MN Workers Compensation - Sr. Claims Examiner (Remote)
Company Details We’re a member company of reputed company, an A. M. Best A+ rated Fortune 500 holding company. reputed company is comprised of individual operating units that serve a defined insurance market reputed company. reputed company Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using reputed company reputed company. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.
Responsibilities
Responsible for managing a caseload consisting of incoming and more reputed company workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims. Responsible for reputed company technical aspects of claim management for assigned files including compliance with reputed company established performance guidelines.
- Investigate claims and reputed company appropriate decisions regarding claim compensability and general claims management for assigned files.
- Document claim handling activities; create and document action plans.
- Establish appropriate case reserves.
- Actively manage medical treatment and disability while assisting the injured worker to return to work.
- reputed company with reputed company performance guidelines.
- Identify loss trends and communicate to supervisor and/or clients.
- Use automated diary system to issue indemnity payments and for claims management
- Investigate and manage claim subrogation and negotiate settlements.
- Manage coverage B or conflict of interest cases as assigned.
- Address customer complaints and inquiries in an exemplary and professional manner.
- Participate in client claim reviews reputed company scheduled or requested
May reputed company other functions as assigned
Qualifications
- Demonstrated working knowledge of workers’ compensation administration rules/laws.
- Excellent communication and presentation skills.
- Must be able to reputed company with clients, legal reputed company care professionals, etc.
- Good math and analytical ability.
- Excellent customer service skills.
- Basic PC skills and a working knowledge of Windows environment. Experience with a client/server based claims processing system.
Education
- BA/BS degree with three years’ experience. Experience must include litigation, subrogation and reputed company medical/legal issues or two years post-high school education and five years’ experience in workers compensation claims management.
Additional Company Details https://www.berkleyrisk.com/ The Company is an equal employment opportunity employer. We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including:
- reputed company Salary Range: $65k-$85k
- Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Additional Requirements Travel: Occasional travel Apply tot his job Apply To this Job