GENERAL DESCRIPTION:

Manage within company best practices complex and problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional.

ESSENTIAL JOB DUTIES:

1. Receives claim, confirms policy coverage and acknowledgement of the claim
2. Determine validity and compensability of the claim
3. Establish reserves and authorize payments within reserving authority limits
4. Manage non-complex and non-problematic medical-only claims and minor lost-time workers' compensation claims under close supervision
5. Communicate claim status with the customer and claimant and client
6. Adhere to client and carrier guidelines and participate in claims review as needed
7. Assists other claims professionals with more complex or problematic claims as necessary
8. Requires regular and consistent attendance.
9. Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).
10. Additional duties as required.

KNOWLEDGE & SKILLS:

1. Excellent written and verbal communication skills
2. PC literate, including Microsoft Office (Word, Excel)
3. Ability to learn rapidly to develop knowledge and understanding of claims practice
4. Ability to identify, analyze and solve problems
5. Strong organizational skills
6. Good interpersonal skills
7. Ability to work independently
8. Ability to work in a team environment
9. Ability to meet or exceed performance competencies

EDUCATION: College degree preferred, work experience can substitute for educational requirement

LICENSES: As required

EXPERIENCE: Five (5) or more years of workers comp complex claims handling required. Supervisory experience is a plus.

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Application Instructions:

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their race, color, age, sex, gender, religion, national origin, ancestry, citizenship status, physical or mental disability, military service, veteran status or any other characteristic protected by applicable federal, state or local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this application or to participate in an interview, please let us know.