Claims Operations Associate

Berkley•High Point, NC

19h

About The Position

Key Risk is looking for an enthusiastic Claims Associate professional who will be responsible for the management of low exposure workers’ compensation claims. The Claims Associate will be responsible for learning workers compensation laws and providing outstanding service to our clients. This is an entry-level position with no experience necessary.

Requirements

BA/BS Degree
0-2 years of workers compensation claims experience
Adjuster license strongly desired or ability to obtain license within six months
Knowledge of appropriate insurance principles and laws of workers’ compensation, preferably jurisdiction specific.
Strong verbal and written communication
Strong interpersonal, time management and organizational skills.
Strong negotiation skills.
Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail.
Ability to perform with a sense of urgency.
Ability to work both independently and within a team environment.
Ability to travel for business purposes, approximately less than 10%.

Responsibilities

Maintain good lines of communication with employers, adjusters, and providers
Discuss with an employer, issues relative to an injured workers’ return to work status
Request medical notes, proper billing format, and other written/verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only
Timely and accurately reserve for medical only claims assigned
Document relevant written and oral communication received relative to medical-only claims in the log notes
Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued
Assist in the management of communication of the unit with customers, providers and injured employees
Enter medical notes into claim log as required
Index images as needed
Identify potential subrogation claims and notify appropriate supervisor