Associate Claim Specialist

MEMIC•Portland, ME

9d•Hybrid

About The Position

This position is in-person to start then can transition to hybrid. 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

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

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