A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
2+ Months (Possibility of extension depending upon business requirements and performance)
Note:
Location:
EGH - St. Paul, MN Work week and shift: M-F core business hours Work environment: Hybrid 60/40 model
Job Summary:
Join organization Safety, Health, and Environmental (SHE) team as a Claims Administrator. In this role you will work collaboratively with Client business partners and insurance carriers to manage and resolve Workers Compensation claims. The client is seeking an individual who is detail oriented and with excellent verbal and written communication skills to effectively maintain information pertaining to worker status updates, medical appointments, opportunities for modified duty work, claim resolution and management of claim costs.
Job Description:
A Claims Administrator should have strong organizational skills and will be expected to thoroughly document and report out on claim management processes. The ideal candidate can work both independently and collaboratively to achieve personal and team objectives.
What You Will Do:
Work with peers to develop processes to assist with intake, evaluation, investigation, documentation, communication and tracking of workers' compensation injury claims. Collaborate with third-party claims administrator (TPA) to perform exposure/ coverage determination, cost estimation, and case management. Coordinate claim managing from notification to close. Engage with peers in minimizing both the exposure and the financial loss resulting from claims. Coordinate and communicate claim notification and findings to safety, operations, finance, administration, risk management and law departments. Obtain necessary documentation, records, statements, and regulations and investigate scope of claim/ incident.
Minimum Qualifications:
Be self-motivated, results oriented and proactive 2+ years of similar administrative work experience Post secondary education or equivalent combination of education and experience Strong computer, organizational and communication skills Proficiency with Microsoft Office applications
Preferred Qualifications:
Bachelor's degree in Business, Finance, or related field Previous experience handling Workers' Compensation insurance claims Experience in a field service organization
