ProAssurance
Workers' Compensation Associate Claim Representative - Eastern Alliance
Lancaster, PA
Sponsorship not specified$19k-$32kDetected 28 days ago
ExcelRecruitingLeadershipProblem SolvingTime ManagementMentoringMicrosoft Office
About the role
- An exciting opportunity exists to join the ProAssurance family of companies!
- Choosing a place to apply your talents is an important decision for anyone.
- Actively participate in training opportunities for promotion into other positions within the regional claim organization or to excel in this position.
Responsibilities
- 10% - Proactively seek coaching and guidance to develop technical knowledge and skills.
- Proactively seek coaching and guidance to develop technical knowledge and skills.
- Promptly establish and maintain case reserves that accurately reflect the anticipated financial exposure on each claim
- Maintain, cultivate, and develop high quality, collaborative working relationships with all parties, including injured workers, agents, customers, and co-workers.
- Maintain regular contact by telephone and correspondence with all parties.
- Seek complete information necessary to manage claims and achieve favorable outcomes.
- Promptly establish and maintain case reserves that accurately reflect the anticipated financial exposure on each claim; revise reserves promptly based on changes in facts and circumstances.
Requirements
- Ability to attend insurance and industry/business functions to promote and present a positive image of the Company.
- Proficiency in Microsoft Office computer applications
- ability to learn new computer software applications.
- Empathic listener with the ability to listen and respond to another person in a way that engenders mutual understanding and trust.
- Ability to assess the urgency and importance of a situation and take appropriate action.
- Ability to communicate effectively and professionally both verbally and in writing with various constituencies and at all levels
- If you are moving forward in the process, a Talent Acquisition team member will confirm if we already have your assessment results.
- Prepare reports and forms as required by jurisdictional regulations and by the Company's established procedures.
Nice to have
- Bachelor's degree is preferred
- Some knowledge of applicable state laws and industry standards preferred.
Compensation
- ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance.
Benefits
- 35% - Responds to calls from policyholders, injured workers and providers and directs medical care, where jurisdictionally appropriate, for the unassigned medical only claims.
- 20% - Reviews medical invoices for unassigned medical only claims.
- Contacts insureds, injured workers and/or medical providers as necessary to investigate and approve appropriate invoices for payment within established timeframes.
- a HS Diploma/GED with a minimum of eight years of experience working in a medical, legal or an insurance environment can replace the degree requirement.
- Basic knowledge of medical terminology, common medical procedures and treatments preferred.
Company info
- You have plenty of options.
- Why choose ProAssurance?
- At ProAssurance, we sell a pledge, and that pledge is delivered by our team members.
- We are seeking individuals who value integrity, leadership, relationships, and enthusiasm-and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions.
- ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance.
- We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States.
- This position supports our workers' compensation line of business, Eastern Alliance, and is hybrid, reporting to the Lancaster PA office location approximately 2 days per month.
- The primary responsibility of this position is to consistently execute the Company's ecovery® Return to Wellness philosophy and business model that leads to better outcomes for our injured workers and insureds.
- We protect others.
- of this position include managing the unassigned medical only claims in the region and all aspects of assigned claims, including verifying coverage, investigating, managing, and resolving non-complex workers' compensation claims for the Company's customers under direct supervision, following established Company requirements and procedures, and promptly establishing and maintaining accurate reserves.
- What we're looking for:
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This listing is sourced directly from ProAssurance's careers page and normalized into a canonical job model.