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Search Results Page 12 of 20

Company Berkley Public Entity
Location Name NJ, Ewing - 200 Princeton S - Suite 280
The Public Entity Underwriter will manage existing broker and client relationships and will develop new broker and client relationships, resulting in premium generation.  The Underwriter will work closely with the Actuarial, Claims, and Underwriting teams to understand and achieve profitability targets.  The Underwriter will also analyze risk, exposure, loss and coverage information for group and individual risk accounts to structure and price programs that are financially efficient for the insured and profitable for the company, and will Identify and utilize data-driven analyses to drive marketing efforts relative to customer acquisition and retention.   - Review new and renewal submissions for completeness and address any discrepancies with the broker. - Organize and aggregate loss and exposure information and input into pricing models. - Analyze and interpret risk data and complete an underwriting workbook for each eligible risk. - Work with actuarial to understand the key components of the pricing models. - Establish and maintain broker relationships though superior levels of service and direct broker engagement. - Attend industry client centric events. - Assist with the development of new products, services, process improvements, and marketing initiatives. - Independently make sales calls to brokers and clients, and when necessary, coordinate with Executive, Underwriting, and Claims. - Manage ad hoc projects as required.
ID
2021-5990
Primary Location
US-NJ-Ewing
Company Berkley Mid-Atlantic Group
Location Name VA, Glen Allen - 4820 Lake Brook - Suite 300
Investigate, evaluate, reserve, negotiate and resolve claims in multiple jurisdictions and in accordance with Best Practices.  Positions are specialized by line of business (WC, GL, Auto or Property). Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management.  Promptly manage claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, and disposition.  Position routinely handles claims involving coverage issues.
ID
2021-5989
Primary Location
US-VA-Glen Allen
Loc2
PA, Harrisburg - 75 S Houcks Road
Loc3
PA, Sewickley
Company Berkley Professional Liability
Location Name NY, New York - 757 Third Ave - 10th Floor
- Candidate will handle Public and Private Company Directors and Officers and Financial Institution Claims. - The candidate will resolve claims according to Best Practices and within authority limits. Key Duties - Responsible for handling middle to high excess Director and Officer claims for Public and Private Companies and Financial Institutions of moderate value and complexity as well as primarily responsible for higher excess and bordereau claims. - Claims Specialist will review all aspects of legal proceedings, provide coverage analysis, determine exposure, set appropriate reserve and attend mediations and/or trials. - Regularly communicates with customers and brokers.
ID
2021-5986
Primary Location
US-NY-New York
Company Nautilus Insurance Group
Location Name AZ, Scottsdale - 7233 E Butherus Drive
Completes the six-month EDGE training program and graduates as an Assistant Underwriter. The role of an Assistant Underwriter includes supporting the underwriting process and making appropriate decisions within assigned underwriting authority levels.  Also compiles data, performs routine tasks, and processes accounts.  Projects a professional company image through internal and external customer interaction.   The EDGE Program (first six months) - Attends all EDGE classes and events. - Completes homework assignments and projects.  - Receives a passing grade on all exams and quizzes. - Completes work assignments in an acceptable manner as assessed by the manager. The Assistant Underwriter Role (second six months) - Assesses and takes action on new and renewal accounts to: - Determine underwriting acceptability - Determine proper policy issuance - Quote assigned renewals (e.g. existing policies) - Assess exposures detailed in inspection reports - Review and assess claim activity - Provides administrative support by preparing and compiling reports - Effectively communicates (written/verbal) information to both internal and external customers. - Performs other duties as assigned.
