Lead the underwriting quality assurance program and optimize operational workflows to ensure consistency and compliance. Serve as a high-level technical authority for complex workers' compensation accounts and manage regulatory alignment with NCCI and state laws.
MEM
14 Remote Job Openings at MEM
Lead and develop a team of claims professionals handling high-complexity workers' compensation claims. Provide technical oversight on high-exposure cases and drive process improvements to enhance policyholder and injured worker experiences.
Support the implementation of the Paylocity system and provide administrative coordination for HR operations. Serve as a point of contact for employee inquiries and assist with recognition programs and internal communications.
Manage a caseload of moderately complex workers' compensation claims, ensuring quality care for injured workers and financial integrity for policyholders. Responsibilities include investigating claims, developing return-to-work strategies, and negotiating fair settlements.
Drive profitable growth through outbound sales, agency development, and strategic relationship management with agency partners. Act as the primary liaison between agencies and internal teams to guide opportunities from engagement through binding and retention.
Drive profitable growth through outbound sales, agency development, and strategic relationship management with agency partners. Collaborate with internal underwriting and claims teams to guide opportunities from initial engagement through binding and long-term retention.
Senior Workers' Compensation Senior Claims Representative (Remote)
MEM
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Full Time
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a month ago
MEM
Manage high-exposure workers' compensation claims, including complex investigations into coverage, fraud, and medical case management. Lead settlement negotiations, mentor junior adjusters, and collaborate across departments to improve claims handling processes.
Manage high-exposure workers' compensation claims, including medical case management and the development of Return-to-Work plans. Collaborate with legal counsel and internal teams to negotiate settlements and ensure statutory compliance.
Manage a caseload of medical-only workers' compensation claims, ensuring compliance with state regulations and internal guidelines. Coordinate quality medical care and maintain accurate documentation to support effective claim outcomes.
Provide high-level administrative and operational support to the Assistant Vice President of Underwriting to ensure efficient departmental operations. Manage critical reporting, analyze application workflows, and coordinate team projects and logistics.
Provide comprehensive administrative and workflow support across various claims departments while serving as a primary point of contact for internal and external inquiries. Manage claim-related documentation, process requests, and ensure all files are accurately maintained for regulatory compliance.
Coordinate scheduling and logistics for medical appointments and diagnostic testing while maintaining accurate case documentation. Serve as an administrative liaison between the nurse case management team and external partners to ensure efficient care coordination.
The Associate Underwriter will support the underwriting and servicing of workers' compensation accounts, evaluating risk information and communicating decisions to producers. This role involves building relationships with stakeholders and ensuring compliance with laws and company standards.
The primary duties involve delivering outstanding customer experiences by responding promptly and accurately across all channels, striving for single-contact resolution while performing compliant policy administration tasks. This includes processing changes, updating information, and setting up payment plans according to regulations.
