Worker's Compensation Claims Representative

Auto-Owners Insurance CompanyLansing, MI
Hybrid

About The Position

A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated Insurance Carrier, is seeking a motivated candidate to join our team as an Associate Claim Representative in our Workers Compensation Claims Branch.

Requirements

  • Bachelor’s degree or equivalent years of direct workers compensation claims handling experience for an insurance carrier.
  • Familiarity with a broad range of medical terminology.
  • Above average communication skills (written and verbal).
  • Ability to organize and interpret data, multi-task, and make decisions independently.
  • Ability to resolve complex issues.
  • An interest in developing product knowledge through participation in approved educational programs.
  • Ability to work in the U.S. without current or future sponsorship.

Responsibilities

  • Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
  • Review medical bills, authorize payments and ensure payments are issued in a timely and accurate manner.
  • Handle investigations by phone, mail and on-site investigations.
  • Contact employers, employees, hospitals, doctors and attorneys to secure information to properly adjust the claim.
  • Work toward the resolution of claims, and may attend arbitrations, mediations, depositions, or trials as necessary.
  • Service the needs of agents, policyholders and injured workers.
  • Become familiar with insurance coverage by reviewing insurance policies, endorsements and forms.

Benefits

  • Merit-based work-from-home program
  • Structured training program
  • Employee mentoring
  • Competitive base salary
  • Matched 401(k)
  • Fully-funded pension plan
  • Bonus programs
  • Generous paid time off including holidays, vacation days, personal time, and sick leave.
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