ID
2021-5978
Primary Location
US-AZ-Scottsdale
Company Berkley Risk Administrators Company
Location Name MN, St. Paul - 145 University Avenue West
This opportunity provides loss control consultative services for our clients in an assigned geographical work area.   Key functions include but are not limited to the below: - Provides consultative loss control service to clients that will assist in developing an effective loss control program. - Analyzes losses, generates/submits comprehensive loss control recommendations to assist in correcting deficiencies and controlling losses and related costs. - Ability to perform job hazard analysis, hazard/exposure recognition surveys and training for client management (train the trainer). - Provides clients with resource materials, audiovisual materials and loss experience information. - Prepares detailed, written, multi-line, loss control surveys/reports/forms to relate loss control information to others. - Must possess effective oral, written and consultative communications skills. - Develops/maintains public speaking skills. Assists in the preparation/presentation of workshops/seminars and other training for clients/potential clients. - Researches, develops and delivers presentations on loss prevention, risk management and occupational safety. - Develops/maintains a working relationship with customers, agents and/or brokers (where applicable). - Maintains regular communication relative to loss control issues with appropriate company personnel. - Stays abreast of current regulatory changes which could impact customer’s operations. - Keeps informed of new techniques and equipment used in loss control. - Able to travel, to include overnight and multiple night trips, to effectively manage workload in an assigned territory. Includes overnight travel to conferences when necessary. - Ability to conduct ergonomic review of work sites and workstations.  
ID
2021-5973
Primary Location
US-MN-Saint Paul
Company Berkley Small Business Solutions
Location Name CT, West Hartford - 433 S Main Street
Berkley Small Business Solutions seeks an actuarial intern to assist the actuarial department with pricing, reserving, and predictive modeling. This role will provide the opportunity to work closely with experienced actuaries and data scientists in a startup environment. You will gain broad exposure to commercial lines P&C insurance.   Key functions include but are not limited to the following: - Providing support for actuarial ratemaking analysis - Assisting with rate filing justifications and supporting documentation - Assisting data scientists in pricing model development - Identifying third-party data to enhance existing pricing and underwriting models - Building dashboards and data visualizations to monitor company performance - Assisting with quarterly reserve reviews and other financial reporting
ID
2021-5971
Primary Location
US-CT-West Hartford
Company Preferred Employers Insurance
Location Name CA, San Diego - 9797 Aero Drive
The Underwriter is primarily responsible for risk evaluation including selection and retention of new and existing business in accordance with the company’s underwriting philosophy.  The Underwriter develops and fosters positive, professional relationships with the company’s agency partners, as well as achieves company growth and profitability objectives.  The Underwriter must be a team player and exhibit expertise in this particular area of responsibility, consistently exercising good judgment.   Responsibilities include but are not limited to the following: - Selects new business and evaluates renewal accounts in accordance with company underwriting philosophy, established authority parameters, as well as written/verbal procedures and guidelines. - Demonstrates a professional, courteous attitude with agents. Responds quickly and ethically to all requests/issues.  Delivers on promises and promises only what can be delivered. - Provides accurate and thorough education to agents about the company’s risk selection philosophy and pricing guidelines. - Achieves company growth objectives by recognizing sales opportunities, soliciting desirable business, and diligent follow-up on quoted business. - Occasionally travels to agencies providing field underwriting and quoting. - Reviews claims activity, loss control surveys, and inspection reports for existing policies, handling as required. - Resolves policy audit issues. - Determines the appropriate course of action for policy changes, delegating to underwriting and/or processing assistants for handling.
