- Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
- Contacts, interviews and obtains statements (recorded) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
- Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract.
- Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
- Sets reserves within authority limits and recommends reserve changes to Team Leader.
- Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
- Prepares and submits to Team Leader unusual or possible undesirable exposures.
- Assists Team Leader in developing methods and improvements for handling claims.
- Settles claims promptly and equitably.
- Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
- Informs claimants, insureds/customers or attorney of denial of claim when applicable.
- Understanding and extensive working knowledge of PA, NJ and DE jurisdictions,
- 5 or more years' experience handling PA, NJ, and DE Workers' Compensation claims as evidenced by career progression within the company or similar organization.
- Ability to work independently with limited direction from a Team Leader.
- Authoritative technical knowledge of claims handling and claims terminologies.
- Superior negotiation skills.
- Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses.
- Strong knowledge of the company's products, services, coverage's and policy limits, along with a solid understanding of claims best practices.
- Commanding knowledge of applicable state and local laws related to line of business handled.
- Superior customer service skills
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Workers Compensation Specialist
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Liberty Personnel Services, Inc. Philadelphia, United StatesPerforms highly advanced and/or supervisory (senior-level) human resources management work related to risk management and workers' compensation. Work involves administering, monitoring, and evaluating the development and operation of the agency's return-to-work and workers' compe ...
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Rothman Orthopaedics Philadelphia, United StatesJob Details · Level · Entry · Job Location · Center City 833 Chestnut - Philadelphia, PA · Remote Type · Hybrid · Position Type · Full Time · Education Level · High School · Travel Percentage · None · Job Shift · Day Shift · Description · Rothman Orthopaedics is loo ...
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AmTrust Financial Services Philadelphia, United States Full time· Overview · AmTrust Financial Services, Inc., a growing commercial insurance holding company, has an immediate need for an in-house paralegal to work in our litigation department's Pennsylvania office as an Legal Assistant II. · Responsibilities · Research and analyze law sour ...
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Found in: Lensa US P 2 C2 - 5 days ago
Malamut & Associates Cherry Hill, United StatesBenefits: · Competitive salary · Health insurance · Paid time off · With offices in Cherry Hill and Hoboken, NJ, Malamut & Associates, LLC has aggressively represented clients since its founding in 2001. The firm's areas of practice include Government & Regulatory Affairs, Employ ...
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Found in: ZipRecruiter Test10S US C2 - 2 days ago
Malamut & Associates Cherry Hill, United StatesJob Description · Job DescriptionBenefits:Competitive salary · Health insurance · Paid time off · With offices in Cherry Hill and Hoboken, NJ, Malamut & Associates, LLC has aggressively represented clients since its founding in 2001. The firms areas of practice include Government ...
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Cipriani & Werner Mount Laurel, United StatesJob Description · Job DescriptionCipriani & Werner, P.C. is a multidisciplinary law firm. We have long been recognized as a firm that seeks first to understand the needs and interests of our clients. From that point forward, we strive to deliver results that are expected by our c ...
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Worker's Compensation Paralegal
Found in: Talent US C2 - 3 days ago
NJM Insurance Group Trenton, United States Full timeWe are looking for a Workers' Compensation Paralegal who thrives in both a collaborative and independent environment; where diversity within their team and organization is valued. · The ideal candidate is one who seeks opportunities to advance development, proactively shares kno ...
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Workers' Compensation Claims Adjuster II/Senior Workers' Compensation Adjuster
Found in: Lensa US 4 C2 - 1 day ago
Zurich North America Trenton, United States** Workers' Compensation Claims Adjuster II/Senior Workers' Compensation Adjuster** · 74572 · Zurich is currently seeking an experienced Workers Compensation professional to join our claims team. · You will manage a workers compensation claims caseload that consists primarily of ...
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Found in: Lensa US 4 C2 - 4 days ago
Zurich North America Trenton, United States** Workers' Compensation Claims Adjuster II/Senior Workers' Compensation Adjuster**74572 Zurich is currently seeking an experienced Workers Compensation professional to join our claims team.You will manage a workers compensation claims caseload that consists primarily of lost tim ...
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Law Offices of Doroshow Pasquale Krawitz & Bhaya New Castle County, United StatesJob Description · Job DescriptionWe are hiring a full time Worker's Compensation/Injury Paralegal in our Elsmere office. This position involves significant interaction with clients, insurance companies and medical providers daily. College degree and/or Paralegal Certificate or pr ...
