Associate Claims Examiner
Markel, Henderson, NV, United States
Responsibilities
Investigate moderate to complex claims as reported and determine injured worker’s eligibility for workers’ compensation benefits.
Administer indemnity and medical benefits for valid workers’ compensation claims.
Manage progression of the claims process through collaboration with physicians, nurses, attorneys and other parties as needed.
Determine if subrogation exists and take the steps necessary to initiate recovery efforts.
Ensure all file handling is within state statutes, client claims handling guidelines, and best practices.
Obtain CA claims handling certification and be certified to handle medical only claims in California.
Qualifications
Prior experience handling California workers’ compensation claims is required.
Experience handling workers’ compensation claims across multiple jurisdictions is a plus.
Experience handling CA claims is required.
Experience handling AZ/CO/UT claims is a plus.
Must be able to obtain/maintain the required CA CEU hours to adjust CA claims.
A degree in business related courses is optional in exchange for experience in insurance.
An insurance designation is a plus.
Excellent written and oral communication skills.
Strong analytical and problem solving skills.
Strong organization and time management skills.
Ability to deliver outstanding customer service.
Strong knowledge and understanding of medical terminology is a plus.
Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word).
Ability to work in a team environment.
Strong desire for continuous improvement.
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Equal Employment Opportunity
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
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Investigate moderate to complex claims as reported and determine injured worker’s eligibility for workers’ compensation benefits.
Administer indemnity and medical benefits for valid workers’ compensation claims.
Manage progression of the claims process through collaboration with physicians, nurses, attorneys and other parties as needed.
Determine if subrogation exists and take the steps necessary to initiate recovery efforts.
Ensure all file handling is within state statutes, client claims handling guidelines, and best practices.
Obtain CA claims handling certification and be certified to handle medical only claims in California.
Qualifications
Prior experience handling California workers’ compensation claims is required.
Experience handling workers’ compensation claims across multiple jurisdictions is a plus.
Experience handling CA claims is required.
Experience handling AZ/CO/UT claims is a plus.
Must be able to obtain/maintain the required CA CEU hours to adjust CA claims.
A degree in business related courses is optional in exchange for experience in insurance.
An insurance designation is a plus.
Excellent written and oral communication skills.
Strong analytical and problem solving skills.
Strong organization and time management skills.
Ability to deliver outstanding customer service.
Strong knowledge and understanding of medical terminology is a plus.
Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word).
Ability to work in a team environment.
Strong desire for continuous improvement.
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Equal Employment Opportunity
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
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