ID
2021-5965
Primary Location
US-CA-San Diego
Loc2
CA, Walnut Creek
Company Intrepid Direct Insurance
Location Name KS, Overland Park - Lighton Plaza II Building
  Are you looking to start a career with a company that is growing and expanding its product line?  As an Accounts Receivable Specialist you'll be the “right hand” to the Accounting Manager, working together to come up with new innovative ideas and processes.  Don’t worry about getting pigeon-holed in this position – you’ll be working on everything from processing payments, to interacting with clients across all 50 states, while interacting with a dynamic office team who embrace personal growth, creative thinking, and team work where all members are valued. You’ll learn the ins and outs of what it takes to truly put the customer first, build brand loyalty and retain clients in a fun, startup environment.   While this particular position is administrative, we’re looking for a rock star who wants to grow their skillset, responsibilities, and accounting/finance career. You’ll like this job if: - You excel at providing an outstanding client experience, while demonstrating the walking in their shoes philosophy - You’re a planner, you like tidy things, and make spreadsheets just for fun - You like finishing tasks, but you’ll get bored if you work on just one thing a day - You enjoy collaborating, but you feel comfortable making decisions independently, all the while continuously thinking of improving the processes - You are excited to work with individuals across all levels of a rapidly growing, rapidly evolving, direct to business insurance provider - You are looking for a company who recognizes and rewards positive contributions by way of financial growth and career advancement We'll count on you to: - Process payments for insureds - Respond to insureds emails and phone calls, researching issues and responding in a timely manner - Working up and tracking claim deductible invoices and payments - Follow up on rejected payments and NSF’s - Invoicing external policies and submitting invoices for payment - Maintains and updates customer files, including name or address changes as needed - Special projects as assigned by Management or supervisor What you can expect: - Internal mobility opportunities  - Visibility to senior leaders and partnership with cross functional teams - Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent - Opportunity to lead change - Benefits – competitive salary, paid time off, comprehensive wellness benefits and programs, profit sharing, 401k, tuition assistance and education
ID
2021-5963
Primary Location
US-KS-Overland Park
Company Union Standard Insurance Group
Location Name TX, Irving - 222 Las Colinas Boulevard W
The Chief Underwriting Officer (CUO) will be a direct report of the President and a key member of the Union Standard executive leadership team. The CUO is responsible for the strategic planning and overall management of the underwriting discipline to ensure profitable growth. In collaboration with other departments, this role will be responsible for developing and executing Union Standard Insurance Group’s underwriting strategy, with the goal of maximizing shareholder value and risk-adjusted returns.    Key Functions/Duties of Position: Describe the overall job responsibilities (including any decision-making authority) for this position. - Oversee the development and management of all aspects of underwriting strategy, aligning with the overall USIG strategic plan, and translating the strategy into clear underwriting guidelines and limits of authority. - Establish underwriting authority levels and referral processes that both streamline decision-making and ensure underwriting excellence. - Develop pricing and underwriting strategies to attain and improve profitable growth. - Develop an efficient set of processes that deliver creative, customized underwriting and risk management solutions while meeting the expectations of our partners. - Set strategic process for identifying, evaluating and managing emerging risks. - Develop and manage both internal and external relationships in a way that strengthens trust in the business partnership. - Manage the portfolio to reflect an appropriate balance between segments and diversification of line of business. - Devise strategies and protocols to grow profitably during all market cycles. - Establish policies and direct the analysis of information to support the development of products, services, and/or new programs (i.e., research and identify target businesses, competitor information, analyze industry and economic factors, etc.) - Lead, direct, and has management accountability for corporate underwriting team with emphasis on building organizational capability, talent management, and promoting a culture of superior portfolio management and product underwriting. - Assist in the maintenance of forms and rate filings for specific segments of business. - Development, implementation, and maintenance of authority statements. Drafting of authority for other department managers and any relevant relationships. - Lead for internal underwriting audit. - Responsible for underwriting document filings, accuracy of data entries to systems and contract integrity for accounts underwritten. - Lead the Loss Control Department for Union Standard. - Meet as needed with the Senior Leadership Team and President to analyze, recommend, and report on the progress of objectives. - Provide the leadership mentoring and guidance necessary to build and sustain a high performing workforce. - Anticipate and plan for the future, with the capacity to collaborate with other senior management team members in a way that fosters innovation.
