WC Claims Rep.
About The Position
The Maine Municipal Association is seeking an experienced workers’ compensation professional to join its Risk Management Services department. The Workers’ Compensation Claims Representative manages lost-time claims for assigned members under the supervision of the Assistant Claims Manager or Claims Supervisor, and in accordance with the Workers’ Compensation Statute, applicable Maine Bureau of Insurance Regulations, and internal MMA claims management guidelines. The role involves direct engagement with program participants, managing claims within established guidelines, and partnering with underwriting and loss control teams. The position works under the Claims Manager’s direction, with day-to-day support from experienced supervisors. Performance is reviewed through audits, reports, and observation.
Requirements
- Strong knowledge of workers’ compensation laws, regulations, and claims management practices, including investigation, evaluation, and negotiation.
- Understanding of medical terminology, occupational health, and risk management principles.
- Effective written and verbal communication skills, including the ability to document claim activity clearly and produce reports.
- Familiarity with MMA Workers’ Compensation Fund programs and proficiency with relevant computer and claims systems.
- Strong organizational, prioritization, and relationship-building abilities.
- College degree in Business or a related field, or an equivalent combination of professional experience.
- Maine Workers’ Compensation Adjuster’s License within one year of hire.
- Submit a resume, cover letter, and three professional references.
Nice To Haves
- Preferably one to three years’ experience handling workers’ compensation claims or similar experience.
- Professional development or credentials such as AIC, ARM, or CPCU are desirable.
Responsibilities
- Manage workers’ compensation claims from investigation through resolution, including determining compensability, evaluating exposure and reserves, and negotiating settlements.
- Calculate and administer indemnity and medical benefits in compliance with applicable laws and regulations.
- Coordinate with members, medical providers, vendors, and legal counsel to support return-to-work efforts, manage litigation, and resolve claims efficiently.
- Complete required filings and reporting, maintain accurate documentation, and provide guidance to program participants on claim processes and best practices.
Benefits
- 100% employer-paid health and dental insurance for full-time employees.
- Employer retirement contributions up to 10%.
- Generous paid vacation, sick leave, and holidays.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
