6 claims adjuster ii jobs found

The Large Loss Workers’ Compensation Adjuster is responsible for managing a caseload of complex and high-exposure workers’ compensation claims from initial assignment to resolution. This role requires strong technical expertise in claims handling, thorough knowledge of workers’ compensation laws and regulations, and the ability to develop strategies that achieve cost-effective and fair claim outcomes. The adjuster will work closely with injured employees, employers, medical providers, attorneys, and internal stakeholders to ensure timely and accurate claim resolution. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Claim Management Handle a caseload of large loss and catastrophic workers’ compensation claims, including complex medical and indemnity exposures Investigate claims thoroughly to determine compensability, cause, extent of injuries, and potential for subrogation or fraud.  Establish and maintain accurate reserves based on file...

The Casualty General Adjuster manages within company standards and best practices to investigate, evaluate, and handle to conclusion complex injury claims in litigation. Handle as required in specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Successfully handles any complex coverage or liability claims investigation. Willingness to travel for Mediations, Trials and CAT Scene incidents Evaluates complex injury claims and determines the appropriate settlement value. Attends internal and external training programs to advance knowledge in the area of liability    claims. Works closely with the Claims Supervisor, Claims Manager, or Unit Vice President of Liability. Works and partners with defense counsel, when applicable, to respond timely, accurately, and professionally to plaintiff...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for creating or auditing a comprehensive estimate of damages for 1st and 3rd party material damage claims in either the auto or specialty lines leading to the proper disposition. Responsible for training, mentoring, controlling quality and providing technical assistance on material damage claims. This is a field-based, territory-specific opportunity supporting the Orland Park, Burr Ridge, and Bridgeview, IL areas. We are seeking a skilled Auto Field Appraiser with strong time management skills, hands-on experience using CCC ONE or similar estimating software, and proven negotiation...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   This field claims specialist will cover territories in the Bloomington, Champaign, and Peoria, Illinois area. Eligible candidates must live within a commutable distance to these locations and have a valid state driver's license for consideration. Bloomington Illinois Field Claim Specialist - The AAA Auto-Club Group Reports to: Claim Manager as appropriate                                     What you will do: Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.  Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in...

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. 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, planning, implementation, and evaluation of...

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 position. 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, planning, implementation, and evaluation of...