13 дней назад
Workers Compensation Return to Work Associate Claim Representative
52 600 - 86 800$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Workers Compensation Return to Work Associate Claim Representative (Workers Compensation/Insurance): Developing the skills to review, investigate, document, and resolve workers compensation claims with an accent on coverage analysis, compensability decisions, claim exposure, and return-to-work coordination. Focus on gathering information from claimants and providers, evaluating potential fraud, maintaining claim records, and applying policy terms during structured training.
Location: MN - St. Paul, United States; the role includes onsite file reviews.
Annual base salary: $52,600.00 - $86,800.00, plus eligibility for performance-based cash incentive awards.
Company
is a property casualty insurer focused on serving customers and communities through insurance products and claims services.
What you will do
- Complete structured virtual, classroom, and on-the-job training in insurance policies, claims processes, systems, and procedures.
- Assist with reviewing, investigating, documenting, and evaluating workers compensation claims under close supervision.
- Assess coverage, compensability, exposure, claim resolution plans, and potential fraud.
- Gather information from policyholders, claimants, witnesses, medical providers, and other third parties.
- Communicate claim status to business customers, injured employees, medical providers, and legal counsel while maintaining accurate claim records.
- Coordinate medical treatment and return-to-work outcomes when appropriate, while developing knowledge of AI and digital transformation.
Requirements
- High school diploma or GED and one year of customer service experience.
- Bachelor’s degree and previous customer service or insurance experience are preferred qualifications.
- Willingness to obtain and maintain an active adjuster or insurance license within three months when required by state law or company requirements.
- Proficiency in Microsoft Word, Excel, and Outlook, with the ability to learn claims management systems.
- Strong verbal and written communication, customer service, judgment, organization, attention to detail, and conflict resolution skills.
- Ability to manage multiple tasks, prioritize effectively, and continue learning.
Culture & Benefits
- Health insurance for eligible employees and family members from the first day of employment.
- Dollar-for-dollar 401(k) matching on the first 5% of eligible pay, subject to an annual maximum, plus a company-funded pension plan.
- Minimum of 20 paid time-off days annually and nine paid company holidays.
- Wellness resources, discounts, caregiving support, and free professional mental health counseling.
- Volunteer and charitable giving programs with matching gifts and volunteer rewards.
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