Senior WC Claims Examiner: Investigations & Settlements
AmTrust Financial
AmTrust Financial Services in New York seeks a Senior Claims Examiner - WC to manage the examination and settlement of workers' compensation claims. The role requires over 5 years of experience as a Workers Comp adjuster and proficiency in MS Office. Responsibilities include investigating claims, analyzing medical bills, and ensuring timely payment. AmTrust offers competitive compensation, medical & dental plans, life insurance, and a culture that emphasizes diversity and inclusion. Excellent career advancement opportunities are also available. #J-18808-Ljbffr
$80k - $88k
Vanliner Insurance Company is seeking a Claims Adjuster in the Town of Florida, NY, to manage claims and negotiate settlements. The role requires a Bachelor's Degree and at... ...claims handling. Responsibilities include investigating claims, evaluating compensability, and...Senior$62.4k - $93.6k
...Workers' Compensation Senior Claim Representative page is loaded## Workers' Compensation... ...planning, recommending, and executing the investigation of workers’ compensation claims. Our... ...with the valuation, disposition and settlement of worker compensation claims while consistently...SeniorTemporary workRemote workMonday to Friday3 days per week$100k
...the unique coverage and claims-handling needs of... ...Holdings Inc. Job Title Senior Environmental Technical... ...gathering, analysis, and investigation to find solutions to... .... Licensed Claims Examiner (state based) or ability... ...mechanisms for resolving claim settlement disputes such as...SeniorFull timeLocal areaWork from homeVisa sponsorship$87.7k - $157.8k
...waste, and abuse activities in New York. Responsibilities include monitoring billing integrity and leading a team for pre-payment investigations. Ideal candidates should possess a bachelor’s degree and over four years of relevant experience in healthcare or business. The...SeniorRemote work- ...Cannon Cochran Management Services, Inc. is seeking a Multi-Line Claim Specialist to investigate and adjust general liability claims. This is a hybrid position based in Maitland, FL. The ideal candidate will have at least 8-10 years of multi-line claim experience and communicate...Senior
- ...determining action on property/casualty claims based on coverage, appraisal, and... ...handling (customer contacts, coverage, investigation, evaluation, reserving, negotiations and... ...ALE. Establish reserve amounts within settlement authority limit; recommends claims which...Senior
$107.6k - $161.4k
...The Hartford is seeking a Specialist Claims to manage complex Personal and Advertising Injury Liability claims. You will be responsible for conducting investigations, making coverage determinations, and developing resolution strategies. This role requires a Bachelor’s...SeniorRemote work- ...complex property losses; Ability to conduct comprehensive claims investigations involving complex issues regarding coverage, liability and... ...articulate complex claims to Client’s Management for reserve and settlement authority. Knowledge of Florida property claims law and...SeniorLocal area
$74.6k - $124.4k
...Wilmington Trust is looking for an experienced Estate Settlement Administrator in the Town of Florida, New York. This role involves managing the full lifecycle of estate administration for high-net-worth clients, ensuring compliance and mentoring junior team members....Senior$68.5k - $85k
Cannon Cochran Management Services, Inc. is looking for a Multi-Line Claim Specialist to investigate and adjust multi-line claims. This role requires 8-10 years of experience in multi-line claims, with excellent communication and negotiation skills. A Bachelor’s degree...Senior- ...experience handling total property loss claims Knowledge of Florida property claims... ...performing Desk Adjusting Services); Ability to investigate, document, scope, and estimate damages... ...to evaluate and negotiate claim settlements; Strong caseload management skills to include...SeniorLocal area
- ...FCCI in the United States is hiring a Surety Claim Specialist to handle complex surety claims, evaluate exposures, and manage settlements. This role requires substantial experience in surety law and excellent analytical skills. Applicants should possess a Bachelor's degree...SeniorRemote work
- ...TD in Town of Florida, NY is looking for an experienced investigator to conduct end-to-end investigations related to money laundering and financial crime. The ideal candidate will have a bachelor's degree or equivalent experience and 5+ years in investigations. Responsibilities...Senior
$62.4k - $93.6k
