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Claims Management Resources jobs

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  • National Client Manager - Northeast Region

    Matrix Absence Management 3.5company rating

    Annandale, VA job

    Job Responsibilities and Requirements Relationship Manager, Skilled Communicator, Accountability/Ownership Financial Acumen, Problem Solving, Solution Focused, Project Manager. The National Client Manager (NCM) is accountable for all aspects of the customer experience with assigned national clients as well as managing and owning the overall client relationship. As the lead of a team of professionals, the NCM will deliver on our promises, fully leverage the power of our service capabilities to exceed expectations and problem solve for custom customer needs. The NCM will review the financial metrics, retention and growth of the assigned block. The NCM will serve as a subject matter expert to our clients regarding Disability, Life, FML, State Leaves, and Company Leaves (Paid and Unpaid) as well as ADA. Typical group size is 2000+ lives. The National Client Manager is accountable for owning the following: * Builds and nurtures effective relationships with clients, brokers and internal partners to understand client needs and ultimately ensure client satisfaction. * Manages customer needs by cultivating internal partners to ensure full engagement of service in all areas of the customer experience. Serves as a role model and exemplifies behaviors worth imitating. Promotes effective and open communication with peers and managers. Supports company/department initiatives. * Creates a Communication Structure suited for each client. This includes stewardship with meaningful executive summaries and plans of action, site visits and regularly scheduled meetings with clients -- that delivers both tactical support, consultative direction and drives our value as a vendor partner. * Develops and actively manages Client Business Plans designed around customer needs, and manages the book of business financial metrics for profitability, growth and retention to achieve the company's objectives. These duties include but are not limited to oversight of plan performance, development and presentation of renewal positions, managing plan change requests and identifying opportunities for cross sell activity, plan enhancements and value add services. * Anticipates, analyzes, and defines problems. Develops and discusses alternate solutions as necessary. Makes appropriate decisions in a timely manner, and analyzes the impact of decisions. * Communicates and presents with confidence using words to effectively influence positive outcomes & drive strategy. * Identifies issues, provides solutions and drives to resolution of complex client issues in a timely and collaborative manner. * Demonstrates expertise in job functions. Keeps current of regulations pertinent to responsibilities. Sets up controls for workflow efficiency and accountability. Meet deadlines and achieves assigned goals within designated timeframes. Required Knowledge, Skills, Abilities and/or Related Experience * Bachelor's Degree (BS/BA) - Business or related experience preferred * Group Life and Health License(s) required * Knowledge of MS Office applications required including Outlook, Word, Excel, and PowerPoint * Self-motivated with the ability and manage own work. * Consistently champions company and department vision and goals; drives client adherence to initiatives. * Excellent presentation and written/verbal communication skills. * Proven ability to multi-task, manage tight deadlines * Demonstrates -strong analytical and problem solving skills. * High level of customer service orientation. * Ability to manage responsibilities with limited supervision, work autonomously * Ability to prioritize daily responsibilities by readily discerning the urgent needs, escalates as needed. * Experience in negotiating complex contracts and agreements. * Highly Adaptable with an ability to learn and grow in an ever changing environment * At least 3-5 years of group insurance experience, absence management, disability, leave and life insurance. As well as experience in account management, sales or underwriting Ability to Travel: Up to 50% The expected hiring range for this position is $98,180.00 - $131,060.00 annually for work performed in the primary location (King of Prussia, PA). This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future. Work location may be flexible if approved by the Company. What We Offer At Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you. That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing. Our Benefits: * An annual performance bonus for all team members * Generous 401(k) company match that is immediately vested * A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account * Multiple options for dental and vision coverage * Company provided Life & Disability Insurance to ensure financial protection when you need it most * Family friendly benefits including Paid Parental Leave & Adoption Assistance * Hybrid work arrangements for eligible roles * Tuition Reimbursement and Continuing Professional Education * Paid Time Off - new hires start with at least 20 days of PTO per year in addition to nine company paid holidays. As you grow with us, your PTO may increase based on your level within the company and years of service. * Volunteer days, community partnerships, and Employee Assistance Program * Ability to connect with colleagues around the country through our Employee Resource Group program Our Values: * Integrity * Empowerment * Compassion * Collaboration * Fun EEO Statement Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications. #LI-Hybrid #LI-MR2
    $98.2k-131.1k yearly Auto-Apply 4d ago
  • Claims Supervisor

