Claims Associate
Claims Associate
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Salary Not Disclosed
1 Vacancy
Job Description
Company Details
With over 35 years of proven expertise in the workers compensation industry Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide Key Risk focuses on delivering products and services within specialized verticals to reduce workers compensation exposures and deliver industryleading results.
All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation whose insurance company subsidiaries are rated A (Superior) Financial Size Category XV by A.M. Best Company and A (Strong) by S&P.
For further information about Key Risk please visitwww.KeyRisk.
Responsibilities
Key Risk is looking for an enthusiasticClaims Associateprofessional who will be responsible for the management of low exposure workers compensation claims. The Claims Associate will be responsible for learning workers compensation laws and providing outstanding service to our clients. This is an entrylevel position with no experience necessary
Key functions include:
- Maintain good lines of communication with employers adjusters and providers
- Conduct investigation of workers compensation claims assigned
- Request medical notes proper billing format and other written/verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only
- Discuss with an employee issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued
- Timely and accurately reserve for claims assigned
- Document medical notes and relevant written and oral communication received relative to claims in the log notes
- Discuss with an employer issues relative to an injured workers return to work status
- Index images as needed
- Identify potential subrogation claims and notify appropriate supervisor
- Actively work with mentor and supervisor to develop skills to handle all technical aspects of claims including coverage disability benefit management medical management litigation management file management subrogation reserving and settlement
- Maintain and demonstrate knowledge of the Workers Compensation Act and Rules and Regulations in jurisdictions assigned
- Immediately notify management of large exposures
This position requires the individual to commute to our High Point NC office location.
Qualifications
- BA/BS Degree
- Demonstrate exceptional oral and written communication skills
- Demonstrate functional understanding of basic medical terminology
- Superior organizational skills and attention to detail
- Evidence of selfmotivation and requires general supervision
- Possess creative problemsolving skills
- Ability to manage multiple priorities and coordinate tasks
- Obtain license in jurisdiction as needed
- Commitment to increasing knowledge of workers compensation
Additional Company Details
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Sponsorship Details
Required Experience:
IC
Employment Type
Unclear
