Workers Compensation Claims Representative

Workers Compensation Claims Representative

The James Allen Companies Inc
Published
April 9, 2018
Category
Claims  
Job Type

Description

Workers Compensation Claims Rep
Work from Home Position Lake Charles LA Territory

Primary Objective:

Investigates, evaluates, and handles assigned claims through final disposition in accordance with company procedures.

Major Areas of Accountability:

  • Investigates assigned claims following sound claim handling techniques in accordance with company claim philosophy and quality assurance standards.
  • Determines proper jurisdiction and classifies each claim under state, federal or maritime class codes.
  • Confirms coverage, compensability and subrogation potential on every claim.
  • When applicable, negotiates settlements of claims within authority level.
  • Documents claim files with necessary information to confirm all claim issues.
  • Provides appropriate level of service to agents and policyholders.
  • Complies with all customer service standards. Responds promptly to resolve complaints or claim problems.
  • Manages personal claim caseload effectively and in accordance with productivity and claim cost objectives.
  • Performs other job duties as dictated by office circumstances.

Education and Experience Required:

Bachelor’s degree and a minimum of 2 years handling of workers’ compensation claims,

OR

High School Diploma/GED with 2 years handling of workers’ compensation claims and 4 years experience as an insurance claims adjuster.

Skills Required:

Communication, computer literate, math, judgment and problem solving skills

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