PMA Companies · 3 days ago
Claims Apprentice
Pittsburgh, PA
Full-time
Remote
Entry Level, Intern/New Grad
1+ years exp
Maximize your interview chancesFinancial ServicesInsurance
Insider Connection @PMA Companies
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Promptly investigate assigned claims. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable).
Ensure timely denial or payment of benefits in accordance with jurisdictional requirements.
Within granted authority, establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure. Negotiate claims settlements within granted authority.
Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition.
Work collaboratively with PMA nurse professionals to develop and execute return to work strategies.
Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced.
Communicate effectively with internal and external parties on a wide variety of claims and account issues.
Authorize treatment based on the practiced protocols established by statute or the PMA Managed Care department.
Assist PMA clients by suggesting panel provider information in accordance with applicable state statutes.
Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
Minimum of an Associate's Degree
1-3 years of work and/or volunteer experience in a service-oriented setting
Leadership ability as demonstrated through participation in extra-curricular activities
Strong organizational and multi-tasking skills
Ability to work independently
Strong critical thinking skills that demonstrate analysis, judgment and sound decision making
Excellent verbal and written communication skills
Excellent customer service skills
Preferred
Bachelor's Degree
Company
PMA Companies
PMA Companies provide risk management solutions and services.
1,001-5,000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2010-10-06Acquired· by Old Republic International Corporation
Leadership Team
D
Derek Hopper, CPCU
President and Chief Executive Officer
Irina Simpson
Senior Vice President & Chief Claims Officer
Company data provided by crunchbase
