Senior Workers' Compensation Claims Representative (Remote)
Location
United States
Posted
50 days ago
Salary
$72.8K - $109K / year
Seniority
Senior
No structured requirement data.
Job Description
Senior Workers' Compensation Claims Representative (Remote)
MEM
Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you’ll manage high-exposure workers’ compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes. You’ll be a key decision-maker, a mentor to junior adjusters, and a champion of process improvement—all while ensuring exceptional service and regulatory compliance. At MEM Insurance, we don’t just protect our customers—we empower our employees. We foster a culture of integrity, collaboration, and innovation. Our team thrives on solving challenges together, supporting one another, and making a meaningful impact in the lives of our policyholders and injured workers. Essential Duties and Responsibilities: Claims Handling & Administration - Manage highly complex claims involving significant financial exposure, legal intricacies, and extended life cycles. - Conduct advanced investigations into coverage and compensability, including nuanced statutory interpretations. - Oversee medical case management for catastrophic injuries and lifetime care needs. - Review and authorize large or complex medical bills, negotiating adjustments to control costs. Return-to-Work Management - Develop comprehensive RTW strategies in collaboration with policyholders, legal counsel, and vocational consultants. - Ensure precision in benefit calculations for high-exposure claims, addressing tax and compliance risks. - Strategically deploy investigative efforts aligned with broader claims strategy. Claims Investigation & Loss Prevention - Lead investigations into complex fraud cases and collaborate with the Special Investigations Unit. - Conduct subrogation analysis and negotiate with third-party insurers or attorneys for maximum recovery. Settlements & Negotiation - Partner with legal teams to negotiate complex settlements and manage litigation processes. - Oversee Medicare compliance initiatives, including Medicare Set-Asides and CMS engagement. - Identify opportunities for structured settlements and lead negotiations. Reporting - Produce strategic reports on high-profile claims to guide management decisions. - Maintain system data integrity and prepare claims for Corporate Plan of Action meetings. Collaboration - Lead cross-departmental efforts to improve claims handling and risk management. - Resolve escalated customer service issues and support high-value accounts. - Participate in workflow improvement initiatives and committees. Team Leadership - Mentor and coach junior and intermediate adjusters. - Review escalated claims and provide actionable feedback. - Support workforce development and succession planning. Qualifications: - Bachelor’s degree in business or related field preferred, or equivalent industry experience. - 7–10 years of claims handling experience, with high exposure to Workers’ Compensation. - Associate in Claims (AIC), AIM, or CPCU designation preferred or ability to obtain. - Texas All-Lines license preferred. - Valid driver’s license required. Company Culture and Values At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered. Connection and Belonging MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities. Total Rewards Overview - Health Plans: Medical, Dental, and VisionIncludes fertility benefits, fully paid preventative care, and adult orthodontia. - Employer-Paid Life and Disability Benefits:Life Insurance (3x base salary), AD&D, Short and Long-term Disability. - Wellness and Recognition Program: Employer-paid incentives for employees and spouses. - Flexible Spending Account and Dependent Care options - Health Savings Account: Generous employer contribution. - Time Away from Work:Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave. - Employee Assistance Programs - 401k Retirement Plan: Employer match and profit sharing. - Adoption Assistance and Tuition Assistance Notice Regarding Use of Artificial IntelligenceMEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.
