Associate Claim Specialist (Early Talent) - Eastern Alliance

United States·Lancastermid

Other

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Quick Summary

Key Responsibilities

25% - Serve as point of intake for initial reporting of claims. Accurately enter complete data in accordance with company and jurisdictional

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What We Offer

~1 min read

This position supports our workers' compensation line of business, Eastern Alliance. This is a hybrid position, reporting to our Lancaster PA office location approximately 2 days per month.

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.

Responsibilities

~2 min read

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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.
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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 timeframes.
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20% - Complete training program in preparation for transition into claims professional role. Training may 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.
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10% - Provide assistance and direction to customers reporting claims, including accessing the appropriate provider listings.
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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.
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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.).
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5% - Participate in department meetings and other duties as assigned.
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5% - Assist with special projects as assigned.

Bachelor’s degree is preferred; a HS diploma/GED with a minimum of eight years of experience working in a medical, legal or insurance environment can replace the bachelor’s degree requirement.
Proficiency in Microsoft Office computer applications, including Word and 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 team members 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.

#LI-Hybrid

We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally.

For that reason, we partner with The Predictive Index (PI) – an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one’s work style.

The position you applied to requires completion of two assessments prior to being scheduled to interview with a hiring manager. A Talent Acquisition team member may review your application and contact you before the assessment is complete. These assessments are Behavioral and Cognitive, and each assessment takes less than 12 minutes to complete.

After submitting your application, you will receive two emails from The Predictive Index inviting you to complete each of these assessments (please check your SPAM or Junk email folder if you do not see these emails in your inbox).

Note: If you already completed the assessments as part of an application with us, we may have results on file and you may not receive the emails inviting you to take the assessments. If you are moving forward in the process, a Talent Acquisition team member will confirm if we already have your assessment results.

$19.43 - $32.06