14 workers comp indemnity claims specialist jobs found

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 work from home position, reporting to our Atlanta, GA office.   ESSENTIAL FUNCTIONS AND 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...

A Brief Overview Under general supervision, responsible for the supervision and Claims management of a Claims unit. Provides technical guidance and training to personnel. Evaluates standards of performance of technical and clerical direct reports relative to branch/corporate objectives.   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 Orange, CA, San Diego CA, or Woodland Hills, CA office on a weekly basis.   What you will do Directs, controls, monitors, and provides technical and supervisory guidance to the assigned Claims unit(s). Foster an environment that supports the Branch Customer Service Objectives.  Ensure his/her team provides exceptional customer service.  Takes ownership of account relationships.  Acts as point...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department • Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority • For claims involving...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description The Senior Consultant II is responsible for granting settlement authority on highly complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, providing recommendations on requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. The individual may also provide discretionary referrals on coverage issues, opinions and research. In addition, the Sr Cons II may provide approval on Closed Without Payment (CWP) requests where liability is disputed, and the value is in...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. **This role is a remote opportunity for experienced Bodily Injury Adjusters. Preferred locations are Mountain or Pacific time zones. • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department • Handles investigation regarding all aspects of advanced auto claims (coverage, liability and...

Position Title RBO - Risk Management Specialist Location Hicksville, NY 11801 Job Summary The RBO Risk Management Specialist is primarily responsible for preventing fraud loss across consumer, commercial and small business check processing. Analysis of checks presented for payment to identify fraud activity and anomalous activity is the primary role. The check review will require detailed analysis of check stock/image, signatures and endorsements, velocity, values and customer behavior relative the check activity being presented. The risk associated with this activity is considered critical and requires a high level of accuracy to appropriate loss mitigation and minimal customer disruption. In addition, this role will also process claims to resolve any fraud claims reported to the bank. Claims represent a high level of regulatory requirements and risk to the bank. Adherence to the regulatory requirements, processing requirements as well will ensure limited customer...

Position Title RBO - Risk Management Specialist Location Hicksville, NY 11801 Job Summary The RBO Risk Management Specialist is primarily responsible for preventing fraud loss across consumer, commercial and small business check processing. Analysis of checks presented for payment to identify fraud activity and anomalous activity is the primary role. The check review will require detailed analysis of check stock/image, signatures and endorsements, velocity, values and customer behavior relative the check activity being presented. The risk associated with this activity is considered critical and requires a high level of accuracy to appropriate loss mitigation and minimal customer disruption. In addition, this role will also process claims to resolve any fraud claims reported to the bank. Claims represent a high level of regulatory requirements and risk to the bank. Adherence to the regulatory requirements, processing requirements as well will ensure limited customer...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description National General Insurance is currently hiring an experienced auto Claims Adjuster to join our Investigative Specialist team. This job is responsible for investigating and analyzing complex, multi-discipline coverage and claims that have been referred to the Investigative Specialist team for potential fraud. This role combines traditional adjuster duties—such as determining liability, damages, and negotiating claims with limit of authority--with investigative responsibilities, including gathering evidence, interviewing involved parties, and identifying potential fraud. The position requires both...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for investigating and confirming the facts of loss for the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees. ** We're hiring a Bodily Injury Adjuster to join our Northeast team! The ideal candidate will have 3+ years of auto liability claims experience, with additional experience in homeowner liability claims preferred. Litigation experience is not required. In this role, you will be responsible for managing Bodily Injury claims specific to...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Overview Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Specialist.  In this role, the responsibilities include actively managing commercial claims for high severity, complex general liability, and auto accounts, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States.  Primary Responsibilities, s pecific duties include but not limited to the below: Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis Develop and implement...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description The Senior Consultant II is responsible for granting settlement authority on highly complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, providing recommendations on requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. The individual may also provide discretionary referrals on coverage issues, opinions and research. In addition, the Sr Cons II may provide approval on Closed Without Payment (CWP) requests where liability is disputed, and the value is in...

Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home. As a leader in the home services software-as-a-service (“SaaS”) space, we’ve built deep relationships with approximately 30 thousand companies that are key to the...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.   Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority. Job Responsibilities Confirms coverage of claims by reviewing policies and documents submitted in support of claims Analyzes coverage and communicates coverage positions Conducts, coordinates, and directs investigation into loss facts...