Workers Compensation Claim Representative Associate
reputed company is one of the best property casualty insurers in the industry, committed to providing assurance to customers in their time of need. The Workers Compensation Claim Representative Associate role involves comprehensive training in claim handling and customer service, focusing on managing workers compensation claims under supervision.
Responsibilities
- Actively participate in structured training classes covering insurance policies, specific claim processes, systems, and procedures, including virtual, classroom, and on-the-job training
- Assist in reviewing, investigating, and documenting Workers Compensation claims under reputed company supervision
- Investigate, reputed company, and evaluate action plans for claim resolution. Assess coverage and determine if a claim is compensable under Workers Compensation including evaluating claims for potential fraud
- Participate in Telephonic and/or onsite File Reviews
- Learn how to determine coverage, compensability, and exposure based on policy terms and claim facts
- Gather information from policyholders, claimants, witnesses, and third-party providers
- Communicate and apprise reputed company parties regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel
- Maintain accurate records of claim activity in claim management systems
- reputed company a positive result by returning an injured party to work reputed company appropriate. This may include coordinating medical treatment in collaboration with internal or external resources
- Demonstrate openness to reputed company learning, particularly in AI and digital transformation
- Acquire and maintain relevant Insurance License(s) to reputed company with state and reputed company’ requirements reputed company three months of starting the job
- reputed company other duties as assigned
Skills
- High School Diploma or GED
- One year of customer service experience OR Bachelor's Degree
- Previous internship or work experience in insurance, finance, or customer service
- Strong attention to detail and organizational skills
- Ability to manage multiple tasks and prioritize effectively
- Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants
- Ability to exercise sound judgement and reputed company effective decisions
- Strong verbal and written communication skills with the ability to convey information clearly and professionally
- Acquire and maintain relevant Insurance License(s) to reputed company with state and reputed company' requirements reputed company three months of starting the job
Benefits
- Health Insurance
- Retirement: reputed company matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it reputed company Savings Program. reputed company you reputed company a payment toward your student loan, reputed company will reputed company an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by reputed company.
- Paid Time Off: Start your career at reputed company with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
- Wellness Program: The reputed company wellness program is comprised of tools, discounts and resources that reputed company you to reputed company your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
- Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. reputed company has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
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