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Crum & Forster
Crum & Forster
1001 – 5000 Zaposleni
ZavarovanjeZdravstveno zavarovanje
Crum & Forster je ameriška zavarovalnica za premoženjska zavarovanja in zavarovanja odgovornosti, ki prek zavarovalnic z dovoljenjem za opravljanje dejavnosti in zavarovalnic na trgu presežnih tveganj ponuja specializirane in standardne komercialne zavarovalne produkte. Njeno poslovanje zajema raznoliko specializirano platformo, vključno z zavarovalnimi produkti in storitvami, osredotočenimi na komercialna tveganja, obravnavo škod in inženiring tveganj. Družba je bila ustanovljena leta 1822, leta 2023 je poročala o 5,3 milijarde USD obračunanih premij ter ima bonitetno oceno finančne moči A (Excellent) agencije A.M. Best. Crum & Forster zaposluje več kot 2.000 ljudi po Združenih državah Amerike in je del skupine Fairfax Financial Holdings Limited, ki se ukvarja z zavarovanjem in pozavarovanjem premoženja in odgovornosti.
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Delovna mesta v podjetju

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.

USZdružene države AmerikeCAKalifornija
58.700 $ – 110.200 $ / leto
Na daljavoPolni delovni časSeniorZahtevani Jezik: angleščinaSpecialist za obravnavo škod

Opis

  • 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

Zahteve

  • 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

Ugodnosti

  • 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

Sorodna delovna mesta

Sedgwick

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

Sedgwick
Sponzor vizuma H1BGradbeništvoSvetovanjeZdravstveno varstvo
USZdružene države AmerikeCAKalifornijaFLFloridaNYNew York
80.000 $ – 90.000 $ / leto
Na daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaSpecialist za obravnavo škod

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.

Odpri