Claim Examiner- WC
TPI Global Solutions
Description: Sr Claim Examiner- WC 03-month contract with possible extension or conversion Remote Note: Must have multiple years' experience handling CA WC. Must work in PST hours . Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. Analyzes claims activity and prepares reports for clients/carriers and management. Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Develops subrogation and third-party recovery potential and follows reclaim procedures. Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews. Skills: Ability to work independently while assimilating various technical subjects. Strong written and oral communication, negotiation and presentation skills. Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects. Education: Bachelor's degree or equivalent experience required. Comprehensive claims investigations/settling experience 1-3 years’ experience in Claims or similar organization Thanks & Regardsaa415a4b-8b21-40fc-a65c-70d2b25ca29a
- ...Description: Sr Claim Examiner- WC 03-month contract with possible extension or conversion Remote Note: Must have multiple years' experience handling CA WC. Must work in PST hours . Duties: Interprets and makes decisions using independent judgment on more complex and...SuggestedContract workRemote work
$86k - $94k
Switch'd is looking for a WC Claims Examiner to manage dedicated hospital accounts and ensure claims are examined thoroughly. This role requires 3-5 years of experience and a valid license in CA or NV, alongside SIP certification. The position offers a hybrid work model...SuggestedWork at office- ...Kindred Resource Group is looking for an experienced Workers' Compensation Claims Examiner in Phoenix, Arizona. This hybrid role requires managing complex WC claims from injury report to resolution. The ideal candidate has a minimum of three years of experience with strong...Suggested
$48.09k - $87.94k
...Sr. Claim Examiner – WC Ready to take on high-stakes claims and make a real impact? We're seeking an experienced Claims Adjuster who excels at handling advanced, large-loss, and complex cases—with the independence to make sound decisions and the expertise to deliver...SuggestedFull timeRemote work- ...Job Description Now Hiring: Claim Examiner - Workers' Compensation (Remote, Seasonal/Temp) We're hiring a Seasonal/Temporary Claim Examiner... ...make a real impact from anywhere. As a Claim Examiner - WC , you'll manage claims end-to-end-investigating, evaluating,...SuggestedTemporary workSeasonal workImmediate startRemote work
- ...We're Hiring: Sr Claim Examiner - Defense Base Act WC Ready to take your expertise to a global stage? We're seeking a Senior Claim Examiner with strong experience in Defense Base Act (DBA) or Longshore Workers' Compensation claims to handle complex, high-exposure...
- ...Job Description We're Hiring: Sr. Claim Examiner - WC (Nevada) Ready to take on high-stakes claims and make a real impact? We're seeking an experienced Workers' Compensation Claims Adjuster based in Nevada who excels at handling advanced, large-loss, and...Remote work
- ...We're Hiring: Sr. Claim Examiner - WC (NEVADA) Ready to take on high-stakes claims and make a real impact? We're seeking an experienced Claims Adjuster who excels at handling advanced, large-loss, and complex cases-with the independence to make sound decisions...
- ...Job Description Job Description Job Summary We are seeking a Certified WC Claims Examiner for a contract opportunity in Martinez, CA. This role is a strong fit for an experienced workers’ compensation claims professional with hands-on indemnity claims experience...Contract workTemporary work
$59.1k - $120.2k
...located in Central or Eastern time zone. ADP is hiring a Lead Claims Examiner. In this position you will perform the following basic... ...it's specified goals. QUALIFICATIONS REQUIRED: ~5 years WC Indemnity adjusting or industry related experience. ~2 years...Minimum wageTemporary workLocal area- We’re Hiring: Sr. Claim Examiner - WC (Denver, CO) Ready to take on high‑stakes claims and make a real impact? We’re seeking an experienced Claims Adjuster who excels at handling advanced, large‑loss, and complex cases—with the independence to make sound decisions and the...
- We’re Hiring: Sr Claim Examiner - Defense Base Act WC Ready to take your expertise to a global stage? We’re seeking a Senior Claim Examiner with strong experience in Defense Base Act (DBA) or Longshore Workers’ Compensation claims to handle complex, high-exposure cases...
