SECURA Insurance

  • Claims Representative - Workers' Compensation

    Location US-WI-Appleton
    Posted Date 2 weeks ago(2 weeks ago)
    Job ID
    2205
    Job Grade
    Grade 7
    Category
    Claims - Workers’ Compensation
  • Responsibilities

    • Analyze, review, negotiate, and settle Workers’ Compensation claims of varying complexity, in a thorough manner with minimal supervision.
    • Control legal and medical bills/records to ensure savings for the company.
    • Make contact with claimants within 24 hours on all lost-time claims.
    • Work effectively with doctors, attorneys, insureds, claimants, and associates.
    • Participate in prehearing settlement conferences.
    • Establish and monitor reserves to adequately reflect the exposure and make appropriate changes as the file develops.
    • Uphold highest level of service orientation toward all customers.
    • Assist in agency management by providing feedback to underwriting.

    Qualifications

    • Bachelor’s degree in business or equivalent work experience is preferred.
    • A minimum two years’ of experience adjusting Workers’ Compensation claims.
    • Knowledge of medical terminology and the ability to interpret and understand medical records.
    • Exceptional computer and organizational skills.
    • Excellent verbal and written communication skills.
    • In-depth knowledge of Workers’ Compensation laws.
    • Ability to work independently.
    • Great problem-solving and decision-making skills.
    • Advanced insurance courses such as AIC, CPCU, and CIC are desirable.

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