PMA Companies
  • Blue Bell, PA, United States
May 24, 2022  
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable). Alert Supervisor and Special Investigations Unit to potentially suspect claims. Ensure timely denial or payment of benefits in accordance with jurisdictional requirements. Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure. Negotiate...
PMA Companies Roseville, CA, United States
May 23, 2022  
In this role, utilize your knowledge of commercial property, auto and liability claims to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes. Provide superior customer service to internal and external business partners. Administer and resolve assigned claims in a timely manner, in accordance to jurisdictional requirements, policy coverages and company guidelines. Responsibilities: Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect changes in exposure Notify appropriate claims management when exposure exceeds authority Negotiate claims resolution within granted authority Establish and execute appropriate action...
PMA Companies Remote * (Camp Hill, PA 17011, USA)
May 21, 2022  
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate...
PMA Companies Remote * (Charlotte, NC, USA)
May 18, 2022  
As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a culture of communication. Responsibilities: Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management. Ensures timely, accurate documentation of claim activity. Selects, trains, coaches and mentors unit personnel. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals. Ensures appropriate...
PMA Companies Schaumburg, IL, United States
May 18, 2022  
The Managed Care Product Specialist is responsible for activities involving business support of internal operational and strategic partnership initiatives. Responsibilities will include Managed Care product comprehension, delivery, and liaison with Sales and Account Management functions. Essential Functions: Responsible for the continuous improvement of Managed Care functional areas (Bill review, Network products, Case Management, Nurse Triage, and Prescription Management) Act as account liaison for development, support, issue identification and resolution, and delivery of Managed Care results, trends, analytics, and product enhancements Provide analysis for strategic Managed Care product delivery, application, and improvement Support internal Managed Care product and program delivery through training, troubleshooting, process improvement and maintenance initiatives Provide feedback/recommendations relevant to product, operational, and QA improvements to ensure...
PMA Companies Remote, OR, United States
May 18, 2022  
Investigates, evaluates and resolves complex and litigated Automobile, General Liability, Professional Liability and Property claims for large self-insured and Insurance Company clients. Provide a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with client, company and regulatory guidelines. This position is typically assigned claims of highest loss exposures, more difficult coverage and excess issues and includes a diary of predominantly litigated professional liability losses. Responsibilities: Promptly investigates all assigned claims for coverage, liability assessment, damages evaluation and subrogation/contribution potential. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life...
PMA Companies Remote, OR, United States
May 18, 2022  
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable). Alert Supervisor and Special Investigations Unit to potentially suspect claims. Ensure timely denial or payment of benefits in accordance with jurisdictional requirements. Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure. Negotiate...
PMA Companies Lexington, KY, United States
May 18, 2022  
Investigates, evaluates, reserves and resolves mid-level and/or litigated auto and commercial transportation claims for multiple jurisdictions by reviewing coverage, completing investigation, determining liability and evaluating scope of damages. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, carrier, company and regulatory guidelines. Responsibilities: Promptly investigates auto claims in multiple jurisdictions for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, carrier, and company requirements Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure...
PMA Companies Glen Allen, VA, United States
May 18, 2022  
As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a culture of communication. Responsibilities: Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management. Ensures timely, accurate documentation of claim activity. Selects, trains, coaches and mentors unit personnel. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals. Ensures appropriate...
PMA Companies Blue Bell, PA, United States
May 18, 2022  
The Talent Acquisition Specialist is responsible for full life-cycle recruiting and consulting for PMA's corporate office and assigned regions. Responsibilities: Implement and administer a comprehensive talent acquisition strategy that is focused on quality, response time and cost effectiveness. Source, screen and interview candidates for a variety of insurance related positions including: claims, managed care, risk control, sales, underwriting; as well as corporate functions. Conduct pre-employment assessments and screenings in compliance with established policies and standards. Act as advisor to management regarding legal compliance and resolution of all recruitment selection issues and concerns. Determine appropriate compensation using corporate guidelines. Manage salary negotiations, the offer process and on-boarding process for all candidates. Develop active and passive candidate pipelines through research, networking and screening. Establish and maintain...
PMA Companies Blue Bell, PA, United States
May 18, 2022  
The Senior Casualty Underwriting Specialist is a member of a team that is responsible for the stewardship of the Commercial Auto, General Liability and Umbrella lines of business. The successful candidate will rely upon their production underwriting experience, marketplace experience, and strong technical skills to contribute to the profitable growth of casualty lines of business by providing technical consultation, developing or enhancing market offerings, analyzing territories, and monitoring industry trends. Responsibilities At the direction of the Casualty Product Manager, and in conjunction with other members of the Product Management and Development (PMD) team: Technical Underwriting Support Monitor actual and expected loss ratios and pricing, and make recommendations to ensure consistent achievement of profit objectives Respond to inquiries regarding coverage, policy construction and underwriting guidelines Create, maintain and update reference materials...
PMA Companies Blue Bell, PA, United States
May 18, 2022  
In this position, you will underwrite new and renewal business which includes solicitation, selection and pricing of complex multi line risks (workers compensation, commercial auto, general liability). You will actively and creatively pursue new large account opportunities throughout the territory through your network of national and large regional brokers and agents. Maintain and develop prospects in order to have a strong base of future opportunities to build your large account book. Contribute to the development of broker and agency management strategies and lead the development and execution of relationship management plans. Responsibilities: Analyze, select and profitably price coverage for large loss sensitive commercial risks and determine terms and conditions of coverage on new and renewal business. Apply and conform to underwriting rules and guidelines, rating manuals, insurance laws/ regulations. Utilize a consultative selling approach to generate new...
