152 claims adjuster iii jobs found

Overview Works independently to manage Workers' Compensation cases, including complex and catastrophic claims.   Note commercial Workers' Compensation experience in California is required. Responsibilities DISTINGUISHING CHARACTERISTICS: Administers complex non-litigated and litigated workers’ compensation cases and integrates the delivery of benefits associated with sickness and long-term disability benefits.  Provides technical guidance, mentoring and support to claims assistants and clerical staff.     ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, the employee must be able to efficiently and effectively perform each of the following essential functions.  Reasonable accommodation may be made for individuals with disabilities.   The functions of this job include but are not limited to;            Set up claims and make timely three point contacts Ensure the privacy...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty Claims Specialist III to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.   Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.   How you will create an impact The Claims Specialist III will handle auto and general liability claims under general supervision and moderate exposure claims that may involve litigation. The position also ensures ongoing adjudication of claims within the Company standards, industry best...

Company Details   Berkley One  is a modern insurance provider for a modern generation of affluence. We serve clients who live dynamic, adventurous lives and expect their insurance experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert independent agents, cutting-edge digital tools, and the strength of the  Berkley  brand.   Why Join Us? At Berkley One, you’ll be part of a forward-thinking team that’s reimagining personal insurance. We’re building solutions that are as sophisticated and agile as the clients we serve—individuals and families who value innovation, simplicity, and exceptional service. You’ll collaborate with passionate professionals, leverage modern technology, and help shape the future of our industry.   What We Value A client-first mindset with a passion for delivering exceptional experiences Curiosity, creativity, and a drive to challenge the status quo...

Overview The Claims Adjuster III is 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 Maintains appropriate financial accountabilities (reserving) and controls loss adjustment expenses Responsible for handling moderate-to-high complexity commercial general liability losses, including litigated claims. Makes timely and appropriate contacts with interested parties, including, but not limited to the insured, claimant/attorney, witnesses and producers.  Determines, reviews and analyzes coverages that may or may not apply to the claim; Plans, executes and reviews investigations-coverage, liability and/or damages – including the securing of a signed or recorded statement...

Overview Workers Compensation Claims Adjuster III, CA is responsible for prompt efficient review and disposition of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimants. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust and Claims organization.   The salary range for this role is $33.64 an hour - $47.12 an hour. This range is only applicable for jobs to be performed in California. Base pay offered may vary depending on, but not limited to education, experience, skills, geographic location, travel requirements, sales or revenue-based metrics. This range may be modified in the future   Those within a 50 mile radius of an AmTrust office will be expected to abide by a hybrid schedule. Responsibilities Investigates the claim or coverage by making timely and appropriate contact with involved or...

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 The Claims Inside Auto Analyst II is responsible for investigating and confirming the facts of loss for automobile accidents. This role determines coverage, liability, damages and otherwise adjusts and negotiates claims within authority. We are seeking an experienced Material Damage (MD) Claims Adjuster, preferably located in the CST or EST time zones. The ideal candidate will possess exceptional communication skills, a strong customer service orientation, keen attention to detail, a metrics-driven mindset with the ability to meet performance goals and strong organizational skills to manage...

Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds.   The responsibilities for this role include making coverage determinations, investigating losses, evaluating, and projecting potential exposures, setting judgmental reserves, developing and implementing resolution strategies, managing outside law firms, working with underwriting on policy renewals and promoting client relationships. How you will create an impact You will be responsible for a portfolio of claims from coverage inquiry through legal liability assessment and quantum analysis, to timely and accurate resolution. Your goal will be timely, accurate and customer-focused claim resolution, minimizing...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Specialist - Aviation to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.   Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.   How you will create an impact As Claims Specialist for Aviation Claims you will responsible for handling claims across all sub-classes of NA Aerospace, with a focus on general aviation aircraft damage and liability claims. The You will identify loss trends and risk management...

The Medical Only Claims Adjuster manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a hybrid position reporting to Dallas, Texas. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established 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 Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops...

The Senior Claims Specialist - Strategic handles or helps support the assigned adjuster on  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.  In this role, the adjuster will be a part of the corporate claims team and made available for special projects and assignments to support the field claims organization.  Engagement with a field operation and their claims will usually last no more than 10 weeks at which time the role will be reassigned to a new strategic project. This is a Hybrid role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the...

Claims Specialist III, Auto & General Liability Join us as a Claims Specialist III to take on key responsibilities within a world-class claims function. Make your mark in Auto/General Liability Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. The role of a AIG Casualty Adjuster III is to investigate, evaluate and resolve Commercial General Liability and Auto Liability claims. Provides exceptional customer service and commitment to bring assigned cases to a timely, proper resolution.   This requires accurate and thorough documentation, as well as, resolution action plans based upon the applicable...

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 Remote role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Expectation that Senior Claims Specialist maintain independent NY adjuster license as a casualty or general adjuster.  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...

The Client Performance Manager is committed to understanding customer business objectives and working collaboratively with the CorVel Account Manager (AM), Area Vice President (AVP), and the claims organization to assure CorVel executes our best claim practices/standards and delivers agreed upon results. Collaborates with internal stakeholders   to identify and address improvement opportunities and product enhancements. This position is open to remote or hybrid.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews reserve & settlement request within CPM authority   as   required by client instructions Client Retention - Maintains continuous communication with customer(s) to ensure that claim service expectations are identified and maintained; communicates and engages account management, branch management and senior management in account status, challenges and goals Client Stewardship - Responsible for participating in regular stewardship meetings with account...

We are seeking a Sr. Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.  This position is remote. Candidates must hold a self-insured certificate. 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...

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...

We are seeking a Sr. Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.  This position is remote. Candidates must hold a self-insured certificate. 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...

CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Jamacia Queens, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault 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 an on-site position for our client site in Jamaica, Queens, NY. Once fully trained, the employee will be able to work from home one day per week. ESSENTIAL FUNCTIONS AND 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 no-fault claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and...

CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Brooklyn, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault 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 an on-site position for our client site in Brooklyn, NY. Once fully trained, the employee will be able to work from home one day per week. ESSENTIAL FUNCTIONS AND 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 no-fault claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier...

  The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical appropriateness based on their physical and medical status. The Telephonic Case Manager must be able to discuss the patient’s medical and physical conditions with the treating physicians, along with discussing/ recommending alternate treatment plans for the patient. The Telephonic Case Manager must have the ability to explain medical conditions and treatment plans to the patient, family members and adjuster; supporting the goals of the Case Management department, and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Provides medical case management to individuals...

The Qualified Rehabilitation Consultant (QRC)/Vocational Case Manager provides vocational rehabilitation services and medical case management to individuals following a work place injury through coordination with client, insurer, physician, employer, attorney and others with the ultimate goal being the client’s timely return to gainful employment. The Vocational Case Manager interviews and evaluates the client to determine the degree of disability, eligibility and feasibility of vocational rehabilitation services. This position determines suitable job goals consistent with the clients’ interests, aptitudes and physical limitations; supporting the goals of the Case Management department, and of CorVel. Candidates with case management experience or vocational rehabilitation background encouraged to apply This is a Minnesota Field Case Management position. Only MN candidates will be considered. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Schedule and carry out...