ESSENTIAL JOB FUNCTIONS:

We seek a highly motivated, efficient individual to join our growing Claims Services Department to process and monitor Workers Compensation Claims.   

Other Essential Duties & Responsibilities include:

Receive initial notification of clients claim, review account instructions and begin process of claim.

Manage the progress of the claim from first report to settlement.

Upon receipt of claim/loss, responsible for completing claim file, which includes coverage verification, and making preliminary or tentative determinations of coverage.

Record claim information into agency management system.

Coordinate processing of claim with client, risk manager or designee.

Control service of claims. Maintain status and follow up as needed.

Maintain loss histories, and provide loss runs via computer interfacing with carrier.

Every 90 days, initiates a status or a follow up on all open claims.

Attend claims reviews at either client or carriers location. Occasional travel.

Handle or refer insured’s question and complaints and acts as a mediator with the company, if necessary.

Perform related job duties as required.

Receives and reviews mail.

Pull files and match mail to files when necessary

Miscellaneous clerical duties may be required, such as faxing, mailing, copying, or typing first reports, etc.