insurance claims manager

The Home Depot

<div>
 
 
 Position Purpose:
 
 
 
 Responsible for defining, implementing, and managing internal claims programs (self-administration) to control quality and costs associated with premises and general liability claims (e.g. customer bodily injury and property damage). This position ensures the company&rsquo;s claims are handled internally in compliance with industry best practices and company policies, without reliance on a third-party administrator.
 
 
 
 
 
 
 Key Responsibilities:
 
 
 <ul>
 <li>
 25% Claims Handling Standards - Develops and enforces claims handling standards and best practices and oversees quality assurance programs (e.g. file reviews and audits) to ensure adherence to those standards. Drives continuous improvement in claims processes and outcomes under the self-administration model.
 </li>
 <li>
 30% Claims Operations Management - Leads the day-to-day operations of a multi-line general liability claims unit, ensuring consistent application of departmental standards, policies, and procedures. Oversees claim intake, investigation, and resolution processes to maintain efficiency and compliance with service and quality benchmarks. Drives cost containment initiatives, including management of allocated expenses on claims. Monitors loss costs and implement strategies to reduce average claim costs while maintaining fairness and compliance (such as early resolution programs, subrogation efforts, etc.).
 </li>
 <li>
 10% Settlement Authority Oversight - Assumes oversight for all claim settlements and reserve decisions within designated authority levels &ndash; reviewing and approving settlements in accordance with company guidelines. Reviews written settlement evaluations and escalates to the appropriate approval level in the organization when required.
 </li>
 <li>
 10% Stakeholder Communication - Establishes clear interface guidelines and communication channels among all parties involved in claims, including the internal claims team (examiners/adjusters), store management, associates, and the Legal department. Regularly communicates claim status and trends to senior management and other stakeholders.
 </li>
 <li>
 25% Team Leadership - Manages and develops the in-house claims staff. Responsible for the selection, training, performance appraisal, and professional development of direct reports. Fosters a high-performance team culture and provides coaching and guidance to ensure adjusters meet regulatory requirements and company performance standards.
 </li>
 </ul>
 
 
 
 
 
 Direct Manager/Direct Reports:
 
 
 <ul>
 <li>
 This Position typically reports to Senior Claims Manager.
 </li>
 <li>
 This Position may have direct reports.
 </li>
 </ul>
 
 
 
 
 
 Travel Requirements
 
 :
 
 <ul>
 <li>
 Typically requires overnight travel 5% to 20% of the time.
 </li>
 </ul>
 
 
 
 
 
 Physical Requirements:
 
 
 <ul>
 <li>
 Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions, there may be a need to move or lift light articles.
 </li>
 </ul>
 
 
 
 
 
 Working Conditions:
 
 
 <ul>
 <li>
 Located in a comfortable indoor area; any unpleasant conditions would be infrequent and not objectionable.
 </li>
 </ul>
 
 
 
 
 
 Minimum Qualifications:
 
 
 <ul>
 <li>
 Must be eighteen years of age or older.
 </li>
 <li>
 Must be legally permitted to work in the United States.
 </li>
 <li>
 Demonstrated supervisory and team management experience in the insurance claims field, with ability to mentor adjusters and implement efficient claims handling processes. Strong leadership abilities evidenced by building effective teams and improving workflow.
 </li>
 </ul>
 
 
 
 
 
 Preferred Qualifications:
 
 
 <ul>
 <li>
 Industry Knowledge: In-depth knowledge of casualty claims best practices, legal compliance (fair claims practices, state regulations), and claims quality control techniques (e.g. file audit and review programs). Capable of establishing and upholding rigorous standards for internal claims operation.
 </li>
 <li>
 Analytical &amp; Communication Skills: Excellent analytical and critical thinking skills to evaluate claim information and make sound decisions quickly. Effective negotiation and communication skills, enabling successful settlement negotiations and collaboration with internal and external stakeholders (customers, attorneys, insurers).
 </li>
 <li>
 Bachelor&rsquo;s degree in risk management, Insurance, Business, or related field preferred (or equivalent industry experience).
 </li>
 <li>
 Professional development in insurance claims or risk management (e.g. industry certifications) is a plus.
 </li>
 </ul>
 
 
 
 
 
 Minimum Education:
 
 
 <ul>
 <li>
 The knowledge, skills and abilities typically acquired through the completion of a high school diploma and/or GED.
 </li>
 </ul>
 
 
 
 
 
 Preferred Education:
 
 
 <ul>
 <li>
 The knowledge, skills and abilities typically acquired through the completion of a bachelor's degree program or equivalent degree in a field of study related to the job.
 </li>
 </ul>
 
