2 часа назад
Workers Compensation Associate Claim Representative (AI)
52 600 - 86 800$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Workers Compensation Associate Claim Representative (Insurance/AI): Reviewing, investigating, and documenting workers compensation claims while developing claim-handling, customer service, and policy interpretation skills with an accent on coverage analysis, compensability decisions, fraud evaluation, and claimant communication. Focus on building action plans for claim resolution, coordinating medical treatment and return-to-work outcomes, and learning claims systems during a structured training program.
Location: Richmond, Virginia, United States
Salary: $52,600–$86,800 annual base salary, plus eligibility for performance-based cash incentive awards.
Company
is a property casualty insurance company 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, claim processes, systems, and procedures.
- Review, investigate, evaluate, and document workers compensation claims under close supervision.
- Assess coverage, compensability, exposure, and potential fraud, and develop action plans for claim resolution.
- Gather information from policyholders, claimants, witnesses, medical providers, and other third parties.
- Communicate claim status and coordinate medical treatment and return-to-work outcomes with relevant parties.
- Maintain accurate claim records and participate in telephonic or onsite file reviews while developing independent claims-handling capability.
Requirements
- High school diploma or GED and at least one year of customer service experience.
- Bachelor’s degree preferred or required by the ideal-candidate profile.
- Previous internship or work experience in customer service or insurance.
- Acquire and maintain an adjuster or other relevant insurance license within three months where required by state law and ’ requirements.
- Proficiency in Microsoft Word, Excel, and Outlook, with the ability to learn claims management systems.
- Strong written and verbal communication, sound judgment, customer service, organizational, conflict-resolution, and multitasking skills.
Culture & Benefits
- Collaborative culture focused on innovation, continuous learning, and digital transformation, including openness to AI.
- 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, a pension plan, and a student loan savings program.
- At least 20 paid days off annually plus nine paid company holidays.
- Wellness resources, mental health counseling, health coaching, and caregiving support.
- Volunteer and charitable giving programs with matching gifts and volunteer rewards.
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