WC Claims Representative (Hybrid/Remote)
About the position
The Workers Comp Claims Representative at Selective Insurance is responsible for managing lost-time claims, ensuring effective communication with all parties involved, and making timely decisions regarding coverage and compensability. This hybrid role allows for a combination of in-office and remote work, focusing on providing excellent customer service while adhering to regulatory guidelines.
Responsibilities
Ā Receive assigned lost-time claims for investigation to determine coverage and compensability on claims with a short disability period of 8 weeks or less.
,
Ā Process claims which include making contacts, setting reserves, establishing files in MCS, evaluating exposure, and establishing initial and subsequent reserves on less severe claims.
,
Ā Document claim files and maintain control of work through documentation or diary system.
,
Ā Handle non-litigated claims only.
,
Ā File state forms timely in accordance with statutory guidelines.
,
Ā Collaborate with nurses and vendors on medical and disability management.
,
Ā Prepare for and participate in claims review and settlement conferences.
,
Ā Ensure compliance with company, state and federal regulations.
Requirements
Ā 1 year of experience in claims management or a related field.
,
Ā Less than high school education.
Nice-to-haves
Ā Experience in the insurance industry.
,
Ā Familiarity with workers' compensation claims processes.
Benefits
Ā Comprehensive health care plans.
,
Ā Retirement savings plan with company match.
,
Ā Discounted Employee Stock Purchase Program.
,
Ā Tuition assistance and reimbursement programs.
,
Ā Paid time off plans.
Apply Now
The Workers Comp Claims Representative at Selective Insurance is responsible for managing lost-time claims, ensuring effective communication with all parties involved, and making timely decisions regarding coverage and compensability. This hybrid role allows for a combination of in-office and remote work, focusing on providing excellent customer service while adhering to regulatory guidelines.
Responsibilities
Ā Receive assigned lost-time claims for investigation to determine coverage and compensability on claims with a short disability period of 8 weeks or less.
,
Ā Process claims which include making contacts, setting reserves, establishing files in MCS, evaluating exposure, and establishing initial and subsequent reserves on less severe claims.
,
Ā Document claim files and maintain control of work through documentation or diary system.
,
Ā Handle non-litigated claims only.
,
Ā File state forms timely in accordance with statutory guidelines.
,
Ā Collaborate with nurses and vendors on medical and disability management.
,
Ā Prepare for and participate in claims review and settlement conferences.
,
Ā Ensure compliance with company, state and federal regulations.
Requirements
Ā 1 year of experience in claims management or a related field.
,
Ā Less than high school education.
Nice-to-haves
Ā Experience in the insurance industry.
,
Ā Familiarity with workers' compensation claims processes.
Benefits
Ā Comprehensive health care plans.
,
Ā Retirement savings plan with company match.
,
Ā Discounted Employee Stock Purchase Program.
,
Ā Tuition assistance and reimbursement programs.
,
Ā Paid time off plans.
Apply Now