ID
2021-5962
Primary Location
US-TX-Irving
Company Berkley Risk Administrators Company
Location Name MN, Minneapolis - 222 S 9th Street - Suite 2700
The Underwriting Associate, a key contributor within the Berkley Risk organization, is responsible for analyzing, underwriting and servicing insurance products for an assigned territory.  While this position is in the Underwriting Department, this role also works closely with other departments within the organization to ensure compliance with regulators and company underwriting protocol and guidelines.    Key functions include but are not limited to the following: - Build strong relationships with internal and external customers and colleagues to ensure financial goals including growth, profit, rate and premium retention are attained. - Demonstrate the ability to negotiate, strategize and make sound underwriting decisions within authority. - Review all and analyze endorsement submissions and stay within applicable binding authority. - Drive renewal process, review upcoming renewals, work with producers to obtain and evaluate all underwriting information, prepare and partner for renewal with Underwriting. - Responsible for client onboarding, maintenance and overall customer support. - Manage assigned book to achieve budgeted rate, retention and new business goals. - Execute proper pricing components and rating methodologies. - Responsible for account solicitation, risk selection, research and analysis including the corresponding documentation and pricing of insurance products and services for new and existing customers. - Analyze, assess and select risks in accordance with Berkley account rounding goals. - Responds accurately and timely to coverage inquiries from producers. - Stay current with all compliance, procedural and workflow changes. - Work collaboratively and effectively with underwriting team, operations staff, risk management, claims, regulatory, premium audit and management.
ID
2021-5956
Primary Location
US-MN-Minneapolis
Company Berkley Program Specialists
Location Name IL, Naperville
We have an exciting opportunity for a Senior Business Analyst to join our Berkley Program Specialists team for our commercial insurance business.  As part of our operations group, you will primarily be focused on compiling data for statutory reporting, filings, and transaction coding.   What you'll do: - Development of data requirements for the purpose of collecting data from internal and external sources - Prepare analytical reports that support the Operation and Underwriting functions - Work with staff from other departments as necessary to collect and summarize data for reporting. - Assist in maintaining and organizing database data to ensure efficient and effective data retrieval and reporting  - Assist in the development of data reports and structures for statistical ISO/PCI statutory reporting - Development of monthly, quarterly and annual reports, including data calls for state reporting agencies - Routinely review data to maintain proper data structure and accuracy - Provide guidance for the onboarding of new programs - Other duties as assigned
ID
2021-5952
Primary Location
US-IL-Naperville
Loc2
Northeast US Region
Loc3
Southeast US Region
Loc4
Southwest US Region
Company Admiral Insurance Group
Location Name IL, Chicago - 550 W Jackson Blvd - 5th Floor
The Associate Underwriter will work in a team setting underwriting and servicing renewal accounts for the development and retention of our Casualty Lines business.   - Production and underwriting of new and renewal account business. - Compliance with underwriting documentation rules and guidelines. - Maintain an acceptable underwriting profit. - Adherence to Admiral underwriting guidelines and referral compliance. - Development and maintenance of key broker/agent relationships. - Participates in all internal company training and continuing education. - Remains current on product releases as it pertains to Casualty. - Attends strategic marketing calls to key brokers.
ID
2021-5945
Primary Location
US-IL-Chicago
Company Berkley Luxury Group
Location Name NJ, Rutherford
  The AVP of Claims provides ongoing coaching to direct a staff of claims professionals handling general liability claims to achieve technical excellence.  S/he is responsible for establishing and ensuring accurate and timely reserves as well as moving cases to resolution in keeping with established best practices.  Duties and responsiblilities include but are not limited to: - Formulates claims and litigation strategies, assigns, directs, and proactively manages counsel to develop cost effective strategies to investigate, evaluate, reserve, and bring cases to resolution. - Reviews Reservation of Right and Denial letters to ensure consistent policy positions. - Responsible for overall indemnity and legal spend for the General Liability cases. - Utilizes data to help manage performance. - Assist in identifying claim training needs and implement  appropriate training to help team recognize high exposure cases and risk transfer opportunities. - Participates in negotiations when needed. - Involved in claim process from first notice of loss to payment of claim. - Supports underwriting inquiries and information requests regarding policy construction and upcoming renewals. - Communicates with business partners including brokers, actuary, and finance team to keep them informed and engaged in the claims resolution process. - May participate in projects and other corporate initiative such as audits, and innovation strategies.
