6 дней назад
Workers Compensation Associate Claim Representative
52 600 - 86 800$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Workers Compensation Associate Claim Representative (Insurance/Claims): Developing the skills to review, investigate, document, and resolve workers compensation claims with an accent on coverage analysis, compensability, fraud evaluation, and customer communication. Focus on gathering information from claimants and providers, assessing claim exposure, coordinating medical treatment, and maintaining accurate claim records while completing structured training and licensing requirements.
Location: Rancho Cordova, California, United States; the role includes onsite file reviews.
Annual base salary: $52,600–$86,800.
Company
is a property and casualty insurance company serving customers and communities for more than 170 years.
What you will do
- Complete structured virtual, classroom, and on-the-job training in insurance policies, claim processes, systems, and procedures.
- Review, investigate, document, and evaluate 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 legal counsel, and communicate claim status.
- Maintain accurate claim records, participate in telephonic and onsite file reviews, and learn to coordinate medical treatment and return-to-work outcomes.
- Obtain and maintain relevant insurance licenses within three months of starting.
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 an active adjuster license where required by state law.
- Proficiency in Microsoft Word, Excel, and Outlook, with willingness to learn claims management systems.
- Strong written and verbal communication, judgment, organization, attention to detail, customer service, and basic conflict-resolution skills.
Culture & Benefits
- Health insurance is available from the first day for employees and eligible family members.
- matches 401(k) contributions dollar-for-dollar up to the first 5% of eligible pay and provides a fully funded pension plan.
- At least 20 paid time-off days annually plus nine paid company holidays.
- Wellness resources, mental health counseling, health coaching, and caregiving support.
- Volunteer and charitable giving programs, including matching gifts and volunteer rewards.
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