Workers' Compensation Claim Representative I – Early Talent

ProAssurance

Claim Representative managing workers' compensation claims for ProAssurance's Eastern Alliance. Supporting return to wellness and maintaining relationships with involved parties.

Posted 6/25/2026full-timeCharlotte • Mississippi, North Carolina • 🇺🇸 United StatesJunior💰 $50,069 - $82,622 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Bachelor’s degree is preferred; a HS Diploma/GED with a minimum eight years of experience working in a medical, legal or insurance environment can replace the bachelor’s degree requirement.
Basic knowledge of medical terminology, common medical procedures and treatments is preferred.
Some knowledge of applicable state laws and industry standards is preferred.
Proficiency in Microsoft Office computer applications, including Word and Excel, and ability to learn new computer software applications.
Attention to detail in processing all information, establishing priorities and meeting deadlines.
Ability to handle multiple priorities simultaneously.
Excellent organization and time management skills.
Excellent analytical and problem-solving skills, including analyzing and interpreting large amounts of information and formulating logical, objective conclusions based upon the facts.
Ability to assess the urgency and importance of a situation and take appropriate action.
Empathic listener with the ability to listen and respond to another person in a way that engenders mutual understanding and trust.
Ability to communicate effectively and professionally both verbally and in writing with various constituencies and at all levels, both in and outside of the organization, including agency partners, customers, injured workers and providers.
Ability to maintain confidential information.
Ability to operate standard office equipment including, but not limited to copiers, printers, etc.
Ability to attend insurance and industry/business functions to promote and present a positive image of the Company.

Benefits

Comp & perks

Best-in-class benefits program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical terminologycommon medical proceduresinsurance claims managementcase reserves managementsubrogation identificationanalytical skillsproblem-solving skillsreport preparationcoverage assessmentjurisdictional regulations

Soft Skills

empathyprofessionalismintegrityobjectivityattention to detailorganization skillstime management skillscommunication skillsactive listeningtrust building