246 jobs found in Philadelphia, PA

The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a hybrid role. Candidates must have Maryland Workers’ Compensation claims experience. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other...

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. California nursing license is required. 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,...

The Senior Liability Claims Specialist manages mid to complex Heavy Auto and/or General Liability claims, including bodily injury and property damage. This role aims to achieve optimal outcomes for both CorVel and our clients. The Senior Liability Claims Specialist handles litigated files and works with delegated authority, adhering to company best practices. This is a remote role.  Heavy Auto and Liability experience is required. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Investigates claims and handles Auto and/or General Liability claims Establishes reserves and authorizes payments within reserving authority limits Communicates claim status with the customer, claimant, and client Adheres to client and carrier guidelines and participates in claims review as needed Collaborates with team members on more complex or problematic...

The Vocational Case Manager provides vocational assessments and employment counseling services for individuals recovering from workplace injuries through our national Vocational Services Program. This role involves developing and utilizing resources to assess clients' abilities and interests to determine suitable job goals, develop vocational plans, conduct vocational assessments/analyses and complete comprehensive reporting. Ideal candidates have experience in case management, vocational rehabilitation, vocational assessments or rehabilitation counseling. This is a remote role. Candidates must be certified in New Jersey, Pennsylvania and Maryland. This role is based in Maryland and Delaware; candidates must live within travel distance. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Conduct vocational assessments including transferable skills analyses, labor market surveys and vocational evaluations/testing Job readiness training and employment counseling via telephone...

The 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 hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives 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 return-to-work efforts with the...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a Hybrid role reporting to White Marsh, MD.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more...

Title: Medical Claims Adjustor    Department: Associated Administrators Position Type: Non-exempt         Hours per Week: 40 Position Summary The Medical Claims Adjustor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries. Performs other duties as assigned. Minimum...

Position Summary The Retirement Benefits Specialist, Sr performs advanced technical and administrative duties associated with the processing and verification of participants' retirement benefit inquiries and applications in accordance with Company policies, regulatory requirements, and plan guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s). Processes retirement benefit applications; verify the accuracy of information, research or investigates past service, related credits, and insurance deductions. Responds to inquiries from participants, beneficiaries, and union representatives via telephone, electronic, or in-person, regarding retirement benefits. Determines benefit eligibility and requests necessary documentation from unions, employers, and the Social Security Administration...

Title: Medical Claims Adjustor    Department: Associated Administrators Position Type: Non-exempt         Hours per Week: 40 Position Summary The Medical Claims Adjustor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries. Performs other duties as assigned. Minimum...

Title: Pension Specialist Department: Associated Administrators Position Type: Non-Exempt Hours per Week: 40   Position Summary The Pension Specialist performs technical and administrative duties associated with the processing and verification of participants' retirement benefit inquiries and applications in accordance with Company policies, regulatory requirements, and plan guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Processes retirement benefit applications; verifies the accuracy of information, researches or investigates past service, related credits, and insurance deductions. Responds to inquiries from participants, beneficiaries, and union representatives regarding retirement benefits. Determines benefit eligibility and requests necessary documentation from unions, employers, and the Social Security...

The Senior Captive Implementation Manager (SCIM) is responsible for overseeing assigned new business implementations and managing select renewal activities that require review and approval from the Department of Insurance. The SCIM serves as the project manager of these new implementations and certain renewal functions. The SCIM is accountable for delivering new implementation business results. The SCIM will work independently and oversee key functions within the Captive Implementation Department and if designated, can serve as departmental lead. This position requires critical thinking, effective communication, and organization. The SCIM must be creative and enjoy working within an entrepreneurial environment that is mission-driven, results-driven and community oriented.  The ideal individual will be organized and able to maintain a realistic balance among multiple priorities, can exercise good judgment in a variety of situations and demonstrate strong written and verbal...

Title: Bilingual Pension Specialist Department: Associated Administrators Position Type: Non-Exempt Hours per Week: 40   Position Summary The Pension Specialist performs technical and administrative duties associated with the processing and verification of participants' retirement benefit inquiries and applications in accordance with Company policies, regulatory requirements, and plan guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Processes retirement benefit applications; verifies the accuracy of information, researches or investigates past service, related credits, and insurance deductions. Responds to inquiries from participants, beneficiaries, and union representatives regarding retirement benefits. Determines benefit eligibility and requests necessary documentation from unions, employers, and the Social Security...

