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Manages medical-only, limited lost-time, permanent-total, and death claims. Responsibilities include collecting missing claim information, processing payments, authorizing and evaluating treatment, coordinating network care, identifying subrogation or permanency issues, maintaining diaries, ensuring jurisdictional compliance, administering benefits, and maintaining required adjusting licenses.

Litigate Pennsylvania workers’ compensation claims for insured and self-insured employers. Prepare legal documents, conduct depositions, negotiate settlements, advise internal clients on workers’ compensation law, conduct regulatory research, maintain client relationships, and ensure compliance with defense counsel guidelines.

Investigates, evaluates, reserves, negotiates, and resolves complex workers’ compensation claims. Determines coverage and compensability, manages benefits, litigation, medical treatment, vendors, and return-to-work strategies, while ensuring compliance with jurisdictional requirements. Provides client support, communicates with internal and external stakeholders, identifies suspicious claims, and maintains accurate claim documentation and action plans.

Analyzes insurance regulations and legislation, evaluates operational impacts, monitors compliance action plans, coordinates claims and rate system revisions, prepares regulatory submissions, investigates consumer complaints, conducts compliance assessments and audits, and supports operating companies with regulatory requirements. Provides guidance to associates and applies expertise in workers’ compensation regulations, insurance contracts, state audits, EDI compliance, and claims operations.

Leads full-cycle recruiting for corporate and regional insurance-related and business roles. Responsibilities include sourcing, screening, interviewing, assessments, compensation and offer negotiations, onboarding, pipeline development, university and community outreach, hiring-manager consultation, compliance guidance, workforce planning, employee referral promotion, and temporary staffing coordination. The role also provides limited support on benefits, employee relations, and organizational development and requires regular presence in Blue Bell, Pennsylvania.

Provides technical and procedural support for a premium operations team. Responsibilities include coordinating training, updating materials, communicating underwriting workflow changes, answering team inquiries, conducting quality reviews, preparing scorecards, resolving processing issues, and completing special projects while following compliance procedures.

Entry-level underwriting development program focused on analyzing, selecting, and pricing commercial property and casualty insurance risks. The apprentice receives classroom instruction, job shadowing, team assignments, and hands-on underwriting training. Responsibilities include evaluating coverage terms, supporting new business generation, applying analytical and decision-making skills, building relationships, understanding compliance requirements, and collaborating with Claims, Risk Control, and other departments.

Investigates, evaluates, and resolves complex workers’ compensation claims. Determines coverage and compensability, manages reserves, negotiates settlements, coordinates medical and disability management, oversees litigation and vendors, and ensures compliance with jurisdictional requirements. Builds return-to-work strategies with nurse professionals, communicates with clients and stakeholders, authorizes treatment, supports claims reviews, and maintains accurate, timely claim outcomes.

Supports Product and IS teams by developing enhancement requirements, workarounds, specifications, test cases, reports, and business process documentation. Performs UAT and functional testing, analyzes data, maintains application business rules and forms, coordinates vendor issue logs, and recommends process improvements. Requires accuracy, organization, effective communication, independent prioritization, and collaboration with internal teams and vendors.

Manage full-cycle recruiting for insurance and corporate roles, including sourcing, screening, interviewing, assessments, compensation, negotiations, offers, and onboarding. Build candidate pipelines and external talent relationships, advise managers on compliant hiring practices, clarify staffing needs, support employee referrals and temporary staffing, and provide guidance on related HR matters. The role requires managing multiple searches, partnering with leadership, and supporting retention and career-path initiatives.