    Athens Administrators 4.0company rating

    Remote or Las Vegas, NV job

    DETAILS Claims Supervisor Department: Workers' Compensation Reports To: Division Claims Manager FLSA Status: Exempt Job Grade: 14 Career Ladder: Next step in progression could include Division Claims Manager ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today! POSITION SUMMARY Athens Administrators has an immediate need for a Claims Supervisor to support our Workers Compensation office in Las Vegas on W. Lake Mead. This position allows for hybrid work from home four days a week if technical requirements are met, and one day a week (Wednesday) in office. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week with the option of a flex schedule. This position can be worked remotely from Nevada, if technical requirements are met. As a Claims Supervisor, you'll play a pivotal role in leading and collaborating with Athens management to achieve exciting company goals, run insightful reports, and streamline processes. You'll make impactful daily claims decisions, review files for accuracy, and approve payments that exceed examiner authority. Additionally, you'll ensure top-notch file handling, accurate claims coding, and meet unit closing goals. You'll be the guiding force for your team, planning, organizing, delegating workloads, supervising daily activities, providing training, and offering valuable guidance. In client management, you'll address policy and claims issues, build and maintain strong relationships, attend key meetings, ensure compliance with client instructions, and document interactions, always acting in the client's best interest. Join us and make a difference every day! PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Claims Leadership Work with Athens management to achieve company initiatives and performance goals Consistently strive to improve and streamline current processes Authorize release of payment and settlement Make daily claims decisions regarding plan of action, handling of payment, etc. Review claim files for accuracy Run various reports with an eye for accuracy and confidentiality Approve payments and reserve increases when they rise above Examiner's authority level Work collaboratively with internal and clients' senior management as well as with attorneys to draft settlements and assist with litigation strategies Provide timely information to clients, attorneys, doctors, investigators and injured workers with strong, professional communication Discuss appropriateness of medical treatment with medical case manager Assure consistent and accurate claims coding is occurring on the team Ensure quality file handling and resolution. This includes meeting unit closing goals, verifying proper reserves, providing thorough claims analysis and guiding to correct resolution Use flexibility when working in demanding and changing situations Employee Management Effectively plan, organize and delegate workload for optimal results and to ensure time commitments are met Supervise daily activities of the team by monitoring progress, ensuring compliance with policies, and promptly addressing any issues or conflicts Identify, coordinate, coach, and perform training with staff to improve performance and increase their growth and knowledge in claims Participate in the interview process, onboarding and training of new hires Provide general guidance to the team by offering support and advice on work-related issues, fostering a positive work environment, encouraging professional development, and reviewing performance through evaluations, feedback, goal setting, and identifying areas for improvement Provide direct feedback and use sound coaching techniques to solve disciplinary or workflow problems. Manage and document employee relations issues at all levels. Work in conjunction with Human Resources to ensure performance issues are managed in a timely and consistent manner Regularly lead organized and collaborative staff unit meetings, including both remote and on-site employees Maintain an open-door policy and an approachable attitude, and foster open communication with staff Client Management Work with clients with issues regarding policies, programs and/or claims Manage existing client relationships by being accessible, making regular service calls, and proactively identifying and solving potential problems Attend client meetings, internal meetings, and workers' compensation meetings both virtual and in-person Ensure notepads and diaries are set and completed timely in accordance with client handling instructions and Athens Best Practices and have meaningful action plans and information and are concise and well-written Obtain audit results meets or exceeds best practice standards of Athens and client Display integrity and always acts in the best interest of the client Document client meeting notes in appropriate shared location Work with Management to achieve company initiatives and performance goals Work with clients with issues regarding policies, programs and/or claims Supervise daily activities of team Coordinate and perform training Interview, hire and train employees Provide general guidance to staff Review performance of staff Resolve team/workflow problems Lead staff unit meetings Attend client meetings, in-house meetings, and workers' compensation meetings Authorize release of payment and settlement Make daily claims decisions regarding plan of action, handling of payment, etc. Review claim files for accuracy Run reports Approve payments and reserve increases when they rise above Examiner's authority level Work collaboratively with Athens' Administrators and clients' senior management Provide information to clients, attorneys, doctors, investigators and injured workers Work collaboratively with attorneys to draft settlements and assist with litigation strategies Discuss appropriateness of medical treatment with medical case manager Assures consistent and accurate claims coding is occurring throughout the organization. Supervisory Responsibilities Supervising, scheduling, assigning, monitoring, and evaluating work of assigned staff are responsibilities for supervisory positions. Provide direct supervision for 6-10 employees, typically consisting of Senior Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners and Assistant Claims Examiner Trainees. Attend on-site Leadership Summit at Athens Concord headquarters every 18 months (including overnight) Fiscal Responsibilities Review and approve direct report's monthly expense reports Ensure that all expenditures are in the best interest of the Company Use effective monitoring and reporting mechanisms to control expenses without lowering quality Search for and implement hidden cost improvements Obtain, maintain, and demonstrate an understanding of wage and hour laws as applicable for employees Ensure timely, accurate review and approval of timecards for your staff on payroll processing days. ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. High School Diploma or equivalent (GED) required for all positions AA/AS or BA/BS preferred but not required Must reside in Nevada and be legally capable of administering State of Nevada workers' compensation claims Solid and in-depth knowledge of workers' compensation laws, policies, and procedures 3+ years' recent workers compensation claims handling experience at a high level 5+ years' experience in a Workers' Comp claims lead or supervisor position preferred At least 2 years Claims Supervisory experience required Proficiency in determining case value and negotiating settlements Prior Third-Party Administrator (TPA) experience preferred Understanding of medical and legal terminology Strong attention to detail and organizational skills and the ability to research and resolve problems and meet multiple deadlines and to plan and effectuate short- and long-range Company and department objectives. Proficiency at applying business and technical acumen by understanding how the business works and how technology supports business initiatives. Leverages technology for self and staff to improve efficiency. Partnering with team to ensure on time task completion; done through delegation and leading by example, executing tasks rather than just instructing them to execute tasks Handles stressful situations and deadline pressures well Must demonstrate accuracy and thoroughness in work product Effectively influences people to achieve unit and organizational objectives Must be flexible, adaptable, and positive. Exhibit passion and energy to ensure that all employees are respected and treated in a manner consistent with Athens Values. Able to plan, prioritize and organize claims workload for a unit Skilled at presenting in small and large group settings Ability to create reports as required, using the report writing tools available or creating custom documents. Skilled at developing and maintaining effective relationships with others (co-workers, customers, vendors, management, and other key stakeholders) to achieve organizational goals Embrace the leadership role and can be counted on to help senior management drive towards the desired results and to exceed goals successfully. Able to interpret information from multiple sources and draw logical conclusions; consults others based on analysis of data; able to think strategically and use data findings to consult others for improved business results. Negotiating skills Mathematical calculating skills Exercise independent judgment and analytic ability in solving complex and sensitive problems Highly developed verbal and written communication skills with strong attention to detail Computer processing skills, including the ability to leverage technology for self and staff to improve efficiency Proficient in Microsoft Office Suite Ability to type quickly, accurately and for prolonged periods Ability to learn additional computer programs ClaimsXpress program experience preferred but not required Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization Seeks to include innovative strategies and methods to provide a high level of commitment to service and results Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company. Valid Driver's license and availability for travel including in office file reviews and meetings APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************* This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://*******************/careers/why-work-here
    $78k-110k yearly est. 23d ago
  • Workers' Compensation Lost Time Adjuster - Hybrid (MS/AL Jurisdictions)

    Cannon Cochran Management 4.0company rating

    Remote or Jackson, MS job

    Overview Workers' Compensation Claim Rep II Schedule: Monday-Friday, 7:30 AM-4:00 PM or 8:00 AM-4:30 PM Compensation: $50,000-$65,000 annually Build Your Career With Purpose at CCMSI At CCMSI, we don't just process claims-we support people. As one of the largest employee-owned Third Party Administrators in the country, CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Workers' Compensation Claim Representative II is responsible for the investigation and adjustment of lost-time workers' compensation claims for multiple accounts across the Alabama and Mississippi jurisdictions. This position serves as a key contributor to client satisfaction and compliance, ensuring claims are handled promptly, accurately, and in alignment with CCMSI's claim-handling standards. The role may also serve as an advanced training opportunity for future senior-level claim positions. Hybrid work is available following initial onboarding, with minimal travel for client claim reviews as needed. Responsibilities Investigate, evaluate, and adjust assigned workers' compensation claims in accordance with jurisdictional laws and company best practices. Establish, review, and maintain appropriate reserves within established authority levels. Review, approve, or negotiate medical, legal, and miscellaneous invoices to ensure accuracy and cost-effectiveness. Authorize and issue claim payments per corporate and client procedures. Negotiate claim settlements within corporate standards, client handling instructions, and applicable state laws. Coordinate and supervise outside vendor activities (e.g., legal, case management, surveillance). Evaluate subrogation opportunities and oversee recovery efforts. Prepare detailed status reports on claim activity, payments, and reserves as requested. Communicate effectively with clients, claimants, and other involved parties throughout the claims process. Attend hearings, mediations, and conferences as required. Maintain diary notes, documentation, and reports in accordance with compliance and audit standards. Qualifications Required: Three or more years of workers' compensation lost-time adjusting experience. Valid Alabama and Mississippi Adjuster Licenses (or ability to obtain within 60 days of hire). Proficiency in Microsoft Office (Word, Excel, Outlook). Preferred: Bachelor's degree in a related field. Experience managing multiple accounts or clients within a TPA or carrier setting. How We Measure Success Performance for this role is measured through: Adherence to claim-handling best practices and audit standards. Timeliness and accuracy of claim activity. Compliance with jurisdictional regulations and client expectations. Quality of communication and collaboration with clients and internal partners. What We Offer 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ClaimsCareers #InsuranceJobs #HybridWork #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.
    $50k-65k yearly Auto-Apply 6d ago
  • Claims Assistant