As an Underwriting Specialist at Oxford Risk Management Group, you will be required to execute critical thinking and should have strong communication skills, a high level of organization, the ability to multitask often, and be able to consistently provide world class customer service to our clients. The Underwriting Specialist must be creative and enjoy working within a small, entrepreneurial environment, that is mission-driven, results-driven, and community oriented. The ideal candidate will have knowledge of property and casualty insurance policies and the ability to exercise good judgment in a variety of situations, with strong written and verbal communication, administrative and organizational skills, and the ability to maintain a realistic balance among multiple priorities. The Underwriting Specialist will have the ability to work independently on projects, from conception to completion, and must be able to work under pressure at times to handle a wide variety of activities...

The Sales Administrative Associate – Revenue Team plays a key role in supporting the daily operations of the revenue function. This position provides essential administrative and data‑management support to help ensure accurate client records, smooth workflow execution, and timely coordination of critical activities. The ideal candidate is organized, detail‑oriented, and eager to contribute to a dynamic and collaborative team environment. This role is essential in maintaining efficiency, enhancing team productivity, and supporting the overall success of the revenue function. Key Responsibilities Coordinate schedules, appointments, and correspondence to ensure efficient communication and workflow across the revenue team. Review and process new business submissions, accurately entering information into the CRM and other related databases and coordinating the application process from start to finish. Maintain and update client account records throughout the full lifecycle,...

As a Senior Director - Health and Benefits Consulting you will lead client engagements involving the design and management of the full array of health and benefits programs.  You will drive the strategy and grow relationships with current clients by leveraging your expertise alongside WTW’s array of solutions and capabilities and will generate new business by participating in prospecting activities.  You will have the opportunity to provide input into the evolution of the WTW Health and Benefits practice and to be a leader in the marketplace. The Role Serve as the strategic partner and trusted advisor to clients in the design and management of their health and benefits programs.  Responsibilities include: Leading the client service team in the design and delivery of project plans; ensuring progress against established objectives, budgets, timelines, deliverables and quality standards  Proactively advising clients and ensuring the delivery of superior client service Leading...

Territory Manager - SH08AE 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.              Winning in Small Business Isn't About One Thing - It's About Everything Our people, processes and products combined to deliver the protection that small businesses need. This means quoting and issuing business is fast and easy, policy service is hassle-free, and renewals are a breeze. Our solutions are built to deliver speed, ease, and efficiency. Our products are specifically designed for small businesses. See how our Business Owner’s Policy (BOP), Workers’ Compensation and Business Auto coverage give you a competitive advantage – and deliver in a big way for your small business customers. With hundreds of eligible classes, coupled with higher...

Managing Attorney - LM06CE 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 Managing Attorney will lead and manage the legal team in Maryland for The Hartford. The Managing Attorney provides leadership of the staff counsel and support staff, builds and maintains partnering relationships with staff and with Claim Centers, provides oversight and guidance on case handling, and assists with cases as needed. The Managing Attorney is a key player in driving the strategy of partnering with the Claim Centers to provide excellent results to clients, and in building and maintaining the firm’s reputation of excellence in the local legal community. Responsibilities:   Manage and direct all legal operations and staff within the...

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℠. Position Summary: The Premium Operations Administrator plays a key role in ensuring the accuracy, efficiency, and integrity of financial and operational processes related to insurance premium management.  This position involves managing, tracking and processing premium data while leveraging automation tools and collaborating across departments to optimize workflows and support organizational goals. This will be a hybrid (3 days in office) role offered in Hunt Valley, MD or Kansas City, MO. Responsibilities and Accountabilities: Manage tracking, processing, and storage of insurance premium data files. Utilize and enhance automation tools to improve efficiency, accuracy,...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious HR Consultant to join our team. This position will report to our agency located in Hunt Valley, MD. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a hybrid position, open to fully remote work. Responsibilities: Human Resources consulting and support to current HR clients Develop and administer processes for recruiting (including background checks), onboarding, enrollments/changes, training, compensation, performance management and off boarding (including exit interviews) Document all processes and procedures Counsel employees and managers on employee relations issues Provide payroll support when needed Conduct client and...

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℠. Position Summary: The Vice President of Consumer Claims is responsible for overseeing the staffing, operational processes, and workflows for consumer claims related to warranty products, lender claims (such as GAP waivers, mortgage and lender-placed insurance). This executive role ensures efficient claim resolution, regulatory compliance, and exceptional customer service within a fast-paced and evolving environment. Key Responsibilities Develop, implement, and optimize claims management strategies and processes across warranty, lender, and insurance/non-insurance products. Lead and manage claims teams, including recruitment, training, performance management, and workforce...