ID
2021-5944
Primary Location
US-NJ-Rutherford
Company Berkley Net Underwriters
Location Name VA, Manassas
As a Business Analyst, you will be a liaison between stakeholders and technology partners to review, analyze and evaluate business systems, operational processes and customer needs to identify opportunities for innovation and collaborate with cross-functional teams to create and implement solutions. You'll learn and understand our business to provide subject matter expertise and deep functional product knowledge, including upstream and downstream impact of changes, and assist with completing functional user acceptance testing and integration testing on assigned projects and applications.   What you can expect: - Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent - Opportunity to lead change - Fun, energetic, fast paced, casual work environment - Internal mobility opportunities – be a key person in our succession plan - Visibility to senior leaders and partnership with cross functional teams - Benefits – competitive salary, paid time off, comprehensive wellness benefits and programs, profit sharing, 401k, tuition assistance and education We'll count on you to: - Work with end users and stakeholders to develop and translate business requirements for project and supporting deliverables, and prioritize initiatives based on business needs and requirements. - Suggest changes to stakeholders using data and analytics to support recommendations, and actively participate in the implementation of approved changes. - Collaborate with project teams to answer developer and end user questions through the application development life cycle, monitor deliverables and ensure timely completion of development while successfully managing competing resources and priorities. - Provide Subject Matter Expertise (SME) and deep functional product expertise, including upstream and downstream impact of changes - Assists with completing functional user acceptance testing and integration testing on assigned projects and applications - Conduct meetings and presentations to share ideas and findings, and effectively communicate insights, plans and progress to cross-functional team members and stakeholders. - Balance competing priorities and hold yourself and others accountable for results - Utilize data analysis to drive results and efficiencies in process and product
ID
2021-5942
Primary Location
US-VA-Manassas
Company W. R. Berkley Corporation
Location Name CT, Greenwich
A newly created position to support the Insurance Risk Management Department with the handling of claims ceded to reinsurers.  This role will report directly into Greenwich Claim Department, with responsibility of working with Insurance Risk Management on the overall management of ceded claims and related activities.   • In conjunction with the SVP of IRM, identify reinsurance opportunities • Oversee and coordinate the flow of appropriate notices and information to brokers and reinsurers; • Communicate effectively with brokers and reinsurers on claim situations; • Attend reinsurer and broker meetings as appropriate to advocate for our claims operations • Maintain an active dialogue and partnership with all OUs to understand their questions and needs; • Audit OUs as appropriate to look for oversights on reinsurance recoveries • Screen LLRs from all OUs; review monthly large loss feed from Corporate Claims for potential reinsurance recoverables; maintain “large loss event” database in conjunction with Corporate Claims to identify potential recovery opportunities; • Work with Corporate Legal to make sure appropriate confidentiality agreements are in place when sharing claim information and data with brokers and reinsurers; • Oversee reinsurer claim audits in conjunction with reinsurance broker; • Verify that the reinsurance point persons at our OUs are performing to expectations and standards and that reinsurance opportunities on local treaties and facultative placements are being used as effectively as possible; • Work on XL Pro project to make certain that the team understands as many claim-related nuances as possible; • Coordinate with CFO’s office to make sure billings and collections are timely and appropriate (with JP Milot and Pat Tomaino); • Work with Corporate Legal on problematic situations and potential disputes; • In addition to/in conjunction with the XL Pro project, help develop ways to improve/automate some of these processes, to the extent possible. • Handle discussions around commutation opportunities (do not occur with much frequency but do receive requests) and funding of collateralized deals
ID
2021-5933
Primary Location
US-CT-Greenwich
Company Carolina Casualty Insurance Group
Location Name FL, Jacksonville
