Examiner I
Examiner I
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Company Details
Midwest Employers Casualty (MEC) is a member of the W. R. Berkley Corporation a fortune 500 company rated A (Superior) by A.M. Best Company based in Chesterfield MO. We improve the quality of life for employees severely injured on the job and help companies understand and mitigate their risk for workers compensation injuries. MEC has a friendly resultsfocused work environment. We seek employees who take initiative are quick to adapt are dependable and like working as part of a team.
Company URL: company is an equal opportunity employer.
Responsibilities
The ideal Examiner I embodies a growth mindset demonstrating a strong passion for customer service and the continuous improvement of claims processes to achieve optimal outcomes. This role seeks a patient and conscientious individual who excels both independently and within a team contributing effectively to the daily functions of the Claims department. Success in this position is driven by a keen attention to detail an adaptable approach to reprioritizing tasks and a commitment to constantly evolving within a dynamic taskoriented environment.
Key functions include but are not limited to:
- Manages Claims department intake inboxes with team and process items from internal/external stakeholders; updates enters and images (scans) data into claims systems.
- Investigates and verifies coverage through file library searches.
- Communicates with external partners to confirm and gather first notice of loss information.
- Triages complex claim exposures by meticulously documenting accident and claim history verifying compensability evaluating for interventional and settlement opportunities assigning claims to team and escalating when necessary.
- Receives and processes insureds reimbursement requests.
- Helps with extra tasks outside of the regular workload.
- Uses datadriven insights to meet and/or exceeds the given monthly goals and best practice standards.
- Processes paper mail and emails.
- Provides customer service by answering telephones and redirecting callers.
- Responds to all requests and inquiries from claims staff vendors and others as appropriate.
- May help train future team members.
- May assist with claim handling of Maintenance level indemnity only files for multiple jurisdictions
- May assist with meeting and event preparation.
- Responsible for collecting and analyzing data to support and enhance claims business operations.
- Conducts research to enhance operating efficiency.
Qualifications
- Bachelors degree preferred.
- 1 years of workers compensation claim handling experience preferred.
- Knowledge of workers compensation insurance legal and medical terminology preferred.
- Experience working with Third Party Administrators brokers and insureds.
- Basic experience in Word and Excel a plus.
- Experience evaluating detailed check (payment) registers and common WC claim documents.
- Selfmotivated informed decision making with the drive to get things done.
- Collaborative open to others views and supportive of decisions made.
- Ownership must anticipate identify solutions and effectively manage a given process.
- Influence effectively communicate direction and demonstrate credibility.
Additional Company Details
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
Employment Type
Unclear