 
 
 
 
 Minimum Years of Work Experience
 
 :
 
 <ul>
 <li>
 8
 </li>
 </ul>
 
 
 
 
 
 Preferred Years of Work Experience:
 
 
 <ul>
 <li>
 10
 </li>
 </ul>
 
 
 
 
 
 Minimum Leadership Experience
 
 :
 
 <ul>
 <li>
 3+ years of previous leadership experience
 </li>
 </ul>
 
 
 
 
 
 Preferred Leadership Experience:
 
 
 <ul>
 <li>
 5+ years of previous leadership experience
 </li>
 </ul>
 
 
 
 
 
 Certifications:
 
 
 <ul>
 <li>
 Insurance licensing as required by state
 </li>
 </ul>
 
 
 
 
 
 Competencies:
 
 
 <ul>
 <li>
 Decision Quality
 </li>
 <li>
 Collaborates
 </li>
 <li>
 Drives Engagement
 </li>
 <li>
 Ensures Accountability
 </li>
 <li>
 Plans and Aligns
 </li>
 <li>
 Communicates Effectively
 </li>
 <li>
 Customer Focus
 </li>
 <li>
 Develops Talent
 </li>
 <li>
 Drives Results
 </li>
 <li>
 Manages Conflict
 </li>
 </ul>
 
 
</div>

Claims Manager - Premises Liability

Reserv

<div>About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you. 
About the role
As the Major Case Unit Manager at Reserv you will be responsible for a team of high performing claims professionals handling Reserv's most complex and high exposure claims. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers and the client. The high-performing team of Major Case Unit claim professionals you will manage will service a commercial ride share client. You will maintain high quality standards and in compliance with regulatory, internal and external contractual SLAs while working with some of the newest litigation technology. This position requires exceptional leadership skills and deep experience of compliance with state handling practices and transportation claims. 
What you'll do<ul><li>
Oversee a team of commercial auto adjuster direct reports</li><li>
Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery</li><li>
Align team with client and customer expectations of the claims process</li><li>
Serve as a resource for escalated claims</li><li>
Foster a positive work environment, promote teamwork, and encourage professional growth and development</li><li>
Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team</li><li>
Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation</li><li>
Serve as backup/ leader when the Manager is out of office</li><li>
Responsible for initial onboarding tasks/ access and new hire cultural immersion</li><li>
SME for first-line questions, escalations, roundtable discussions</li><li>
Increased reserve and payment authority with the ability to assist with moderate reviews</li><li>
Identify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/ co-lead by Team Leads, Managers, and other Reserv employees</li></ul> 
Qualifications<ul><li>
10+ years of insurance claims experience in multiple lines of business with litigated bodily injury experience</li><li>
5+ years of leadership experience with a preference for experience managing in a remote environment</li><li>
Experience with Ride Share (or TNC/Livery) litigation is required.</li><li>
Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes</li><li>
Demonstrated commitment to quality, accuracy, and attention to detail</li><li>
Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information</li></ul> 
Benefits<ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

