Key Risk (a Berkley Company) · 2 months ago
Claims Associate
High Point, NC
Full-time
Onsite
New Grad, Entry Level
0+ years expKey Risk is a company with over 35 years of expertise in the workers' compensation industry, providing innovative solutions to clients. They are seeking a Claims Associate responsible for managing low exposure workers' compensation claims and learning relevant laws while providing outstanding client service.
Insurance
No H1B
Responsibilities
Maintain good lines of communication with employers, adjusters, and providers
Conduct investigation of workers' compensation claims assigned
Request medical notes, proper billing format, and other written/verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only
Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued
Timely and accurately reserve for claims assigned
Document medical notes and relevant written and oral communication received relative to claims in the log notes
Discuss with an employer, issues relative to an injured workers’ return to work status
Index images as needed
Identify potential subrogation claims and notify appropriate supervisor
Actively work with mentor and supervisor to develop skills to handle all technical aspects of claims, including coverage, disability benefit management, medical management, litigation management, file management, subrogation, reserving and settlement
Maintain and demonstrate knowledge of the Workers' Compensation Act and Rules and Regulations in jurisdictions assigned
Immediately notify management of large exposures
Qualification
Required
BA/BS Degree
Demonstrate exceptional oral and written communication skills
Demonstrate functional understanding of basic medical terminology
Superior organizational skills and attention to detail
Evidence of self-motivation and requires general supervision
Possess creative problem-solving skills
Ability to manage multiple priorities and coordinate tasks
Obtain license in jurisdiction as needed
Commitment to increasing knowledge of workers compensation
Company
Key Risk (a Berkley Company)
Key Risk (a Berkley Company) is a leading provider of workers compensation insurance products & services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Travis Moose
Senior Vice President & Chief Marketing Officer
Greg Tardy, CPCU, ARM
Chief Underwriting Officer
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