17 injury claims adjuster jobs found

We're Hiring! Remote Claims Specialist - Hybrid Ready to level up your career from the comfort of your home? Join us as a Claims Specialist and take the lead in driving fast, accurate resolutions for short-term, low-complexity claims. ✨ What You'll Do: • Handle Fast Track and Incident-Only claims with confidence and speed • Keep cases moving by documenting details and managing open files • Make informed decisions within your delegated authority • Ensure timely closures and smooth, accurate billing If you're organized, proactive, and thrive in a fast-paced environment-this is your moment. Help us deliver exceptional claims experiences every day! College degree or the equivalent education and experience. Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc). Demonstrates a thorough working knowledge of claim processing and claim...

Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. College degree or the equivalent of education and experience. Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc). Demonstrates a thorough working knowledge of claim processing and claim policies and procedures. Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions Demonstrates effective and diplomatic oral and written communication skills. Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others. Must have or secure and maintain the appropriate...

JOB DESCRIPTION Are you interested in building your career in workers' compensation and claims support? Join ESIS, a leader in risk management and insurance services, where you can contribute to effective claims handling and support employees during important moments. Position Summary The Workers' Compensation Claims Supervisor is responsible for leading a team of claims professionals to support high-quality claim handling, strong technical file management, effective customer service, and compliance with ESIS and client requirements. This role provides day-to-day leadership, coaching, technical guidance, and performance management while supporting operational effectiveness, loss cost control, and continuous improvement. General Responsibilities Improve the technical quality of claim files handled by the team. Serve as a team facilitator by helping remove barriers and resolve issues proactively. Contribute as a key member of the Claims Office Workers' Compensation...

JOB DESCRIPTION Chubb is currently seeking a Workers' Compensation Lost Time Claim Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report to, and reside in, our New Haven, Connecticut office. Duties & Responsibilities: Handles all aspects of workers' compensation lost time claims from initial set-up, to case closure, ensuring strong customer relations are maintained throughout the process. Reviews claim and policy information to provide background for the investigation. Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with the insured, claimant, and medical providers. Evaluates the facts gathered through the investigation to determine compensation for the claim. Informs insureds, claimants, and attorneys of claim denials when applicable. Prepare...

JOB DESCRIPTION Are you looking to grow your career in workers' compensation and claims support? Join ESIS, a leader in risk management and insurance services, where you can help support effective claims handling and contribute to positive outcomes for employees and clients. The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for investigating and resolving claims promptly, equitably, and in accordance with established best practices. Duties and Responsibilities Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. Communication: Act as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process. Investigation: Conduct thorough investigations, including gathering statements,...

JOB DESCRIPTION Are you looking to grow your career in workers' compensation and claims support? Join ESIS, a leader in risk management and insurance services, where you can help support effective claims handling and contribute to positive outcomes for employees and clients. The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for investigating and resolving claims promptly, equitably, and in accordance with established best practices. Duties and Responsibilities Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. Communication: Act as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process. Investigation: Conduct thorough investigations, including gathering statements,...

Job ID: 527256 Tilcon Connecticut Inc., a CRH company, has played a vital role in building infrastructure around our state, serving the market from 23 locations throughout Connecticut. As a leading supplier of quality crushed stone, hot mix asphalt, and ready mix concrete, Tilcon Connecticut has supported the construction of superior roads, buildings and bridges. The most respected name in the construction industry, from the quarry to the road, Tilcon Connecticut does it all! Are you looking for opportunities and benefits of a large corporation with a small company feel? Then Tilcon Connecticut Inc. and CRH is the company for you! If you're up for a rewarding challenge, we invite you to take the first step and apply today! Position Overview At Tilcon Connecticut, safety is a core value and the foundation of how we operate. The Safety Manager leads the development and execution of environmental, health, and safety programs that protect our employees, contractors,...

Now Hiring: RN Case Manager - Boca Raton, FL Region Work from home + local field travel Salary: Competitive & commensurate with experience Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRN) ✨ Workers' Comp Case Management experience a plus ✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management. This is your chance to grow your career, earn great rewards, and enjoy true work-life balance. Apply today and make an impact in the...

Now Hiring: RN Case Manager - Los Angeles, CA Region Work from home + local field travel Salary: Competitive & commensurate with experience Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRN) ✨ Workers' Comp Case Management experience a plus ✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management. This is your chance to grow your career, earn great rewards, and enjoy true work-life balance. Apply today and make an impact in the...

Now Hiring: RN Case Manager - Los Angeles, CA Region Work from home + local field travel Salary: Competitive & commensurate with experience Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRN) ✨ Workers' Comp Case Management experience a plus ✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management. This is your chance to grow your career, earn great rewards, and enjoy true work-life balance. Apply today and make an impact in the...

Now Hiring: RN Case Manager - Portland, OR Region Work from home + local field travel Salary: Competitive & commensurate with experience Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRN) ✨ Workers' Comp Case Management experience a plus ✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management. This is your chance to grow your career, earn great rewards, and enjoy true work-life balance. Apply today and make an impact in the...

Now Hiring: RN Case Manager - Columbia, SC Region Work from home + local field travel Salary: Competitive & commensurate with experience Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRN) ✨ Workers' Comp Case Management experience a plus ✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management. This is your chance to grow your career, earn great rewards, and enjoy true work-life balance. Apply today and make an impact in the...

JOB DESCRIPTION The ESIS Senior Nevada Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. As a Senior Claim Representative, candidate will be responsible for more complex and intricate, requiring an advanced skillset. Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process. Investigation: Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability....

JOB DESCRIPTION Key Responsibilities: Analyze initial reports to determine the nature of loss, coverage provided, and the scope of injury or damage in both personal and commercial auto, as well as general liability cases. Conduct comprehensive investigations into all aspects of reported claims, including potential fraud. Secure appropriate supporting documentation and verify its accuracy, relevance, and completeness. Manage first and third-party injury claims related to No-Fault/Med Pay and liability exposures. Apply knowledge of jurisdictional regulations and case law applicable to all territories handled. Negotiate liability and damages effectively when appropriate. Demonstrate the ability to manage and monitor cases to ensure timely development and resolution of claims inventory. Collaborate with department management to deliver presentations, conduct meetings, and serve as a technical resource. QUALIFICATIONS 5-7+ years of experience in liability...

JOB DESCRIPTION Are you looking to grow your career in workers' compensation and claims support? Join ESIS, a leader in risk management and insurance services, where you can help support effective claims handling and contribute to positive outcomes for employees and clients. The ESIS Senior Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. As a Senior Claim Representative, candidate will be responsible for more complex and intricate, requiring an advanced skillset. Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional...

JOB DESCRIPTION Are you looking to grow your career in workers' compensation and claims support? Join ESIS, a leader in risk management and insurance services, where you can help support effective claims handling and contribute to positive outcomes for employees and clients. The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for investigating and resolving claims promptly, equitably, and in accordance with established best practices. Duties and Responsibilities Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. Communication: Act as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process. Investigation: Conduct thorough investigations, including gathering statements,...

JOB DESCRIPTION This is a role focused on technical claim handling forChubb's Commercial Direct Handle Claims Team. In this role you will manage complex auto and general liability claims, both litigated and non-litigated, under both primary and excess policies. This role requires an individual to be accountable for the handling and disposition of significant exposure claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies. This position will require some travel, as well as coordinating with and servicing both internal and external business partners. You will represent the company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences and trials. Responsibilities: Manage an inventory of claims involving significant severity exposures and coverage issues. Conduct, coordinate, and direct investigation into loss facts, damages and risk transfer...