Claims Associate - Workers Compensation

PMA Companies
Cockeysville, MD
Oct 12, 2017
Oct 16, 2017
Accountant, IT
Full Time
PMA Companies is seeking Claims Associates to support new business growth and expansion in our Eastern Region. Opportunities exist in both our Insurance Company and TPA operations. This is an exciting opportunity to join an established company with incredible growth potential.In this position, you will investigate and manage medical only workers compensation claims. You will determine liability, secure information and settle claims. Under close supervision and guidance, you will work within defined limits and authority on simple to medium complexity claims to manage your assigned caseload.Responsibilities:With supervision, you will evaluate claimant eligibility, communicate with attending physicians, employers and injured workers.Work with both the claimant and their physician to medically manage the claim from initial medical requests to reviewing and evaluating on going medical information.Work directly with employers to facilitate a return to work either on a Full-time or modified duty basis.Provide consistent customer service to both our customers and claimants through timely responses to all inquiries, telephone calls and e-mails while delivering on service commitments.Manage both new claims as well as open claims equally.High school diploma or equivalentFamiliarity with medical terminology and/or Workers' CompensationAbility to multi-task and prioritizeStrong organizational and time management skillsExcellent customer service skillsExcellent verbal and written communication skillsComputer literacy, including working knowledge of MS Office Product Suite, ie Word, Excel, PowerPointAbility to travel for business purposes, approximately less than 10%

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