Workers Compensation Claims Representative
About The Position
Auto-Owners Insurance, a top-rated Insurance Carrier, is seeking a motivated candidate to join our team as a Claims Representative in our Workers Compensation Claims Branch. The position requires the following but is not limited to: 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.
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
- Matched 401(k)
- Fully funded pension plan (once vested)
- Medical insurance
- Prescription insurance
- Dental insurance
- Vision insurance
- Associate, spouse and child life insurance
- Short-term disability
- Long-term disability
- Health care flexible spending accounts
- Dependent care flexible spending accounts
- Generous paid time off
- Paid holidays
- Vacation days
- Personal time
- Sick leave
- Parental leave
- Adoption assistance
- Discounts on personal insurance
- Education matching gift program
- Gym membership
- Fitness class reimbursement program
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