$65k - $77k
...an insurance company option and a purely administrative option for our customers. Responsibilities To perform workers’ compensation claims adjudication and investigation. Responsible for all technical aspects of claim management for assigned including compliance with...Full time$80k - $110k
...OVERVIEW Alera Group is looking for a WC Claims Consultant. We are seeking highly motivated colleagues who bring experience and enthusiasm to our team - joining us may be the perfect fit for you! Founded in 2017, Alera Group has grown to become the...Local areaRemote work$2,500 per month
...HIRING NOW: Claims Specialist - Workers' Compensation (NEVADA) Ready to make a real impact? We're looking for a sharp, proactive Claims Specialist-WC to join our team! In This Role, You'll ⚡ Administer and resolve non-complex, short-term Workers' Compensation...Temporary work$25.77 - $33.52 per hour
...Cincinnati WC Claims Specialist Organization: Workers' Compensation Agency Contact Name and Information: Mia Truss-Davis - HCM... ...Indicator: Classified Union: OCSEA Primary Job Skill: Claims Examination Job Description BWC's core hours of operation are Monday...Permanent employmentFull timeTemporary workPart timeWork at officeMonday to FridayFlexible hours$2,500 per month
...Claims Specialist-WC Ready to make a real impact? We're looking for a sharp, proactive Claims Specialist-WC to join our team! In This Role, You'll Administer and resolve non-complex, short-term Workers' Compensation claims, including medical-only cases Maintain accurate...Hourly payFull timeTemporary workRemote work$200k - $240k
...HDI Global Insurance Company seeks an Executive Underwriter – WC and Admitted Casualty in Chicago. This role is vital for managing a portfolio of primary casualty risks, including General Liability and Workers’ Compensation. You will leverage broker relationships to foster...- ...Consolidated Personnel Services, Inc. (CPS), a growing Professional Employer Organization (PEO), is looking for a Workers’ Compensation (WC) Claims Specialist to join our team. In this role, you’ll oversee workers’ compensation claims end‑to‑end while serving as a key support...Full timeWork at office
$80k - $110k
OVERVIEW Propel, an Alera Group company, is looking for a WC Claims Consultant. We are seeking highly motivated colleagues who bring experience and enthusiasm to our team - joining us may be the perfect fit for you! Founded in 2017, Alera Group has grown to become the...Local area- ...ESIS Senior Claims Representative, WC Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees...Full timeContract workTemporary workLocal area
- ...Jonus Group is seeking an experienced Senior Commercial General Liability & Workers’ Compensation Claims Adjuster for their New York office. You will manage complex claims from inception to resolution while delivering exceptional customer service and ensuring compliance...Work at office
$70k - $80k
Sedgwick is looking for a Workers' Compensation Claims Examiner to analyze Medical Only and Lost-Times claims for clients. The role involves negotiating settlements and ensuring timely resolution of claims. The ideal candidate has 3-5 years of claims management experience...Remote workFlexible hours$70k - $80k
Sedgwick is hiring a Workers' Compensation Claims Examiner focusing on Medical Only and Lost-Times claims. The role includes analyzing claims, negotiating settlements, and communicating with clients. Candidates should have 3-5 years of claims management experience and a...Remote workFlexible hours$75k - $88k
...Berkley Risk, located in Minneapolis, is seeking an experienced claims manager to oversee a caseload of complex workers' compensation cases. The ideal candidate will have a strong knowledge of claims management, including litigation and regulatory compliance. Offering...Remote work$70k - $80k
Sedgwick is hiring a Workers' Compensation Claims Examiner to analyze Medical Only and Lost-Times workers’ compensation claims, ensuring timely resolution and adherence to service expectations. Applicants should have 3-5 years of claims management experience and preferably...Remote workFlexible hours$70k - $80k
Sedgwick is looking for a Workers' Compensation Claims Examiner with expertise in analyzing medical and lost-time claims. The role requires 3-5 years of claims management experience and knowledge of NY & VT jurisdictions. Responsibilities include negotiating settlements...Remote workFlexible hours- Sedgwick is seeking a Workers' Compensation Claims Examiner for a remote position focused on Medical Only and Lost-Times claims. The ideal candidate will have 3-5 years of claims management experience and be knowledgeable about NY and VT jurisdictions. Responsibilities...Remote workFlexible hours
- ...TRISTAR Insurance Group in Albuquerque, NM is seeking a Claims Examiner III to manage indemnity claims with minimal supervision. The role requires interaction with clients and claims management, handling complex claims and ensuring compliance with guidelines. Ideal candidates...
$29.35 - $47.28 per hour
...CA Senior WC Claims Specialist The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours
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