53 medical case manager jobs found

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. 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 retrospectively in accordance with the appropriate...

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 remote position. Must be able to work MST hours. This role does not qualify for employer sponsored work authorization. Nationwide does not participate in the STEM OPT extension program. Job Description Summary Success on our team requires a blend of customer service skill and analytical prowess. Each account we work on is interesting and challenging. Satisfaction comes from finding solutions that provide the best coverage and give our...

As a team member in Finance at Nationwide, a Fortune 100 company with nearly $70 billion in annual sales, the opportunities are endless! Let Nationwide help create your career journey! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Role Overview: As a Project Management  Specialist, Actuarial Pricing Analytics, you will coordinate and drive execution of actuarial pricing and analytics projects across Commercial Lines teams. You will work closely with Underwriting, Pricing, Data Science, Data Engineering, Technology, Finance, and Operations to ensure projects are effectively scoped, planned, communicated, and delivered. You will also help project teams and leadership follow a clear and consistent project structure by reinforcing established frameworks, clarifying expectations, and ensuring alignment throughout the pricing model...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity The ideal candidate will work within Business Risk and Controls in the Technology Line of Business to promote awareness and the overall efficiency of IT risk and compliance management programs in the business. This role will partner and collaborate with business and control partners to support risk and compliance-based initiatives. Responsible for supporting business leader alignment to the established risk framework and ongoing governance of business processes, risks, controls and strengthening of the overall control...

Overview AmTrust Financial Services is seeking a Director (or Senior Manager) of Workers’ Compensation Claims to lead a growing team supporting California and Arizona claim operations. This leader will partner closely with Claims Leadership and Claim Managers (5–8 direct reports) to ensure claims are handled according to AmTrust Best Practices, while driving high performance, mentorship, and staff development.   This role is ideal for someone who brings strong California WC experience and is excited to help shape strategy, improve processes, and grow talent in a rapidly expanding, high‑visibility environment.   This opportunity is hybrid out of our Scottsdale, AZ office. Our office has doubled in size over the past 6 months, and we expect to grow more throughout 2026! Responsibilities Leadership & Team Development • Lead and develop a team of 5–8 Claim Managers. • Champion recruitment, mentorship,...

Company Details   As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide. We have specialized in providing these solutions for more than 35 years.   We have more flexible policy terms and premium rates on a non-admitted basis. Our focus is small to medium Property and Casualty risks on both an admitted and a non-admitted basis.   Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual success, speed to market, customer-centric focus and an expanded appetite.   Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both W. R. Berkley Corporation members with A.M. Best (Superior) A+ XV ratings.   Benefit Highlights :  Paid Parental Leave! At...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Join our team! Successful and leading title insurance agency is seeking an experienced Commercial/ Residential Escrow Officer to join our team. The ideal candidate must have at least 7 years of experience in a similar role. This position is responsible for handling large volumes of files for Commercial and Residential transactions. Attention to detail, great communication skills (verbal & written)...

If you’re passionate about being part of a dynamic organization that enables a Fortune 100 company with nearly $70 billion in annual sales to drive innovation and adopt new technologies that deliver business results, then Nationwide’s Technology team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. RESPONSIBILITIES: Consults with internal associates to understand business needs and conducts assessments for complex systems, hardware, and software requirements. Analyzes system issues and provides first-, second-, and third-level technical support to internal users, including support related to computer operations, networks, installations, configurations, error resolution, system availability, and downtime procedures. Participates in incident, problem, and change management activities to...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way. The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and post-claims. Ascot...

Are You Driven?® We Are. We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success.  We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make daily. At GAINSCO, it is our people that set us apart. If you are looking for a place where you can make a difference, perceive how your work impacts the company, and be recognized for your efforts and passion, then GAINSCO is the company for you. Why Join GAINSCO? GAINSCO’s work environment rewards engaged individuals who have a desire to contribute and succeed. That’s because our culture encourages individuals to grow their skills as they build their careers. Come join us and become a Champion with GAINSCO. We are currently seeking a skilled and experienced Auto Damage Appraiser to join our team. In this role, you will be responsible for completing auto physical damage appraisals with...

Are you passionate about being part of a team at a Fortune 100 company with nearly $70 billion in annual sales that delivers extraordinary care to help individuals and businesses prepare for and protect their future? If so, then Nationwide Financial 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 hybrid (flexible) role that will operate in both an office environment and work from home with 3 days in office and 2 days remote. Openings available in Scottsdale, AZ and Columbus, Ohio. External candidates are eligible for a $2,000 sign-on bonus.   Nationwide Annuity Knowledge Preferred FINRA Licensing Preferred   Successful completion of in-house training program, FINRA SIE, Series 6, Series 63 and State Life/Annuity Insurance Agent licenses 120 days post-hire is required....

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description PURPOSE OF THE JOB:   A Farm Family Territory Leader is responsible for driving profitable P&C growth in a designated territory.  The role involves engaging in sales, service, and risk management activities to achieve profitability and growth goals, while providing technical and procedural advice to appointed distribution partners. This role will market, manage, and expand all P&C lines of business insurance through select distribution partners, driving profit and premium to meet financial...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description Inside Property Adjuster – Scottsdale, AZ A day in the life of an inside Property Adjuster, and what it takes to do the job!    As a Moderate Inside Property Adjuster, you will provide exceptional service to our policyholders. Your primary responsibility will involve virtually inspecting damages, investigating coverage, preparing estimates, and settling claims promptly and accurately. You will be interacting with customers, contractors, and vendors through various software platforms such as Xactimate and ClaimsX Video...

Company: Mercer Description: We are seeking a talented individual to join our Provider Rates Team in our Government Healthcare Services Consulting (GHSC) practice at Mercer.   The Medicaid Rate Methodology Specialist will partner with state governments to design and develop facility methodologies and rates, working closely with clients, team members and external stakeholders. This role provides you with an opportunity to work in a team environment to ensure client recommendations contain multiple points of view. Beyond the in-depth training provided, new employees are included on client teams immediately, providing unique opportunities to learn more while helping team members with critical workloads and making a difference to our clients. As part of Mercer, the Government Human Services Consulting (GHSC) team offers its expertise within a small business atmosphere . We will count on you to: ·        Be a client-facing consultant with expertise...

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. Nationwide Insurance is the 8th largest commercial carrier.  Our Risk Management and Client Solutions organization has over 100 Risk Management associates and technical staff.  Our commercial portfolio of accounts consists of traditional, middle market and national accounts.  Business segments include: contractors, manufacturing, real estate management, service industries, retailers, etc. We are seeking a Consultant, Loss Control who will have responsibilities for...

Job Responsibilities and Requirements Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability and Waiver of Premium claims. The goal of the position/role is to consistently render appropriate claim determinations based on a review of all available information and the terms and provisions of the applicable policy.  Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards based on product line. Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring claims to the appropriate risk level in a timely manner. Conducts in-depth...

Are you passionate about being part of a team at a Fortune 100 company with nearly $70 billion in annual sales that delivers extraordinary care to help individuals and businesses prepare for and protect their future? If so, then Nationwide Financial 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 role will support our Annuity Specialty Markets team and must work a hybrid work schedule (3-4 days per week) out of either the Columbus, OH or Scottsdale, AZ locations. External candidates are eligible for a $2,000 sign-on bonus. Nationwide Annuity Knowledge Preferred FINRA Licensing in-hand at time of hire strongly preferred Successful completion of in-house training program, FINRA SIE, Series 6, Series 63 and State Life/Annuity Insurance Agent licenses 120 days...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Loan Officer, you will, within defined guidelines and framework, deliver impactful customer service to members while providing mortgage product solutions that facilitate the member’s financial security. You'll facilitate mortgage product sales and member service through multiple channels to include phone, email, mail and digital platform, provides individualized mortgage loan recommendations. You will have established monthly metrics and deepen member relationships through needs assessment and solution...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The Business Development Manager position will be responsible for maintaining and growing Markel's relationships with our wholesale strategic partners. Your day-to-day duties will include working with underwriters, brokers, Markel leadership, and other key stake holders to profitably grow Markel's book of wholesale business. The primary geography of the position will be West Region. Total travel will be at least 50%. This position will serve as a primary business development conduit with Markel's key...

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+"(Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2024 Great Place to Work® Award  for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster, please visit...