strategic marketing and relationship-building efforts that strengthen CopperPoint’s market presence. Additionally, you’ll provide training, coaching, and mentorship to less experienced underwriters—helping build a strong, knowledgeable team.   Job Responsibilities: Analyzes commercial accounts to manage profitability, growth, and retention by evaluating risk, exposure, and controls. Adheres to individual authority levels. Prices business according to company underwriting and pricing guidelines. Underwrite new and...