7 workers compensation claims examiner jobs found

Overview AmTrust is a major player in the commercial P&C market and the third largest workers' compensation provider in the U.S. Our small business insurance product suite continues to expand with Cyber, BOP, Employment Practices Liability Insurance (EPLI), Package and other core coverages and capabilities, including more middle-market and large accounts.   As a Workers’ Compensation Claims Examiner Associate, you'll dive into investigating and resolving employee injury claims. You'll be the key link between injured workers, healthcare providers, employers, and legal teams, ensuring fair and efficient claim handling. Master examination by assessing liability through detailed evaluations, hone investigation skills by interviewing claimants and reviewing medical files and sharpen negotiation tactics for fair claim resolutions. Ultimately, you'll confidently settle claims using your investigative insights.   Note, this is an in-office opportunity out...

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more...

Overview We are seeking experienced professionals to join our Workers’ Compensation team in two key roles:   Senior Claim Examiner   and   Lead Claim Examiner . Both positions play a critical role in managing workers compensation claim files and ensuring compliance with state regulations while delivering exceptional service. Responsibilities Senior Claim Examiner Manage complex and high-exposure workers’ compensation claims from start to resolution. Investigate claims, determine compensability, set reserves, and negotiate settlements. Serve as a resource for junior examiners and assist with mentoring. Requires   5+ years of workers’ compensation claims experience   and strong technical knowledge.   Lead Claim Examiner Responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and...

Overview AmTrust Financial has an immediate need for a Workers’ Compensation Major Loss Examiner to join our team. The ideal candidate will have jurisdictional expertise in FL and/or GA, with additional preferred jurisdictional knowledge of NC, SC, and TX.   The successful candidate will directly handle complex claims including Workers Compensation related claims. 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 role will require a hybrid work schedule. We are on-site 4 days a week (Monday-Thursday) and remote on Friday.    Eligible Office Locations: Maitland, FL Alpharetta, GA Boca Raton, FL Dallas, TX...

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.  Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers’ expectations while making a real impact for our company through our shared purpose.  When you join our company, we want you to feel valued, supported and proud to work here. That’s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.  Personal Injury Protection Claims Examiner – Tampa, FL Salary: $47,150- $72,775 annually What sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Tampa, FL office to deliver our promise to be there and assist our customers throughout the often...

Overview The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization. Responsibilities Follows AmTrust policies and procedures in managing claims. Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers. Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience. Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing....

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 Medical Bill Processor PRIMARY PURPOSE : To code provider bills; to enter pre-coded billing data into the system; and to verify the output. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Keys pre-coded billing data into the system. Identifies and forwards complex bills to claims examiners. Codes provider bills in accordance with claims management system notes and state guidelines. Follows workers compensation/auto guidelines to evaluate the services. Compares...