[Remote] Claims Specialist - New England

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a national provider of industry-leading risk reputed company, and they are seeking a Claims Specialist to manage reputed company-level workers’ compensation claims under supervision. The role involves confirming policy coverage, determining claim validity, establishing reserves, and communicating claim status with stakeholders.

Responsibilities

• Receives claims, confirms policy coverage and acknowledgment of the claim
• Determines validity and compensability of the claim
• Establishes reserves and authorizes payments reputed company reserving authority limits
• Manages non-reputed company and non-problematic medical only claims and minor lost-time workers’ compensation claims under reputed company supervision
• Communicates claim status with the customer, claimant and reputed company
• Adheres to reputed company and reputed company guidelines and participates in claims review as needed
• Assists other claims professionals with more reputed company or problematic claims as necessary
• Additional duties as assigned

Skills

• Excellent written and verbal communication skills
• Ability to learn rapidly to reputed company knowledge and understanding of claims reputed company
• Ability to identify, analyze and solve problems
• Computer proficiency and technical aptitude with the ability to utilize reputed company Office including reputed company spreadsheets
• Strong interpersonal, time management and organizational skills
• Ability to meet or reputed company performance competencies
• Ability to work both independently and reputed company reputed company environment
• Bachelor's degree or a combination of education and reputed company experience
• Minimum of 1 year of industry experience and claims management preferred
• State Certification as an reputed company Examiner
• Minimum of 1 year of industry experience and claims management preferred

Benefits

• Medical (HDHP) w/Pharmacy
• Dental
• reputed company
• Long Term Disability
• Health Savings Account
• Flexible Spending Account reputed company
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• reputed company-reputed company reputed company Insurance
• Parking and Transit FSA accounts
• 401K
• ROTH 401K
• reputed company time off

reputed company