Associate Claim Specialist

📋 Description

• Claims Management: Investigate, evaluate, and resolve medical-only and low-complexity claims.
• Communication: Primary contact for insureds, workers, agents, and attorneys.
• Benefit Delivery: Administer medical and indemnity benefits per state statutes.
• Quality Assurance: Maintain organized, high-quality claim files.
• Managed Care Coordination: Coordinate rehab plans and process medical bills.
• Legal & Regulatory Compliance: Interact with boards to ensure compliance and reserves.

🎯 Requirements

• Attention to detail and strong verbal/written communication.
• Microsoft Word and Excel proficiency.
• Self-motivated, flexible, and good time management.
• Collaborates well with cross-functional teams.
• Valid driver's license required.
• Must obtain adjuster licenses within 6 months.

🎁 Benefits

• Health, dental, and vision insurance; fitness center access or reimbursement.
• 401(k) with up to 6% match, profit sharing, and life insurance.
• Four weeks PTO and 11 paid holidays.
• Student loan paydown, tuition reimbursement, and professional development.
• Flexible schedules, sit-stand desks, and volunteer days.