Claim Specialist III

📋 Description

• Communicates with insureds, injured workers, agents, and attorneys to determine coverage.
• Administers timely indemnity and medical benefits.
• Evaluates claim exposure; negotiates and resolves; coordinates with defense counsel.
• Maintains quality claim files per best practices and procedures.
• Implements managed care strategies; coordinates rehab/medical management; processes bills.
• Travels as needed; mentors staff and stays current on laws.

🎯 Requirements

• Three years of workers' compensation lost-time and medical claim handling experience preferred.
• Bachelor's degree preferred.
• Computer skills: Word, Excel and Image Right preferred.
• Must have a valid driver's license.
• Strong attention to detail and communication skills (verbal and written).
• Adaptable, self-directed with ability to manage multiple priorities.

🎁 Benefits

• Health, dental, and vision insurance options.
• Life Insurance/AD&D and Dependent Life options.
• Short-term and long-term disability coverage.
• Health Savings Account with employer match.
• Flexible Medical and Dependent Care Accounts.
• 401(k) with match up to 6% and annual bonus; 5 weeks PTO and 11 paid holidays.