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Associate Worker's Compensation Claim Representative

Hastings Insurance
Hastings, MI Full Time
POSTED ON 1/29/2025
AVAILABLE BEFORE 3/28/2025

Hastings Insurance is currently looking for an Associate Worker's Comp Claim Representative! This is a great opportunity for a customer-service oriented professional to join our Worker's Compensation claim team and provide timely, effective support to our agents, policyholders, and claimants. The individual in this position investigates, evaluates, negotiates, and resolves Worker’s Compensation claims through effective research, negotiation and interaction with policyholders, claimants, and agents in accordance with the Company’s contractual and legal obligations while providing an outstanding customer experience.

Position Location & Work Format

  • This full-time, non-exempt (hourly) position works Monday- Friday from 8:00 a.m. to 4:30 p.m.
  • The individual in this role should reside within the State of Michigan, ideally within the greater Hastings/Grand Rapids area. However, Hastings will consider candidates who reside elsewhere within our five state operating territory (Michigan, Ohio, Illinois, Indiana, Wisconsin) to work remotely.

Position Duties & Responsibilities

  • Manages a pending inventory of low complexity Worker’s Compensation claims and ensures they are properly adjudicated to resolution.
  • Complies with all state and federal regulations, Core Values, and established processes and guidelines.
  • Facilitates the claim process and resolves claims in a timely manner by initiating and maintaining positive and productive communications with agents, claimants, and policyholders.
  • Investigates, evaluates, and settles claims within the scope of the Company’s contractual and legal obligations to ensure that settlements are fair and equitable to the insured, claimant, and the Company.
  • Utilizes all appropriate loss and expense savings programs and directs the activities of outside vendors to ensure only necessary and cost-effective work is accomplished.
  • Accurately and thoroughly documents all claim files in the Claim system of record to substantiate the disposition of the claim and minimize the possibility of erroneous payments.
  • Establishes and maintains appropriate case reserves sufficient to fund the payment of the claim once it is resolved whether through settlement, litigation, or arbitration.
  • Identifies potential fraud and refers to appropriate authority.
  • Interacts with outside experts such as surveillance companies, independent adjusters, and special investigators.
  • Coordinates relevant claim information with Loss Control, Underwriting, Marketing, etc., to maximize the
  • Company’s effectiveness.
  • Actively participates in professional development, i.e., continuing education or self-improvement.
  • Other duties as assigned by leadership, either verbally or in writing.

Candidate Requirements & Qualifications

  • Bachelor’s degree is preferred or two to four years of work experience in a customer-facing role, preferably within the Property & Casualty insurance industry.
  • Demonstrated PC skills including proficient use of Microsoft Office products.
  • Demonstrated excellent verbal, written, and interpersonal communication skills.
  • Ability to work independently and cultivate an environment of teamwork.
  • Demonstrated customer service skills.
  • Demonstrated critical thinking skills and the ability to be decisive.
  • Ability to effectively manage conflict.
  • Good time management and organizational skills with the ability to prioritize and complete work and/or projects effectively.

About Us

At Hastings Insurance, our balanced corporate strategy focuses on implementing emerging technologies, cultivating strong independent agency relationships, and providing the right products to our policyholders.

We seek to strategically grow our product lines and continue to expand geographically while maintaining our financial stability and innovative nature.

Our talented employees are dedicated to providing excellent customer service to our agent partners and policyholders. Many of our employees have been identified as industry experts, and we value the knowledge and skills that they contribute to our success.

For more than 135 years, Hastings has helped our customers protect their valued assets and rebuild after devastating losses. We are proud to be rated an A (Excellent) insurance carrier by A.M. Best Company.

Our Commitment as an Employer

We value the strength of a diverse and inclusive workforce. Hastings Insurance is committed to providing equal opportunity for all employees and candidates in a work environment that does not tolerate discrimination or harassment. Decisions related to employment are based on business needs, position requirements, and individual characteristics without regard to appearance, nationality, origin, race, color, religion, gender, sexual orientation, age, body, disability, veteran, family, marital status, or any legally protected class.

Hastings Insurance seeks to provide reasonable accommodation to disabled individuals in the hiring process in compliance with federal, state, and local law. Candidates requiring accommodation to complete their job application or participate in the interviewing process are asked to notify the Talent Acquisition Specialist or contact us at 800-442-8277.

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