21 workers compensation claims adjuster jobs found

About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, it connects clients with personalized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, real estate services – and beyond. Since 2013, Acrisure has grown in revenue from $38 million to ~$5 billion and employs ~20,000 colleagues in 19 countries. And this is just the beginning. To learn more, visit Acrisure.com. About the Role The Senior Workers Compensation Claims Adjuster is responsible for managing workers’ compensation claims from investigation through resolution, with a focus on medical-only claims and some indemnity exposure. This role evaluates compensability and liability, monitors medical treatment and return-to-work activity, and works directly with clients, employers, injured workers, physicians, attorneys,...

CopperPoint has an exciting opportunity for a remote Workers’ Compensation Claims Adjuster Senior, Indemnity. The ideal candidate must possess Colorado jurisdictional claims experience/knowledge.  Additional experience in UT, AZ, MO, KS, NM, NV, OK and/or TX jurisdictions is preferred.  The Workers’ Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers’ compensation claims to determine compensability. They will also adjudicate claims to ensure timely payment of indemnity and medical benefits due within company standards and in compliance with regulatory requirements, as well as establishing and maintaining action plans and reserves to ensure proactive, cost-effective claims management.   Job responsibilities: Analyze and investigate indemnity claims to determine compensability decisions by interpreting and applying laws, rules, and regulations of workers’ compensation. Utilize all available resources as appropriate....

CopperPoint has an exciting opportunity for a fully remote Workers’ Compensation Claims Adjuster Senior, Indemnity. The ideal candidate must possess Arizona jurisdiction technical claims knowledge.  Additional experience in MO, KS, CO, UT, NM, NV and/or TX jurisdictions is preferred.  The Workers’ Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers’ compensation claims to determine compensability. They will also adjudicate claims to ensure timely payment of indemnity and medical benefits due within company standards and in compliance with regulatory requirements, as well as establishing and maintaining action plans and reserves to ensure proactive, cost-effective claims management.   Job responsibilities: Analyze and investigate indemnity claims to determine compensability decisions by interpreting and applying laws, rules, and regulations of workers’ compensation. Utilize all available resources as appropriate....

Overview Good Things Start Here. Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.   Good Things You Can Count On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours (no nights, weekends, or holidays) Competitive pay + generous PTO Medical, dental & vision starting day one 401(k), tuition reimbursement & longevity bonuses Responsibilities If you are an experienced workers' compensation claims professional who enjoys managing complex claims from investigation through resolution, this role offers the opportunity to take ownership of a multi-state caseload and develop strategies that drive claims toward successful resolution....

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Bridge Pointe is looking for a Member Account Specialist to join our growing team. For nearly 20 years, Bridge Pointe has helped injured individuals navigate the complexities that follow a workers’ compensation or liability settlement. Through personalized service and specialized expertise, our team helps members manage their settlement funds, stay compliant with complex requirements, and make the most of the resources available to them. What You’ll Do As a Member Account Specialist, you will support the day-to-day administration of Medicare Set-Aside (MSA) and Medical Custodial Account (MCA) funds. This role combines account administration, regulatory compliance, and customer service to help...

Overview Good Things Start Here. Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.   Good Things You Can Count On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours (no nights, weekends, or holidays) Competitive pay + generous PTO Medical, dental & vision starting day one 401(k), tuition reimbursement & longevity bonuses Responsibilities Berkshire Hathaway GUARD Insurance Companies is hiring entry-level Workers' Compensation Claims Adjusters. This is a great opportunity to start a career in insurance and claims. No prior Workers' Compensation claims handling experience is required.   You'll participate in a structured...

Overview The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization. Responsibilities Follows AmTrust policies and procedures in managing claims. Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers. Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience. Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing....

Overview 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 Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers’ comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans. Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan. Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute Answer questions...

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 Liaison | Phoenix, AZ 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?      ARE YOU AN IDEAL CANDIDATE? To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims...

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 hybrid out of Scottsdale, AZ or remote in Arizona. 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,...

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 Claims Examiner - Workers Compensation Team Lead | Jurisdiction: CA or NV | Licensing: required 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 & supervisory knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.   Deliver innovative customer-facing...

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 The Inside Auto Claims Adjuster is responsible for investigating basic and occasionally moderately complex auto insurance claims. This role may handle non-represented claims and requires evaluating coverage, determining liability, and negotiating settlements. The adjuster works directly with claimants, insureds, and other involved parties to ensure timely, accurate, and customer-focused claim resolution. Key Responsibilities: Ensure compliance with all regulatory requirements and company standards throughout the claim lifecycle....

Overview AmTrust Financial Services is seeking a Director, Medical Case Management for the Western Zone. This senior leader will oversee approximately 40 clinical professionals, including four direct-report managers, and drive proactive, data-driven workers’ compensation medical case management performance, clinical quality, operational consistency, and claim outcomes in a fast-paced, high-change environment. Responsibilities Reporting to the Head of Managed Care and Clinical, the Director, Medical Case Management will lead Western Zone workers’ compensation medical case management operations to improve claim outcomes, return-to-work results, medical management impact, quality, compliance, and team performance. This role requires a proactive leader who combines strong clinical judgment with analytical discipline, using data, dashboards, trends, and performance insights to anticipate issues, identify opportunities, drive action,...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity What you'll do: Documents First Notice of Loss by obtaining relevant information for effective claim investigation. Sets up appropriate services, as needed, to proactively move claims forward to the furthest point in the process within scope of role and expectation. Creates loss reports, states, or verifies coverage as...

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 This is an In-office role in Scottsdale, Arizona Monday – Friday; 8 am - 4:30 pm in office with rotational Saturday duty from home 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. Working from our Scottsdale office, your primary responsibility will involve virtually inspecting damages, investigating coverage, preparing estimates, and settling claims promptly and accurately. You will be...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is a field based role in the Tempe, Chandler, Ahwatukee, Casa Grande area. Candidates who are willing and able to work in Phoenix area to include Casa Grande and Maricopa are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of...

Crum & Forster Company Overview Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping our customers manage risk with laser-focused expertise, integrity and discipline. Our people are empowered to make decisions and problem-solve with you smartly and swiftly. Our annual gross written premium is 6.2 billion. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best.   Our most valuable asset is our people. We have 3000 employees, and locations throughout the United States and India. With our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Injury Claims Examiner (Central to West regions), you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with...

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 A day in the life of a Represented Bodily Injury Adjuster, and what it takes to do the job! As a Represented Bodily Injury Adjuster your focus will be investigating automobile accidents involving single or multiple vehicles, which result in property damage and bodily injury with attorney/litigation involved. You will have the convenience of working remotely from your home while efficiently handling your responsibilities. You will assess coverage, liability, and damages while providing exceptional customer service throughout your day....

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory...