Claim Specialist II or III

Responsibilities

• Investigate, evaluate, negotiate, and resolve lost time claims within settlement and reserving authority
• Communicate with insureds, injured workers, agents, brokers, witnesses, attorneys, and underwriters to determine coverage and liability
• Administer timely and accurate indemnity and medical benefits
• Work closely with defense counsel on litigated cases, including attending mediation, arbitration, and hearings
• Implement Managed Care strategies and coordinate rehabilitation or medical management
• Maintain quality claim files and establish proper reserves
• Mentor and train less experienced Claim Department representatives
• Maintain up-to-date knowledge of State laws and company procedures

Requirements

• Three years of workers’ compensation lost time claim handling experience required
• Mandatory experience with NH and VT claims (MA experience is a plus)
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