Workers' Compensation Claim Representative

JOB DESCRIPTION:

In this role you will handle medical only workers' compensation claims. Handling consists of investigation, evaluation, and appropriate conclusion of claims as defined by team processes and procedures. You may be assigned some of the more in depth claims for experience towards obtaining higher level claim roles. 

1. Determines policy status and coverage; immediately notify supervisor of any claim that may be outside of assigned scope of handling level or authority.

2. Makes prompt contact with insureds, claimants and witnesses involved with the claim.

3. Conducts investigation necessary to determine compensability, including recorded statements. Identifies any legal liability issues and consults with manager.

4. Ensures regular and timely follow-up and brings claims to prompt and appropriate conclusion. Obtains relevant medical bills

5. Maintains electronic records that accurately and thoroughly document all file handling activity.

6. May be called upon to perform additional duties as directed.

EXPERIENCE/EDUCATION:

Minimum of 6 months property & casualty claim handling experience preferred. • High school degree or equivalent; college degree preferred. • Basic computer skills and Microsoft applications. Obtain and maintain adjuster licensure within six months of hire.

Communication: Professional oral and written communication skills are critical to the success of this position. All claims service must be handled with tact, diplomacy and courtesy at all times.

Collaboration: Must be able to collaborate and develop strong team relationships with associates from within and outside the Claims Department.

State Auto Values: Must be willing to work by the "values" established by State Auto

ABOUT US:

State Auto offers a competitive salary, an annual bonus program, an excellent benefit program including medical, dental, vision and prescription insurance coverage, life insurance, matching 401(k) plan, flexible spending accounts, tuition assistance, and a stock purchase plan.

State Auto is committed to the principal of equal employment opportunity for all associates and applicants and to providing associates with a work environment that is free from discrimination and harassment. All employment decisions (hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training and work assignments) are based on business needs, job requirements and individual qualifications without regard to race, color, religion, gender, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, citizenship status, military status, or status as a covered veteran in accordance with applicable federal, state and local laws. State Auto will not tolerate discrimination or harassment based on any of these characteristics. State Auto is a smoke-free work environment. We utilize drug screening and background checks as conditions of employment. For all exempt positions we also obtain motor vehicle reports (MVR s).

State Auto will not accept candidates from third-party recruiters without a signed agreement with State Auto.