Associate Claim Specialist

MEMIC • Portland, ME

6h

About The Position

Are you looking to build a career in insurance claims management? Join MEMIC as an Associate Claim Specialist and be part of a team dedicated to providing fair, accurate, and compassionate claims resolution. In this role, you will investigate, evaluate, and manage medical-only and low-complexity lost time claims, ensuring injured workers receive appropriate care and benefits while supporting policyholders and agents.
With on-the-job training and opportunities for growth, this role is an ideal starting point for individuals seeking to develop expertise in workers’ compensation claims.

Requirements

• No prior experience required—MEMIC provides comprehensive on-the-job training.
• Strong attention to detail and excellent verbal and written communication skills.
• Proficiency in Microsoft Office Suite (Word and Excel).
• Self-motivated, flexible, and capable of managing time and priorities effectively.
• Ability to collaborate and build relationships with cross-functional teams.
• Valid driver’s license required.
• Must obtain required adjuster licenses within six months of hire (or sooner as directed).

Responsibilities

• Claims Management: Investigate, evaluate, and resolve medical-only claims and low-complexity lost time claims.
• Communication: Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders to gather necessary information and provide timely updates.
• Benefit Delivery: Administer medical and indemnity benefits in compliance with state workers’ compensation statutes and MEMIC’s best practices.
• Quality Assurance: Maintain organized and high-quality claim files in accordance with company policies and procedures.
• Managed Care Coordination: Implement Managed Care strategies, coordinate rehabilitation plans, process medical bills, and monitor case progress.
• Legal & Regulatory Compliance: Interact with state and federal boards and commissions to ensure proper reserves and compliance with laws and regulations.
• Ongoing Learning: Stay updated on state laws and workers’ compensation trends through MEMIC-provided training and external certifications like WCP or Claims Law (AEI).

Benefits

• Health & Wellness: Health, dental, and vision insurance, plus access to fitness centers or reimbursement.
• Financial Security: 401(k) retirement plan with up to 5% match, profit sharing, and life insurance.
• Paid Time Off: Four weeks of PTO and 11 paid holidays.
• Education & Career Growth: Student loan paydown assistance, tuition reimbursement, and professional development opportunities.
• Work-Life Balance: Flexible schedules, sit-stand desks, and paid volunteer days.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed