5 medical only claims adjuster jobs found

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | CT, MA Jurisdictions | CT License | Dedicated Client | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?    Apply your Workers Compensation Adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.   Deliver innovative customer-facing solutions to clients...

Overview The Director of Pharmacy is responsible for supporting the AVP of Medical Cost Containment in the implementation, process improvement, and optimization of clinical programs. The Director of Pharmacy will be responsible for analytic measurement and improvement of medical management of their assigned programs. These programs may include pharmacy and other associated operational processes and interventions. This role will achieve outcomes by focusing on analytics, clinical operations, and development of new programs to support organizational vision, and cost savings. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Serve as a business owner for medical product management needs specific to pharmacy program and establishing key performance indicators, identifying opportunities, and driving business goals Manage a team of 8...

Crum & Forster Company Overview The Medical Business Unit (SBU) within Accident & Health encompasses multiple profit centers, including Stop Loss, Managed Care, and Ancillary products.   We are seeking an Executive Assistant to support the Senior Vice President (SVP) responsible for the overall leadership and oversight of the MBU. This role will focus on coordinating and managing executive scheduling, preparing and organizing strategic materials, and supporting board meetings and related documentation. As a key partner to the SVP, this position will help ensure meetings and materials are efficient and effective, and will facilitate the flow of critical business information across the MBU.   The ideal candidate will possess exemplary time management skills, the ability to anticipate the SVP’s needs, and a professional demeanor. This role requires seamless interaction with senior management, department leaders, and staff across all MBU profit centers as...

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.   In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.   The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.   The A&H Specialty Business Unit (SBU) takes a forward-thinking, flexible approach to solutions...

Overview The Clinical Product Manager (CPM) shapes and optimizes ancillary healthcare services in workers’ compensation, overseeing processes and vendors managing: DME, PT/OT, diagnostics/imaging, transportation/translation, home health, IME/peer review and other supporting vendors related to managed care medical spend. This cross-functional role blends strategy, clinical insight, and operational execution to improve outcomes, reduce costs, and enhance experiences for injured workers, adjusters, and clinical teams. Collaboration with vendors, stakeholders, and leadership is essential to drive measurable improvements and ensure program integrity.   Amtrust is looking for a critical thinker who can bring structure and innovation to our workers’ compensation managed care programs. In this role, you will own vendor performance and process management in a broad variety of areas — making sure the right partners are in place, performance stays strong, and programs...