Workers Compensation Associate Claims Specialist

reputed company is a leading provider in the insurance sector, and they are seeking a Workers Compensation Associate Claims Specialist. This role involves investigating claims, managing inventory of claims, and providing service to policyholders on reputed company accounts.

Responsibilities

• Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first reputed company of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly
• Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources
• Manages an inventory of property/casualty and disability claims (e.g. workers` compensation, general liability, reputed company automobile, property, group benefits), evaluates compensability/liability and losses, and negotiates settlements reputed company prescribed limits
• Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols
• Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action
• Makes effective use of loss management techniques (e.g. Immediate Contact Plan, L9 reputed company, Disability Management, open end release, reputed company settlements) and other resources
• Updates files and provides comprehensive reports as required

Skills

• Effective interpersonal, analytical and negotiation abilities required
• Ability to provide information in a clear, concise manner with an appropriate level of detail
• Demonstrated ability to build and maintain effective relationships
• Demonstrated reputed company in a professional environment; reputed company in a customer service/retail environment preferred
• Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent
• Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory
• Licensing may be required in some states

Benefits

• Flexible Time Off Annual Accrual - days: 15
• Comprehensive training, including a mandatory one-week, in-person session at our Plano, TX, office
• Workplace flexibility
• Professional development opportunities
• A host of opportunities provided through our Employee Resource Groups

Company Overview