    Texas Mutual 4.8company rating

    Remote or Austin, TX job

    We're excited you're considering joining a great place to work! Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law. About this PositionAt Texas Mutual, we're creating a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to excel, and giving back to our communities. As a Claims Assistant, you will help support the Catastrophic Claims Unit, reporting to the Catastrophic Claims Supervisor. Recognized as one of the Best Places to Work in Texas, our employees benefit from a hybrid/flex work opportunity which includes working from home and having the opportunity to collaborate in the office.Responsibilities & QualificationsFOR EXTERNAL USE ONLY (i.e. recruiting, etc.) In this Role: Complete and file claim documentation, including importing, assigning and customizing documents to the appropriate claim files. Complete letters and forms, including required medical examination requests, peer review requests, designated doctor requests, mileage reimbursements requests, and DWC record requests. Prepare medical records and attorney packets. Respond to customers promptly and accurately. Required Qualifications: High school diploma. Zero to two years office experience (preferably in the insurance industry). Preferred Qualifications: Texas workers' compensation or all lines adjuster license preferred. Texas Mutual Pay Transparency The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model. Base Pay Range: $22.42 - $27.70 Per HourFlex-Hybrid Work Environment: Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed. Our Benefits: Annual performance bonus and merit-based pay increase Lifestyle Savings Account ($1,000 per year) Automatic 4% employer contribution to retirement plan 401k plan with 100% employer match up to 6% Student loan repayment matching in 401k plan Three weeks' time off for vacation Nine paid holidays and two personal days each year Day one health, Rx, vision and dental insurance Life and disability insurance Flexible spending account Pet insurance and pet Rx discounts Free on-site gym, fitness classes, and health and wellness resources Free identity theft protection Free student loan repayment and refinancing consultation Professional development and tuition reimbursement Employee referral bonus Free onsite snacks
    $22.4-27.7 hourly Auto-Apply 21d ago
  • Actuarial Associate

    QBE Insurance 4.9company rating

    Remote or Sun Prairie, WI job

    Primary DetailsTime Type: Full time Worker Type: Employee The Opportunity The purpose of this role is to support the Actuarial Department by performing basic actuarial calculations, extracting and reviewing data, and assisting with business planning and analysis under close supervision. The role aims to contribute to the monitoring of financial programs, providing quantitative information to aid in making sound business decisions and ensuring prudent strategic planning. Location: Sun Prairie, WI Work Arrangement: Hybrid working expectations The salary range for this role is between $64,000 - $96,000 Your new role: Ensure accurate data is used for analyses by adopting appropriate systems and procedures. Comply with documentation of key processes, policies, legal requirements, and actuarial standards. Support forecasting of technical provisions, reserve margins, and uncertainties for business analysis. Assist in the development of pricing tools, rates, and premium methods to ensure robustness. Support business planning processes by collecting and analyzing information effectively. Analyze reinsurance options to optimize purchases for the business. Assist in determining the capital needs of the business and developing relevant reports. Build and maintain relationships with internal and external stakeholders to enhance customer focus. Provide underwriting statistics and performance monitoring for accurate management information. Support in modelling and analyzing risk aggregation to manage exposures appropriately. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: Hybrid Working - a mix of working from home and in the office 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis Competitive 401(k) program with company match up to 8% Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice Tuition Reimbursement for professional certifications, and continuing education Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information. Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information Skills: Actuarial Science, Analytical Thinking, Critical Thinking, Customer Service, Data Analytics, Financial Data Reporting, Intentional collaboration, Managing performance, Problem Solving, Process Improvements, Report Writing, Research Analysis, Risk Management, Statistical Data Analysis, Working Independently How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
    $64k-96k yearly Auto-Apply 11d ago
  • Insurance Sales Producer

    Ohio Ark Insurance LLC 3.9company rating

    Remote or Chagrin Falls, OH job

    Job Description Are you seeking away to earn a consistent 6 figure income? Great, if your an experienced P&C Agent your base salary will start at $25,000 with first year commissions expected to be between around $25,000 and $35,000. Our agency is seeking a confident and highly motivated individual that's interested in a great sales career opportunity. Beside Stong earnings potential you will also have the opportunity to grow a team and in turn take advantage of profit sharing and business ownership. As an Insurance Sales Producer, you will followup on all leads generated by Ohio Ark Insurance and develop your own leads. You will invest 20% - 30% of your week meeting with small business owners, scheduling meetings and dropping off brochures tailored to 4-5 Custom Collection Business Segments. Benefits Annual Base Salary + Commission + Bonus Opportunities Flexible Schedule Health Insurance Dental Insurance Hands on Training Career Growth Opportunities Mon-Fri Schedule Evenings Off Work from Home Parental Leave Vision Insurance Life Insurance Retirement Plan Homework Equipment Supplied Leads Provided Appreciatiion Lunchs on occasion Weekly & Monthly Team Meetings Professional Sales Training Mentorship with an Established Agent Home and Work Life Balance Paid Holidays Responsibilities Meet / Exceed NEW business production goals and objectives as established Promoting Ohio Ark Insurance Daily Scheduling at least 10 meeting per week per week to close 2-3 policies LinkedIn - Manage LinkedIn and our CoPilot platform to attract, nurture and capture more Commercial business Networking - Develop Key relationship with companies that compliment our Insurance offerings Implement proven prospecting systems consisting of Direct Mail, Follow Up Calls and droping off Niche specific insurance Take advantage of consultative selling tools & process... proven to attract, capture and close more business Track progress and results - Utilize ActiveCampaign CRM to market, nurture and record all prospect and client communications interactions and track all sales activities. Requirements P&C License is required, must be willing to attain within 30-45 days, licensing assistance available Demonstrated ability to meet or exceed monthly/annual quotas Self Sufficient, works well on thier own and working with a team Strong communication skills, look forward to meeting and chatting with business owners At least 5 years experience working with productivity apps such as: KEAP or Active Campaign, Gmail, Google Calender
    $25k-35k yearly 7d ago
  • Contract Senior Recruiter

