77 workers compensation claims adjuster iii jobs found

Overview The Workers' Compensation Adjuster III 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. The Adjuster III is often, though not always, assigned to larger or more complex claims than an Adjuster I or II. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization.    The salary range for this role is $33.64 an hour - $47.12 an hour. This range is only applicable for jobs to be performed in California. Base pay offered may vary depending on, but not limited to education, experience, skills, geographic location, travel requirements, sales or revenue-based metrics. This range may be modified in the future. Responsibilities Follows AmTrust policies and procedures in managing...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster III - 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. The adjuster reports to a WC Supervisor. 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...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster III - 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. The adjuster reports to a WC Supervisor. 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...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster III - 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. The adjuster reports to a WC Supervisor.   The salary range for this role is $80,000-95,000. This range is only applicable for jobs to be performed in New York. Base pay offered may vary depending on, but not limited to education, experience, skills, geographic location, travel requirements, sales or revenue-based metrics. This range may be modified in the future. Responsibilities Thoroughly investigating workers’ compensation claims by contacting injured workers,...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster III - 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. The adjuster reports to a WC Supervisor. 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...

Company Details     With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results.   All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P.   For further information about Key Risk please visit  www.KeyRisk.com   The Company is an equal employment opportunity employer. Responsibilities The Workers’ Compensation Claims Representative III...

The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical appropriateness based on their physical and medical status. The Telephonic Case Manager must be able to discuss the patient’s medical and physical conditions with the treating physicians, along with discussing/ recommending alternate treatment plans for the patient. The Telephonic Case Manager must have the ability to explain medical conditions and treatment plans to the patient, family members and adjuster; supporting the goals of the Case Management department, and of CorVel. This is a remote opportunity but hybrid while training. Applicants must reside in or near the Minneapolis, MN area. ESSENTIAL...

Overview Summary:    This position is a remote opportunity for those 50 miles or more from an AmTrust office. Those located within a 50 mile radius are expected to abide by our hybrid schedule of 3 days on-site and 2 days work from home. The Resolution Adjuster is responsible for prompt and independent review of insurance claims, through effective research, evaluation, investigation, negotiation and interaction with insureds, claimants, and counsel.  The Adjuster is assigned to mid-sized and / or mid-complexity claims in the line of business. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust Claims organization.   The salary range for this role is $92,000 - $102,000/year. This range is only applicable for jobs to be performed in California. Base pay offered may vary depending on, but not limited to education, experience, skills, geographic location, travel requirements, sales or...

The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical appropriateness based on their physical and medical status. The Telephonic Case Manager must be able to discuss the patient’s medical and physical conditions with the treating physicians, along with discussing/ recommending alternate treatment plans for the patient. The Telephonic Case Manager must have the ability to explain medical conditions and treatment plans to the patient, family members and adjuster; supporting the goals of the Case Management department, and of CorVel. This position will have a hybrid work arrangement the first week for training purposes and then eventually transition to remote. Must...

The Nurse Case Manager provides medical management and return to work assistance to individuals following a work place injury.  The NCM collaborates with the injured worker, insurer, employer, attorney, and treating providers to oversee the medical treatment plan and to coordinate a return to gainful employment. The NCM determines eligibility for vocational rehabilitation or disability case management services, provides medical management assistance and identifies suitable job goals consistent with the clients’ interests, aptitudes and physical abilities. Candidates in Southern MN encouraged to apply.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Schedule and attend in-person appointments with client, family, adjuster, medical providers, employer, attorney or vendors as necessary. Valid Driver’s License and auto insurance required Complete forms according to industry requirements Prepare organized reports within a specified timeframe Document all case activity in...

The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical appropriateness based on their physical and medical status. The Telephonic Case Manager must be able to discuss the patient’s medical and physical conditions with the treating physicians, along with discussing/ recommending alternate treatment plans for the patient. The Telephonic Case Manager must have the ability to explain medical conditions and treatment plans to the patient, family members and adjuster; supporting the goals of the Case Management department, and of CorVel. This is an onsite position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Provides medical case management to individuals through...

The Auto/PD 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 remote position. Candidates may be based in California, Arizona, Nevada or Texas.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Renders a Liability determination on each claim in accordance with statutory requirements Investigates claims and handles complex 3rd party Auto and General Liability claims, including litigation Establishes reserves and authorizes payments within reserving authority limits Communicates claim status with the client and claimant 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...

The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical appropriateness based on their physical and medical status. The Telephonic Case Manager must be able to discuss the patient’s medical and physical conditions with the treating physicians, along with discussing/ recommending alternate treatment plans for the patient. The Telephonic Case Manager must have the ability to explain medical conditions and treatment plans to the patient, family members and adjuster; supporting the goals of the Case Management department, and of CorVel. Remote WFH in geographic area of Iowa.   ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Provides medical case management to...

The Qualified Rehabilitation Consultant (QRC)/Vocational Case Manager provides vocational rehabilitation services and medical case management to individuals following a work place injury through coordination with client, insurer, physician, employer, attorney and others with the ultimate goal being the client’s timely return to gainful employment. The Vocational Case Manager interviews and evaluates the client to determine the degree of disability, eligibility and feasibility of vocational rehabilitation services. This position determines suitable job goals consistent with the clients’ interests, aptitudes and physical limitations; supporting the goals of the Case Management department, and of CorVel. Candidates with case management experience, vocational rehabilitation background and those in Southern MN encouraged to apply   ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Schedule and carry out appointments with client, family, adjuster, medical providers, employer,...

The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical appropriateness based on their physical and medical status. The Telephonic Case Manager must be able to discuss the patient’s medical and physical conditions with the treating physicians, along with discussing/ recommending alternate treatment plans for the patient. The Telephonic Case Manager must have the ability to explain medical conditions and treatment plans to the patient, family members and adjuster; supporting the goals of the Case Management department, and of CorVel.   ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Provides medical case management to individuals through coordination with the...

The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical appropriateness based on their physical and medical status. The Telephonic Case Manager must be able to discuss the patient’s medical and physical conditions with the treating physicians, along with discussing/ recommending alternate treatment plans for the patient. The Telephonic Case Manager must have the ability to explain medical conditions and treatment plans to the patient, family members and adjuster; supporting the goals of the Case Management department, and of CorVel. This is a remote opportunity but hybrid while training. Applicants must reside in or near the Minneapolis, MN area. ESSENTIAL...

Overview AmTrust has an immediate need for a  Workers' Compensation Claims Adjuster II.   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...

Overview AmTrust has an immediate need for a Workers' Compensation Claims Adjuster II.   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...

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 is seeking an experienced Property Subrogation Adjuster. The ideal candidate will have homeowner adjusting experience along with subrogation exposure. *This is a fully remote position* What We’re Looking For: 🌟 Experience : A proven track record in property/homeowner subrogation adjusting, with a strong understanding of the nuances and intricacies of the field. 🌟 Expertise : In-depth knowledge of insurance policies, legal and regulatory requirements, and subrogation processes. 🌟 Analytical Skills : Exceptional problem-solving abilities with a keen eye for detail and the...