8 claims adjuster tpa oversight jobs found

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 Description The Assistant Vice President, Central Operations is responsible for managing a portfolio of Operations Centers located in US branch offices and the Philippines. This position utilizes their expertise to drive LEAN principles and methodology to assess current state and continuously improve processes and procedures in close collaboration with various internal stakeholders. The AVP works independently under guidance from the VP to provide subject matter expertise in establishing and maintaining an Operational Center of Excellence. Primary Responsibilities may include but not limited to: Direct oversight of Central work team(s) based onshore and offshore across the...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.   PRIMARY PURPOSE:  To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.  Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim.  These responsibilities may include utilization review, pharmacy oversight and care coordination.    This position is remote in Pennsylvania ! Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently or...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: This role covers the Philadelphia, PA and surrounding areas. Ideal Candidate Locations: The ideal candidate will live in Philadelphia or surrounding area.   This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Depending on claim volume, this role may also support...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This is a work-from-home position with day travel   to policy locations in Western PA   via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Travel is estimated to be 50% for this role. Candidate Location: Pittsburgh, PA (preferred) Qualifications: ·         3-5 years of insurance field/property claims handling or adjusting experience ·         Solid experience with XactContents ·...

The Workers’ Compensation 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 WC 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 role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises WC 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...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Preferred Location: Philadelphia Alternate Locations: Dallas or Atlanta Essential Job Functions Providing management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators’ claim systems. Reviewing monthly loss run trends, reportable claims and/ or problematic claims. Provide excellent claim service to external clients and...

GBLI | Global Indemnity  provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career.  What GBLI offers you: Generous paid time off (PTO) Professional development opportunities (including a mentorship program) Educational assistance program, which covers up to $5,250 in educational costs per year Comprehensive health insurance plan (with vision and dental) Paid Parental Leave Life insurance 401(k) retirement plan with up to 6% company match and immediate vesting Healthcare and dependent care flexible spending accounts Short-term and long-term...

GBLI | Global Indemnity  provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career.  What GBLI offers you: Generous paid time off (PTO) Professional development opportunities (including a mentorship program) Educational assistance program, which covers up to $5,250 in educational costs per year Comprehensive health insurance plan (with vision and dental) Paid Parental Leave Life insurance 401(k) retirement plan with up to 6% company match and immediate vesting Healthcare and dependent care flexible spending accounts Short-term and long-term...