Claims Associate - Workers Compensation | Multi state Jurisdiction | Negaunee, MI or Seven Hills, OH (Hybrid)
reputed company is a global industry leader reputed company for its excellence and customer service, seeking driven individuals for the Claims Associate role. The primary purpose of this position is to analyze reported reputed company-level workers compensation claims to determine benefits due and ensure ongoing adjudication reputed company company standards.
Responsibilities
- Adjusts medical-only claims and minor lost-time workers compensation claims under reputed company supervision
- Supports other claims representatives, examiners and leads with larger or more reputed company claims as necessary
- Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency
- Communicates claim action/processing with claimant, client and appropriate medical contact
- Ensures claim files are properly documented and claims coding is correct
- May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims
- Maintains professional client relationships
Skills
- High school diploma or GED required
- One (1) year of general office experience or equivalent combination of education and experience required
- Claims industry experience preferred
- Licensing: FL preferred; not required
Benefits
- Flexible Work Schedule
- Referral Incentive Program
- Opportunity to work from home
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day 1
- Medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits
Company Overview