ProAssurance

General

• Responds to calls from policyholders, injured workers and providers and directs medical care, where jurisdictionally appropriate, for the unassigned medical only claims.
• 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.
• Promptly investigates all assigned claims to establish trust and rapport with all parties, accurately assess coverage, determine the nature and extent of the injuries sustained, and reinforce Return to Wellness expectations. Makes fair and timely determinations of compensability. Demonstrates empathy, professionalism, integrity, and objectivity at all times. Prepares reports and forms as required by jurisdictional regulations and by the Company’s established procedures. Promptly establishes and maintains case reserves that accurately reflect the anticipated financial exposure on each claim; revises reserves promptly based on changes in facts and circumstances. Identifies subrogation potential.
• Completes ongoing claim management activities proactively and with a sense of urgency in accordance with the ecovery® Return to Wellness philosophy to execute the established plan of action and achieve favorable outcomes for all parties. Maintains, cultivates, and develops high quality, collaborative working relationships with all parties, including injured workers, agents, customers, and co-workers. Maintains regular contact by telephone and correspondence with all parties. Seeks complete information necessary to manage claims and achieve favorable outcomes. Responds to inquiries in a timely, courteous, and professional manner.
• Proactively seeks coaching and guidance to develop technical knowledge and skills. Works collaboratively with supervisor/manager to establish and follow a meaningful professional development plan in order to prepare for promotional opportunities within the Company or to excel in this position. Seeks out professional growth and development opportunities through attendance and participation in insurance related events, functions, seminars, classes and conferences.
• Assists with special projects as assigned.
• Travels to customer, agency and industry meetings occasionally.
• Participates in department meetings and other duties as assigned.

Workers' Compensation Associate – Claim Representative

• Complete ongoing claim management activities proactively and with a sense of urgency in accordance with the ecovery® Return to Wellness philosophy to execute the established plan of action and achieve favorable outcomes for all parties.
• 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.
• Respond to inquiries in a timely, courteous, and professional manner.
• Promptly investigate all assigned claims to establish trust and rapport with all parties, accurately assess coverage, determine the nature and extent of the injuries sustained, and reinforce Return to Wellness expectations.
• Make fair and timely determinations of compensability.
• Demonstrate empathy, professionalism, integrity, and objectivity at all times.
• Prepare reports and forms as required by jurisdictional regulations and by the Company’s established procedures.
• 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.
• Identify subrogation potential.
• Manage Return to Wellness initiatives by working collaboratively with agents, clients, risk managers and underwriters to ensure proper return to work guidelines and procedures are established, followed and achieved.
• Attend business unit, department and company meetings.
• Assist with Company projects as assigned and continue professional growth and development through the attendance and participation in insurance related events/functions, seminars, classes and conferences.

Workers' Compensation Claim Representative I – Early Talent

Insurance

• Oversee the development of new insurance products, including by drafting coverage language and providing creative coverage solutions to meet the unique needs of the niche industry that Medmarc serves.
• Provide day-to-day coverage analysis and consultation to support underwriting and account-management efforts.
• Develop and deliver educational content focused on Medmarc's policy forms and coverage terms.
• Coordinate with the Legal Department and functional area responsible for state filings to ensure regulatory compliance and good market conduct.

Insurance Product Development & Coverage Analysis Manager

Underwriter

• Support the development, growth, and maintenance of an assigned book of business working directly with UW staff.
• Maintain and develop strong technical Skills including both product and system knowledge.
• Support Underwriting efforts to develop, cultivate, and strengthen relationships with our Agency/Broker partners.
• Maintain strong relationships internally to support underwriting team efforts as well as cross departmental and cross office.
• Perform specialized rating functions as they relate to assigned product line.

Workers' Compensation Associate – Claim Representative

Workers' Compensation Claim Representative I – Early Talent

Insurance Product Development & Coverage Analysis Manager

Underwriting Technician – Medical Professional Liability