Claims Specialist

• Manage assigned Workers Compensation Medical Only/low complexity claims with supervision and guidance from the manager utilizing current Claims technology.
• Conduct thorough investigations in order to determine coverage and claim payment amounts owed.
• Responsibilities also include proactive file management, adequate reserving, and participating in training activities.
• Consistently exhibit a high level of customer service.
• Adhere to department audit guidelines.
• Maintain proactive file management and adequate reserving.
• Participate in training activities.

Claims Representative I – Workers Compensation Medical Only

Senior Claims Representative – Workers Compensation