1 Account Claims Assoc II Job in Blue Bell, PA
PMA Companies is Hiring an Account Claims Assoc II Near Blue Bell, PA
Responsibilities
- Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up
- Process payments, answer phone calls, authorize treatment associated with Medical Only claims
- Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up
- Determine whether treatment is appropriate and causally related to the compensable injury
- Redirect treatment to network physicians as appropriate
- Refer subrogation potential claims or potential permanency claims to Supervisor
- Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable
- Maintain a working knowledge of jurisdictional requirements and obtain/maintain state adjusting licenses
- Administer benefits on Permanent Total or Death cases, which includes monitoring for changes in life or work status, implied interest in resolution or marked increases in costs.
- Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
- High school diploma or equivalent
- One or more years of Workers Compensation claims handling experience
- License required or ability to obtain license within 90 days of employment in mandated states
- Familiarity with medical terminology
- Ability to work independently, handle multiple tasks simultaneously, make difficult decisions and focus on details
- Strong organizational skills
- Excellent verbal and written communication skills
- Proficiency MS Excel and MS Word.
Job Summary
Full Time
Insurance
$69k-87k (estimate)
06/20/2024
07/17/2024
pmacompanies.com
BLUE BELL, PA
1,000 - 3,000
1915
VINCENT T DONNELLY
$500M - $1B
Insurance
Related Companies
About PMA Companies
PMA Companies provides risk management solutions and services, specializing in workers compensation and offering property & casualty insurance, in the United States. Headquartered in Blue Bell, PA, PMA Companies is a member of Old Republic Companies. Old Republic International Corporation (NYSE: ORI) is one of the nations 50 largest publicly held insurance organizations. PMA Companies includes: PMA Insurance Group, specializing in workers compensation, and providing other commercial property & casualty insurance products; and PMA Management Corp. and PMA Management Corp. of New England, provid...ing results-driven TPA and Risk Services specializing in workers compensation and liability. We maintain a large client retention rate of 90% or higher and a client satisfaction rate of 96% per an independent survey. At PMA, we still build relationships the "old-fashioned way." Our clients know we care. They know we say what we do and do what we say. And they know that they can count on us to deliver tangible value to their business and to work passionately on their behalf.
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