Top 99 Claim Representative Wc Jobs

Claim Specialist I - IV (New York WC Claims)
MEMIC —Remote
- $65,000 - $98,500 a year
- Remote
- Microsoft Word
- Mid-level
- Driver's License
- Paid parental leave
- Health savings account
Safety Director (Manufacturing/Construction)
Klover SEPA Inc. —Quakertown, PA
- Full-time
- 7 years
- Construction site
- Microsoft Office
- AD&D insurance
- Disability insurance
Quick Apply
14d
Staff Attorney
Liberty Mutual —Reno, NV
- $119,000 - $210,000 a year
- Full-time
- 5 years
- Writing skills
- Analysis skills
- 401(k) matching
Staff Attorney
Liberty Mutual —Las Vegas, NV
- $119,000 - $210,000 a year
- Full-time
- 5 years
- Writing skills
- Analysis skills
- 401(k) matching
Workers’ Compensation Manager (Human Resources Manager)
AC Transit —Oakland, CA
- $156,059 - $186,365 a year
- Online Application
- Customer service
- Office
- 3 years
- Wellness program
- Commuter assistance
Staff Attorney
Liberty Mutual —Carson City, NV
- $119,000 - $210,000 a year
- Full-time
- 5 years
- Writing skills
- Analysis skills
- 401(k) matching
ESIS Claims Representative, WC
Chubb —Dallas, TX
- Full-time
- Microsoft Word
- 5 years
- Conflict management
WC Claim Associate I LevelUP
CCMSI —Danville, IL
- $25.64 an hour
- Full-time
- Hybrid work
- Spanish
- Office
- Administrative experience
- Paid training
- Paid holidays
ESIS Senior Claims Representative, WC
Chubb —Chatsworth, CA
- $78,100 - $109,400 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 4 years
Client Service Representative
Brown & Brown —Baton Rouge, LA
- Mid-level
- Office
Quick Apply
Workers' Compensation Claim Manager
Brown & Brown —Tacoma, WA
- $31.25 - $40.86 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Employee stock purchase plan
- Paid holidays
Human Resource Generalist
Welch Packaging Group Inc —Batavia, IL
- 5 years
- English
- Office
Quick Apply
Customer Service Representative
SET SEG —East Lansing, MI
- Full-time
- Office
- Organizational skills
- Experience equivalent to degree accepted
- Paid parental leave
- Health insurance
Quick Apply
9d
Senior Claim Examiner I
AmTrust Financial Services, Inc. —Overland Park, KS
- Urgently hiring
- Microsoft Outlook
- 5 years
- Research
- Health insurance
- Dental insurance
Payroll Administrator
City of Creve Coeur —Creve Coeur, MO
- $60,286.47 - $84,354.00 a year
- Evenings as needed
- Mid-level
- Office
- Microsoft Office
- Paid holidays
- Dental insurance
Worker’s Compensation Coordinator
Summit Spine and Joint Centers —Lawrenceville, GA
- Full-time
- Bilingual
- Writing skills
- Mid-level
Quick Apply
WC Adjuster
JOHN MULLEN & CO INC —Honolulu, HI
- Full-time
- Ability to walk for extended periods
- Mid-level
- Office
Quick Apply
5d
Benefits Coordinator (Human Resources)
GODDARD RIVERSIDE COMMUNITY CENTER —New York, NY
- $65,000 - $70,000 a year
- Full-time
- Word processing
- HIPAA
- Mid-level
- Dental insurance
- Vision insurance
Quick Apply
Workers Compensation Claims Specialist, Sr
NJM Insurance Group —Pittsburgh, PA
- $79,129 - $91,834 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid parental leave
- Disability insurance
Precertification and Authorization Rep-.4 FTE-Hybrid
Mayo Clinic —Rochester, MN
- $21.91 - $34.27 an hour
- Part-time
- Hybrid work
- Computer literacy
- Basic math
- Mid-level
- Opportunities for advancement
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Claim Specialist I - IV (New York WC Claims)

MEMIC -
Remote

Apply Now

Job Details

$65,000 - $98,500 a year

Benefits

Paid parental leave
Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Flextime
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Pet insurance

Qualifications

Workers' compensation insurance knowledge
Driver's License

Full Job Description

CANDIDATES MUST HAVE NY CLAIMS EXPERIENCE

The Claim Specialist I - IV investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision.

Principal Duties and Responsibilities
1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed.
2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits.
3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary. Develops litigation plan with defense counsel and tracks adherence to plan in order to control legal expenses and assure effective resolution.
4. Works closely with insureds and employees making visitations and presentations as needed to facilitate partnership approach to claims handling.
5. Maintains quality claim files in accordance with appropriate best practices, and other company procedures.
6. Implements Managed Care strategies, coordinate rehabilitation or medical management, process bills, review all mail through Image Right, and monitor progress as appropriate.
7. Interacts with State and Federal Boards and Commissions, while establishing and maintaining proper reserves, as appropriate.
8. Serves as a mentor and helps prepare/train the less experienced Claim Department representatives.
9. Keeps up-to-date on State laws and Company procedures relating to various claims; educates injured worker and/or insured on same.
10. Prepares and presents files for Agent/Broker Reviews and Insured File Review.
11. Understands medical terminology and standard medical procedures as they pertain to worker's compensation, U.S. Longshoreman's and Jones Act claims.
12. Participates in in-house and outside training programs to keep up-to-date on relevant issues/topics.
13. Maintains a working knowledge of all computer systems currently in use.
14. Travels throughout States as required to handle claims inventory assigned.
15. Continues education in claims through Associate in Claims or Claims Law (AEI) courses.

Minimum Knowledge, Skills and Abilities
1. One to four years of workers' compensation lost time claim handling experience preferred.
2. Bachelor's degree preferred.
3. Computer skills, Word, Excel and Image Right preferred.
4. Must have a valid driver's license.
5. Strong attention to detail and strong communication skills both verbal and written.
6. Adaptable/flexible and self-directed with the ability to manage time, multiple priorities and other resources wisely.
7. Must have the ability to work effectively with other organizational team members.

Our comprehensive benefits package includes all traditional offerings such as:

Health Insurance options, Dental Insurance options and Vision Insurance
Employee Life Insurance/AD&D and Dependent Life Insurance options
Short-term & Long-term Disability
Health Savings Account with potential employer match
Flexible Medical and Dependent Care Account
Accident Insurance
Critical Illness Insurance
Employee Assistance Program
Legal/Identify Theft Insurance options
Long Term Care Insurance
Pet Insurance
401 (k) Retirement Plan with match up to 6%, plus annual bonus based on individual & company performance.
5 weeks of Paid Time Off (PTO)
11 paid holidays

We also offer other benefits to help foster a healthy, balance lifestyle such as:

Flextime schedules
Paid Parental Leave
Student loan paydown and refinancing assistance
Educational assistance for job related courses, seminars, certifications or degrees
One paid day every year to volunteer for your non-profit of choice
Sit-Stand desks & daily stretch breaks

Salary Range for this position is $65,000-$98,500 depending on experience.

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law.

Apply Now

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