Major Case Unit Team Lead, Rideshare

USAA

<div>Location San Diego, California; Las Vegas, Nevada; Sacramento, California; Seattle, Washington
<div><div><div>Job ID</div><div>
R0117324</div></div>
<div><div>Date posted</div><div>
05/07/2026</div></div>
</div><div>Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.
The Opportunity
As a dedicated Manager, Claims Operations, you will manage and be accountable for auto and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. Develops engaged employees through regular coaching and feedback to deliver business results. Executes process improvements, provides feedback on the process and leads organizational process changes. Drives execution of operational risk management, regulatory compliance training, policies and, procedures.
We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.
This is a field-based role in the San Diego Metro, CA, Seattle, WA, Las Vegas, NV or Sacramento, CA area. Candidates who are willing and able to work in San Diego, Seattle, WA, Las Vegas, NV or Sacramento, CA to the San Diego Metro, CA, Seattle, WA, Las Vegas, NV or Sacramento, CA area are encouraged to apply. Relocation assistance is not available for this position.
What you&rsquo;ll do:<ul><li>
Inspects and reviews quality of claim files and provide feedback to employees as appropriate.</li><li>
Responsible for ongoing coaching and driving awareness so employees understand how their work and contributions support the overall claims and Enterprise strategies.</li><li>
Proactively identifies opportunities to improve operational effectiveness, member experiences and processes providing feedback to internal partners</li><li>
Creates conditions for success removes obstacles, leads and champions change.</li><li>
Achieves optimal productivity through managing workload volumes, staffing, training needs, and identifying and implementing appropriate solutions.</li><li>
Responsible for ongoing monitoring of work to ensure consistent execution of processes and adherence to guidelines and frameworks.</li><li>
Handles escalations and makes appropriate decisions based on the policy.</li><li>
Facilitates and guides employees through skill identification and developing for career progression Supports projects by serving as a subject matter expert.</li><li>
Hires, develops, and coaches claims employees for results delivery.</li><li>
Consistently coaches employees on claims handling and identifies opportunities to improve overall process and engagement</li><li>
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>
What you&rsquo;ll have:<ul><li>
Bachelor&rsquo;s degree: OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>
6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.</li><li>
2 years of direct team lead, supervisory or management experience.</li><li>
Experience using and interpreting data to make decisions.</li><li>
Demonstrated leadership, initiative, customer service and/or claims handling skills.</li><li>
Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.</li></ul>
What sets you apart<ul><li>
5 years of property claims leadership experience.</li><li>
Experience leading and developing teams of adjusters ensuring quality, accuracy, and timely resolution of claims that will include high exposure/complex cases.</li><li>
Advanced knowledge of property claims contracts and interpretation.</li><li>
Residential construction experience.</li><li>
Subject Matter Expert in Verisk's complete suite of Property Estimating Solutions (e.g., Xactimate, ClaimXperience and XactAnalysis).</li><li>
Experience leading adjusters.</li><li>
Highly proficient in property claims process design and process improvement.</li><li>
CPCU or other insurance industry designations.</li><li>
Ability to work weekends and extended hours if needed.</li><li>
Reside within 50 miles of the Colorado Springs to Denver Metro, CO area.</li><li>
US military experience through military service or a military spouse/domestic partner.</li></ul>
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Compensation range:
The salary range for this position is: $103,450 - $220,770.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.</div></div>

Manager, Claims Operations- Complex Property Field Manager

<div>About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you. 
About the role 
We are seeking an experienced and proactive Rideshare Major Case Claims Resolution Specialist to oversee high-exposure, complex, and litigated claims involving serious injuries, particularly those involving rideshare operators. In this role, you will take ownership of the full claims lifecycle&mdash;from initial investigation through resolution&mdash;while managing litigation strategy and collaborating with defense counsel.
You&rsquo;ll be a key point of contact for all stakeholders, including claimants, legal counsel, medical professionals, and internal teams. These files often involve layered policies, multi-party litigation, and sensitive negotiation. You will be empowered to shape case strategy, resolve complex coverage issues, and maintain a strong focus on timely, thoughtful outcomes.
This role also includes the opportunity to influence how we streamline and improve our processes by working closely with our product and engineering teams to deliver feedback from the frontlines of complex claim handling. 
What you'll do<ul><li>
Managing all aspects of litigated cases, including evaluation of the resolution process</li><li>
Analyze auto claims to identify areas of dispute, investigating and gathering all necessary information and documentation, evaluating liability and damages and negotiating and resolving claims with opposing parties or their insurance providers</li><li>
Manage litigation cases related to auto claims disputes, communicating regularly with clients, attorneys, vendors and other stakeholders</li><li>
Review legal documents and ensuring compliance with initial suit-handling plan of action.</li><li>
Analyze policy language and reaching appropriate coverage decisions.</li><li>
Direct and control the activities and costs of outside vendors including defense counsel and coverage counsel, experts and independent adjusters</li><li>
Maintain the appropiate adjuster licenses and continuing education requirements</li></ul> 
Qualifications<ul><li>
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)</li><li>
10+ years of claim handling experience, with 5+ of those years handling a pending of &gt;60% in litigation</li><li>
Experience with Ride Share (or TNC/Livery) litigation is required.</li><li>
You are not intimidated by an attorney, even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountable</li><li>
Having an understanding of transportation coverages, contractual risk transfers, and additional insured forms</li><li>
You have strong medical causation knowledge</li><li>
You have a sense of urgency and understanding of how to manage time-sensitive demands</li><li>
Ability and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional manner</li><li>
Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel</li><li>
Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines</li><li>
Ability to professionally collaborate with all stakeholders in a claim</li><li>
Have an active adjuster license(s) and be willing to obtain all licenses within 60 days, including completing state required testing</li><li>
Attention to detail, time management, and the ability to work independently in a fast-paced, remote environment</li><li>
Curious and motivated by problem solving and questioning the status quo</li><li>
Desire to engage in learning opportunities and continuous professional development</li><li>
Willingness to travel for client and claims needs</li></ul> 
Benefits<ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

