Manage all aspects of professional liability claims from inception through resolution, including investigation, coverage determination, and litigation oversight. Communicate settlement strategies and loss exposure analysis to clients while maintaining accurate claim file documentation.
The Claims Examiner investigates, evaluates, and resolves complex commercial automobile and general liability claims, including those in litigation. They serve in a float capacity to provide seamless coverage for permanent examiners during absences to ensure continuity and meet service level agreements.
The medical case manager provides telephonic case management in a workers' compensation environment to coordinate resources and facilitate quality treatment goals. Responsibilities include conducting assessments, monitoring medical appointments, and negotiating treatment plans to ensure a timely return to work.
The Claims Examiner III is responsible for managing all aspects of professional liability claims from inception through resolution, including investigation, coverage determination, and litigation oversight. They must effectively communicate loss exposure and settlement strategies to clients while maintaining accurate claim files and documentation.
The Vice President provides strategic and operational leadership for the Risk Management Strategies business, focusing on growth, profitability, and service excellence. They are responsible for managing P&L, developing business strategies, and maintaining key relationships with clients, brokers, and carriers.
Responsible for reviewing policy information to determine coverage and conducting efficient claim examinations for auto and general liability claims. Oversees investigative service providers and communicates settlement strategies to clients while maintaining accurate claim documentation.
Provide telephonic case management within a workers' compensation environment to coordinate cost-effective treatment and facilitate return-to-work placement. Responsibilities include conducting initial assessments, monitoring medical appointments, and negotiating treatment plans with physicians.
Oversee the performance of a case management team and implement best practices to achieve departmental goals. Manage daily operations, human resource functions, and ensure compliance with regulatory requirements and client expectations.
Provide administrative support to case management staff by setting up referrals in the system and routing incoming calls. Coordinate communication between providers, patients, and physicians to ensure accurate patient information and documentation.
Responsible for preparing and maintaining provider contracts and the contracts database system. Ensures all providers maintain active status by completing initial and subsequent credentialing packages in compliance with state regulations.
Responsible for the prompt review of policy information to determine coverage and conducting efficient investigations for Commercial Auto and General Liability claims. The role involves managing litigation, communicating settlement strategies to clients, and providing coverage for permanent examiners during absences.
The Claims Examiner III Team Leader manages auto liability and PIP/No-Fault claims while providing technical guidance and support to a team of adjusters. They are responsible for maintaining a reduced caseload, ensuring claim quality, and assisting with training and performance management.
