Workers Compensation Claims Rep

The James Allen Companies Inc Published: October 19, 2017
Job Type
Category

Description

Workers Compensation Claims Rep

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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