PMA Companies Pittsburgh, PA, United States
May 18, 2022  
As a member of our Claims management team utilize your knowledge of Worker's Compensation Claims to analyze complex and high exposure claims involving litigation and rehabilitation to achieve appropriate outcome in accordance with legal statues, policy provisions and company guidelines. In this position you will assist with supervising claims staff and providing support to the Regional Claims Supervisor to ensure achievement of appropriate claim outcomes through consistent execution of best claims practices. Responsibilities: Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management Ensures timely, accurate documentation of claim activity Completes projects assigned by Supervisor or Manager, including providing back-up, diary completion, and other team-related oversight Develops workflows and internal processes to provide support for Supervisor Selects, trains, coaches and mentors unit...
PMA Companies DeWitt, NY, United States
May 18, 2022  
As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a culture of communication. Responsibilities: Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management. Ensures timely, accurate documentation of claim activity. Selects, trains, coaches and mentors unit personnel. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals. Ensures appropriate...
PMA Companies DeWitt, NY, United States
May 18, 2022  
Supervises claims staff to ensure appropriate claim outcomes through consistent execution of best claims practices for self-insured and unbundled liability clients. Achieve business plan goals ensuring regulatory compliance with legal statutes, policy provisions, state licensing and company guidelines. Ensure delivery of timely, high quality customer service to internal and external business partners. Develop the Claims Professionals for promotional opportunities. Responsibilities: Manages the assignment of claims and provides technical direction and ongoing guidance through effective diary management. Prioritize workload with consideration for deadlines/timeframes to avoid backlog. Establish course of action. Selects, trains, coaches and mentors staff. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Develops staff to respond to department needs as well as...
PMA Companies Mount Laurel Township, NJ, United States
May 18, 2022  
Supervises claims staff to ensure appropriate claim outcomes through consistent execution of best claims practices for self-insured and unbundled liability clients. Achieve business plan goals ensuring regulatory compliance with legal statutes, policy provisions, state licensing and company guidelines. Ensure delivery of timely, high quality customer service to internal and external business partners. Develop the Claims Professionals for promotional opportunities. Responsibilities: Manages the assignment of claims and provides technical direction and ongoing guidance through effective diary management. Prioritize workload with consideration for deadlines/timeframes to avoid backlog. Establish course of action. Selects, trains, coaches and mentors staff. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Develops staff to respond to department needs as well...
PMA Companies Mount Laurel Township, NJ, United States
May 18, 2022  
The Claims Apprentice Program is an exciting opportunity for recent college graduates interested in a career as a Claims Adjuster in the Property & Casualty insurance industry. As a Claims Apprentice, you will be trained by PMA's team of claims experts and leaders. Over the course of the program, you will develop your skills and knowledge in the area of workers' compensation and assume a caseload of claims of increasing complexity. Job Responsibilities: Promptly investigate assigned claims. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable). Ensure timely denial or payment of benefits in accordance with jurisdictional requirements. Within granted authority, establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure. Negotiate claims settlements within granted authority. Establish and implement appropriate action plans for...
PMA Companies Philadelphia, PA, United States
May 18, 2022  
As a part of the TPA Operations team, the Integration & Compliance Coordinator coordinates duties related to the new account transition for the TPA and maintains responsibility for conducting compliance audits, risk assessments, investigations, education and training assignments relating to billing, coding, reimbursement and documentation of vendor monetized services. Responsibilities: Extract and integrate data from the takeover TPA/Carrier Create index and point documents accordingly Map Images and assist with paper image loading Test code for conversion and production upload Act as Subject Matter Expert on identified topics and solutions Track Medicare exceptions and assist with Section 111 error resolution Other account transition duties as assigned Conduct ongoing quality assurance audit focused on billing of monetized services Develop and implement comprehensive audit and monitoring tools and reporting templates to provide vendor oversight for...
PMA Companies Blue Bell, PA, United States
May 18, 2022  
In this position, the Java Developer will participate in the design, programming, testing, and implementation of applications. This requires programming requirements from verbal and written specifications received from other departments, in addition to participating in the support of new functionality subsequent to release.    Essential Functions: Support production environment of applications through proactive troubleshooting of internal systems and timely resolution and documentation of issues and through collaboration with internal help desk. Interact with business users and assist in defining business requirements and then translate business requirements into technical specifications. Perform detailed analysis and design based on business requirements. Develop or modify existing programs or modules. Develop and execute test cases for projects assigned. Build new applications to support internal department business requirements. Emphasis on driving...
PMA Companies Blue Bell, PA, United States
May 18, 2022  
Reporting to the VP Product Management and Casualty Strategy, the Casualty Product Manager leads a team of Casualty Underwriting Specialists responsible for the stewardship of the following lines of business: commercial auto, commercial general liability and umbrella. Successful stewardship includes influencing the development and execution of casualty lines strategies, each Insurance Segment achieving is objectives relative to growth, profit and industry diversification, significantly enhancing the casualty underwriting expertise within the company, and serving as the organization's foremost expert on all casualty matters. Responsibilities Cultivate a positive and collaborative relationship with colleagues throughout the organization to drive optimal results for the casualty lines of business Direct and develop the Casualty Underwriting Specialists within Product Management and Development (PMD) Monitor and analyze PMA and industry loss ratios, loss trends,...
PMA Companies Blue Bell, PA, United States