    QBE Insurance Group Limited 4.9company rating

    Remote or Chicago, IL job

    Primary Details Time Type: Full time Worker Type: Employee The Opportunity: This role is a contract opportunity until February 1, 2026. The purpose of this role is to support the development and execution of tactical sourcing strategies to generate candidate pipelines, attract quality talent, and meet recruiting goals. The successful candidate will support recruitment activities for the global and international business units of QBE Insurance. It will focus on candidates located in North America that support these divisions. This includes executing sourcing activities, building talent pools, and supporting talent acquisition strategies to fill roles effectively and efficiently. Additionally, the role involves collaborating with Talent Acquisition Business Partnering Lead to proactively manage recruitment activities across the organization. * Location: Chicago, IL; 500 West Madison St Suite 1205, Chicago IL 60661 * Work Arrangement: This role is hybrid, where you will be expected to be in the office 2-3 days per week. * The salary range for this role is between $89,500.00 - $134,500.00 USD Annual; will be prorated based on length of assignment. Your new role: * Utilize expertise to narrow the applicant pool and ensure recommended candidates meet hiring needs and business requirements. * Manage end-to-end talent acquisition process by sourcing, screening, and recommending candidates to build effective talent pipelines. * Serve as a resource to candidates by managing salary negotiations and informing them of the hiring process. * Deliver quality candidates to the recruitment leader for the assessment process. * Assist in identifying opportunities for continuous improvement by escalating sourcing and recruitment issues. * Maintain a highly visible profile in the market and foster communication with prospective candidates and industry thought leaders. * Understand cutting-edge technologies and screen candidates for technical roles. * Identify and engage with executive talent, assess high-level individuals, and manage relationships. * Organize and participate in recruiting events with campus organizations and build relationships with career centers and student organizations. Required Qualifications: * Bachelor's Degree or equivalent combination of education and work experience. * Relevant work experience in recruitment Preferred Experience: * Knowledge and passion for Talent Acquisition and recruitment from Agency, in-house or RPO. * Strong communication skills and ability to build relationships with stakeholders, candidates, recruiters and hiring managers. * Experience as a sourcer, researcher or recruiter in-house, RPO or agency. * Experience in conducting competency-based interviews. * Experienced in advanced internet searches, cold calling, networking, database mining, referrals and other recruitment techniques. * Experienced in implementing and executing various sourcing activities for different levels and roles. * Experienced in sourcing and building pipelines for different levels and roles. * Experience in managing and partnering with recruitment vendors to execute sourcing strategy. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: * Hybrid Working - a mix of working from home and in the office * 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis * Competitive 401(k) program with company match up to 8% * Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice * Tuition Reimbursement for professional certifications, and continuing education * Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. Supplementary information Skills: Applicant Tracking Systems (ATS), Communication, Conducting Interviews, Critical Thinking, Customer Service, Customer Value Management, Human Resources (HR), Intentional collaboration, Labor and Employment Law, Managing performance, Process Improvements, Recruiting, Risk Management, Succession Planning, Working Independently How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
    $89.5k-134.5k yearly Auto-Apply 11d ago
  • Medical Case Manager- CA

    Crawford 4.7company rating

    Remote or San Jose, CA job

    • Great Work Life Balance! • Quarterly Bonus Opportunities! • Free CEU's for licenses and certificates • License and national certification reimbursement This is a work from home position requiring local field case management travel to cover the San Jose, California region. Salary details: $51,283 - $93,781/Annually RN degree required National Certification such as CCM, CRC, COHN, CRRC preferred Prior Workers Compensation Case Management preferred To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management. Responsibilities Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW. Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention. May perform job site evaluations/summaries to facilitate case management process. Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians. Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker/disabled individual. May obtain records from the branch claims office. May review files for claims adjusters and supervisors for appropriate referral for case management services. May meet with employers to review active files. Makes referrals for Peer reviews and IME's by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians. Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases. Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product. Reviews cases with supervisor monthly to evaluate files and obtain directions. Upholds the Crawford and Company Code of Business Conduct at all times. Demonstrates excellent customer service, and respect for customers, co-workers, and management. Independently approaches problem solving by appropriate use of research and resources. May perform other related duties as assigned. Qualifications Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred. Minimum of 1-3 years diverse clinical experience and one of the below: Certification as a case manager from the URAC-approved list of certifications (preferred); A registered nurse (RN) license. Must be compliant with state requirements regarding national certifications. General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services. Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation. Excellent analytical and customer service skills to facilitate the resolution of case management problems. Basic computer skills including working knowledge of Microsoft Office products. Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees. Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes. Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously. Demonstrated leadership ability with a basic understanding of supervisory and management principles. Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. Active RN home state licensure in good standing without restrictions with the State Board of Nursing. Must meet specific requirements to provide medical case management services. Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months. National certification must be obtained in order to reach Senior Medical Case Management status. Travel may entail approximately 70% of work time. Must maintain a valid driver's license in state of residence. #LI-RG1
    $51.3k-93.8k yearly Auto-Apply 60d+ ago
  • Commercial Trucking and Bodily Injury Claims Adjuster - Remote