Major Case Unit Claims Adjuster, Rideshare

NMC Health plc

<div><div><ul><li>Evaluate the pre-authorization requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy&rsquo;s schedule of benefits 
</li></ul></div><div></div><div><ul><li>Response to Insurance/ TPA queries and liaise with concerned department. 
</li></ul></div><div><ul><li>Responsible for receiving, evaluating and escalating second opinion cases and case management. 
</li></ul></div><div><ul><li>Perform night shift duty to sustain any issues and queries related to Authorization department. 
</li></ul></div><div></div><div><ul><li>Prepares reports of daily activity as requested for management and assists management in monthly reports as requested.
</li></ul><ul><li>GENERAL RESPONSIBILITIES: 
 </li></ul></div><div><ul><li>Work in all shifts as scheduled by the Head of Department.
 <div><ul><li>Strictly adheres to organization&rsquo;s regulations and policies especially those related
 </li></ul></div></li></ul></div>to infection control, patient safety, OSHMS, DOH, JCI and ISO.
 <div><ul><li>Supports Continuous Quality Improvement and participates and contributes to all
 the quality assurance activities of the service.
 <div><ul><li>Participates and contributes in scheduled in-service training programs.
 </li></ul><ul><li>Exercises effective interpersonal skills in dealings with department staff, associates
 </li></ul></div></li></ul></div>and Management.
 <div><ul><li>Maintains confidentiality as per the agreement signed.
 <div><ul><li>Demonstrates the ability to listen to others in promoting effective communication.
 </li></ul><ul><li>Develops thorough understanding of policies and procedures of the hospital and
 </li></ul></div></li></ul></div>demonstrates respect for them.
 <div><ul><li>Carries out other duties when requested by the Head of department.</li></ul></div></div>
 <div><ul><li>Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy&rsquo;s schedule of benefits.
</li><li>Respond to Insurance/ TPA queries and liaise with concerned department without any delay.
</li><li>Responsible for receiving, evaluating and escalating second opinion cases and case management.
</li><li>Perform night shift duty and on public holidays as per duty roster.
</li><li>Prepares reports of daily activity as requested for management and assists management in monthly reports as requested.
</li><li>Handle Auditing Process. Arrange required documents and papers and check with coders in order to assist the external Auditors.
</li><li>Attend Meetings and Presentation.
</li><li>Train Front office, Receptionist and Nurses and keep them updated about Insurance details.
</li><li>Prepare cost estimate for procedures for Cash Patient.
</li><li>To adjust duties in case of any sudden/ emergency unplanned leaves by colleagues.
</li><li>Managing and handling pending cases (if any) to the next shift colleagues.
</li><li>Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
</li><li>Comply with all OSH and infection control policies, standards and procedures and cooperate with hospital management to comply those requirements.
</li><li>Work accordance with the documented OSH procedures and instructions, specific responsibilities.
</li><li>Be familiar with emergency and evacuation procedures.
</li><li>Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk assessments, incident reports.
</li><li>Comply with Waste management procedures and policies.
</li><li>Attend applicable OSH/Infection control training programs, mock drills and awareness programs.
</li><li>Use of appropriate personal protective equipment and safety systems.</li></ul></div>
 <div><ul><li>Bachelor Degree in Medicine (MBBS) graduate from a recognized university.
</li><li>Experience in Insurance Claims management/adjudication (minimum 2 years).
</li><li>Experience in Medical Coding ICD, CPT, DRG and HCPCS.
</li><li>Excellent command of oral and written English.
</li><li>Flexible and able to work under pressure.
</li><li>Excellent knowledge of Microsoft applications.</li></ul></div>

Approval Officer

Morgan & Morgan, P.A.

<div>
 
 
 At Morgan &amp; Morgan, the work we do matters. For millions of Americans, we&rsquo;re their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights. Our over 6,000 employees are all united by one mission: For the People.
 
 
 
 
 Summary
 
 
 
 We are seeking a Case&nbsp;Manager to join our team. As a Case Manager you must be highly organized and able to work on a varied caseload. The Case Manager will assist the attorney in developing settlements, preparing documents and correspondence as needed. The ideal candidate is customer focused and empathetic.
 
