WC Claims Rep.

Maine Municipal Association; Augusta (ME); On-site; USD 53,000 - 69,000; Full time

Job summary

The Maine Municipal Association is seeking an experienced Workers' Compensation Claims Representative to join the Risk Management Services team. You will manage lost time claims from investigation to resolution, determine compensability, evaluate exposure and reserves, and negotiate settlements under Maine statutes and regulations.

You will collaborate with members, medical providers, vendors, and legal counsel to support return-to-work efforts, manage litigation, and ensure accurate filings and

Qualifications

• Strong knowledge of workers’ compensation laws, regulations, and claims management practices.
• Understanding of medical terminology, occupational health, and risk management principles.
• Effective written and verbal communication skills with the ability to document claim activity and produce reports.

Responsibilities

• Manage workers’ compensation claims from investigation through resolution, including determining compensability, evaluating exposure and reserves, and negotiating settlements.
• Calculate and administer indemnity and medical benefits in compliance with applicable laws and regulations.
• Coordinate with members, medical providers, vendors, and legal counsel to support return-to-work efforts, manage litigation, and resolve claims efficiently.
• Complete required filings and reporting, maintain accurate documentation, and provide guidance to program participants on claim processes and best practices.

Skills

Workers' compensation knowledge

Investigation skills

Negotiation skills

Communication skills

Organizational skills

Education

College degree in Business or related field

Maine Adjuster License or ability to obtain within 1 year

AIC/ARM/CPCU desirable

Job description

About this position

The Maine Municipal Association is seeking an experienced Workers' Compensation professional to join the Risk Management Services department as a Workers' Compensation Claims Representative.

In this position, you will be responsible for managing the lost time claims of assigned members. Under supervision of the Assistant Claims Manager or Claims Supervisor, the claims representative is responsible for the management of claims in accordance with The Workers’ Compensation Statute and applicable Maine Bureau of Insurance Regulations, and internal MMA claims management guidelines.

This role involves direct engagement with program participants, managing claims within established guidelines, and partnering with underwriting and loss control teams. You'll work under the Claims Manager's direction, with day‑to‑day support from experienced supervisors. Performance is subject to review through audit, reports, and observation.

In This Role, You Will:

• Manage workers’ compensation claims from investigation through resolution, including determining compensability, evaluating exposure and reserves, and negotiating settlements.
• Calculate and administer indemnity and medical benefits in compliance with applicable laws and regulations.
• Coordinate with members, medical providers, vendors, and legal counsel to support return-to-work efforts, manage litigation, and resolve claims efficiently.
• Complete required filings and reporting, maintain accurate documentation, and provide guidance to program participants on claim processes and best practices.

What you Bring:

• Strong knowledge of workers’ compensation laws, regulations, and claims management practices, including investigation, evaluation, and negotiation.
• Understanding of medical terminology, occupational health, and risk management principles.
• Effective written and verbal communication skills, with the ability to clearly document claim activity and produce reports.
• Familiarity with MMA Workers’ Compensation Fund programs and proficiency with relevant computer and claims systems, combined with strong organizational, prioritization, and relationship‑building abilities.

Desired Experience and Training

College degree in Business or a related field or equivalent combination of professional experience. Preferably one to three years’ experience handling workers' compensation claims or similar experience. Professional development, including AIC, ARM or CPCU desirable. State of WC Maine Adjuster’s License within one year of hire.

Why Join MMA?

• Make a meaningful statewide impact in municipal governance.
• Join a collaborative, mission-driven organization.

Outstanding Employee Benefits
MMA offers a highly competitive and comprehensive benefits package, including:

• 100% employer‑paid health and dental insurance for full‑time employees.
• Employer retirement contributions up to 10%, supporting your long‑term financial well‑being.
• Generous paid vacation, sick leave, and holidays, promoting strong work‑life balance.

Hiring Range

• The hiring range for this position will be $52,890.84 - $68,758.60 annually. Starting salary will be based on qualifications, experience, and internal equity considerations.

Monday through Friday, 8:00AM to 4:30PM, 37.5 hours per week.

Salary Information

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