Claims Representative managing low-complexity workers' compensation medical claims. Conducting thorough investigations and collaborating under supervision with team support and cutting-edge technology.
Responsibilities
Manage assigned Workers Compensation Medical Only/low complexity claims with supervision and guidance from the manager utilizing current Claims technology.
Conduct thorough investigations in order to determine coverage and claim payment amounts owed.
Responsibilities also include proactive file management, adequate reserving, and participating in training activities.
Consistently exhibit a high level of customer service.
Adhere to department audit guidelines.
Conduct thorough investigations to determine coverage and payment.
Maintain proactive file management and adequate reserving.
Participate in training activities.
Requirements
0-2 years of experience in claims handling
Proficiency with computers and current technology
Interpersonal skills
Oral and written communication skills
Time management skills
Customer service skills
Problem-solving skills
Bachelor’s degree in Business, Insurance or related field
Benefits
Medical & Prescription Insurance
Health Savings Account
Dental Insurance
Vision Insurance
Short and Long Term Disability
Flexible Spending Accounts
Life and Accidental Death & Disability
Accident and Critical Illness Insurance
Employee Assistance Program
401(k) Plan with Company Match
Pet Insurance
Paid Time Off . Standard first year PTO is 17 days , pro-rated based on month of hire.
Enhance d PTO may be available for experienced candidates
Bonus eligible based on performance
Job title
Claims Representative I – Workers Compensation, Medical Only
Field Claims Adjuster in a hybrid role at ClaimsPro supporting claims in Prince Albert area. Actively adjusting claims and ensuring business development opportunities are maximized.
Claims Adjuster I responsible for investigating physical damage claims on vehicles. Working under Claims Supervisor to evaluate, settle, or deny claims in Omaha, Nebraska office.
Claims Representative managing insurance claims for Great American Insurance Group. Evaluating liability and negotiating settlements while working in a hybrid model from Cincinnati, OH.
Claims Representative handling entry - level insurance claims at Auto - Owners Insurance. Investigating, evaluating, and settling claims under close supervision in a merit - based work - from - home program.
Claims Processor at Highmark overseeing claims adjustments and inquiries. Responsible for processing complex claims and ensuring timely resolution of payment determinations.
Claims Adjuster managing complex workers' compensation claims for AvonRisk. Ensuring timely and effective case management with a focus on solutions and collaboration.
Claims Adjuster managing complex indemnity claims at AvonRisk. Collaborating with teams to ensure accurate claim management and compliance with legal requirements.
Workers Compensation Claims Adjuster III managing complex claims at AvonRisk. Reports to Claims Supervisor and oversees assigned inventory with a focus on professional growth and support.
Disability Claims Analyst at RBC Insurance evaluating disability claims and communicating with clients. Collaborating with cross - functional teams and managing high - volume cases.
Disability Claims Specialist evaluating disability claims at RBC Insurance. Collaborating across teams to ensure excellent client service and effective claims management.