The role involves investigating and determining the compensability of workers' compensation claims while managing medical bills and facilitating return-to-work programs. The representative negotiates settlements, establishes financial reserves, and ensures compliance with state legislation and internal performance standards.
The Guidewire Business Analyst is responsible for documenting business requirements and identifying functional considerations for insurance projects. They act as a consultant to business units and technical teams to ensure data requirements, functionality, and integration needs are met within the SAFe Agile methodology.
The Customer Service Representative assists policyholders, agents, and brokers with inquiries regarding billing, premium audits, claims, and policy modifications. They are responsible for managing multiple system applications while providing efficient support across phone, chat, and email channels.
The specialist is responsible for organizational design, workforce analytics, and the business process dimension of transformation. They act as a liaison between business units to enforce consistent enterprise-wide processes and staffing models.
The consultant will evaluate physical premises and work practices to identify hazardous conditions and provide safety training to policyholders. They will also manage a territory of accounts, coordinating with underwriting and marketing to assist in risk selection and loss reduction strategies.
Perform advanced actuarial analyses across pricing, reserving, product development, reinsurance, capital management, and other business needs, and develop recommendations and models. Communicate findings to business partners and senior management, support strategic plans and performance monitoring, document processes, and mentor actuarial analysts.
The auditor is responsible for performing virtual and field premium audits to accurately determine exposure and premium for Workers' Compensation and General Liability policies. They must review financial records, interview policyholders, and communicate audit results while ensuring compliance with established authority levels.
The Director will translate business strategy into AI and emerging technology execution to deliver measurable business value. They will lead cross-functional teams through the full lifecycle of AI initiatives, from discovery and experimentation to production deployment.
The Infrastructure Engineer II is responsible for the operations, maintenance, and security of computing platforms, servers, and networks. This role involves leading technical projects, mentoring staff, and ensuring the reliability and performance of multi-cloud infrastructure.
Develops, configures, and supports Enterprise Content Management (ECM) platforms and workflow automation solutions. Collaborates with cross-functional teams to design, test, and maintain secure, scalable content-enabled applications.
Manage workers’ compensation defense cases from strategy through resolution, appearing and defending claims at hearings across relevant venues. Communicate with clients, conduct legal research, provide legal advice and risk assessments, draft legal documents, and complete special projects.
This role leads new product development and existing product enhancements for commercial property and casualty lines across the enterprise. The manager will analyze underwriting trends, develop forms and manuals, and provide expert guidance on regulatory and governance standards.
Provide actuarial leadership for multiline product development and pricing strategy while partnering with underwriting and product teams. Monitor premium and loss ratio projections, perform actuarial analyses, and communicate findings to senior management.
Lead the design, configuration, development, integration, testing, deployment, and production support of Guidewire applications for Property and Casualty insurance operations. Provide technical direction and mentoring, resolve incidents and performance issues, and ensure solutions meet enterprise architecture, security, quality, and delivery standards.
The intern will conduct telephonic outreach to patients and providers to support Medicare Part D quality improvement measures. They will also collaborate with clinical pharmacists to develop projects, analyze data, and prepare professional presentations.
The specialist drives profitable growth and retention by managing independent agency relationships and underwriting complex commercial insurance risks. They also serve as a key market representative, providing technical guidance and training to internal teams and agency partners.
The Senior Business Analyst documents business requirements and translates them into functional specifications while coordinating with stakeholders to ensure project timelines are met. They act as a subject matter expert and consultant to technical and operational teams to facilitate project delivery and system functionality.
Investigates and determines the compensability of complex workers' compensation claims while managing reserves and negotiating settlements. Mentors team members, conducts file audits, and coordinates special projects to ensure compliance and cost containment.
The Senior Product Manager will shape product strategy, drive market development, and lead innovation across multi-line commercial insurance products. They will serve as a technical underwriting expert, developing policies and procedures while collaborating with business units to ensure profitable growth.
The Software Engineer III is responsible for designing, developing, and maintaining applications and integrations using Java, .Net, and web technologies. They also act as an application owner for incident management, technical troubleshooting, and ensuring quality standards through peer reviews and documentation.
The trainee will participate in a formal one-year program to develop foundational skills in claims, loss control, premium auditing, and underwriting. Responsibilities include analyzing information, preparing reports, resolving problems, and supporting internal departments to ensure efficient operations.
The intern will gather and analyze data to support pricing, loss reserving, and product development initiatives. They will also prepare reports, deliver presentations, and engage in various actuarial functional duties.
The consultant will evaluate physical premises and safety programs to identify hazards and assist in risk selection for underwriting. They will also provide training to policyholders and develop loss control strategies to improve company success measures.
The Nurse Case Manager evaluates medical and disability needs for workers' compensation claims to ensure appropriate treatment and facilitate a timely return to work. They collaborate with claim handlers and medical providers to resolve disputes and manage case outcomes according to evidence-based guidelines.
The role involves investigating and determining the compensability of workers' compensation claims while managing medical bills and establishing appropriate reserves. The representative negotiates settlements, facilitates return-to-work programs, and ensures compliance with state legislation.
The Claim Representative II handles moderate to difficult property and casualty claims by investigating liability, determining compensability, and establishing appropriate reserves. They negotiate settlements within their authority and manage outside vendors to ensure cost containment while maintaining effective relationships with clients.
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.
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.
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.
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.
