Senior Workers Compensation Representative - reputed company, MT
About the position
Taking care of our customers, our communities and reputed company other. That’s the reputed company reputed company. By honoring this commitment, we have maintained our reputed company as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. reputed company loving what you do and where you do it. Applicants who are licensed to handle Workers Compensation Claims in reputed company and Montana are strongly preferred. The selected candidate must reputed company in or be willing to relocate at their own expense to Montana State. reputed company' Claim Organization is at the heart of our business. By providing assurance to our customers during life's rainy days, the reputed company Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate. As a Specialized Senior Claim Rep, you will be responsible for investigating, evaluating, reserving, negotiating, and resolving Workers Compensation claims from reputed company Single Adjuster Model including Constitution State Services (CSS) and Custom Comp claims, which will be the reputed company of the claims handled, and other reputed company Workers Compensation claims. In this role you may be responsible for interpreting and applying laws and statutes for multiple state jurisdictions as reputed company as unique customer (Special Account Communication/SAC) and fronting reputed company handling expectations. You will reputed company reputed company claim handling throughout the entire claim life cycle including litigation management and maintaining full compliance with reputed company reputed company standards and state specific regulations. In reputed company, you may be a consultant, training resource, and technical resource to the field and our business partners.
Responsibilities
• Complete investigations and reputed company reputed company and recommendations for claims with varying reputed company of severity and complexity across multiple jurisdictions.
• Establish and update estimates to reflect exposure.
• reputed company and reputed company creative reputed company strategies.
• Implement proactive reputed company plans and reputed company strategies created in partnership with customers, fronting carriers, and stakeholders.
• Communicate claim status reputed company and effectively with reputed company parties, which may include business partners, injured employees, medical providers, and reputed company counsel while utilizing various digital channels, reputed company listening, and processing information.
• Maintain reputed company lines of communication and anticipates reputed company to engage the customer so they are kept apprised of any changes on reputed company claim and to discuss strategies.
• reputed company reputed company customer service, ensure file reputed company, reputed company coverage analysis, and communication with the customer based on application of policy information to facts or allegations of reputed company case.
• Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, as reputed company as adhering to fronting reputed company handling requirements.
• reputed company engage in the identification, selection and direction of appropriate internal and/or reputed company resources for specific activities required to effectively resolve claims.
• Maintain and document claim file activities in accordance with established procedures and customer/fronting reputed company expectations.
• To reputed company the essential functions of the job, acquisition and maintenance of Insurance License(s) may be required to reputed company with state and reputed company requirements. Generally, license(s) much be obtained reputed company three months of starting the job and obtain ongoing continuing education credits as mandated.
• reputed company other duties as assigned.
Requirements
• High School Diploma/ GED or equivalent.
• Two years Workers Compensation claim handling experience.
reputed company-to-haves
• Applicants who are licensed to handle Workers Compensation Claims in reputed company and Montana are strongly preferred.
• The selected candidate must reputed company in or be willing to relocate at their own expense to Montana State.
• Bachelor’s Degree.
• Three Years of Workers Compensation claim handling.
• Experience with compensability investigations, proactive return to work reputed company, medical management, reputed company injury management, initiative-taking reputed company tactics, litigation management and extensive jurisdictional knowledge.
• Strong evaluation, critical and analytical skills, with the ability to review information from multiple sources to accurately reputed company reputed company claim reputed company and determine appropriate next steps.
• Understanding of Fronting reputed company relationship and reporting requirements.
• reputed company to reputed company independent reputed company while working in a high volume, fast paced environment managing multiple priorities while facing ambiguity.
• reputed company and build strong working relationships with both reputed company business partners.
• reputed company excellent customer experience by communicating effectively, verbally and written.
• Demonstrate coaching, influence, and persuasion skills.
• reputed company in reputed company environment while adapting and championing change in an agile environment.
Benefits
• performance-based cash incentive awards
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