Job Summary: The Claims Examiner is the primary contact for the Workers’ Compensation client base. The Claims Examiner is responsible for managing claims and reserve activity, reporting to excess, ensuring Medicare reporting compliance, assisting with audits, and communicating with all stakeholders involved in the claim process.

Principal Duties & Responsibilities:

• Solid knowledge of Workers’ Compensation Claims Management
• Able to meet deadlines, work independently as well as in a team environment
• Demonstrate effective business communication skills
• Maintaining system notes and diaries
• Assistance with client retention and enrollment process

Qualifications:

• Ability to handle sensitive information and maintain a high level of confidentiality
• Outgoing personality, self-motivated and self-disciplined
• Proficient in Microsoft Office (Word, Outlook, Excel)
• Strong mathematical skills
• Ability to type 40 WPM
• Proficient with 10 key
• Excellent customer service and telephone skills
• Organized, attention to detail, flexibility and strong ability to multi-task
• Ability to work in a fast paced environment individually or as a team
• Problem-solving skills
• Effectively work with others to build consensus and rapport
• Valid Driver’s License

Education and Experience

• Knowledge and skills at a level normally acquired through the completion of a High School education or equivalent experience.
• Preferably 2 years of claims management experience

Physical Demands

• Ability to sit for prolonged periods of time
• Ability to lift and move 25 lbs.
• Ability to travel

This job description is not intended to be all inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.