Top 88561 Act representative 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
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
Live Chat Representative
Qureos Inc —New York, NY
- $29 - $39 an hour
- Full-time
- English
- Communication skills
- Entry level
9d
Customer Service Representative
WT Cox Information Services —Remote
- $13 - $14 an hour
- Full-time
- Remote
- Microsoft Word
- High school diploma or GED
- Travel
- Health insurance
- Dental insurance
Quick Apply
10d
Customer Support Representative
PeopleJoy —Remote
- $48,000 - $58,000 a year
- Full-time
- Remote
- Communication skills
- Entry level
- Disability insurance
- Health insurance
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3d
Customer Service Representative
Intelogix —Remote
- $17.75 an hour
- Weekends as needed
- Remote
- Computer literacy
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Customer Service Representative
Firstsource Healthcare —Remote
- $15 an hour
- 8 hour shift
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- Computer literacy
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- Typing
- Dental insurance
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Call Center Customer Service Representative (1st Shift)
Travel Incorporated —Duluth, GA
- Full-time
- Remote
- Office
- High school diploma or GED
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Support Representative
Clear Choice —Addison, TX
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Client Service Representative
Firstsource Healthcare —Remote
- $15 an hour
- 8 hour shift
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- Computer literacy
- Writing skills
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- Dental insurance
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Employee Service Center Representative (Part-Time) - Sphere
Sphere Entertainment Group, LLC —Las Vegas, NV
- $27 an hour
- Part-time
- Microsoft Excel
- Oracle
- Administrative experience
- Paid jury duty
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Customer Service Representative
ASSOCIATED PACKAGING INCORPORATED —Gallatin, TN
- $21 - $25 an hour
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health insurance
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Customer Service Representative
Martin Brower —McCook, IL
- $23 - $25 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
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Member Care Advocate (MCA) - August 2026 Cohort
Included Health —Remote
- Monday to Friday
- Google Workspace
- Urgent Care
- HIPAA
- Paid training
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Sales Support Representative
Choice Hotels —Remote
- $48,960 - $61,200 a year
- Full-time
- Research
- Mid-level
- Office
- Paid jury duty
- Paid holidays
9d
Customer Service Representative - September 2026 Start - Inbound Only
Principle Choice Solutions LLC —Biloxi, MS
- $16.72 an hour
- Overtime
- Remote
- Background check
- Computer skills
- Communication skills
- Paid training
- Paid holidays
Quick Apply
Inbound Sales Representative (Remote/Central Time)
A Place for Mom —Dallas, TX
- $45,760 a year
- Weekends as needed
- Remote
- Microsoft Word
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
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Customer Service Representative
CryptoGex —Washington, DC
- $18.50 - $28.50 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Communication skills
- Paid holidays
- Dental insurance
Quick Apply
6d
Call Center Representative
Northwell Health —Syosset, NY
- $41,780 - $64,340 a year
- Full-time
- High school diploma or GED
- 1 year
- Entry level
Employee Service Center Representative (Part-Time) - Sphere
MSG Entertainment Holdings, LLC —Las Vegas, NV
- $27 an hour
- Part-time
- Microsoft Excel
- Oracle
- Mid-level
- Paid jury duty
Quick Apply

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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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