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5 дней назад

Workers Compensation Associate Claim Rep

53 800 - 88 800$
Формат работы
hybrid
Тип работы
fulltime
Грейд
junior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Workers Compensation Associate Claim Rep (Insurance/Claims): Reviewing, investigating, documenting, and resolving workers compensation claims with an accent on coverage analysis, compensability decisions, customer communication, and claim documentation. Focus on evaluating exposure and potential fraud, coordinating medical treatment, and developing independent claims-handling capability through structured training.

Location: Hybrid; Charlotte, North Carolina, with another listed location in Richmond, Virginia, United States

Annual base salary: $53,800.00–$88,800.00, plus eligibility for performance-based cash incentive awards

Company

hirify.global is a property and casualty insurer focused on serving customers and communities through collaborative and innovative insurance operations.

What you will do

  • Complete structured virtual, classroom, and on-the-job training covering insurance policies, claim processes, systems, and procedures.
  • Assist with reviewing, investigating, documenting, and resolving workers compensation claims under close supervision.
  • Assess coverage, compensability, exposure, policy terms, claim facts, and potential fraud, and develop action plans for resolution.
  • Gather information from policyholders, claimants, witnesses, medical providers, and other third parties; communicate claim status to business customers, injured employees, providers, and legal counsel.
  • Maintain accurate claim records, participate in telephonic and onsite file reviews, and coordinate medical treatment when appropriate to support return to work.
  • Obtain and maintain required insurance license(s) within three months of starting and develop independent claims-handling capability during a training program that can last up to 12 months.

Requirements

  • High school diploma or GED and one year of customer service experience.
  • Bachelor’s degree.
  • Previous internship or work experience in customer service or insurance.
  • Willingness to obtain an active adjuster license where required by state law and maintain relevant insurance license(s) in accordance with state and hirify.global’ requirements.
  • Proficiency in Microsoft Word, Excel, and Outlook, with willingness to learn claims management systems.
  • Strong verbal and written communication skills, sound judgment, effective decision-making within established authority, and exceptional customer service skills.
  • Attention to detail, organizational skills, and the ability to manage multiple tasks and prioritize effectively.
  • Basic conflict resolution skills and willingness to learn techniques for productive discussions and negotiations.
  • Openness to continuous learning, including AI and digital transformation.

Culture & Benefits

  • Hybrid work environment with a culture centered on collaboration, innovation, and service to customers and communities.
  • Health insurance coverage 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; pension plan funded by hirify.global.
  • Optional student-loan savings program with annual 401(k) contributions linked to qualifying loan payments.
  • At least 20 paid time-off days annually plus nine paid company holidays.
  • Wellness, mental health counseling, caregiving resources, and volunteer matching and rewards programs.

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