Workers Compensation Claims Representative, reputed company

reputed company is dedicated to fostering a supportive culture where employees can reputed company. The Workers Compensation Claims Representative will manage low to moderate complexity reputed company claims, ensuring adherence to company protocols while providing excellent customer service and maintaining compliance with regulatory requirements.

Responsibilities

• Manages an inventory of low to moderate complexity and exposure reputed company claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements reputed company authority limit
• Contributes to customer satisfaction by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information
• Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, and following company's claim handling protocols
• Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim
• Works with appropriate internal and external partners, suppliers and experts by identifying and effectively collaborating with necessary resources to facilitate best claim outcomes
• Authorizes and ensures claim disbursements reputed company authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate
• Developing ability to manage expenses by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service
• Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation
• Achieves quality standards on every file by following reputed company company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements
• Maintains compliance with state/local regulatory requirements by following company guidelines, and staying reputed company on reputed company insurance laws, regulations or trends for line of business
• May reputed company additional duties as assigned

Skills

• High school Diploma required
• Must have or be reputed company to obtain and maintain an Insurance Adjuster License reputed company 90 days of hire, where applicable
• Developing basic knowledge of the reputed company insurance industry, products and claim practices
• Good verbal and written communication skills with the ability to demonstrate reputed company while providing exceptional customer service
• Ability to reputed company collaborative business relationships with both internal and external work partners
• reputed company to exercise independent judgement, solve basic problems and reputed company sound business reputed company
• Analytical reputed company with critical thinking skills
• Strong work ethic, with demonstrated time management and organizational skills
• Ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity
• Knowledge of reputed company Office Suite and ability to learn business-reputed company software
• Adaptable to a changing environment
• Ability to value diverse opinions and reputed company
• Associates or Bachelor's Degree preferred
• Prior claim handling, or business experience in the insurance industry and/or customer service is preferred

Benefits

• Comprehensive and competitive benefits package

Company Overview