Workers' Compensation Claims Representative - Med Only

Company Details: Responsibilities:

• Effectively negotiate with insureds, third-parties and claimants listening carefully to their demands and using an objective approach to resolve the claim fairly.
• Inform other departments of positive/negative conditions noted during investigations which may impact company results.
• Participate in special account reviews and present agents and insureds with recommendations for improving their loss ratio and information on best practices.
• Perform investigations in a timely and thorough manner to ensure accurate decisions on coverage, compensability, liability, and damage issues affecting claim resolutions.
• Control file-related expenses through efficient utilization and monitoring of "outside" vendors.
• Steadily increase complexity and proficiency including more complex coverage and/or compensability disputes, contractual risk transfer, liability/subrogation investigations, negotiations, and strategic resolution practices. Engage appropriately with agents and insureds in increasingly complex discussions and capable of leading synergy meetings.
• In addition to demonstrating increased proficiency with systems and workflows, actively engage in roundtable discussions, Synergy meetings and on-site investigations when needed.
• Manage existing workloads effectively to achieve quality and quantity production goals while providing superior customer service.

Qualifications:
Additional Company Details: We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. Additional Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Valid Driver's License required. Valid Adjuster's license where required. The Company is an equal employment opportunity employer. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to outside weather conditions. The employee may be exposed to wet and/or humid conditions; moving mechanical parts; high, precarious places; fumes or airborne particles; toxic or caustic chemicals; extreme cold; extreme heat; risk of electrical shock; risk of radiation; and vibration. The noise level in the work environment is usually moderate. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to stand; walk; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. Sponsorship Details: Sponsorship not Offered for this Role