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Crum & Forster
Crum & Forster
1,001 – 5,000 कर्मचारी
बीमास्वास्थ्य बीमा
Crum & Forster अमेरिका की एक संपत्ति और दुर्घटना बीमा कंपनी है, जो स्वीकृत और सरप्लस लाइंस बीमाकर्ताओं के माध्यम से विशेषीकृत और मानक वाणिज्यिक बीमा सेवाएँ प्रदान करती है। इसका कारोबार एक विविधीकृत विशेषीकृत मंच पर आधारित है, जिसमें वाणिज्यिक जोखिम, दावों और जोखिम इंजीनियरिंग पर केंद्रित बीमा उत्पाद और सेवाएँ शामिल हैं। 1822 में स्थापित इस कंपनी ने 2023 में 5.3 अरब डॉलर के लिखित प्रीमियम की सूचना दी और इसे A.M. Best की वित्तीय मजबूती रेटिंग A (उत्कृष्ट) प्राप्त है। Crum & Forster संयुक्त राज्य भर में 2,000 से अधिक लोगों को रोजगार देती है और Fairfax Financial Holdings Limited का हिस्सा है, जो संपत्ति और दुर्घटना बीमा तथा पुनर्बीमा के क्षेत्र में कार्यरत समूह है।
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कंपनी की नौकरियाँ

Senior California Workers’ Compensation Claims Specialist

Handle California workers’ compensation claims for Crum & Forster’s commercial insurance portfolio. Investigate coverage, set reserves, coordinate return to work, and manage litigation.

USसंयुक्त राज्यCAकैलिफ़ोर्निया
$58,700 – $1,10,200 / वर्ष
रिमोटपूर्णकालिकवरिष्ठआवश्यक भाषा: अंग्रेज़ीदावा विशेषज्ञ

विवरण

  • Investigate routine and moderately complex claims using claims data
  • Determine coverage, compensability, subrogation, and benefits
  • Adjust and manage claims within assigned authority limits
  • Handle lost-time and complex medical-only assignments
  • Verify coverage and determine whether it applies
  • Contact employers and employees within 24 hours and attending physicians within 48 hours
  • Handle catastrophic claims under supervisory oversight
  • Conduct telephone investigations in line with claims handling procedures
  • Consult the Claim Manager when support is needed
  • Arrange nurse case management when indicated and monitor billing and performance
  • Set reserves for anticipated exposure within assigned authority limits
  • Complete required Reserve Worksheets and set reserves involving complex analysis
  • Coordinate return-to-work plans and establish target dates
  • Keep claim diaries updated at intervals of no more than three months
  • Record claim activity in the claims system
  • Review medical bills for causal connection and appropriateness, and approve payments
  • Follow special account handling instructions
  • Attend account meetings by phone and in person
  • Manage litigation on assigned claim files

आवश्यकताएँ

  • Bachelor’s degree or equivalent experience
  • At least three years of experience handling workers’ compensation claims
  • Strong working knowledge of California workers’ compensation statutes
  • Strong organizational ability
  • Effective time management
  • Excellent spoken and written communication
  • Strong aptitude for and knowledge of Microsoft Office applications
  • Ability to learn new programs quickly
  • Follow departmental policies and procedures, including authority limits, to meet risk management controls
  • Foreign language communication skills are an advantage

लाभ

  • Competitive compensation package
  • Employer 401(k) match
  • Employee stock purchase plan with employer matching
  • Generous paid time off
  • Health, dental, and vision coverage
  • Programs supporting physical, mental, and financial wellbeing
  • Tuition reimbursement
  • Industry-related certifications
  • Professional training
  • Dynamic, ambitious, and engaging work environment
  • Matching donation program
  • Volunteer opportunities
  • Employee-led corporate giving program
  • Equal employment opportunity and accommodations for applicants with disabilities

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