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障がい者向け エンジニア 職(生産工学、生産施設、装置、プロセスエンジニア等)*Disability
Micron TechnologyMicron Technology specializes in memory and semiconductor technology, such as computer memory and image sensors. Since opening, Micron Technology has had a successful history and i
Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. - 世界最先端技術を使用した半導体部品の開発• 設計• 製造を行っている会社です。 マイクロンメモリ ジャパン㈱の就業環境の特徴として下記が挙げられます。 障がい者向け エンジニア 職* - 外資系企業ですが, 英語が出来なくても問題ありません。 - 入社後は社内研修実施後に働いていただくので, 未経験の方でも安心して働ける環境です。 - 業務内容 ※キャリアアップを目指したい方に最適なお仕事です。 主な業務内容 障害特性を考慮の上, 以下のいずれか1つの業務を中心に, その業務に付随する関連業務をご担当いただきます。• 各種データ分析を通じて, 生産性向上につながる設備投資などの投資戦略立案や, 生産計画の企画を担います。• 半導体工場を「止めず• 安全に• 高品質で動かし続ける」ための, 工場インフラ全部を担当します。 ( スケールが都市インフラ級で, 新工場立ち上げや 拡張にも携わります )• 装置の立ち上げや装置トラブルを解決し生産能力向上に取り組みます• 生産性向上• 歩留まり向上• コスト削減等について, 各種データ を分析し, 課題を抽出し, 改善策の提案• 実行します。 ※ 社内外の関係者と, メールや口頭でのコミュニケーションを図ることにより業務を遂行していた だきます。 英語によるコミュニケーションができる方は優遇いたします。 *詳細は面接時にお伝えします。 *すべての業務について, 社内外関係者と業務を円滑に行うため, 電話やメールによるコミュニケーションが必要となります(聴覚 障害がある方にも支援• 配慮いたします)。 応募条件:障がい者手帳をお持ちの方 勤務地:広島県東広島市 広島工場 選考プロセス:書類選考, 面接(1~3回), 実技(PCスキル等) 必須条件:• 高校卒業以上• Microsoft office(Word, Excel, PowerPoint, Outlookなど)基本的なソフトウエアを 使用できる。• 日本語でのコミュニケーション must have Japanese language skills 勤務時間: 日勤 8:30~17:15 休日• 休暇 日勤 年間126日(2025年度) (制度) 有給年間休暇 年間最大22日(年の途中で入社した場合は, 按分した日数を付与) ファミリーフレンドリー休暇 年間最大8日(年の途中で入社した場合は, 按分した日数を付与) 制度• 福利厚生: ◆交通費支給(車通勤の場合, ガソリン代支給) ◆転居費用補助※入社時のみ, 会社規定あり ◆単身赴任者の帰省時の交通費負担※会社規定あり ◆ファミリーフレンドリー休暇, 結婚休暇, 忌引, 産前産後, 育児休職, 介護休職など ◆ 退職給付制度(確定給付企業年金• 確定拠出年金での給付) ◆フレックスタイム制度※職種• 業務内容により異なります ◆ターゲットインセンティブ(会社の業績に応じ原則年1回支給) ◆株式付与制度(会社の業績等に応じMicron Technologyの株式を支給) ◆社内公募制度 →入社1年経過以降, 社内で新たな仕事にチャレンジする事が可能 ◆カフェテリアプラン制度 →医療• 育児• 自己啓発• リフレッシュ等から選択可能, 年間50,000ポイント=5万円分 ◆企業年金制度, 財形貯蓄制度 など ◆社会保険 健康保険:有 厚生年金:有 雇用保険:有 労災保険:有 ◆賞与• 昇給 有 その他設備:• 無料駐車場, 通勤バス(西条駅ー会社間)• 社内ジム設備• 社内コンビニ• フリードリンク設備• カフェ店舗設備 About Micron Technology, Inc. We are an industry leader in innovative memory and storage solutions transforming how the world uses information to enrich life for all . With a relentless focus on our customers, technology leadership, and manufacturing and operational excellence, Micron delivers a rich portfolio of high-performance DRAM, NAND, and NOR memory and storage products through our Micron® and Crucial® brands. Every day, the innovations that our people create fuel the data economy, enabling advances in artificial intelligence and 5G applications that unleash opportunities - from the data center to the intelligent edge and across the client and mobile user experience. To learn more, please visit micron.com/careers All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. To request assistance with the application process and/or for reasonable accommodations, please contact hrsupport_japan@micron.com Micron Prohibits the use of child labor and complies with all applicable laws, rules, regulations, and other international and industry labor standards. Micron does not charge candidates any recruitment fees or unlawfully collect any other payment from candidates as consideration for their employment with Micron. AI alert: Candidates are encouraged to use AI tools to enhance their resume and/or application materials. However, all information provided must be accurate and reflect the candidate's true skills and experiences. Misuse of AI to fabricate or misrepresent qualifications will result in immediate disqualification. Fraud alert: Micron advises job seekers to be cautious of unsolicited job offers and to verify the authenticity of any communication claiming to be from Micron by checking the official Micron careers website in the About Micron Technology, Inc.
Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good! Responsibilities As an Auto Estimator, you will collect vehicle information from repair shops or customers and complete initial and supplemental estimates via photos or in person. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable® service. This includes: - Utilizing automated estimating systems to prepare repair estimates - Providing technical support to claim handlers on vehicle repair issues - Applying knowledge of market value and other factors affecting reparability issues - Evaluating bid content and photo documentation, vehicle damage, and causation issues - Answering inbound calls and making outbound calls to customers - Providing exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally - May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions Where You'll Work: This is a Remote-Field position in which you will work from home and utilize a mobile office/vehicle for in-person appointments. This position is located in St Paul, MN. Competitive canddiates should reside within a commutable distance of this territory. The Appraiser Team works remotely but may require travel to auto shops for in-person inspections, and/or State Farm offices as needed. Candidates may be asked to work outside of their assigned territory as business needs dictates. Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible work shifts and may be asked to work overtime and/or irregular hours. Qualifications Competitive candidates must demonstrate the following: - Auto collision repair, auto damage estimating, and/or auto insurance appraiser experience - Excellent customer service, critical thinking, and decision-making skills - Strong written and verbal communication skills - Ability to multi-task across technical platforms - Accountability and Resourcefulness - Physical agility to allow for stooping, bending, and some physical lifting to adequately evaluate vehicle damage and create repair estimates - A valid driver’s license is required Preferred Skills: - Motor Vehicle Physical Damage Appraiser License - CCC One and/or Mitchell knowledge - I-CAR Platinum Certification Additional Details: - Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s). - State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing Our Benefits Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week! - Potential starting salary range: $64,965.62 - $91,000.00 annually. - Starting salary will be based on skills, background, and experience - High end of the range limited to applicants with significant relevant experience - Potential yearly incentive pay up to 15% of base salary At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family! - Get Paid! On top of our competitive pay, you are eligible for an annual raise and bonus. - Stay Well! Focus on you and your family’s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more! - Develop and Grow! Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring. - Plan Ahead! Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union! - Take a Little “You” Time! You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! - Give Back! We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund. - Finish Strong! Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary. Visit our State Farm Careers page for more information on our benefits, locations, and the hiring process of joining the State Farm team!
Claims Team Leader
GallagherInclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on protected characteristics by applicable federal, state, or local laws.
Role Description Are you ready to lead and inspire a team of dedicated claims professionals? We’re recruiting for a Motor Claims Team Leader to join Gallagher Bassett, where you’ll play a pivotal role in managing daily team operations, fostering staff development, and delivering exceptional client service. As a key figure in our organisation, you’ll leverage your expertise in the claims process to provide invaluable support and guidance to your team. You’ll also act as a role model, setting the standard for excellence and ensuring compliance with Service Level Agreements and Gallagher Bassett’s Best Practices. This is an exciting opportunity to join a growing company that values leadership, collaboration, and innovation. In this role, you’ll lead and supervise a team of claims professionals, ensuring they deliver exceptional service and meet client expectations. Your responsibilities will include: - Leading and supervising a team to ensure compliance with Service Level Agreements. - Approving claims settlements within your financial authority. - Ensuring the team is knowledgeable about Service Instructions and Policy Wordings. - Liaising with clients to meet their requirements and attending client review meetings as needed. - Providing training and supporting team development in line with the Gallagher Bassett Learning & Development Prospectus. - Completing appraisals in a timely manner and fostering staff development. - Acting as an escalation point and responding promptly to complaints. - Managing solicitors in litigated cases to uphold litigation standards. - Assisting the Head of Operations with general office administration to ensure smooth operations. Qualifications - Previous experience as a Team Leader in a