Entry-Level Claims Specialist – Workers' Comp

Key Risk (a Berkley Company); High Point (NC); On-site; USD 42,000 - 56,000; Full time

Job summary

Key Risk, a Berkley company, is seeking an enthusiastic Claims Associate to manage low exposure workers’ compensation claims. This entry-level position requires learning workers’ compensation laws and delivering outstanding service to our clients.

No experience is necessary. You will maintain communication with employers, adjusters, and providers; discuss return-to-work status; request medical notes and proper billing information; reserve for medical-only claims; document communications; and

Qualifications

• BA/BS degree required or preferred.
• 0-2 years of workers' compensation claims experience.
• Adjuster license strongly desired or ability to obtain license within six months.
• Knowledge of workers’ compensation principles and laws, preferably jurisdiction-specific.
• Strong verbal and written communication skills.
• Strong interpersonal, time management and organizational skills.
• Strong negotiation skills.
• Attention to detail and ability to work with a sense of urgency.

Responsibilities

• Maintain good lines of communication with employers, adjusters, and providers.
• Discuss with an employer issues related to return-to-work status for injured workers.
• Request medical notes, proper billing format, and other information to determine payment responsibility.
• Timely and accurate reserve for medical-only claims.
• Document communications in the claim log notes.
• Discuss with employees issues related to bill payments or reimbursements.
• Assist in the management of unit communications with customers, providers and injured employees.
• Enter medical notes into the claim log and index images as needed.
• Identify potential subrogation claims and notify supervisor.

Education

BA/BS Degree

0-2 years experience

Job description

Key Risk, a Berkley company, is seeking an enthusiastic Claims Associate to manage low exposure workers’ compensation claims. This entry-level position requires learning workers’ compensation laws and delivering outstanding service to our clients.

No experience is necessary. You will maintain communication with employers, adjusters, and providers; discuss return-to-work status; request medical notes and proper billing information; reserve for medical-only claims; document communications; and