    Cannon Cochran Management 4.0company rating

    Remote or Dallas, TX job

    Overview Multi-Line Claim Representative II (or higher) - Remote (Commercial Trucking and Bodily Injury) Schedule: Monday-Friday, 8:00 AM-4:30 PM (local time) Salary Range: $75,000 to $85,000 Reports To: Claim Supervisor Caseload: Approximately 100 active files Client: Single, dedicated commercial trucking account Build Your Career With Purpose at CCMSI At CCMSI, we don't just process claims-we support people. As a leading Third Party Administrator and a certified Great Place to Work , we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact every day. Job Summary We are seeking an experienced Multi-Line Claim Representative II to manage commercial trucking liability claims involving both property damage and bodily injury for a single, dedicated client. This remote position is ideal for a self-motivated professional who takes pride in thorough investigation, clear communication, and delivering high-quality service. You will handle claims from start to finish, ensuring fair and timely resolutions while adhering to CCMSI's corporate claim standards and client-specific service expectations. Responsibilities Investigate, evaluate, and adjust bodily injury and property damage claims arising from commercial trucking incidents in accordance with established guidelines and jurisdictional regulations. Review claim documentation, legal correspondence, and invoices to determine coverage, liability, and damages. Authorize and process claim payments within settlement authority. Negotiate settlements with claimants, attorneys, and other parties as appropriate. Oversee litigation strategy and collaborate with defense counsel. Identify and pursue subrogation opportunities. Prepare detailed claim summaries, reserve updates, and client reports. Maintain accurate and timely documentation in the claim management system. Ensure compliance with service commitments, quality standards, and client-specific requirements. Qualifications Required: 5+ years of experience handling commercial trucking or multi-line liability claims. Active adjuster's license (in applicable jurisdictions). Strong written and verbal communication skills. Ability to work independently, prioritize effectively, and maintain confidentiality. Proficiency with Microsoft Office (Word, Excel, Outlook). Nice to Have: Experience managing claims for national commercial trucking clients. Knowledge of federal transportation regulations and industry best practices. Performance Metrics Performance is evaluated through annual reviews based on claim quality, timeliness, communication, and adherence to CCMSI's corporate and client standards. What We Offer • 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #ClaimsJobs #InsuranceCareers #TruckingIndustry #LiabilityClaims #ClaimsAdjuster #RemoteJobs #CareerGrowth #HiringNow #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $75k-85k yearly Auto-Apply 26d ago
  • Auto/ Heavy Equipment Appraiser

    Crawford 4.7company rating

    Remote job

    Under the direction of Vehicle Services Management and Heavy Equipment Specialists. Prepared written appraisals on damage to “on or off road” heavy equipment. Responsible for establishing accurate and acceptable repair figures if repairable. Establishes pre-loss actual cash value and possible salvage value if non-repairable. Heavy Equipment Claims Appraiser (Remote - US) Got 5+ years in insurance claims? Help us assess damage, value losses, and settle claims with precision. • Estimate repair & salvage values • Prep reports & follow client instructions • Support calls & local outreach • ✅ Always act with integrity Work from anywhere in the U.S. Looking for candidates with 5 years of experience in claims Remote - but should reside in Dallas, Philadelphia, Chicago, Los Angeles, Newtown Square or Texas High school or vocational school graduate or an equivalent combination of education and experience. 5 years of previous experience with heavy equipment and appraising vehicle damage. Licensing as required by jurisdiction. Must possess a valid driver's license. Must complete continuing education requirements per Crawford Educational Services. Ability to read and interpret technical reference material. Ability to communicate effectively, both orally and in writing. In-depth working knowledge of various types of vehicle construction and repair techniques. Ability to learn automated appraisal systems. Solid negotiating and customer service skills. Must possess solid mathematical and computational skills. #LI-CB3 Appraises heavy equipment damage to determine repair costs for claim settlement. Establishes pre-loss actual cash value and salvage value for heavy equipment beyond repair. Establishes cargo loss value if applicable. Examines damaged unity for interior/exterior damage. Interprets client special instructions to accurately handle claims. Prepares reports/documents for appropriate personnel as required. Records case time/billings. Solicits business locally when called upon to do so. Back up point of contact in the call. Upholds the Crawford Code of Business Conduct at all times. Performs other duties as requested. Upholds the Crawford Code of Conduct.
    $39k-55k yearly est. Auto-Apply 46d ago
  • Remote Multi-Line Claims Professional- Litigation & GL

    Ccmsi 4.0company rating

    Remote or Dallas, TX job

    Overview Multi-Line Claim Consultant (mid to senior level Adjuster) Schedule: Monday-Friday, 8:00 AM-4:30 PM (37.5 hours/week, flexible) Salary Range: $75,000-$85,000 annually Employment Type: Full-Time, Exempt Desk Type: Multiple account desk Jurisdictions: National accounts; home state or DHS adjuster license required Travel: Minimal (less than 10%) for occasional team meetings, file reviews, or training Build Your Career With Purpose at CCMSI At CCMSI, we don't just process claims-we support people. As a leading Third Party Administrator and a certified Great Place to Work , we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact. CCMSI is seeking an experienced Multi-Line Claim Consultant to join our national claims team. This role is designed for seasoned adjusters with 5+ years of experience handling complex, litigated claims - not a consulting or risk management role. You'll manage a diverse desk of multi-line claims across multiple jurisdictions, ensuring quality outcomes while providing guidance to less experienced adjusters. This fully remote position offers the opportunity to work with national accounts across varied industries, with flexibility to align to your time zone. Minimal travel may be required for team meetings or file reviews. Please Note: This is a role for experienced claims adjusters with 5+ years of multi-line adjusting experience. It is not a risk management or consulting position. Candidates must hold at least a valid home state or DHS adjuster license (additional state licenses are preferred). Responsibilities Investigate, evaluate, and adjust complex multi-line claims (including litigated matters) with minimal supervision. Establish and manage reserves, review and authorize payments, and negotiate settlements within authority levels and corporate standards. Oversee litigation strategies, attend hearings or mediations as needed, and collaborate with legal counsel and outside vendors. Monitor subrogation and recovery opportunities for assigned claims. Maintain timely and effective communication with clients, claimants, attorneys, and other stakeholders. Provide mentorship and share technical expertise with other adjusters on the team. Support client claim reviews and training sessions as requested. Ensure compliance with CCMSI claim handling standards, client instructions, and jurisdictional requirements. Qualifications What You'll Bring Required: 5+ years of multi-line claims adjusting experience (GL, BI, PD, premises liability, products liability, auto, etc.) Valid home state or DHS adjuster license (additional state licenses preferred) Strong litigation management skills and ability to negotiate settlements Excellent written and verbal communication skills Strong organizational, analytical, and time management abilities Nice to Have: Third Party Administrator (TPA) experience (highly preferred) Experience in crop/agricultural claims Bachelor's degree or professional certifications (e.g., SIP designation) Proficiency with Microsoft Office and claims management systems How We Measure Success Performance in this role is typically measured by: File quality audits Timely diary entries and documentation Claim resolution outcomes and client feedback Adherence to client-specific handling requirements What We Offer 4 weeks of PTO + 10 paid holidays in your first year Medical, Dental, Vision, Life, and Disability Insurance 401(k) and Employee Stock Ownership Plan (ESOP) Internal training and advancement opportunities A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Act with integrity Deliver service with passion and accountability Embrace collaboration and change Seek better ways to serve Build up others through respect, trust, and communication Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #ClaimsCareers #EmployeeOwned #TPACareers #InsuranceJobs #CCMSI #CareerWithPurpose #JoinOurTeam #GreatPlaceToWorkCertified #CCMSICareers #InsuranceCareers #RemoteJobs #HiringExperiencedAdjusters #IND123 #LI-Remote
    $75k-85k yearly Auto-Apply 54d ago
  • Workers' Compensation Lost Time Adjuster - Hybrid (MS/AL Jurisdictions)