regulated environment. - Technical expertise and knowledge within your scope of responsibility. - Proven client-facing experience, with the ability to build and maintain strong client relationships. - A commitment to delivering exceptional client service and achieving Gallagher Bassett’s Best Practices. - Excellent listening, written, and verbal communication skills. - The ability to create a positive work environment, treat others with respect, and inspire high performance. - A proactive approach to developing others and fostering a culture of continuous improvement. Requirements Please be advised that, due to the nature of this role and the type of clients we serve, an enhanced external background check is a requisite part of our recruitment process. Further information regarding this procedure will be provided during the recruitment process. Benefits - Minimum of 25 days holiday, plus bank holidays, and the option to ‘buy’ extra days. - Defined contribution pension scheme, which Gallagher will also contribute to. - Life insurance, which will pay 4x your basic annual salary, which you can top-up to 10x. - Income protection, we’ll cover up to 50% of your annual income, with options to top up. - Health cash plan or Private medical insurance. - Three fully paid volunteering days per year. - Employee Stock Purchase plan, offering company shares at a discount. - Share incentive plan, HMRC approved, tax effective, stock purchase plan. - Critical illness cover. - Discounted gym membership, with over 3,000 gyms nationally. - Season ticket loan. - Access to a discounted voucher portal to save money on your weekly shop or next big purchase. - Emergency back-up family care. - And many more…
Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good! Responsibilities As an Auto Estimator, you will collect vehicle information from repair shops or customers and complete initial and supplemental estimates via photos or in person. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable® service. This includes: - Utilizing automated estimating systems to prepare repair estimates - Providing technical support to claim handlers on vehicle repair issues - Applying knowledge of market value and other factors affecting reparability issues - Evaluating bid content and photo documentation, vehicle damage, and causation issues - Answering inbound calls and making outbound calls to customers - Providing exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally - May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions Where You'll Work: This is a Remote-Field position in which you will work from home and utilize a mobile office/vehicle for in-person appointments. This position is located in West Palm Beach, FL. Competitive canddiates should reside within a commutable distance of this territory. 33426, 33427, 33428, 33429, 33431, 33432, 33433, 33434, 33435, 33436, 33437, 33444, 33445, 33446, 33448, 33463, 33464, 33482, 33483, 33484, 33486, 33487, 33488, 33496, 33497, 33498, 33499 The Appraiser Team works remotely but may require travel to auto shops for in-person inspections, and/or State Farm offices as needed. Candidates may be asked to work outside of their assigned territory as business needs dictates. Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible work shifts and may be asked to work overtime and/or irregular hours. Qualifications Competitive candidates must demonstrate the following: - Auto collision repair, auto damage estimating, and/or auto insurance appraiser experience - Excellent customer service, critical thinking, and decision-making skills - Strong written and verbal communication skills - Ability to multi-task across technical platforms - Accountability and Resourcefulness - Physical agility to allow for stooping, bending, and some physical lifting to adequately evaluate vehicle damage and create repair estimates - A valid driver’s license is required Preferred Skills: - Motor Vehicle Physical Damage Appraiser License - CCC One and/or Mitchell knowledge - I-CAR Platinum Certification Additional Details: - Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s). - State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing Our Benefits Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week! - Potential starting salary range: $59,059.65 - $82,000 annually - Starting salary will be based on skills, background, and experience - High end of the range limited to applicants with significant relevant experience - Potential yearly incentive pay up to 15% of base salary At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family! - Get Paid! On top of our competitive pay, you are eligible for an annual raise and bonus. - Stay Well! Focus on you and your family’s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more! - Develop and Grow! Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring. - Plan Ahead! Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union! - Take a Little “You” Time! You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! - Give Back! We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund. - Finish Strong! Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary. Visit our State Farm Careers page for more information on our benefits, locations, and the hiring process of joining the State Farm team!

