Claims Representative I – Workers Compensation Medical Only

Role Overview

• 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. Enhanced PTO may be available for experienced candidates
• Bonus eligible based on performance