Associate Claim Specialist

About MEMIC

At MEMIC our mission is to make workers compensation insurance betterthrough compassionate service trusted partnerships and an unwavering focus on workplace safety. Our core valuesBe Conscientious Be an Expert Be a Partner Be Curious and Be Transparentdrive everything we do. For over 30 years weve been a leader in helping businesses protect their employees and reduce workplace injuries while delivering exceptional claims services.

Job Overview: Claim Specialist I

Are you a natural investigator problem solver and relationship builder Do you thrive in a fast-paced environment where every day presents a new challenge If so we invite you to join our team as a Claim Specialist I.In this role youll play a critical part in helping injured workers navigate the claims process while partnering with employers agents medical providers and legal professionals to deliver fair timely and compassionate claim resolutions. Youll manage a diverse portfolio of workers compensation claims balancing analytical thinking sound judgment and exceptional customer service.

As a Claim Specialist I you will:

Investigate and Evaluate Workers Compensation Claims

• Gather facts analyze coverage and compensability determine liability and assess claim exposure.
• Conduct interviews and maintain communication with injured workers employers witnesses attorneys brokers agents and other stakeholders.

Manage Claims from Start to Finish

• Administer timely and accurate indemnity and medical benefits.
• Establish appropriate reserves and make informed settlement decisions within authority levels.
• Negotiate claim resolutions and pursue cost-effective outcomes.

Partner with Legal and Medical Professionals

• Collaborate with defense counsel on litigated claims.
• Attend mediations arbitrations hearings and settlement conferences when needed.
• Implement managed care and rehabilitation strategies to support recovery and claim resolution.

Build Strong Relationships

• Work directly with insureds and injured employees to provide guidance education and support.
• Conduct on-site visits presentations and claim reviews to strengthen customer partnerships.

Maintain Excellence and Compliance

• Ensure claim files meet quality standards regulatory requirements and company best practices.
• Stay current on workers compensation laws regulations and industry trends.
• Utilize technology and claims systems to effectively manage workload and documentation.

Were looking for professionals who bring:

• Strong analytical investigative and problem-solving skills
• Exceptional communication and negotiation abilities
• Sound judgment and decision-making skills
• The ability to manage multiple priorities in a deadline-driven environment
• Strong customer service and relationship management skills
• Attention to detail and commitment to quality file handling
• A collaborative mindset and team-oriented approach

• Prior claims handling experience required and one year of workers compensation claim handling experience preferred
• Computer skills Word Excel and Image Right preferred.
• Must have valid drivers license.
• Strong attention to detail and strong communication skills both verbal and written.
• Adaptable/flexible and self-directed with the ability to manage time and other resources wisely.
• Must have the ability to work effectively with other organizational team members.