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Workers' Compensation Claim Representative I (Early Talent) - Eastern Alliance

External
proassurance logoProassurance · Charlotte, NC
Full-timeHybridToday
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Responsibilities

  • 15% - Manage Return to Wellness initiatives by working collaboratively with agents, clients, risk managers and underwriters to ensure proper return to work guidelines and procedures are established, followed and achieved.
  • 5% - Attend business unit, department and company meetings.
  • 5% - Assist with Company projects as assigned and continue professional growth and development through the attendance and participation in insurance related events/functions, seminars, classes and conferences.

Requirements

  • Bachelor's degree is preferred; a HS Diploma/GED with a minimum eight years of experience working in a medical, legal or insurance environment can replace the bachelor's degree requirement.
  • Basic knowledge of medical terminology, common medical procedures and treatments is preferred.
  • Some knowledge of applicable state laws and industry standards is preferred.
  • Proficiency in Microsoft Office computer applications, including Word and Excel, and ability to learn new computer software applications.
  • Attention to detail in processing all information, establishing priorities and meeting deadlines.
  • Ability to handle multiple priorities simultaneously.
  • Excellent organization and time management skills.
  • Excellent analytical and problem-solving skills, including analyzing and interpreting large amounts of information and formulating logical, objective conclusions based upon the facts.
  • Ability to assess the urgency and importance of a situation and take appropriate action.
  • Empathic listener with the ability to listen and respond to another person in a way that engenders mutual underst

Benefits

Health insuranceVision insurance

Additional Information

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm-and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our workers' compensation line of business, Eastern Alliance, and is hybrid, reporting to our Charlotte NC or Ridgeland MS office locations approximately 2 times per month. This opportunity is available because Eastern Alliance is growing its Claims team. The primary responsibility of this position is to consistently execute the Company's ecovery® Return to Wellness philosophy and business model that leads to better outcomes for our injured workers and insureds. Responsibilities of this position include managing all aspects of assigned claims, including verifying coverage, investigating, managing, and resolving non-complex workers' compensation claims (medical only and lost time) for the Company's customers under direct supervision, following established Company requirements and procedures, and promptly establishing and maintaining accurate reserves with an authority limit of up to $25,000 all in support of the Company's revenue and profitability objectives and overall business plan. For full consideration, candidates should have one year experience managing medical-only workers' compensation claims.


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