Associate Claim Specialist - Eastern Alliance
Proassurance Corporation

Job Info

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An exciting opportunity exists to join the ProAssurance family of companies!

We are a specialty writer of professional liability, products liability and workers' compensation insurance. With approximately 1000 employees operating in all 50 states, we are well positioned to offer career opportunities to individuals interested in professional growth.

This position is with Eastern Alliance, a best in class workers' compensation provider, and member of the ProAssurance family of companies. Eastern offers its employees the option to only work from the office 2 days per week.

This position can be based out of Lancaster PA, Madison MS or Charlotte NC.

The primary responsibility of this position is to consistently execute the Company's ecovery® Return to Wellness philosophy and business model that leads to better outcomes for our injured workers and insureds. Responsibilities of this position include serving as the initial point of contact for calls to the Claim Department; obtaining necessary information accurately and efficiently, responding to inquiries and problems, explaining procedures and acting as a customer liaison by answering questions and/or resolving problems, or directing callers to the correct person within the Claim Department if necessary. Participates in a structured training program in preparation for entry into professional positions in Regional Claim Departments.

Essential Functions:
25% Serve as point of intake for initial reporting of claims. Accurately enter complete data in accordance with company and jurisdictional requirements to set up new claims in computer system. Research coverage on reported claims not matched to valid policies

20% Review information on claims to ensure accuracy and completeness; request additional information if needed. Assign and distribute copies of Injury Reports to the appropriate individuals in accordance with established time frames

20% Complete training program in preparation for transition into claims professional role. Training will include limited travel outside of office. Proactively seek coaching and guidance in order to develop technical knowledge and skills. Work collaboratively with Supervisor/Manager to establish and follow a meaningful professional development plan

10% Provide assistance and direction to customers reporting claims, including accessing the appropriate provider listings

10% Respond to telephone inquiries from agents, customers, injured employees and providers in a professional, courteous and timely manner, providing high levels of customer services at all times

Secondary Functions:
5% Enter and maintain accurate claims data and/or corrections. Promptly update and/or correct data as required by company procedures and Unit Stat Reporting requirements (e.g. PCRB, DCRB, NCCI, etc.)

5% Participate in department meetings and other duties as assigned
5% Assist with special projects as assigned

Qualifications & Requirements:

• Bachelor's Degree is preferred; a HS diploma/GED with a minimum of 8 years of experience working in a medical, legal or insurance environment can replace the Bachelor degree requirement
• Proficiency in Microsoft Office computer applications, including Word & Excel, and ability to learn new computer software applications
• Attention to detail in processing all information, establishing priorities and meeting deadlines
• Ability to handle multiple priorities simultaneously
• Excellent organization and time management skills
• Solid analytical and problem solving skills, including formulating logical and objective conclusions
• Ability to assess the urgency and importance of a situation and take appropriate action
• Empathic listener with the ability to listen and respond to another person in a way that engenders mutual understanding and trust
• Ability to communicate effectively and professional both verbally and in writing with various constituencies and at all levels, both in and outside of the organization, including agency partners, customers, injured employees and providers
• Ability to maintain confidential information
• Ability to operate standard office equipment including, but not limited to copiers, printers, etc
• Ability/willingness to relocate to Regional/Satellite offices.

This job has expired.