Claims Associate

Claims Associate

Key Risk is looking for an enthusiastic Claims Associate professional who will be responsible for the management of low exposure workers' compensation claims. The Claims Associate will be responsible for learning workers' compensation laws and providing outstanding service to our clients. This is an entry-level position with no experience necessary.

Key functions include :

• Maintain good lines of communication with employers, adjusters, and providers
• Conduct investigation of workers' compensation claims assigned
• Request medical notes, proper billing format, and other written / verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only
• Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued
• Timely and accurately reserve for claims assigned
• Document medical notes and relevant written and oral communication received relative to claims in the log notes
• Discuss with an employer, issues relative to an injured worker's return to work status
• Index images as needed
• Identify potential subrogation claims and notify appropriate supervisor
• Actively work with mentor and supervisor to develop skills to handle all technical aspects of claims, including coverage, disability benefit management, medical management, litigation management, file management, subrogation, reserving and settlement
• Maintain and demonstrate knowledge of the Workers' Compensation Act and Rules and Regulations in jurisdictions assigned
• Immediately notify management of large exposures

This position requires the individual to commute to our High Point NC office location.

Qualifications :

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role