    Ccmsi 4.0company rating

    Remote or Jackson, MS job

    Overview Workers' Compensation Claim Rep II Schedule: Monday-Friday, 7:30 AM-4:00 PM or 8:00 AM-4:30 PM Compensation: $50,000-$65,000 annually Build Your Career With Purpose at CCMSI At CCMSI, we don't just process claims-we support people. As one of the largest employee-owned Third Party Administrators in the country, CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Workers' Compensation Claim Representative II is responsible for the investigation and adjustment of lost-time workers' compensation claims for multiple accounts across the Alabama and Mississippi jurisdictions. This position serves as a key contributor to client satisfaction and compliance, ensuring claims are handled promptly, accurately, and in alignment with CCMSI's claim-handling standards. The role may also serve as an advanced training opportunity for future senior-level claim positions. Hybrid work is available following initial onboarding, with minimal travel for client claim reviews as needed. Responsibilities Investigate, evaluate, and adjust assigned workers' compensation claims in accordance with jurisdictional laws and company best practices. Establish, review, and maintain appropriate reserves within established authority levels. Review, approve, or negotiate medical, legal, and miscellaneous invoices to ensure accuracy and cost-effectiveness. Authorize and issue claim payments per corporate and client procedures. Negotiate claim settlements within corporate standards, client handling instructions, and applicable state laws. Coordinate and supervise outside vendor activities (e.g., legal, case management, surveillance). Evaluate subrogation opportunities and oversee recovery efforts. Prepare detailed status reports on claim activity, payments, and reserves as requested. Communicate effectively with clients, claimants, and other involved parties throughout the claims process. Attend hearings, mediations, and conferences as required. Maintain diary notes, documentation, and reports in accordance with compliance and audit standards. Qualifications Required: Three or more years of workers' compensation lost-time adjusting experience. Valid Alabama and Mississippi Adjuster Licenses (or ability to obtain within 60 days of hire). Proficiency in Microsoft Office (Word, Excel, Outlook). Preferred: Bachelor's degree in a related field. Experience managing multiple accounts or clients within a TPA or carrier setting. How We Measure Success Performance for this role is measured through: Adherence to claim-handling best practices and audit standards. Timeliness and accuracy of claim activity. Compliance with jurisdictional regulations and client expectations. Quality of communication and collaboration with clients and internal partners. What We Offer 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ClaimsCareers #InsuranceJobs #HybridWork #LI-Hybrid
    $50k-65k yearly Auto-Apply 5d ago
  • Actuarial Associate

    QBE Insurance Group Limited 4.9company rating

    Remote or Peachtree City, GA job

    Primary Details Time Type: Full time Worker Type: Employee The Opportunity The purpose of this role is to support the Actuarial Department by performing basic actuarial calculations, extracting and reviewing data, and assisting with business planning and analysis under close supervision. The role aims to contribute to the monitoring of financial programs, providing quantitative information to aid in making sound business decisions and ensuring prudent strategic planning. * Location: Sun Prairie, WI * Work Arrangement: Hybrid working expectations * The salary range for this role is between $64,000 - $96,000 Your new role: * Ensure accurate data is used for analyses by adopting appropriate systems and procedures. * Comply with documentation of key processes, policies, legal requirements, and actuarial standards. * Support forecasting of technical provisions, reserve margins, and uncertainties for business analysis. * Assist in the development of pricing tools, rates, and premium methods to ensure robustness. * Support business planning processes by collecting and analyzing information effectively. * Analyze reinsurance options to optimize purchases for the business. * Assist in determining the capital needs of the business and developing relevant reports. * Build and maintain relationships with internal and external stakeholders to enhance customer focus. * Provide underwriting statistics and performance monitoring for accurate management information. * Support in modelling and analyzing risk aggregation to manage exposures appropriately. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: * Hybrid Working - a mix of working from home and in the office * 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis * Competitive 401(k) program with company match up to 8% * Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice * Tuition Reimbursement for professional certifications, and continuing education * Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information. Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information Skills: Actuarial Science, Analytical Thinking, Critical Thinking, Customer Service, Data Analytics, Financial Data Reporting, Intentional collaboration, Managing performance, Problem Solving, Process Improvements, Report Writing, Research Analysis, Risk Management, Statistical Data Analysis, Working Independently How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
    $64k-96k yearly Auto-Apply 10d ago
  • Medical Case Manager- CA

    Crawford 4.7company rating

    Remote or Sacramento, CA job

    • Great Work Life Balance! • Quarterly Bonus Opportunities! • Free CEU's for licenses and certificates • License and national certification reimbursement This is a work from home position requiring local field case management travel to cover the Sacramento, California region. RN degree required National Certification such as CCM, CRC, COHN, CRRC preferred Prior Workers Compensation Case Management preferred To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management. Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred. Minimum of 1-3 years diverse clinical experience and one of the below: Certification as a case manager from the URAC-approved list of certifications (preferred); A registered nurse (RN) license. Must be compliant with state requirements regarding national certifications. General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services. Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation. Excellent analytical and customer service skills to facilitate the resolution of case management problems. Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes. Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees. Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes. Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously. Demonstrated leadership ability with a basic understanding of supervisory and management principles. Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. Active RN home state licensure in good standing without restrictions with the State Board of Nursing. Must meet specific requirements to provide medical case management services. Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months. National certification must be obtained in order to reach Senior Medical Case Management status. Travel may entail approximately 70% of work time. Must maintain a valid driver's license in state of residence. #LI-KE1 Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW. Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention. May perform job site evaluations/summaries to facilitate case management process. Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians. Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker/disabled individual. May obtain records from the branch claims office. May review files for claims adjusters and supervisors for appropriate referral for case management services. May meet with employers to review active files. Makes referrals for Peer reviews and IME's by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians. Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases. Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product. Reviews cases with supervisor monthly to evaluate files and obtain directions. Upholds the Crawford and Company Code of Business Conduct at all times. Demonstrates excellent customer service, and respect for customers, co-workers, and management. Independently approaches problem solving by appropriate use of research and resources. May perform other related duties as assigned.
    $60k-79k yearly est. Auto-Apply 55d ago
  • Complex Claims Specialist - Commercial Auto

    Athens Administrators 4.0company rating

    Remote or Florida job

    DETAILS Complex Claims Specialist - Property & Casualty Department: Property and Casualty Claims Reports To: Claims Supervisor FLSA Status: Exempt Job Grade: 14 Career Ladder: Next step in progression could include Claims Supervisor ATHENS ADMINISTRATORS Since our founding in 1976, Athens Administrators has been a recognized leader in third-party claims administration services. However, more important than what we do is how we do it. Athens employees provide service that translates into real and lasting benefits-every single day! With offices throughout the United States, Athens Administrators offers Workers' Compensation, Property & Casualty, Managed Care and Program Business solutions. Athens is proud to be a third-generation family-owned company and is dedicated to its core values of honesty and integrity, a commitment to service and results, and a caring family culture. We are so proud that our employees have consistently voted Athens as a Best Place to Work! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Complex Claims Specialist to support our Property & Casualty department. Employees who live less than 26 miles from the Concord, CA, Orange, CA, San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA, and WV). This position does allow for work from home if technical requirements are met. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week. The Complex Claim Specialist is responsible for the review, investigation, analysis, and processing of complex claims within assigned authority limits and consistent with policy and legal requirements. These claims are typically high exposure and often entail litigation and complex coverage. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests. Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Advanced knowledge in the following areas: 1) Complex Auto or General Liability claims handling concepts, practices and techniques, to include but not limited to complex coverage issues, and product line knowledge, 2) advanced, functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated advanced analytical, decision making and negotiation skills. Analyze, investigate, and evaluate losses to determine appropriate layers of coverage, settlement value and disposition strategy, including claim merits or denial of liability Within prescribed settlement authority for line of business, establish appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to clients and senior level management Manage the litigation process through the retention of selected counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment Document and manage claims (i.e.: statements, diaries, write reports) from inception to closure Ensure appropriateness of all coverage memorandums and payments Coordinate and work with dedicated vendor services such as law professionals, industry experts, county officials and client executives to manage professional claims and communications Facilitate interactions between insured entities, claimants, client contacts, and attorneys in resolution of severe and complex claims Lead and conduct comprehensive claim reviews and case analysis discussions with various committees or district level authorities Provide superior customer service to all layers of authorities within the county Meet with clients, attend hearings, and assist senior management with planning, forecasting and new business opportunities that may arise in the servicing of the account. May assist management in hiring other account dedicated examiners Provide guidance and serve as a technical expert to less experienced examiners May conduct meetings or training sessions to help develop less experienced examiners Attend all required meetings and educational seminars for professional development Conduct on-sight or frequent claim reviews in Ventura County with the client representatives, as required. Maintain required licenses ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. High School Diploma or equivalent (GED) required for all positions AA/AS or BA/BS preferred but not required Possesses a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL preferred Additional State Adjuster License(s), may be required within 180 days Maintain licenses and continuing education requirements in all states Relies on extensive experience and judgement to plan and accomplish goals with a minimum of 8-10 years complex/major claims experience, including proficiency in investigation and resolution of severe to major casualty and general liability claims Experience with relevant insurance laws, codes, and procedures Experience with property and casualty insurance policies, insurance tort laws, codes, and procedures Understanding Auto and General Liability exposure and unique coverage endorsements Understanding of medical, legal terminology and liability concepts Proficiency in investigation and resolution of severe to major level casualty claims Time Management and project management skills Strong negotiation and litigation management skills Well-developed verbal and written communication skills with strong attention to detail Excellent organizational skills and ability to multi-task Ability to type quickly, accurately and for prolonged periods Proficient in Microsoft Office Suite Ability to learn additional computer programs Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization Seeks to include innovative strategies and methods to provide a high level of commitment to service and results Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************** This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at *************************************************
    $54k-82k yearly est. 60d+ ago
  • Contract Senior Recruiter

    QBE Insurance 4.9company rating

    Remote or Chicago, IL job

    Primary DetailsTime Type: Full time Worker Type: Employee The Opportunity: This role is a contract opportunity until February 1, 2026. The purpose of this role is to support the development and execution of tactical sourcing strategies to generate candidate pipelines, attract quality talent, and meet recruiting goals. The successful candidate will support recruitment activities for the global and international business units of QBE Insurance. It will focus on candidates located in North America that support these divisions. This includes executing sourcing activities, building talent pools, and supporting talent acquisition strategies to fill roles effectively and efficiently. Additionally, the role involves collaborating with Talent Acquisition Business Partnering Lead to proactively manage recruitment activities across the organization. Location: Chicago, IL; 500 West Madison St Suite 1205, Chicago IL 60661 Work Arrangement: This role is hybrid, where you will be expected to be in the office 2-3 days per week. The salary range for this role is between $89,500.00 - $134,500.00 USD Annual; will be prorated based on length of assignment. Your new role: Utilize expertise to narrow the applicant pool and ensure recommended candidates meet hiring needs and business requirements. Manage end-to-end talent acquisition process by sourcing, screening, and recommending candidates to build effective talent pipelines. Serve as a resource to candidates by managing salary negotiations and informing them of the hiring process. Deliver quality candidates to the recruitment leader for the assessment process. Assist in identifying opportunities for continuous improvement by escalating sourcing and recruitment issues. Maintain a highly visible profile in the market and foster communication with prospective candidates and industry thought leaders. Understand cutting-edge technologies and screen candidates for technical roles. Identify and engage with executive talent, assess high-level individuals, and manage relationships. Organize and participate in recruiting events with campus organizations and build relationships with career centers and student organizations. Required Qualifications: Bachelor's Degree or equivalent combination of education and work experience. Relevant work experience in recruitment Preferred Experience: Knowledge and passion for Talent Acquisition and recruitment from Agency, in-house or RPO. Strong communication skills and ability to build relationships with stakeholders, candidates, recruiters and hiring managers. Experience as a sourcer, researcher or recruiter in-house, RPO or agency. Experience in conducting competency-based interviews. Experienced in advanced internet searches, cold calling, networking, database mining, referrals and other recruitment techniques. Experienced in implementing and executing various sourcing activities for different levels and roles. Experienced in sourcing and building pipelines for different levels and roles. Experience in managing and partnering with recruitment vendors to execute sourcing strategy. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: Hybrid Working - a mix of working from home and in the office 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis Competitive 401(k) program with company match up to 8% Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice Tuition Reimbursement for professional certifications, and continuing education Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. Supplementary information Skills: Applicant Tracking Systems (ATS), Communication, Conducting Interviews, Critical Thinking, Customer Service, Customer Value Management, Human Resources (HR), Intentional collaboration, Labor and Employment Law, Managing performance, Process Improvements, Recruiting, Risk Management, Succession Planning, Working Independently How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
    $89.5k-134.5k yearly Auto-Apply 12d ago
  • Actuarial Associate

    QBE Insurance Group Limited 4.9company rating

    Remote or New York, NY job

    Primary Details Time Type: Full time Worker Type: Employee The Opportunity The purpose of this role is to support the Actuarial Department by performing basic actuarial calculations, extracting and reviewing data, and assisting with business planning and analysis under close supervision. The role aims to contribute to the monitoring of financial programs, providing quantitative information to aid in making sound business decisions and ensuring prudent strategic planning. * Location: Sun Prairie, WI * Work Arrangement: Hybrid working expectations * The salary range for this role is between $64,000 - $96,000 Your new role: * Ensure accurate data is used for analyses by adopting appropriate systems and procedures. * Comply with documentation of key processes, policies, legal requirements, and actuarial standards. * Support forecasting of technical provisions, reserve margins, and uncertainties for business analysis. * Assist in the development of pricing tools, rates, and premium methods to ensure robustness. * Support business planning processes by collecting and analyzing information effectively. * Analyze reinsurance options to optimize purchases for the business. * Assist in determining the capital needs of the business and developing relevant reports. * Build and maintain relationships with internal and external stakeholders to enhance customer focus. * Provide underwriting statistics and performance monitoring for accurate management information. * Support in modelling and analyzing risk aggregation to manage exposures appropriately. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: * Hybrid Working - a mix of working from home and in the office * 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis * Competitive 401(k) program with company match up to 8% * Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice * Tuition Reimbursement for professional certifications, and continuing education * Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information. Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information Skills: Actuarial Science, Analytical Thinking, Critical Thinking, Customer Service, Data Analytics, Financial Data Reporting, Intentional collaboration, Managing performance, Problem Solving, Process Improvements, Report Writing, Research Analysis, Risk Management, Statistical Data Analysis, Working Independently How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
    $64k-96k yearly Auto-Apply 10d ago
  • Sr Medical Case Manager-CA

    Crawford & Company 4.7company rating

    Remote or Los Angeles, CA job

    * Great Work Life Balance! * Quarterly Bonus Opportunities! * Free CEU's for licenses and certificates * License and national certification reimbursement This is a work from home position requiring local field case management travel to cover the areas of Santa Clarita, Lancaster, Palmdale, Burbank, Glendale, Porter Ranch, Valencia & Van Nuys, California. * RN degree required * National Certification such as CCM, CRC, COHN, CRRC required * Prior Workers Compensation Case Management preferred To provide quality case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Quality Improvement Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability.
    $60k-78k yearly est. Auto-Apply 55d ago
  • Commercial Trucking and Bodily Injury Claims Adjuster - Remote

    Ccmsi 4.0company rating

    Remote or Nashville, TN job

    Overview Multi-Line Claim Representative II (or higher) - Remote (Commercial Trucking and Bodily Injury) Schedule: Monday-Friday, 8:00 AM-4:30 PM (local time) Salary Range: $75,000 to $85,000 Reports To: Claim Supervisor Caseload: Approximately 100 active files Client: Single, dedicated commercial trucking account Build Your Career With Purpose at CCMSI At CCMSI, we don't just process claims-we support people. As a leading Third Party Administrator and a certified Great Place to Work , we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact every day. Job Summary We are seeking an experienced Multi-Line Claim Representative II to manage commercial trucking liability claims involving both property damage and bodily injury for a single, dedicated client. This remote position is ideal for a self-motivated professional who takes pride in thorough investigation, clear communication, and delivering high-quality service. You will handle claims from start to finish, ensuring fair and timely resolutions while adhering to CCMSI's corporate claim standards and client-specific service expectations. Responsibilities Investigate, evaluate, and adjust bodily injury and property damage claims arising from commercial trucking incidents in accordance with established guidelines and jurisdictional regulations. Review claim documentation, legal correspondence, and invoices to determine coverage, liability, and damages. Authorize and process claim payments within settlement authority. Negotiate settlements with claimants, attorneys, and other parties as appropriate. Oversee litigation strategy and collaborate with defense counsel. Identify and pursue subrogation opportunities. Prepare detailed claim summaries, reserve updates, and client reports. Maintain accurate and timely documentation in the claim management system. Ensure compliance with service commitments, quality standards, and client-specific requirements. Qualifications Required: 5+ years of experience handling commercial trucking or multi-line liability claims. Active adjuster's license (in applicable jurisdictions). Strong written and verbal communication skills. Ability to work independently, prioritize effectively, and maintain confidentiality. Proficiency with Microsoft Office (Word, Excel, Outlook). Nice to Have: Experience managing claims for national commercial trucking clients. Knowledge of federal transportation regulations and industry best practices. Performance Metrics Performance is evaluated through annual reviews based on claim quality, timeliness, communication, and adherence to CCMSI's corporate and client standards. What We Offer • 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #ClaimsJobs #InsuranceCareers #TruckingIndustry #LiabilityClaims #ClaimsAdjuster #RemoteJobs #CareerGrowth #HiringNow #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote
    $75k-85k yearly Auto-Apply 24d ago
  • Actuarial Associate

    QBE Insurance Group Limited 4.9company rating

    Remote or Chicago, IL job

    Primary Details Time Type: Full time Worker Type: Employee The Opportunity The purpose of this role is to support the Actuarial Department by performing basic actuarial calculations, extracting and reviewing data, and assisting with business planning and analysis under close supervision. The role aims to contribute to the monitoring of financial programs, providing quantitative information to aid in making sound business decisions and ensuring prudent strategic planning. * Location: Sun Prairie, WI * Work Arrangement: Hybrid working expectations * The salary range for this role is between $64,000 - $96,000 Your new role: * Ensure accurate data is used for analyses by adopting appropriate systems and procedures. * Comply with documentation of key processes, policies, legal requirements, and actuarial standards. * Support forecasting of technical provisions, reserve margins, and uncertainties for business analysis. * Assist in the development of pricing tools, rates, and premium methods to ensure robustness. * Support business planning processes by collecting and analyzing information effectively. * Analyze reinsurance options to optimize purchases for the business. * Assist in determining the capital needs of the business and developing relevant reports. * Build and maintain relationships with internal and external stakeholders to enhance customer focus. * Provide underwriting statistics and performance monitoring for accurate management information. * Support in modelling and analyzing risk aggregation to manage exposures appropriately. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: * Hybrid Working - a mix of working from home and in the office * 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis * Competitive 401(k) program with company match up to 8% * Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice * Tuition Reimbursement for professional certifications, and continuing education * Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information. Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information Skills: Actuarial Science, Analytical Thinking, Critical Thinking, Customer Service, Data Analytics, Financial Data Reporting, Intentional collaboration, Managing performance, Problem Solving, Process Improvements, Report Writing, Research Analysis, Risk Management, Statistical Data Analysis, Working Independently How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
    $64k-96k yearly Auto-Apply 10d ago

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