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Mll48m6j9jpxnhq591h

Claim Analyst I

ProAssurance Corp Lancaster Full-Time
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An exciting opportunity exists to join the ProAssurance family of companies! 

We are a specialty writer of professional liability, products liability and workers' compensation insurance.  With over 1,000 employees operating in 40 states, our company is well positioned to offer career opportunities to individuals interested in professional growth.

The primary responsibility of this position is to provide support to the Claim Department in order to deliver superior levels of customer service and ensure the compliance with regulatory timeframes and other requirements in support of the Company’s revenue and profitability objectives and overall business plan.

Essential Functions: 

  • 30% Enter accurate data into the computer system in order to make accurate indemnity and expense payments as approved and directed by the claims representative on a daily basis.
  • 30% Complete accurate information on claim documents and ensure proper mailing in accordance with regulatory requirements and Company procedures; complete EDI submissions.
  • 20% Screen claims for status and education of customers in specific regions; complete month-end reporting.

Secondary Functions: 


  • 5% Assist Claim Representative through the accurate completion of wage statements and calculation of partial compensation
  • 5% Covers desk for Claim Representative as needed; including leaves, vacation etc.
  • 5% Respond to telephone inquires from agents, customers, injured employees and providers in a professional, courteous and timely manner; providing high levels of customer service at all times
  • 5% Participate in department meetings as needed; provide general office support through copying and faxing documents; other special projects as assigned

Knowledge, Skills and Abilities Required: 

  • High school diploma or GED required; minimum 2 years of insurance or related experience is required; prefer Associates Degree and insurance experience; Bachelor's Degree may be substituted for insurance experience or equivalent combination of education and experience.
  • Proficiency in Microsoft Office computer applications; ability to learn new computer software applications
  • Analytical ability, in order to analyze and interpret information; request more information when needed; and make appropriate decisions regarding a course of action
  • Attention to detail in processing all information, establishing priorities and meeting deadlines
  • Solid analytical and problem solving skills, including formulating logical and objective conclusions
  • Ability to assess the urgency and importance of a situation and take appropriate action
  • Ability to communicate effectively and professionally both verbally and in writing with various constituencies and at all levels; both in and outside of the organization including agency partners, outside customers and clients
  • Ability to operate standard office equipment including, but not limited to, copiers, fax machines, etc
  • Ability to maintain confidential information

Recommended skills

Attention To Detail
Stress Management
Curiosity
Complex Problem Solving
Fax
Claims
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Job ID: R1620

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What YOU want in healthcare professional liability, legal professional liability, or workers’ compensation insurance is ProAssurance’s focus. We work to ensure you are treated fairly while striving to make insurance simpler.

Whether you are:

  • a healthcare system, hospital, facility, physician, or allied professional;
  • a medical device manufacturer or life sciences company;
  • an attorney or law firm; or
  • a business looking for workers’ compensation coverage
ProAssurance can help. We have decades of experience—and innovative solutions—to help you meet your coverage needs. Your policy comes with access to proven risk-reduction tools and experts, along with unmatched claims handling for today’s evolving liability environment.

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