A leading insurance provider is seeking a Workers' Compensation Senior Claim Representative to manage and investigate claims in a hybrid or remote capacity. The role demands a Claim Administrator certification and over 2 years of experience in claim handling. Key responsibilities...SeniorRemote job- CCMSI is seeking an experienced Workers’ Compensation Claim Consultant to manage a complex portfolio of claims. You will lead thorough investigations, guide claim strategy, and ensure fair and timely resolutions with over 5 years of claims experience. The position offers...SeniorWork at office
- ...Hispanic Alliance for Career Enhancement seeks a Sr. Analyst for Fraud, Waste, and Abuse (FWA) detection and investigation. The role involves analytical review of claims data, referencing regulatory agencies, and collaboration across departments to prevent misconduct....Senior
$107.7k - $199.3k
...Corporation in New York seeks a highly skilled individual to lead and manage complex internal investigations. This role requires exceptional judgment and the ability to guide senior management while ensuring compliance with federal and state regulations. The ideal...SeniorRemote job- Robson Forensic, Inc. is seeking a P.E. with 15+ years in construction management to become a forensic expert. This role involves investigating incidents and analyzing site procedures, complemented by training for expert testimony. Ideal candidates will possess a B.S. in...Senior
$75k - $92k
...least 9 years of experience in property and casualty claims handling, along with a bachelor's degree in a relevant... ...Responsibilities include managing complex claims, conducting investigations, and negotiating settlements. The selected candidate will enjoy competitive...SeniorRemote job- Velera, located in the Town of Florida, New York, is seeking a Settlement Resolution Specialist. In this role, you will provide senior-level guidance on escalated settlement inquiries relating to chargebacks and errors. The position demands in-depth knowledge of settlement...Senior
$46.99k - $122.4k
CVS Health, located in Town of Florida, New York, is seeking a Fraud Investigator with experience in healthcare fraud and abuse investigations. The role involves handling complex cases, conducting investigations, and documenting findings efficiently. The ideal candidate...SeniorFull time- Velera Solutions, LLC is seeking a Settlement Resolution Specialist in New York to provide senior-level guidance on escalated settlement inquiries from financial institutions. This role involves researching and resolving settlement errors while collaborating with internal...SeniorRemote job
- ...CWA Recruiting is seeking a skilled Workers' Compensation Underwriter in Florida. The position involves assessing and pricing WC risks for independent retail agencies, overseeing a book of business, and driving growth in the WC product line. The right candidate will possess...
- NextEra Energy Resources in New York is looking for a Principal Regulatory Investigation Analyst to manage regulatory inquiries and compliance events. This role involves coordinating with business units to address regulatory issues and ensure compliance with energy regulations...Senior
- ...AML-Financial Intelligence Unit responsible for analyzing and investigating transactional activities to adhere to regulatory standards. You... ...projects, resolve complex issues, and communicate findings to senior leadership. The ideal candidate will have a bachelor ’s degree,...Senior
- ...Athens Administrators is seeking a full-time Claims Examiner I in Lake Mary, FL, to support their Property & Casualty department. The role involves investigating and determining settlements for auto property and casualty claims from inception to closure. Candidates should...Full timeRemote work
- ...a seasoned Principal, Legal Compliance (Ethics & Compliance Officer) based in the United States. This role involves conducting investigations into compliance issues and providing ethical guidance across various departments. Candidates should have extensive experience in...
- ...section of the system. Job Description At Regions, the Senior Corporate Security Field Investigator works closely with branch associates, bank management,... ...'s degree Hold certification(s) for Certified Fraud Examiner (CFE), Certified Protection Professional (CPP), Certified...SeniorFull timeLocal areaFlexible hoursNight shiftWeekend work
- ...FCCI is seeking an experienced E&S Claim Adjuster to manage Excess and Surplus Lines claims, requiring expertise in coverage and litigation management. This role emphasizes investigation, negotiation, and relationship building with policyholders and agents. The ideal candidate...SeniorRemote work
- ...MCC Mid-Continent Casualty Company is seeking a Claims Specialist/Senior Claims Specialist to manage a portfolio of complex, high-value commercial liability and auto claims. This role requires 9+ years of experience and a strong understanding of policy coverage. The position...Senior
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