3 Workers' Compensation Claims Representative Jobs in Bedford, NH
Acadia Insurance is Hiring a Workers' Compensation Claims Representative Near Bedford, NH
At Acadia, we value our employees, our customers, and our communities. Employees at Acadia are part of a progressive company where everyone can make a difference. We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.
The Company is an equal employment opportunity employer.
ResponsibilitiesThe Workers’ Compensation Claims Representative will investigate, evaluate, and resolve assigned claims in accordance with company standards, procedures, and state regulatory requirements. The i deal candidate will have a minimum of 3-5 years of experience in adjusting Workers’ Compensation claims, with a proven record of increasing responsibility, appropriate claim outcomes and excellent customer service, along with demonstrated ability to:
Key Functions Will Include But Are Limited To
- Investigate, evaluate, and resolve claims in accordance with company standards, procedures, and state regulatory requirements.
- Analyze and determine specific facts of loss to reach appropriate decisions and effectively communicate the company’s compensability decisions.
- Compose a variety of other written communications to insureds, claimants, attorneys, and agents in a professional and error-free manner.
- Conduct detailed, comprehensive claim investigations including possible on-site scene examinations and in-person witness interviews when appropriate and necessary.
- E valuate and document exposure to ensure accurate and timely reserves; immediately escalate to management cases with significant exposure.
- Negotiate effectively and in good faith to achieve fair and accurate claim settlements.
- Proactively manage litigated claim files from inception to closure, including collaboration with defense counsel to determine and execute an appropriate plan of action; bring litigated cases to resolution either by negotiated settlement or hearing decisions, as appropriate.
- Retain vendors to achieve appropriate claim outcomes while remaining mindful of loss adjustment expenses. Manage assigned workloads effectively to achieve quality and quantity production goals while providing superior customer service.
- Effectively present cases in roundtable discussions with peers and members of management at all levels. Appropriately and clearly document all notes and file activity in a paperless claim system; compose detailed periodic reports including claim summary reports and large loss notifications. Communicate with other departments regarding developments on specific claim files as well as overall claim trends relevant to Acadia’s business.
- Maintain a strong relationship and frequent communication with Acadia’s agency partners.
- Work proficiently with various computer programs including MS Word, Excel, and other applications used in the claim handling process.
- Attend internal and external seminars and other training events and provide feedback to peers and/or members of management.
- Obtain all required state adjuster licenses and maintain them as needed by complying with continuing education requirements.
- Pursuit of industry-related professional designations is encouraged.
- Bachelor's degree and minimum of 3-5 years of related experience and/or training; or equivalent combination of education and experience.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
- Ability to write reports, business correspondence, and procedure manuals.
- Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
- Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
- Ability to apply concepts of basic algebra and geometry. Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
- Valid Driver's License required and Adjuster's license where required.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
Sponsorship Details Sponsorship not Offered for this Role
Job Summary
Full Time
$44k-55k (estimate)
06/19/2024
07/07/2024
acadiainsurance.com
Westbrook, ME
200 - 500
Related Companies
The job skills required for Workers' Compensation Claims Representative include Customer Service, Claim Handling, Written Communication, Communicates Effectively, Integrity, Collaboration, etc. Having related job skills and expertise will give you an advantage when applying to be a Workers' Compensation Claims Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Workers' Compensation Claims Representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Workers' Compensation Claims Representative positions, which can be used as a reference in future career path planning. As a Workers' Compensation Claims Representative, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Workers' Compensation Claims Representative. You can explore the career advancement for a Workers' Compensation Claims Representative below and select your interested title to get hiring information.
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