The Associate Claims Specialist manages medical-only and limited lost time claims to minimize losses while providing superior customer service. Responsibilities include processing payments, authorizing medical treatments, and ensuring compliance with jurisdictional requirements.
The Lead Underwriting Assistant provides mentorship and guidance to staff to ensure operational excellence, productivity, and adherence to underwriting standards. They oversee workflow processes, facilitate training, and collaborate with underwriters to maintain high-quality documentation and compliance.
The Corporate Claims Compliance Specialist analyzes and interprets insurance legislation to ensure company operations remain compliant with state and federal regulations. They also coordinate regulatory submissions, perform audits, and provide guidance to other functional areas regarding claim handling changes.
The Claims Specialist is responsible for independently investigating, evaluating, and resolving complex Workers Compensation claims in accordance with legal statutes and company guidelines. They must manage reserves, negotiate settlements, and collaborate with medical professionals to facilitate effective return-to-work strategies.
The Sr. Claim Counsel will manage the litigation of workers' compensation claims, including representing insured employers and conducting depositions. They are also responsible for preparing legal documents, negotiating settlements, and advising internal clients on legislative developments.
