5 senior claims examiner jobs found in Unavailable Unavailable

Pennsylvania Lumbermens Mutual Insurance Company Position: Senior Litigations Claims Examiner Department: Claims Reports To:  Litigations Claims Manager Position Summary: The successful candidate for this position facilitates, coordinates and expedites the handling of all high-severity casualty claims and controls PLM’s largest exposure cases in a prompt, fair and equitable manner. Essential Functions and Responsibilities: Establishes accurate reserves in timely fashion. Determines verification and scope of coverage. Assists other unit members with settlement evaluations. Handles all complicated litigation and ensures trial preparation with attorneys. Attends mediation and settlement conferences. Analyzes insurance contracts. Communicates with the public. Maintains an appropriate diary date on files under direct supervision. Ensures that a file is proceeding towards a prompt, fair and equitable claim settlement. Directs responsibility for supervision of...

The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and jurisdictional guidance to claims staff...

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 remote role. 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 complex or problematic claims as...

Company: Mercer Description: We are seeking a talented individual to join our Career Consulting team at Mercer. This role can be based in Philadelphia or Washington, DC and offers a hybrid work arrangement, requiring a minimum of three days per week in the office. Mercer is uniquely qualified to help organizations design and execute sophisticated workforce strategies, whether it’s for a multinational organization or a local company attempting to grow within its market. We provide best-in-class consulting, rigorous analytics, and data-driven insights that help organizations make fact-based decisions.  As a Rewards Consultant , you will help companies of all sizes and across all industries solve their greatest challenges by designing and implementing workforce strategies that attract and retain top talent. This is a great opportunity to partner with senior executives and HR leaders to optimize business performance through strategies that better manage, reward, and...

Company: Mercer Description: We are seeking a talented individual to join our Career Consulting team at Mercer as a Summer Intern Analyst. This role will be based in Philadelphia PA. This is a hybrid role that has a requirement of working at least three days a week in the office. Internship program dates are Monday, June 1st – Friday, August 7th, 2026. Mercer is uniquely qualified to help organizations design and execute sophisticated workforce strategies, whether it’s for a multinational organization or a local company attempting to grow within its market. We provide best-in-class consulting, rigorous analytics, and data-driven insights that help organizations make fact-based decisions.   As a Summer Intern Analyst on Mercer’s Career team, you will support client engagements across industries as an integral member of project teams. You’ll help diagnose client challenges and contribute to the design of strategic talent solutions across Rewards, HR Transformation,...