Associate Claim Specialist

MEMIC; Portland (ME); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Health & Wellness

Financial Security

Paid Time Off

Education & Career Growth

Work-Life Balance

Job summary

MEMIC is seeking an Associate Claim Specialist to investigate, evaluate, and manage medical-only and low-complexity lost-time workers’ compensation claims. You will ensure injured workers receive appropriate care and benefits while supporting policyholders and agents.

The role offers on-the-job training with opportunities for growth, making it a strong starting point for developing expertise in workers’ compensation claims at MEMIC.

Qualifications

• Strong attention to detail with excellent verbal and written communication.
• Proficiency in Microsoft Office Suite (Word and Excel).
• Self-motivated, flexible, and able to manage time and priorities.
• Ability to collaborate and build relationships with cross-functional teams.
• Valid driver’s license required and adjuster licenses within six months of hire.

Responsibilities

• Investigate, evaluate, and resolve medical-only claims and low-complexity lost-time claims.
• Serve as primary point of contact for insureds, injured workers, agents, brokers, and attorneys.
• Administer medical and indemnity benefits in compliance with statutes and MEMIC’s best practices.
• Maintain organized, high-quality claim files in accordance with company policies and procedures.
• Coordinate Managed Care strategies, rehabilitation plans, and medical bill processing.
• Ensure compliance with state and federal regulations.

Skills

Attention to detail

Verbal and written communication

Microsoft Office (Word & Excel)

Time management

Collaboration

Valid driver’s license

Adjuster licenses within six months

Tools

Microsoft Office Suite

Job description

At MEMIC, our mission is to make workers’ compensation insurance better—through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values—Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent—drive everything we do. For over 30 years, we’ve been a leader in helping businesses protect their employees and reduce workplace injuries while delivering exceptional claims services.

In‑person to start then can transition to hybrid.

Are you looking to build a career in insurance claims management? Join MEMIC as an Associate Claim Specialist and be part of a team dedicated to providing fair, accurate, and compassionate claims resolution. In this role, you will investigate, evaluate, and manage medical‑only and low‑complexity lost‑time claims, ensuring injured workers receive appropriate care and benefits while supporting policyholders and agents.

With on‑the‑job training and opportunities for growth, this role is an ideal starting point for individuals seeking to develop expertise in workers’ compensation claims.

Key Responsibilities

• Claims Management: Investigate, evaluate, and resolve medical‑only claims and low‑complexity lost‑time claims.
• Communication: Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders to gather necessary information and provide timely updates.
• Benefit Delivery: Administer medical and indemnity benefits in compliance with state workers’ compensation statutes and MEMIC’s best practices.
• Quality Assurance: Maintain organized and high‑quality claim files in accordance with company policies and procedures.
• Managed Care Coordination: Implement Managed Care strategies, coordinate rehabilitation plans, process medical bills, and monitor case progress.
• Legal & Regulatory Compliance: Interact with state and federal boards and commissions to ensure proper reserves and compliance with laws and regulations.
• Ongoing Learning: Stay updated on state laws and workers’ compensation trends through MEMIC‑provided training and external certifications like WCP or Claims Law (AEI).

Qualifications

• Strong attention to detail and excellent verbal and written communication skills.
• Proficiency in Microsoft Office Suite (Word and Excel).
• Self‑motivated, flexible, and capable of managing time and priorities effectively.
• Ability to collaborate and build relationships with cross‑functional teams.
• Valid driver’s license required.
• Must obtain required adjuster licenses within six months of hire (or sooner as directed).

Why Join MEMIC?

At MEMIC, we value our employees and offer an exceptional benefits package to support your well‑being and professional development, including:

• Health & Wellness: Health, dental, and vision insurance, plus access to a fitness center (Maine office only) or reimbursement.
• Financial Security: 401(k) retirement plan with up to 6% match, profit sharing, and life insurance.
• Paid Time Off: Four weeks of PTO and 11 paid holidays.
• Education & Career Growth: Student loan paydown assistance, tuition reimbursement, and professional development opportunities.
• Work‑Life Balance: Flexible schedules, sit‑stand desks, and paid volunteer days.

Join MEMIC Today!

Ready to make an impact in workers’ compensation insurance? As an Associate Claim Specialist, you’ll play a critical role in ensuring injured workers receive the support they need while helping businesses thrive.

MEMIC is committed to fostering a diverse and inclusive workplace. We are an equal opportunity employer, encouraging applicants of all backgrounds and identities to apply.

Apply today and launch your career with MEMIC, where safety and compassion are at the heart of everything we do.

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran’s status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.