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Insurance
Receives structured training to investigate, evaluate, document, and resolve workers compensation claims. Assists with determining coverage, compensability, exposure, and potential fraud; communicates with policyholders, claimants, providers, witnesses, and legal counsel; maintains claim records; coordinates medical treatment and return-to-work efforts; and obtains required insurance licenses.
Insurance
Manage workers’ compensation claims from investigation through resolution, including coverage and compensability determinations, reserves, medical coordination, litigation, settlements, statutory filings, offsets, fraud evaluation, and return-to-work planning. Collaborate with medical, legal, and internal resources to resolve claims, negotiate settlements, maintain file quality, and close claims timely. An insurance license may be required, along with continuing education and state-specific workers’ compensation knowledge.
Insurance
Manage complex, high-severity general liability claims from initial notice through resolution. Investigate coverage, liability, damages, reserves, and policy issues; coordinate with counsel and stakeholders; negotiate settlements; manage litigation; maintain claim records; and provide timely customer communication. The role also mentors claim professionals, supports technology and AI implementations, maintains required insurance licenses, and may attend mediations, trials, or arbitrations.
Insurance
Manages complex, high-severity general liability injury and property damage claims from investigation through resolution. Responsibilities include evaluating coverage and liability, establishing reserves, negotiating settlements, coordinating litigation strategies with counsel, preparing management reports, and maintaining claim records. The role requires advanced insurance knowledge, negotiation skills, stakeholder communication, regulatory understanding, and an active adjuster license where required. Travel may be necessary for mediations, trials, and arbitrations.
Insurance
Manage and investigate low- to moderate-complexity general liability injury and property damage claims from initial notice through resolution. Responsibilities include determining coverage, evaluating liability and damages, setting reserves, negotiating settlements, handling low-complexity litigation, issuing payments, maintaining accurate claim records, and communicating with customers, attorneys, vendors, and internal stakeholders. The role also requires obtaining applicable insurance licenses and may involve coaching less experienced claim professionals.
Insurance
Manage and investigate complex general liability injury and property damage claims from initial notice through resolution. Responsibilities include determining coverage, evaluating liability and damages, setting reserves, negotiating settlements, coordinating litigation with counsel, issuing payments, maintaining claim records, communicating with stakeholders, and mentoring claim representatives. The role requires insurance licensing, claims-system proficiency, sound judgment, negotiation skills, and may involve travel to mediations, trials, and arbitrations.
Insurance
Manage auto physical damage claims from initial report through settlement, including coverage and liability evaluation, total-loss assessments, repair oversight, investigations, documentation, and settlement negotiations. Coordinate with appraisers and repair facilities, communicate professionally with customers and claimants, issue required correspondence, maintain accurate claim records, and adapt to technology updates. An insurance license must be obtained and maintained as required.
