65 claims specialist ii workers compensation jobs found

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. Work Environment: The location of this position is flexible and open to virtual and/or remote based applicants.   What to expect: This individual will manage a varying degree of workers compensation claim complexity for all Nationwide channels; inclusive but not limited to: Agribusiness, Standard Commercial, and E&S. Members are unique in that they could be commercial business owners, farms, small businesses, or amusement parks.   The ideal candidate will have: Strong workers compensation, or loss...

The Company At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $1.5B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including Boston, NYC, Atlanta, Dallas, Columbus, Richmond, and Chicago. This is a hybrid position with a minimum of 8 days/month spent in-office. What you will do You'll be responsible for investigating, evaluating, negotiating, and resolving workers' compensation claims in primarily New York jurisdictions, as well as Connecticut, Massachusetts, New Hampshire, Rhode Island, and Vermont.  In this role, low to moderate complexity lost time claims will be adjusted, and there will be some exposure to litigated files. Skills in...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the West Region!   As a Claims Specialist, you will work within a Claims Team, using the...

CorVel is seeking a Senior Liability Claims Specialist.  The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims.  Additionally the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients.  This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Investigates claims and handles 1st and 3rd party Auto and General Liability claims Establishes reserves and authorizes payments within reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Requires regular and consistent attendance Additional...

The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers’ compensation claims along with Lost Time claims involving greater complexity - within company best practices & within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and more complex, lost-time workers’ compensation claims Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Requires regular and consistent attendance Complies with all...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

CorVel is seeking a Automobile and General Liability Claims Specialist.  The Liability Claims Specialist manages within company best practices Commercial Auto PD and BI Claims and General Liability Claims.  Additionally, the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. This is a remote position.     ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Receives new claims, confirms coverage and meets 24 hour contact requirements.  Renders a Liability determination on each claim in accordance with statutory requirements and Service Handling Instructions. Investigates simple to mid-level Auto BI and PD and GL BI and PD. Establishes timely reserves and authorizes payments within authority limits. Communicates claim status with the client, excess carriers, and defense counsel (as applicable).  Adheres to client and carrier guidelines and participates in claims review as needed. Prepares for and participates in file...

The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to be transparent. The Claim Specialist II investigates, evaluates, negotiates, and resolves lost time claims and medical-only claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Conducts training classes (including research and position papers) for less experienced Claim Department Representatives. Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.  This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional projects and duties as assigned KNOWLEDGE & SKILLS: Excellent Customer Service Skills Excellent written and verbal communication skills Ability to learn rapidly to develop knowledge and...

The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client. Adheres to client and carrier guidelines and participates in claims review as needed. Assists other claims professionals with more complex or problematic claims as necessary. Additional projects and duties as assigned. Must have and maintain Idaho Resident Claims Adjuster’s license.   KNOWLEDGE & SKILLS: Excellent Customer Service Skills Excellent written and verbal communication skills...

The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.  This role is open for remote, hybrid, or onsite work.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional projects and duties as assigned   KNOWLEDGE & SKILLS: Excellent Customer Service Skills Excellent written and verbal communication skills Ability to...

The Indemnity Claims Specialist manages within company standards and best practices WC Indemnity claims within delegated limited authority to determine benefits due; manage subrogation and ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans to reduce overall cost of the claim Manages subrogation and litigation of claim as it applies Manages potential claim recoveries of all types Communicates claim status with the customer and claimant...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional projects and duties as assigned KNOWLEDGE & SKILLS: Excellent Customer Service Skills Excellent written and verbal communication skills Ability to learn rapidly to develop knowledge and...

The Liability Claims Specialist manages within company best practices lower-level, non-complex and non-problematic liability claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary...

CorVel is seeking a full time Sr. Claims Specialist. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the appropriate parties Manages...

CorVel is seeking a Automobile and General Liability Claims Specialist.  The Liability Claims Specialist manages within company best practices Commercial Auto PD and BI Claims and General Liability Claims.  Additionally, the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. This is a remote position.     ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Receives new claims, confirms coverage and meets 24 hour contact requirements.  Renders a Liability determination on each claim in accordance with statutory requirements and Service Handling Instructions. Investigates simple to mid-level Auto BI and PD and GL BI and PD. Establishes timely reserves and authorizes payments within authority limits. Communicates claim status with the client, excess carriers, and defense counsel (as applicable).  Adheres to client and carrier guidelines and participates in claims review as needed. Prepares for and participates in file...

CorVel is hiring a Senior Claims Specialist for our Jackson, MS office. The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. This is a remote role for the Jackson, MS office.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well...

CorVel is hiring a remote Senior Claims Specialist. The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to...