318 claims adjuster medical only jobs found

Overview The Worker’s Compensation Medical Only Claims Adjuster is responsible for the prompt and effective investigation of worker’s compensation claims involving injuries that require medical treatment but no wage loss. Claim adjudication requires interaction with Insureds, claimants, medical providers and other parties to ensure adequate medical treatment is provided while utilizing Company resources in a cost-effective manner. Responsibilities Ability to multitask and prioritize work in a fast-paced environment and manage time effectively Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogation Verifies coverage and confirms policy conditions have been met Obtains missing information and ensures data integrity for Regulatory reporting Communicates effectively with claimants, policyholders, Underwriters, agents, and other internal and...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey. Our Auto Liability team is currently seeking a Sr. Adjuster in our Southfield, MI - Howell, MI - Richmond, VA - Phoenix, AZ - Alpharetta, aGA - Henderson, NV and/or Worcester, MA location. T his is a full time, exempt role with a hybrid work arrangement 2 days in office.    POSITION OVERVIEW: Fully responsible for the analysis, investigation, evaluation, negotiation and resolution of complex claims requiring thorough investigations including telephone contacts with the involved parties; technical expertise and complex analysis. Claim assignments are regional and may involve both personal and commercial customers.  IN THIS ROLE, YOU WILL: Investigate, analyze, evaluate, and negotiate...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey. Our Auto Liability team is currently seeking a Sr. Adjuster in our Itasca, IL - Syracuse, NY and/or Denver, CO location. This is a full time, exempt role with a hybrid work arrangement 2 days in office.      POSITION OVERVIEW: Fully responsible for the analysis, investigation, evaluation, negotiation and resolution of complex claims requiring thorough investigations including telephone contacts with the involved parties; technical expertise and complex analysis. Claim assignments are regional and may involve both personal and commercial customers.  IN THIS ROLE, YOU WILL: Investigate, analyze, evaluate, and negotiate claims of minimal to moderate complexity using discretion and...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey. Our Auto Liability team is currently seeking a Sr. Adjuster in our Itasca, IL - Syracuse, NY and/or Denver, CO location. This is a full time, exempt role with a hybrid work arrangement 2 days in office.      POSITION OVERVIEW: Fully responsible for the analysis, investigation, evaluation, negotiation and resolution of complex claims requiring thorough investigations including telephone contacts with the involved parties; technical expertise and complex analysis. Claim assignments are regional and may involve both personal and commercial customers.  IN THIS ROLE, YOU WILL: Investigate, analyze, evaluate, and negotiate claims of minimal to moderate complexity using discretion and...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey. Our Auto Liability team is currently seeking a Sr. Adjuster in our Southfield, MI - Howell, MI - Richmond, VA - Phoenix, AZ - Alpharetta, aGA - Henderson, NV and/or Worcester, MA location. T his is a full time, exempt role with a hybrid work arrangement 2 days in office.    POSITION OVERVIEW: Fully responsible for the analysis, investigation, evaluation, negotiation and resolution of complex claims requiring thorough investigations including telephone contacts with the involved parties; technical expertise and complex analysis. Claim assignments are regional and may involve both personal and commercial customers.  IN THIS ROLE, YOU WILL: Investigate, analyze, evaluate, and negotiate...

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 Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. Recognizes and empathizes with members’ life events, as appropriate. This is a field-based role for in the Birmingham, AL or Jackson, MS area....

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...

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...

Company Details   BerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our Goal? To make doing business “Ridiculously Fast. Amazingly Easy.” Responsibilities As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers’ compensation claims of moderate complexity in multiple jurisdictions. Investigate workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due Calculate and set timely financial reserves and proactively manages reserve adequacy throughout claim lifecycle Record and code injured worker demographics, job information and accident information in company’s claims management system and files necessary forms with state regulatory agencies Issue timely payments to injured...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.  A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace®  Forbes Best-in-State Employer...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster II - WC. The adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s compensation insurance claims through effective research, negotiation and interaction with insures, 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...

If you’re passionate about helping people protect what matters most to them, 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 are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care.     Territory: This is a work-from-home field position with required travel to policy locations. A company vehicle will be provided for this role.   What you can Expect: The General Adjuster (GA) manages complex claims starting at $500k+ with a particular focus on commercial agriculture and farm claims. They will be expected to consult with their peers across other areas of the business such as underwriting and risk management to ensure the success of the larger enterprise....

A company built to serve you. It's your career, Shelter it! Casualty Adjuster $23.27 - $32.59 minimum starting pay Job Level: Individual Contributor Shelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands.  Please remember that this range is the starting base pay only and does not consider other components that make up the total rewards package for the position. What You Will Be Doing: Investigate, analyze, evaluate and settle insurance claims involving liability issues and bodily injury losses. Perform complete liability, coverage, and bodily injury investigations. Determine validity of claims, verify coverage, establish value of losses and negotiate settlements within limits of authority, consistent with established procedures and legal and contractual obligations. Coordinate claims handling of...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.  A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace®  Forbes Best-in-State Employer...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.  A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace®  Forbes Best-in-State Employer...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.  A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace®  Forbes Best-in-State Employer...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture . Our Property Claims department is seeking Senior Outside Property Adjusters in the Detroit territory. This is a remote Full-time/Exempt role with field investigations.   POSITION OVERVIEW: Senior outside property adjusters handle property claims requiring field investigations and/or inspections. They must establish rapport with our insureds and maintain relationships with our agents, underwriters, contractors, restoration vendors, and experts. They are expected to know their territory, including the geography; regulations and the law as pertains to property claims; state and local public safety and regulatory agencies and officials; the...

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 Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. Recognizes and empathizes with members’ life events, as appropriate. This is a field-based role for in the Baton Rouge, New Orleans or Houston area....

A company built to serve you. It's your career, Shelter it! Claims Assistant $16.66 minimum starting pay Job Level: Individual Contributor Shelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands.  Please remember that this is the minimum starting base pay only and does not consider other components that make up the total rewards package for the position.  What You Will Be Doing: Perform general administrative duties for Claims personnel such as keyboarding, filing, record keeping, preparing reports, inventorying and ordering supplies, handling telephone duties, and serving as the office receptionist in the branch. Perform any other related duties necessary to ensure the Branch or Unit is functioning efficiently. Pay branch bills, update all rosters and emergency contacts, and assign claims. Make payments on...