The Claim Representative II manages moderate to difficult workers' compensation claims by investigating compensability, establishing reserves, and negotiating settlements. They also facilitate return-to-work programs, manage medical bills, and ensure compliance with state legislation.
Emergent Holdings
23 Remote Job Openings at Emergent Holdings
Client Relations Specialist - TeleCompCare
Emergent Holdings
·
Full Time
·
4 days ago
Emergent Holdings
The Client Relations Specialist acts as a central liaison between the company, agents, and accounts to ensure customer satisfaction and retention. They are responsible for proactive outreach, conducting training on internal systems, and managing complex account needs.
The Claim Representative II manages a caseload of moderate to high complexity Michigan No-Fault PIP claims, including investigation, coverage analysis, and litigation management. They collaborate with various stakeholders to ensure compliant claim handling, negotiate settlements, and manage medical bills to achieve timely resolution.
Programs Business Development Manager - Specialty Insurance (remote US)
Emergent Holdings
·
Full Time
·
6 days ago
Emergent Holdings
Identify and evaluate new delegated underwriting authority program opportunities to ensure alignment with risk appetite and profitability targets. Lead due diligence of program administrators and develop comprehensive business cases to support executive decision-making.
Senior Loss Control Consultant (Field) - Oklahoma City/Tulsa
Emergent Holdings
·
Full Time
·
9 days ago
Emergent Holdings
The consultant is responsible for evaluating physical premises and work practices to identify hazards and assist in risk selection for underwriting. They also provide safety training, develop loss control strategies, and maintain relationships with policyholders and independent agents.
The RN Case Manager develops and implements individualized treatment plans through telephonic assessments to optimize member health outcomes. They coordinate internal and external resources, provide self-management education, and monitor care plan effectiveness to ensure high-quality, cost-effective healthcare.
The role involves managing moderate to difficult property and casualty claims, including determining liability and establishing financial reserves. The representative negotiates settlements with injured parties and attorneys while ensuring compliance with Michigan municipal liability statutes.
Manage workers' compensation claims by investigating compensability, determining reserves, and negotiating settlements. Coordinate return-to-work efforts and manage medical billing and outside vendors to ensure cost containment.
Investigates complex commercial auto claims and exercises significant discretion in determining compensability and reserves. Mentors lower-level claim handlers and coordinates special projects to ensure efficient claim resolution.
Lead the development and design of the organization's business resilience program to minimize loss and restore critical functions during interruptions. Coordinate with IT and business units to create, test, and maintain recovery plans and conduct preparedness training.
Workers' Compensation Defense Attorney - St. Louis, MO
Emergent Holdings
·
Full Time
·
a month ago
Emergent Holdings
Defend workers' compensation claims through hearings, depositions, and settlement negotiations. Represent the company before courts and administrative bodies while providing legal guidance and risk assessment.
Defense Attorney (Worker's Compensation) - Los Angeles, CA
Emergent Holdings
·
Full Time
·
2 months ago
Emergent Holdings
Defend litigated Workers' Compensation claims before the WCAB, managing a full caseload from referral through trial or arbitration. Responsibilities include conducting investigations, attending depositions, negotiating settlements, and drafting legal briefs.
Provide legal assistance to attorneys through case preparation, legal research, and the drafting of complex documents. Responsibilities include interviewing witnesses, managing workers' compensation files, and assisting with court hearings.
Defense Attorney (Workersβ Compensation) β IL
Emergent Holdings
·
Full Time
·
2 months ago
Emergent Holdings
Defend litigated Workers' Compensation claims before hearing locations and administrative bodies in Illinois. Provide legal advice, conduct research, and handle negotiations and settlements on behalf of the company.
Insurance Premium Audit Consultant II - Field Travel (Remote)
Emergent Holdings
·
Full Time
·
2 months ago
Emergent Holdings
Perform virtual and field premium audits for Workers' Compensation and General Liability policies to determine accurate exposure and premiums. Review financial records and interview policyholders to ensure correct classification and policy endorsement.
Manage the day-to-day operations and workflow of the actuarial unit while leading and developing actuarial staff. Perform advanced actuarial analyses for pricing, reserving, and capital management to provide strategic recommendations to senior management.
Infrastructure Engineer II- RHEL- Azure
Emergent Holdings
·
Full Time
·
2 months ago
Emergent Holdings
Responsible for the operation, maintenance, and security of highly available computing platforms, servers, and networks. This includes deploying new technologies, managing middleware, and providing 24x7 on-call support for infrastructure reliability.
Lead Software Engineer (ECM Specialization)
Emergent Holdings
·
Full Time
·
3 months ago
Emergent Holdings
Leads the design, development, and support of Enterprise Content Management (ECM) solutions and workflow automation within an Agile/DevOps environment. Provides technical leadership to integrate content services with cloud platforms and enterprise applications while ensuring security and scalability.
Senior Loss Control Consultant (Field) - Omaha/Lincoln Nebraska
Emergent Holdings
·
Full Time
·
3 months ago
Emergent Holdings
The consultant is responsible for evaluating physical premises and work practices to identify hazardous conditions and provide safety training to policyholders. They also collaborate with underwriting and business development teams to manage risk selection and develop effective loss control strategies.
Workers' Comp Claim Representative III - CA
Emergent Holdings
·
Full Time
·
3 months ago
Emergent Holdings
Investigate and determine the compensability of complex workers' compensation claims while managing reserves and negotiating settlements. Facilitate return-to-work programs, manage medical bills, and mentor lower-level staff to ensure compliance with state legislation.
Workers' Comp Claim Representative II - CA
Emergent Holdings
·
Full Time
·
3 months ago
Emergent Holdings
The role involves investigating workers' compensation claims to determine compensability and causal relationships while managing medical bills and return-to-work efforts. The representative negotiates settlements, establishes financial reserves, and maintains compliance with state legislation and internal performance standards.
The Actuarial Analyst II supports core actuarial functions including pricing, reserving, reinsurance analysis, and forecasting. They are also responsible for managing rate filings, financial data call reporting, and providing analytical support for business strategy.
The Infrastructure Engineer I is responsible for the operations of secure and highly available computing platforms, servers, and networks, including installation, maintenance, and continuous improvement of the operating environment. This role also involves deploying new technologies, troubleshooting user-reported problems, and supporting development environments.