3 workers compensation claim senior representative jobs found

The Cross Family of Agencies welcomes you. We need your talent and expertise. Job Title: Senior Claim Representative Summary The Senior Claim Representative is a high-impact leadership role responsible for the end-to-end strategic execution of the agency’s claims handling process. This position serves as a critical client advocate, providing technical oversight for large and complex P&C claims (Property, Liability, Workers’ Comp, Automobile, and Professional Lines). You will be part of a dedicated two-person claim team to ensure prompt, fair resolutions while acting as the primary technical liaison between clients, account managers, and insurance carriers to minimize total cost of risk. Essential Duties and Responsibilities Strategic Advocacy & Settlement:  Coordinate the settlement process for complex claims, advocating for clients on coverage denials, Reservation of Rights letters, and high-exposure settlements. Operational Excellence:...

Salem Five is a growing regional financial services organization with a rich history of over 160 years.  As an independent bank, we are deeply rooted in the communities we serve and offer our employees successful and rewarding careers.   This position can be based in our Woburn, Danvers, Plymouth or Norwood office.    Salem Five has more than 30 retail banking branches throughout Essex, Middlesex, Norfolk and Suffolk counties, strong business banking capabilities, an Insurance division, a Wealth Management & Trust organization and a Mortgage Company that has provided homeownership to generations of families. Salem Five believes deeply in supporting the communities in which we reside. Donations through our Charitable Foundation or events at the branch or location-level are an important part of our DNA. We would not be the company we are without our commitment to businesses and organizations that help the region thrive and to our employees. Come see...

The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel. This is a hybrid and per diem role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer Collects data and analyzes information to make decisions regarding certification or denial of treatment Documents all work in the appropriate manner Promotes utilization review services with stakeholders Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) Additional duties as assigned   KNOWLEDGE & SKILLS:  Must have thorough knowledge of both...