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Crum & Forster
Crum & Forster
1 001 – 5 000 Darbuotojai
DraudimasSveikatos draudimas
„Crum & Forster“ yra JAV turto ir nelaimingų atsitikimų draudimo bendrovė, teikianti specializuotas ir standartines komercinio draudimo paslaugas per įprastinio ir perteklinio draudimo draudikus. Jos veikla apima įvairiapusę specializuoto draudimo platformą, įskaitant draudimo produktus ir paslaugas, skirtas komercinei rizikai, žaloms ir rizikos inžinerijai. 1822 m. įsteigta bendrovė pranešė, kad 2023 m. pasirašytų įmokų suma siekė 5,3 mlrd. JAV dolerių, o jos A.M. Best finansinio pajėgumo reitingas yra A (Excellent). „Crum & Forster“ visose Jungtinėse Amerikos Valstijose įdarbina daugiau kaip 2 000 žmonių ir priklauso „Fairfax Financial Holdings Limited“ grupei, veikiančiai turto ir nelaimingų atsitikimų draudimo bei perdraudimo srityse.
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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.

USJungtinės ValstijosCAKalifornija
58 700 $ – 110 200 $ / metai
NuotolinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųDraudimo žalų specialistas

Aprašymas

  • 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

Reikalavimai

  • 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

Privalumai

  • 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

Susiję darbai

Sedgwick

Senior Liability Claims Examiner – General Liability, Bodily Injury and Property Damage

Sedgwick
H1B vizos rėmėjasKonsultavimasStatybaSveikatos priežiūra
USJungtinės ValstijosCAKalifornijaFLFloridaNYNiujorkas
80 000 $ – 90 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųDraudimo žalų specialistas

Examine commercial trucking, general liability, bodily injury, property damage, and construction defect claims for Sedgwick. Handle claims across the United States, with particular focus on California, Florida, and New York.

Atidaryti
K2 Insurance Services

Auto Liability Claims Adjuster

K2 Insurance Services
501 – 1 000 Darbuotojai
DraudimasKonsultavimasRinkodara
USJungtinės ValstijosCAKalifornijaFLFloridaPAPensilvanijaTXTeksasas
70 000 $ – 90 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųDraudimo žalų specialistas

Handle personal auto liability claims for Patriot MGA, from investigation through resolution. Apply state laws to assess liability, document decisions, and coordinate claim handling.

Atidaryti
K2 Insurance Services

Remote Bodily Injury Claims Adjuster

K2 Insurance Services
501 – 1 000 Darbuotojai
DraudimasKonsultavimasRinkodara
USJungtinės ValstijosCAKalifornijaFLFloridaPAPensilvanijaTXTeksasas
70 000 $ – 90 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųDraudimo žalų specialistas

Investigate and negotiate private passenger auto liability claims for Patriot MGA. Maintain compliant claim files, documentation, reserves, and responsive service.

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