Carolina Casualty is looking for a talented Claims professional who will be responsible for the investigation, evaluation, disposition and settlement of moderate to complex claims involving commercial automobile litigation. This includes the investigation, determination and evaluation of coverage, liability and damages, risk transfer, and the timely setting of proper reserves. In addition, the Claims professional will control the insured’s exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. Lastly the Claims professional will negotiate settlement of claims with varying complexity and perils.  No fault/PIP experience is ideal for this role. • Oversee and resolve truck, bus, commercial auto and/or public transportation claims, including litigation • Select, oversee, and grade the performance of outside counsel • Attend and monitor trials to assess attorney performance and jury verdict risk • Set and control litigation budgets • Conducts a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss losses. • Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claim’s management process. • Experienced with managing, evaluating and resolving claims in litigation consistent with in-place litigation guidelines. • Able to write concise reports and effectively communicate contractual issues, technical legal concepts and coverage application in easy to understand terms. • Act timely upon emerging information to insure ongoing recognition of the financial exposure on losses within assigned authority as well as promptly communicate to management, if beyond the assigned level of authority. • Interpret related claims documentation. • Initiate and oversee serious automobile accident investigations and rapid response • Develop strategies and effective plans that drive litigated matters / claims to better results • Accurately assess and resolve commercial auto insurance coverage issues, analyze facts and allegations in conjunction with all policy provisions, endorsements and amendments • Draft declination, Reservation of Rights and other coverage letters • Negotiate outstanding settlements • Present case statuses/summaries in a clear, concise and understandable manner • Documents and communicates all claim activities timely and effectively and in a manner, which supports the outcome of the claim file
ID
2021-5930
Primary Location
US-FL-Jacksonville
Company Midwest Employers Casualty
Location Name MO, Chesterfield - 14755 North Outer Forty
Mission Midwest Employers Casualty (MEC) will deliver a superior risk adjusted return to W.R. Berkley shareholders via disciplined underwriting as well as understanding and proactively mitigating claim costs. By doing so, risk bearing customers will have financially superior excess of loss workers’ compensation protection, and brokers and customers alike will benefit from our innovative services aimed to reduce our customers’ total cost of risk.   Responsibilities The Underwriting Director, Captives is responsible for the appropriate management and underwriting of an assigned book of captive business, as well as assisting with development of new business production sources and opportunities.    Financial - Meet or exceed renewal account retention, premium and loss ratio goals. - Meet or exceed new business premium and loss ratio goals. - Assist in the development of new business production sources and captive opportunities. Underwriting Discipline Consistently demonstrate underwriting discipline through adherence to MEC’s underwriting approach and guidelines: - Adhere to our captive underwriting approach, guidelines and authority levels. Demonstrate excellent knowledge of MEC’s risk appetite, development and management of captive programs. - Demonstrate thorough analysis of a captive program and underlying members’ primary risk, establishment of appropriate terms, and appropriate documentation to support analysis and terms. - Submit referrals as required, including key account information and recommendations. Customer and Broker Relationships Service brokers and clients to meet or exceed their expectations: - Develop and maintain excellent business relationships with captive clients, brokers and captive managers. - Develop brokers and captive managers to utilize MEC's value proposition in the positioning of new and renewal accounts. - Participate in client meetings / calls with determined accounts (new or renewal) to demonstrate MEC's value. - Meet / exceed service standards for clients and brokers. Value Proposition Consistently demonstrate knowledge and utilization of MEC’s value proposition and services: - Remain knowledgeable and up-to-date regarding MEC resources, services, and outcomes of recommended services: - MEC Claims Advantage services - XCEL Analytics services - Demonstrate ability to identify services that would potentially be of most value to customers. 
