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WHAT WE ARE SEEKING We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions.
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated experienced Claims professional to join our team. Review open and closed files to ensure adherence to claim handling guidelines and state's Fair Claims Practices.
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Responsibilities include: Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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P&C Commercial Claims Adjuster - Carrier or TPA - REMOTE Put your Insurance Experience to work - FROM HOME At Wahve, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home.
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Compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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3-5 years of multi-line claims handling experience with increasing responsibilities. Review and monitor open claims files. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave.
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If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Desired Skills & ExperienceBachelor's degree or equivalent experienceKnowledge of Xactimate software is preferred but not requiredAbility to resolve complex issuesOrganize and interpret dataAbility to handle multiple assignmentsPossess a valid driver's licenseBenefitsAuto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success.
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Willingness to relocate after one or two years of training in the Home Office. Description We offer a merit-based work-from-home program based on job responsibilities. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package.
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Claims Examiner - Workers Compensation. PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
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Manages the litigation process; ensures timely and cost effective claims resolution. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
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Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
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Ensures claim files are properly documented and claims coding is correct. Five (5) years of claims management experience or equivalent combination of education and experience required. Negotiates settlement of claims within designated authority.
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Coordinates vendor referrals for additional investigation and/or litigation management. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
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Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
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