What are the responsibilities and job description for the Examiner I position at Berkley?
Company Details
Midwest Employers Casualty (MEC) is a member of the W. R. Berkley Corporation, a fortune 500 company, rated A (Superior) by A.M. Best Company, based in Chesterfield, MO. We improve the quality of life for employees severely injured on the job and help companies understand and mitigate their risk for workers’ compensation injuries. MEC has a friendly, results-focused work environment. We seek employees who take initiative, are quick to adapt, are dependable, and like working as part of a team.
https://www.mecasualty.com/
The company is an equal employment opportunity employer.
Responsibilities
The ideal Examiner I is someone who has a passion for customer service and setting claims on a course to reach better outcomes. A patient and conscientious individual with the ability to work independently and as part of a team to support the daily functions of the Claims department will thrive in this role. This position requires particular attention to detail, the ability to reprioritize, and is often task oriented.
Key functions include but are not limited to:
- Manages Claims department intake inboxes with team and process items from internal/external stakeholders; updates, enters, and images (scans) data into claims systems.
- Investigates and verifies coverage through file library searches.
- Communicates with external partners to confirm and gather first notice of loss information.
- Triages complex claim exposures by meticulously documenting accident and claim history, verifying compensability, evaluating for interventional and settlement opportunities, assigning claims to team and escalating when necessary.
- Receives and processes insureds’ reimbursement requests.
- Helps with extra tasks outside of the regular workload.
- Meets and/or exceeds the given monthly goals and best practice standards.
- Processes paper mail and faxes.
- Provides customer service by answering telephones and redirecting callers.
- Responds to all requests and inquiries from claims staff, vendors, and others as appropriate.
- Mentors and trains new or junior team members.
- May assist with meeting and event preparation.
- Responsible for collecting and analyzing data to support and enhance claims business operations.
- Conducts research to enhance operating efficiency.
Qualifications
- Bachelor’s degree preferred.
- 1 years of workers’ compensation claim handling experience preferred.
- Knowledge of workers’ compensation insurance, legal, and medical terminology preferred.
- Experience working with Third Party Administrators, brokers, and insureds.
- Basic experience in Word and Excel a plus.
- Experience evaluating detailed check (payment) registers and common WC claim documents.
- Self-motivated, informed decision making with the drive to get things done.
- Collaborative, open to others’ views and supportive of decisions made.
- Ownership, must anticipate, identify solutions, and effectively manage a given process.
- Influence, effectively communicate direction and demonstrate credibility.
Additional Company Details
We do not accept any unsolicited resumes from external recruiting agencies or firms. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Sponsorship Details
Sponsorship not Offered for this Role
