EMC Insurance Companies

1001 – 5000 Darbinieki

EMC Insurance Companies ir savstarpēja apdrošināšanas sabiedrība, kas uzņēmumiem piedāvā komerciālā īpašuma, atbildības, darbinieku kompensācijas un uzņēmumu īpašnieku apdrošināšanu. Uzņēmums sadarbojas ar vietējiem aģentiem, lai izstrādātu katra apdrošinājuma ņēmēja vajadzībām piemērotu segumu, ko papildina riska pārvaldības un zaudējumu novēršanas resursi. Tā darbība ir vērsta uz specializētu komerciālo aizsardzību, ciešu sadarbību ar aģentiem un atsaucīgu apkalpošanu organizācijām, kas gatavojas darbības un finanšu riskiem.

Vakances uzņēmumā

Senior Workers' Compensation Claims Adjuster

Manage complex workers' compensation claims for EMC Insurance Companies, from investigation through resolution. Assess coverage and reserves, negotiate settlements, and coordinate with clients and other stakeholders.

pirms 2 nedēļām

Amerikas Savienotās Valstis

78 726 $ – 119 646 $ / gads

Attālināti Pilna slodze Vecākais speciālists Nepieciešamā Valoda: angļu Apdrošināšanas atlīdzību speciālists

Apraksts

Manage moderately to highly complex workers' compensation claims from investigation through resolution.
Review coverage and determine whether losses are covered under client policies.
Contact clients, claimants, employees, and medical providers within 24 hours.
Investigate claim facts and obtain recorded statements.
Create and carry out plans to resolve claims efficiently.
Set and maintain reserves in line with client guidelines.
Review medical records and bills to assess injuries, compensability, treatment, and accuracy.
Identify risk factors and refer claims for specialized handling, including SIU, subrogation, and medical review.
Investigate and pursue subrogation opportunities.
Escalate complex claims and work with leadership on their handling.
Prepare required filings for the relevant jurisdictions.
Assess coverage, liability, and claim value, and respond to stakeholder questions.
Negotiate settlements, take part in mediation, and manage payments within authorized limits.
Prepare denial and settlement documents, and support litigation, mediation, arbitration, and Medicare compliance.
Maintain diaries and action plans; update claims; consult with clients; coordinate vendors; and manage reporting.
Keep current with regulations and maintain licenses and continuing education credits.
Help train and mentor team members.

Prasības

Bachelor's degree or equivalent relevant experience.
Five years of claims adjusting or related experience.
Experience with a third-party administrator (TPA) is preferred.
INS, AIC, SCLA, WCLA, or CPCU coursework or designation is preferred.
Workers' compensation claims adjusting experience in IA, MN, NE, SD, IN, KS, MO, WI, or IL is preferred.
Strong knowledge of claims theory and practice.
Strong analytical, investigative, and problem-solving skills for assessing liability and coverage.
Thorough knowledge of insurance contracts, medical terminology, and legal procedures affecting liability.
Strong computer skills, including experience with claims systems.
Strong organizational, written, and verbal communication skills, including documentation.
Ability to advise, partner with, and consult diverse internal and external stakeholders.
Occasional travel is required.
Valid driver's license and an acceptable motor vehicle report under company standards.

Priekšrocības

Comprehensive rewards package; benefit details are available at www.emcins.com/careers.
Remote work from home anywhere in the United States.
Tobacco-free workplaces and company vehicles.

Saistītās vakances

201 – 500 Darbinieki

Banku darbība Finanses Fintech

Amerikas Savienotās Valstis

Aiova Attālināti Pilna slodze Vidējais līmenis Vecākais speciālists Nepieciešamā Valoda: angļu Apdrošināšanas atlīdzību speciālists

CBCS is seeking a remote commercial trucking claims adjuster to handle bodily injury and liability claims. The role calls for claims law expertise, sound analysis, and strong negotiation skills.

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Kvalificēta darbinieka vīzas sponsors Juridiskie pakalpojumi Konsultācijas Veselības aprūpe

Amerikas Savienotās Valstis

Alabama

Florida

23 $ – 32 $ / stunda

Attālināti Pilna slodze Vidējais līmenis Vecākais speciālists Nepieciešamā Valoda: angļu Apdrošināšanas atlīdzību speciālists

Assess crop insurance liability and coverage for Zurich’s U.S. business, supporting claims reviews and quality operations. The role covers assigned farm territories in Alabama or Florida and may include catastrophe response and remote claims support.

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Kvalificēta darbinieka vīzas sponsors Juridiskie pakalpojumi Konsultācijas Veselības aprūpe

Amerikas Savienotās Valstis

Ziemeļdakota

47 000 $ – 77 000 $ / gads

Attālināti Pilna slodze Vidējais līmenis Vecākais speciālists Nepieciešamā Valoda: angļu Apdrošināšanas atlīdzību speciālists

Assess agricultural losses for Zurich’s RCIS crop insurance business and determine liability and policy coverage. The role serves a North Dakota territory.

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1001 – 5000 Darbinieki

Apdrošināšana B2C Finanses

Investigate and settle personal and commercial property claims for Encova Insurance through primarily remote communications. Coordinate coverage, valuations, contractors, and catastrophe response.

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