 
 
 Responsibilities
 
 
 <ul>
 <li>
 Daily interaction with existing and potential clients, via telephone and in person.
 </li>
 <li>
 Order medical records from providers and communicate with clients and providers during the course of treatment.
 </li>
 <li>
 Obtain documents necessary to support injury and/or liability positions
 </li>
 <li>
 Interact with insurance carriers and healthcare providers to secure records and account balances
 </li>
 <li>
 Work directly with multiple coworkers involved in the management and support of case files
 </li>
 <li>
 Maintain organized case files.
 </li>
 <li>
 Prepare comprehensive demands and assemble support for submission to carriers under the direct supervision of an attorney
 </li>
 <li>
 Interact with attorneys and present case synopsis when required
 </li>
 <li>
 Manage case files from intake to closing under the direction of an attorney
 </li>
 <li>
 
 Performs other related duties as assigned to meet the needs of the business.
 
 </li>
 </ul>
 
 
 Qualification
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree (preferred)
 </li>
 <li>
 Prior experience as a Personal Injury Case Manager preferred.
 </li>
 <li>
 At least 2 years of working in a legal position or insurance adjuster experience preferred.
 </li>
 <li>
 Ability to be a team player and follow procedures.
 </li>
 <li>
 Proactive interaction with clients, insurance companies and medical providers.
 </li>
 <li>
 Must possess the ability to multi-task, prioritize, and manage workload with a positive attitude and minimal supervision.
 </li>
 <li>
 Highly organized with the ability to juggle multiple deadlines in a fast-paced environment
 </li>
 <li>
 Strong writing and communication skills along with attention to detail
 </li>
 <li>
 Extensive computer and database expertise, Microsoft Word, Excel, Outlook, and type no less than 35 wpm.
 </li>
 </ul>
 
 
 
 
 
 This role is on-site, which gives you the chance to be fully immersed in the work and gain direct experience alongside the team.
 
 
 
 
 
 
 
 
 
 Benefits
 
 
 
 
 Morgan &amp; Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful. This success starts with our staff.&nbsp; For full-time employees, we offer an excellent benefits package including medical and dental insurance, 401(k) plan,&nbsp; paid time off and paid holidays.
 
 
 
 
 Equal Opportunity Statement
 
 
 
 
 Morgan &amp; Morgan provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
 
 
 
 
 E-Verify
 
 
 
 
 This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.&nbsp;&nbsp;&nbsp;
 
 
 
 
 Privacy Policy
 
 
 
 
 Here is a link to Morgan &amp; Morgan's privacy policy.
 
 
</div>

Case Manager

Prudential

<div>Job Classification:
Operations - Insurance Operations
Operations - Insurance Operations
We are seeking a Senior Claim Manager to provide top-tier customer service for a dedicated Group Insurance National Account client. In this role, you will gain a deep understanding of the clients&rsquo; culture. You will apply your expert customer service skills to guide and support their employees at the start of their leave and throughout the life cycle of the claim. To ensure a seamless experience for employees, you will work with various products, including Short Term Disability, Absence, Statutory Leaves and Long Term Disability.
Responsibilities:<ul><li>
Achieve team and individual goals, leverage resources and collaborate with colleagues by sharing best practices and technical direction across 1:1, small group, and team settings.</li><li>
Become thoroughly familiar with the clients&rsquo; culture and product offerings to deliver exceptional service to both the client and their employees.</li><li>
Enhance the claimants&rsquo; experience and act as a champion for continuous process improvement.</li></ul>
Qualifications:<ul><li>
Experience in STD and LTD, FMLA, and/or State Leave adjudication.</li><li>
Highly effective in delivering proactive communication across a range of channels, including phone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls, to support an exceptional customer experience.</li><li>
Customer-focused, with a proven ability to create and maintain strong customer relationships.</li><li>
Skilled and confident in communicating difficult messages.</li><li>
Excellent documentation skills to accurately capture telephone conversations, create clear, concise claim plans, and write detailed decision letters.</li><li>
Ability to understand and interpret complex and non-standard policy and plan provisions.</li><li>
Strong ability to independently navigate ambiguous situations and adapt quickly when needed.</li><li>
Excellent organizational and time management skills.</li></ul>
Work Environment:
Occasional travel to an office location may be required.<h2 class="jobSectionHeader">
#LI-MG1</h2><h1 class="jobSectionHeader">
What we offer you:</h1>
Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $61,700.00 to $101,900.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.<ul><li>
Market competitive base salaries, with a yearly bonus potential at every level.</li><li>
Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave.</li><li>
401(k) plan with company match (up to 4%).</li><li>
Company-funded pension plan.</li><li>
Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs.</li><li>
Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.</li><li>
Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs.</li><li>
Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.</li></ul>
Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance. To find out more about our Total Rewards package, visit Work Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week.<div>
Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.</div><div>
Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law.</div><div>
If you need an accommodation to complete the application process, please email accommodations.hw@prudential.com.</div><div> 
If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.</div></div>

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