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Senior Claims Specialist- TPA Workers' Compensation
Found in: Lensa US 4 C2 - 5 days ago
XL Catlin Exton, United StatesJob Description - Senior Claims Specialist- TPA Workers' Compensation D · Job Description · Senior Claims Specialist- TPA Workers' Compensation · ( · Job Number: · D · ) · DISCOVER your opportunity · Senior Claims Specialist – Workers Comp · DISCOVER your opportunity · What ...
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Senior Claims Specialist- TPA Workers' Compensation
Found in: Lensa US 4 C2 - 4 days ago
AXA XL Ltd Exton, United StatesSenior Claims Specialist - Workers Comp · Exton, PA; Atlanta, GA; Dallas, TX; Chicago, IL; Los Angeles, CA; Walnut Creek, CA · DISCOVERyour opportunity · What will your essential responsibilities include? · •Active direction of high-value workers' compensation claims venued ...
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Senior Claims Specialist- TPA Workers' Compensation
Found in: beBee S2 US - 5 days ago
AXA Group EXTON, United States OTHERSenior Claims Specialist – Workers Comp · Exton, PA; Atlanta, GA; Dallas, TX; Chicago, IL; Los Angeles, CA; Walnut Creek, CA · DISCOVER your opportunity · What will your essential responsibilities include? · Active direction of high-value workers' compensation claims venued throu ...
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Genesis Health Philadelphia, PA, United States Full timeBenefits · Tuition, Travel, and Wireless Service Discounts · Employee Assistance Program to support mental health · Employee Foundation to financially assist through unforeseen hardships · Inclusive workplace with DEI committee. DEI is a part of our company's DNA. · Variable comp ...
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Pond Lehocky Giordano, LLP Philadelphia, United StatesJob Posting - Social Media Relationship Manager · Pond Lehocky Giordano is looking for a strategically minded Social Media Relationship Manager to join the team. · This is not a typical social media position - we already have a social media manager and an in-house videographer. ...
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Found in: Joblookup US C2 - 2 days ago
White and Williams LLP Philadelphia, Pennsylvania, United StatesJob Description · Maximise your chances of a successful application to this job by ensuring your CV and skills are a good match. · Philadelphia office of White and Williams LLP, a large multi-practice law firm, is seeking a legal secretary with 3+ years of legal experience. Backg ...
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Found in: Click to Hired US C2 - 1 day ago
White and Williams LLP Philadelphia, United StatesJob Description · Philadelphia office of White and Williams LLP, a large multi-practice law firm, is seeking a legal secretary with 3+ years of legal experience. Background in any of the following areas helpful: subrogation, commercial litigation, workers' compensation, general l ...
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psychiatrist - philadelphia
Found in: MyJobHelper US C2 - 1 day ago
Vivo HealthStaff Philadelphia, PA , USA, United StatesVivo HealthStaff is recruiting a fellowship-trained child and adolescent psychiatrist for a position in the Philadelphia Metropolitan Area. · Details: · • The schedule is Monday - Friday, day shift. · • The new associate will join an experienced multidisciplinary team consisting ...
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Medical Director, Occupational Health
Found in: Lensa US 4 C2 - 2 days ago
Necnic Group Healthcare Recruitment Philadelphia, United StatesSystem Medical Director - Occupational Health & Employee Health Services · Overview: Join our regional integrated healthcare system serving Berks, Chester, Montgomery, and Philadelphia Counties. We're looking for a System Medical Director to lead Occupational Health and Employee ...
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Medical Director, Occupational Health
Found in: Lensa US 4 C2 - 5 days ago
Necnic Group Healthcare Recruitment Philadelphia, United StatesSystem Medical Director - Occupational Health & Employee Health ServicesOverview: Join our regional integrated healthcare system serving Berks, Chester, Montgomery, and Philadelphia Counties. We're looking for a System Medical Director to lead Occupational Health and Employee Hea ...
Senior Claims Representative, Workers' Compensation - Philadelphia, United States - CHUBB
Description
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.
This role operates on a hybrid work schedule (3 days in office, 2 days remote) and must sit in either our Wilmington, DE or Philadelphia, PA offices.
Major Duties and Responsibilities include but are not limited to:
Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.
Chubb strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Chubb operates, and we believe the best solutions draw upon diverse perspectives, experiences, and skills. We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success.
Senior Claims Representative, Workers' Compensation professionals in Philadelphia
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Samuel Fishman
Legal