Position Purpose:
To process, administer and manage the property, workers' compensation, auto, and third-party liability claims in a timely and thorough manner.
Responsibilities:
*Management of events involving workers compensation, auto, liability and property damage, inclusive of routing, administration, recordkeeping, and data entry
*Prepare correspondence presentations and reports for management and key customers
*Tracking and trending of claims events and related claims costs
*Analyze and revise claim data as new information becomes available
*Assist in the continuous improvement of the claims reporting procedures
*Collaborate with third-party administrators to analyze claims and determine the extent of the company's liability while continuously working to resolve
*Review billing and process claims correctly including, third party recoveries
*Assess claims documentation and determine its validity
*Investigate claims thoroughly, ensuring all necessary information is gathered
*Communicate with claimants, witnesses, and other relevant parties to gather additional information
*Document claims activities and maintain accurate records
*Assess expenses and settle claims with authorized limits
*Coordinate with claimants to resolve issues
*Assist with department trends and statistical information
Knowledge | Skills | Abilities
*Ability to maintain confidentiality
*Proven communication, organizational, and interpersonal skills
*Strong computer skills with excellent attention to detail
*Ability to anticipate and meet the needs of internal/external customers and work independently to meet deadlines
*Strong understanding of administrative best practices and a focus on continuous improvement
*Ability to work independently and meet deadlines
*Ability to engage and consult with all levels of management to establish working relationships and partnerships
*Prior claims management experience preferred
*Employee must be able to function in a team environment while always working for the greater good of the company
*Ability to analyze complex information and formulate sound decisions
*Excellent evaluation, strategic skills, and claim negotiation with a focus on strong conflict resolution
Qualifications
*High School diploma. Education beyond High School would be preferred
*A minimum of 2-4 years of claims administration in workers' compensation, insurance, or a related field preferred
*Equivalent combination of education and experience that demonstrates the ability to perform the key responsibilities of this position
Work Environment
*Must be able to remain in a stationary position over 50% of the time
*The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc
*Continuously operates a computer and other office productivity machinery, such as a calculator, copy machine, scanner, and computer printer
*The person in this position frequently communicates with employees and coworkers and must be able to exchange accurate information in these situations
*Occasionally lifting 20 pounds
MJE is an Equal Opportunity Employer and is committed to providing equal employment opportunities to all applicants and employees regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, disability, status as a covered veteran, or other military status.
