Workers Compensation Claims Representative

Auto-Owners Insurance; Lake Elmo (MN); Hybrid; USD 50,000 - 82,000; Full time

Job summary

Auto-Owners Insurance in Minnesota is seeking a motivated Claims Representative in our Workers Compensation Claims Branch. The role blends in-person training with a merit-based path to flexible work-from-home time.

You will investigate claims, review medical bills, contact healthcare providers and employers, and pursue resolution through arbitrations or settlements as needed. A bachelor's degree and strong communication are required.

Qualifications

• Bachelor's degree or equivalent years of direct workers' compensation claims handling experience for an insurance carrier.
• Familiarity with a broad range of medical terminology.
• Above average communication skills (written and verbal).
• Ability to organize and interpret data, multi-task, and make decisions independently.
• Ability to resolve complex issues.
• An interest in developing product knowledge through participation in approved educational programs.

Responsibilities

• Investigate and determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
• Review medical bills, authorize payments and ensure payments are issued in a timely and accurate manner.
• Handle investigations by phone, mail and on-site investigations.
• Contact employers, employees, hospitals, doctors and attorneys to secure information to properly adjust the claim.
• Work toward the resolution of claims, and may attend arbitrations, mediations, depositions, or trials as necessary.
• Service the needs of agents, policyholders and injured workers.
• Become familiar with insurance coverage by reviewing insurance policies, endorsements and forms.

Skills

Communication skills

Medical terminology familiarity

Data organization & multitasking

Independent decision making

Issue resolution

Education

Bachelor's degree or equivalent workers compensation experience

Job description

A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.

Job Description

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated Insurance Carrier, is seeking a motivated candidate to join our team as a Claims Representative in our Workers Compensation Claims Branch.

The position requires the following but is not limited to:

• Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
• Review medical bills, authorize payments and ensure payments are issued in a timely and accurate manner.
• Handle investigations by phone, mail and on-site investigations.
• Contact employers, employees, hospitals, doctors and attorneys to secure information to properly adjust the claim.
• Work toward the resolution of claims, and may attend arbitrations, mediations, depositions, or trials as necessary.
• Service the needs of agents, policyholders and injured workers.
• Become familiar with insurance coverage by reviewing insurance policies, endorsements and forms.

Desired Skills & Experience

• Bachelor's degree or equivalent years of direct workers compensation claims handling experience for an insurance carrier.
• Familiarity with a broad range of medical terminology.
• Above average communication skills (written and verbal).
• Ability to organize and interpret data, multi-task, and make decisions independently.
• Ability to resolve complex issues.
• An interest in developing product knowledge through participation in approved educational programs.

Compensation

Auto-Owners offers a generous compensation package. The base salary range for this position is $50,000-$81,500. Starting salary within the range is determined based on relevant experience, education, qualifications, and other job-related factors. Other components of the compensation package include several bonus opportunities.

Benefits

Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent benefits package. Along with a matched 401(k), fully funded pension plan (once vested), Auto-Owners offers medical, prescription, dental and vision insurance; associate, spouse and child life insurance; short-term disability; long-term disability; health care flexible spending accounts and dependent care flexible spending accounts.

Additional benefits include:

• generous paid time off including holidays, vacation days, personal time, sick leave and parental leave;
• adoption assistance;
• discounts on personal insurance;
• education matching gift program, and a gym membership and fitness class reimbursement program.

If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!

Equal Employment Opportunity

Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.

*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.

About Auto-Owners Insurance

Auto-Owners Insurance is a mutual insurance company with a simple human sense approach to business. This means we answer the phone because it's ringing, we treat people like they're people, and we believe the right way is the human way. Established in 1916 and headquartered in Lansing, Michigan, we currently operate in 26 states. We partner with independent agencies to sell our products to the communities we serve, and we are consistently acknowledged for our superior customer service. We are proud to have been ranked among the Fortune 500 every year since 2002.