Workers Compensation Claim Representative Associate

reputed company is a leading property casualty insurer with a long-standing reputed company for customer care and community support. The Workers Compensation Claim Representative Associate role focuses on training in claim handling and customer service, assisting in the management of workers compensation claims, and developing skills to handle claims independently after a training period.

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 reputed company-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 reputed company 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
• 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 reputed company
• Strong verbal and written communication skills with the ability to convey information reputed company and professionally
• Previous internship or work experience in insurance, finance, or customer service
• Bilingual candidates are preferred!

Benefits

• Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
• 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.
• 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 reputed company 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 reputed company and Volunteer Rewards program that enables you to give back to the charity of your choice.

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