ID
2021-5914
Primary Location
US-MO-Chesterfield
Company Preferred Employers Insurance
Location Name CA, San Diego - 9797 Aero Drive
Preferred Employers Insurance is a member company of the W. R. Berkley Corporation, a Fortune 500 company rated A+ (Superior) by A.M. Best Company. Take your career to the next level and join us! Find out why we are the preferred workers’ compensation insurance solution for California employers.   We currently have a great opportunity for a Senior Workers’ Compensation Examiner to join our team!  Our Senior Examiners are responsible for the analysis and management of complex workers’ compensation claims. This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims. The position will process and document claims to ensure compliance with company standards, industry best practices, and legislative provisions. Acts in a fiduciary role on behalf of policyholders, negotiates claim settlements and manages subrogation. Senior Claims Examiner’s conduct the handling of claims in the utmost of good faith in compliance with the rules, regulations and statutes of the WCAB and State of California. The Senior Workers’ Compensation Examiner is expected to function with a degree of competency. The use of sound judgment coupled with consistent results is expected.   Responsibilities include but are not limited to - Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim. - Negotiates settlement of claims up to designated authority level and makes claims payments. - Processes complex or technically difficult claims. - Calculates and assigns timely and appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim. - Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level. - Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution. - Prepares necessary state filings within statutory limits. - Actively manages the litigation process; ensures timely and cost-effective claims resolution. - Coordinates vendor referrals for additional investigation and/or litigation management. - Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims. - Manages claim recoveries of all types, including but not limited to subrogation, Second Injury Fund recoveries, and Social Security offsets. - Reports claims to the excess carrier, responds to requests of directions in a professional and timely manner. - Frequently communicates with all appropriate parties involved with the claim. - Refers cases as appropriate to management. - Maintains professional client relationships. - Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
ID
2021-5900
Primary Location
US-CA-San Diego
Loc2
CA, Walnut Creek
Company Preferred Employers Insurance
Location Name CA, San Diego - 9797 Aero Drive
Preferred Employers Insurance is a member company of the W. R. Berkley Corporation, a Fortune 500 company rated A+ (Superior) by A.M. Best Company. Take your career to the next level and join us! Find out why we are the preferred workers’ compensation insurance solution for California employers.   Our Customer Service Representatives are responsible for learning company policy and procedure in relation to policy administration and claims first notice of loss. This representative provides a high level of customer service and also provides general administrative support to other departments such as premium audit, premium accounting, and underwriting. The Customer Service Representative must exhibit a degree of competency, productivity, timeliness and accuracy, while exercising appropriate judgment and must also be a team player.   Responsibilities include but are not limited to: - Handle phone, email and live chat requests in a professional and courteous manner - Resolve insured, broker and claimant inquiries with exceptional customer service - Process premium audits & payments - Create payment histories - Assist callers with Company website and banking site login - Obtain necessary information to create a claim and perform data entry to setup new claims, create activity notes and search database for coverage - Send initial claim letters and forms to employers and injured workers - Collaborate with other team members when assistance is needed - Complete various related tasks and projects as assigned
ID
2021-5899
Primary Location
US-CA-San Diego
Company Berkley Medical Management Solutions
Location Name MA, Boston - 99 Summer Street
Berkley Medical Management Solutions has an opening for a Nurse Case Manager to join the team!  The role will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.  The Nurse Case Manager promotes exceptional service by identifying interaction opportunities, taking ownership of client results, providing high quality service, managing response times, using judgment, and building from both small and large successes.  The role will enhance communications by being proactive, engaging in active listening, asking questions to determine underlying needs, and stopping and analyzing the situation; learn from problems and implement preventative measures for the future.    Nurse Case Managers know and exceed client expectations and gets to know our clients, understanding situations from our client's perspective, and delivering solutions specific to our client's needs.   Responsibilities include but are not limited to: - Coordinate and implement medical case management to facilitate case closure. - Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care. - Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure. - Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction. - Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services. - Document activities and case progress using appropriate methods and tools following best practices for quality improvement. - Coordinate job analysis with employer to facilitate return to work. - Perform other duties and special projects as assigned by case management manager. - Occasionally attend on site meetings and professional programs. - Review job analysis with physician. - Exhibit strong communication skills, flexibility and adaptability. - Foster a teamwork environment.
ID
2021-5898
Primary Location
US-MA-Boston
Loc2
New Hampshire
Loc3
Maine
Loc4
Vermont
Loc5
New Jersey
Loc6
Arizona

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