EMC Insurance Companies · 4 hours ago
Claims Support Assistant II
United States
Full-time
Remote
Entry Level
$36K/yr - $50K/yr
2+ years expEMC Insurance Companies is focused on collaboration and making a positive impact. They are seeking a Claims Support Assistant II to assist with various tasks in the workers' compensation department, including handling claims, issuing payments, and supporting team members.
Financial ServicesInsurance
Responsibilities
Assists WC department with the handling of claim tasks as needed
Issues medical records payments once approved by the adjuster
Attends and participate in team meetings as appropriate
Attends internal and external training and self-study to stay informed of changes impacting the WC department
Assists team members as needed, including training less experienced team members on support incident only workflow and specific jurisdictional duties
Assists with special projects as required
Reviews and supports incident only workflow and specific jurisdictional duties
Reviews the claim notice, confirms self-care claim and/or incident only claim status
Ensures timely communication to insureds by sending an acknowledgement notice
Reviews incident only claims with change to status and moves for claim assignment
Maintains accurate diaries on all incident only claims, moves to closure if no activity within designated time frame
Reviews reopened claims with WC claims support team members to determine the appropriate claim handler based on best practices
Provides accurate file documentation on all claims and tasks
Processes split funded payments to Sedgwick and ensures split funded claims are handled in accordance with EMC’s claim guidelines
Reviews split fund claims and prepares for payment
Sets designated reserves on split claims up to assigned threshold
Reviews reopened claims with WC claims support team members to determine the appropriate claim handler based on best practices
Qualification
Required
High school degree or equivalent
Two years of experience of workers' compensation claims support or related experience
Good knowledge of workers compensation insurance and claims terminology
Good computer skills, including Microsoft Office
Accurate data entry skills
Ability to file alpha and numeric information accurately
Strong human relations and customer service skills
Excellent verbal and written communication skills
Strong organizational skills
Good attention to detail skills
Company
EMC Insurance Companies
EMC Insurance is a top insurer based on net written premium, and we have more than 2,200 employees.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
unknown1982-02-12IPO
Leadership Team
Matthew Spackman
SVP-Chief Human Resources Officer
P
Philip Lucca
Retired
Recent News
Corridor Business Journal
2025-06-28
2024-04-11
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