376 claims specialist workers compensation jobs found

Description Ready to grow your career in a role that makes a meaningful impact? Liberty Mutual is hiring Workers Compensation Claims Specialists in our West Region to help injured workers navigate the claims process and return to work with confidence.   We’re hiring across multiple levels—Associate Claims Specialist, Claims Specialist I, Claims Specialist II, Senior Claims Specialist I, and Senior Claims Specialist II—depending on your experience. The salary range posted reflects the varying pay scale across various locations.   In this role, you’ll manage a caseload of routine to moderately complex claims, making key decisions on compensability, evaluating losses, and negotiating fair outcomes. You’ll collaborate closely with claimants, policyholders, attorneys, and partners throughout the claim lifecycle.   To support your success, we provide comprehensive training, including a mandatory one-week, in-person session at our Plano, TX office in...

Description The Workers Compensation Claims Specialist on the Helmsman/Eberle Vivian team works using the latest technology to manage an assigned caseload of routine to mild to moderately complex Workers Compensation claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability and evaluating losses. The role interacts with injured workers, self-insured employers, medical providers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.   This position may be filled as a Claims Specialist I, Claims Specialist II, or Senior Claims Specialist I, depending on candidate experience. The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that...

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 Central Region!   As a Workers Compensation Claims Specialist, the successful...

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 an exciting opening for a Senior Workers Compensation Claims Specialist II within the West Region!   As a Senior Workers Compensation Claims Specialist II, you...

A Brief Overview Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of Claims within a certain monetary limit. All tasks are to be performed with the goal of demonstrating Zenith's superior Claims handling expertise.   This role is eligible to participate in Zenith’s hybrid work schedule which provides the flexibility to work from home on select days of the week according to the in-office schedule established by regional executive leadership. Selected candidate must be able to report into the local office on a weekly basis. Preferred locations San Diego, CA, Fresno, CA, Orange, CA, Dublin, CA, Roseville, CA or Woodland Hills, CA  What you will do Under limited direction, works within broad limits and authority on highly...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group’s member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 35 specialty property and casualty operations, there are always opportunities here to learn and grow. We value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. At Republic Indemnity, we’ve been helping businesses in the western U.S. manage their Workers’ Compensation costs for over 50 years.  Headquartered in...

Description The Workers Compensation Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claim’s management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.   We are open to fill this position as an Associate Claims Specialist I (grade 10) or Claims Specialist I (grade 11), or Claims Specialist II (grade 12) depending on candidate experience.   We prefer candidates from Connecticut, Maine, New Hampshire, Rhode Island, Vermont, New Jersey, New York, Pennsylvania, Massachusetts. If you...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group’s member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 35 specialty property and casualty operations, there are always opportunities here to learn and grow. We value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. At Republic Indemnity, we’ve been helping businesses in the western U.S. manage their Workers’ Compensation costs for over 50 years.  Headquartered in...

Job Description: We are looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in IL, MI, IN, MD . Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. Enters and maintains accurate information on a computer system during the claim process, to include final settlement...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement. Qualified candidates will have jurisdictional experience in one or more of the following states: NY, NJ, PA, TX, AR, CO, TX, OK. Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves,...

Job Description: We are looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in MD, NC, TN, GA, KY . Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. Enters and maintains accurate information on a computer system during the claim process, to include final settlement...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Workers' Compensation Claims Specialist to their Durnan Group in Rockville Centre, NY.  The Workers' Compensation Claims Specialist supports the Vice President of Risk Management by receiving and processing incoming workers’ compensation claims, assisting with overall claims management, and handling related communications throughout the process. This role will be working on-site at our Rockville Centre, NY office 5 days a week.  Essential Functions:  Responsible for managing data extraction regarding potential claims from multiple sources (email, fax, etc.) Examine and evaluate claims for denial, subrogation and possible fraud Enter claims in system; review claims, update/correct information in system Assist in maintaining all medical documentation and records regarding workers’ compensation cases Support...

NJM is seeking a Workers’ Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a required Tuesday, Thursday and another day in our West Trenton or Hammonton office. The WC Claims Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim, and outlining and recommending an action plan to manage the claim. The WC Claims Specialist will work with and communicate to all internal and external stakeholders, including:  NJM policyholders, injured workers, medical providers, the NJM Medical Claims Services Department, the NJM Special Investigation Unit, the NJM WC Legal Staff, and other departments within NJM, as well as outside defense counsel and vendors.  At NJM, our WC Claims Department empowers our employees to focus on delivering guidance and empathy to our customers because the claims experience is...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best. --------------------------------------------- When is the last time you felt like you made a difference to your employer and in...

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 position will be hybrid (Glen Allen, VA office).   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...

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 hybrid 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 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 hybrid 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...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best. --------------------------------------------- When is the last time you felt like you made a difference to your employer and in...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best. ------------------------------------------------ When is the last time you felt like you made a difference to your employer and in...