Administers benefits to injured workers in accordance with statutory and case law as well as pertinent regulations. Reserves and assesses Workers Compensation claims within the Company standards and best practices guidelines. Communicates effectively with other Company departments. Maintains a good working relationship with insureds, employers, agents and other employees.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Administers benefits to injured workers
Creates reserves in a timely manner to ensure reserving activities consistent with company policies.
Communicates with insureds to obtain information necessary for processing claims.
Contacts and/or interviews claimants, doctors, medical specialists, or employers to get additional information.
Manages and approve payment of benefits within designated authority level.
Assesses claims fairly and equitably, acting in the best interest of the insured and providing benefits as prescribed by law
EDUCATION AND EXPERIENCE
High school diploma or general education degree (GED). Bachelors degree from four-year college or university preferred.
Must receive certification that meets the minimum standards of training, experience, skill and further education. Basic understanding of laws and jurisdictional restraints to manage injuries. WCCA and WCCP not required but helpful. State Workers Compensation License required in some branches.