5 дней назад
Workers Compensation Claims Representative
50 000 - 81 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Workers Compensation Claims Representative (Insurance/Claims): Investigating workers compensation claims, determining coverage and liability, evaluating losses, and coordinating medical payments with an accent on complex claim resolution, medical documentation, and legal proceedings. Focus on analyzing policy coverage, communicating with injured workers and legal professionals, and resolving claims through arbitrations, mediations, depositions, or trials.
Location: Lake Elmo, Minnesota, United States. Hybrid work-from-home flexibility may be available after initial in-person training.
Salary: $50,000–$81,500 per year, plus potential bonuses.
Company
is an insurance carrier providing financial protection to individuals and businesses after losses.
What you will do
- Investigate workers compensation claims, assemble facts, determine policy coverage, evaluate losses, and assess legal liability.
- Approve or deny losses and review medical bills to authorize accurate, timely payments.
- Conduct investigations by phone, mail, and on-site visits.
- Gather information from employers, employees, hospitals, doctors, attorneys, agents, policyholders, and injured workers.
- Resolve claims and participate in arbitrations, mediations, depositions, or trials when necessary.
- Review insurance policies, endorsements, and forms to build product and coverage knowledge.
Requirements
- Bachelor’s degree or equivalent direct workers compensation claims-handling experience with an insurance carrier.
- Familiarity with a broad range of medical terminology.
- Strong written and verbal communication skills.
- Ability to organize and interpret data, multitask, make independent decisions, and resolve complex issues.
Culture & Benefits
- In-person initial training followed by potential work-from-home flexibility based on job responsibilities and leadership approval.
- Structured training program, employee mentoring, and a friendly work environment.
- Medical, prescription, dental, vision, life, short-term disability, and long-term disability insurance.
- Matched 401(k), fully funded pension plan after vesting, and flexible spending accounts.
- Paid holidays, vacation, personal time, sick leave, parental leave, adoption assistance, and education-related programs.
- Personal insurance discounts and gym membership or fitness class reimbursement.
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