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Crum & Forster
Crum & Forster
1.001 – 5.000 Angajați
Asigurare de sănătateAsigurări
Crum & Forster este o companie americană de asigurări de bunuri și răspundere civilă, care oferă linii comerciale specializate și standard prin intermediul asigurătorilor autorizați și al asigurătorilor de pe piața surplusului. Activitatea sa se desfășoară printr-o platformă specializată și diversificată, care include produse și servicii de asigurare axate pe riscuri comerciale, daune și ingineria riscurilor. Înființată în 1822, compania a raportat prime subscrise în valoare de 5,3 miliarde de dolari în 2023 și deține un rating de soliditate financiară A (Excelent) acordat de A.M. Best. Crum & Forster are peste 2.000 de angajați în Statele Unite și face parte din Fairfax Financial Holdings Limited, un grup activ în asigurarea și reasigurarea bunurilor și răspunderii civile.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiCACalifornia
58.700 $ – 110.200 $ / an
RemoteNormă întreagăSeniorLimbă Obligatorie: englezăSpecialist în daune

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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

Locuri de muncă similare

Sedgwick

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

Sedgwick
Sponsor pentru viza H1BAsistență medicalăConstrucțiiConsultanță
USStatele Unite ale AmericiiCACaliforniaFLFloridaNYNew York
80.000 $ – 90.000 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăSpecialist în daune

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.

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